1970-04-01 LMD COWRI CITY OF SALEM - ASSESSORS' DEPARTMENT
Location' ' Block � � Lot No.
Cert. No. 3�' 4 a.4 Doc. No.
Dated �� 'YYl° O Book 1 `� -ftge
Recorded -AA,-h -
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Description:
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Pl. No. 'I Pl. Cert. No. 3 f$ (o From
Rec. B. —41— To Aka.• v-
Lot$. ( �� Date
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-AND COURT Tye
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March 27 ... .-----••----19.--7C)-
COUNTY OF ESSEX. SALLM,.-----------------------------
I, Augustine J. Toomey, City Clerk of Salem, Massachusetts, do hereby certify that the following is a true
extract from the rernrde of deaths in said city which are in my custody.
Name of Deceased......_Genevieve Malkowski --,_--Sex.....Male
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_
Date of Death November 9' 1-9------------- - ---- -----_-----------
Place of Death-------------Sad em..HosPit� sheen_,_.lS� - ------------•-----------------___ - ---------------
Residence 11 Herbert_-St..,S -�eme..MS& --- -- -- - -
Age_---------------------------- -------years-----------------------------------10-----. months--------_--------------14 ----------days
Birthplace-------------------- ---------- ----------Occupation-------•Housewife- -
To Whom Married.---- Peter C. Malkowski ------------ - ------------------------------------------------------------
Cause of Death:-----------Mil.iary•tuberculosis. -
---------------------------------------- ----------•-•---------------- -- -- - -
-------------------------------------------------------------------- -------------.........-------------. .............................---------
---------------------------------------------- ------------------------------------------ ------ -----------------------•----------------
------- •- .----------------------------------------------------- ----------- ----------------------------------------------------------
-Name of Father---------John.- Nneragki--.....---------- -------- -----------------------------------•- ------------------------------
Birthplaceof Father--- Pol�pd--------------------------------------------------------------------------••-•---------------------------------- --------
Name of Mother-----------Josephine. - ----.- nenin--ti
-.--------------------
----
- ..... aename
Birthplace of Mother---,Pnland------------------------------------• --------------------••------------------------- - ----------
Mass Place of Burial------------St.•._. my -- - ----------- -------------------
Witness my hand and the seal of the City of Salem, Massachusetts, on the day and year above written.
C ty e m Massa setts..
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