Loading...
2011 Transcript O'IA(ZJLl R~L I(L~nS{~.J2JPT ,A ('L~ .. NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Local Forms Disposition Report ~1'i:~~lrllll:'!;'!II:II:l:,:1 L Lj 2 ~ 4 fYIA eA2--1 A6 e- If-IL/-I\( C 1,/st-I /3UJ 8 duS-l -nuq(J'<-.('VI~- 4-20- II @ C-L-I L. :> .- I 3{oA ~a(1- 35 I, " "415'5 ~~2E)- I' I/~:J l 4Z.?:; - 1?J0'fJ '-Idol (p B (, 1I ,',5U KIZu-1/ ~cf L.. '-/z ~, / :3UY' L/ alC1Q l' I" 1,t;'1- u I (j 2B..Q ~'1 l... L/ '2.3 I .~LV f1 4d9;':2 { \( , 'JlJ)'~ (--~ L ~C)317/d L/Bk6S q I' ,') - ~- if I, ~C-),? ~) L L/cJJ716) lJ/~lC,[) I' I, 15--~.1/ J,:< {.y ..... ~/073776h m IIl-i//J{; ~ 5-5- J/ (9)) / ' ~t.C LJC)>19;? i R 11M; r /2; f)-t - .) iO-1 L. Lj ;nf1lltn r} ~ ~ 06- if a96 3 'I \ )0<\ i-4d.~}l~t " '~ V t ;\ -- L/) '1 " ,~ '-) de II ,or) 6 () I lfU') 1 6r (~ J / I ();r :'2:~ or c..r -,--" Lt.jdJ 77& J / c./ , 5;)0- <: .) ) \f C). I - v/y\ (VI.);; fi,' f) -ffJt'Y1 V'f':.A ~ .\ ."', ----.:-- ll,).$I";> 70 IJ , I }, ~~~ 5 dU - t/ ( ~ j \ 6t3J,yJ, f)1-Y~h,h"CF~ t V}')\[Jt ld? t ) '----<,,' <I,j (, -rn I 0. ,J ":"~)(1.d IS.;.) I 1,(,,)Q 15j~/~.:J /m (:( i, \.i (1;'" ~j', fA, 11.) r4 ;, :J/ 4P: :JD- l( ;a L '-It.. -01112.. y'tS (/ 1 I ~LR g 931 +(2A4~uu' p+ , , 'r (t) I 1'(;;) r- 'IcJ3 /773 j,.l.J.,x '-/ J3c9!? ;n1/1n f) i- . " -hI 11!!11\1 " j '/)r I '() "/' J/ /21 L 1.../2. ~ ~(j?e 'fI'3~ d 1. '/ I '-TILl I l( b-k" '11 g L-L( 023 77/'; jJ IoK c; 3393 /yv'Jt'7l1 ,~~ t(4L tf/ dI ^- . ^^ ' - c;;) L 'fa:? 1'7'lb . 0 ., !f) - 9-// JobX' Vo,'i9 7 /YY1 /)r1J'.~i() co if ~ _A . I,d -).3-iJ @ t3.;J.3'77 J 7 JiJ~ 43 44 i U I '- "3..' 711.(1 ).)~ -fr,tl'Jw'llf'l iL':rl (~-) . ~id.r!, -;' ?:) J' ,-/,; '-I I.t :l {!J . ' i. .., /l :{ (~ )(' /'n !;1) f\fI J ,'t> 11/111',/11'1" /' i " - I....) . /1 ~ '4J-3777} v 0 () I~^} -OJ} -II IGbf i lj A ,'-) 7-) . y nh l1JUGl" .+11 fll1W C'\AO [, cJ L L/ L "':) " U to , U 3C-/1 '-- II~O / '3uR <-J -~-1 '3 0 '7, II. II q L 41.. ~ / ?:;~8 lj3~5 I.' ,. .,1'i I '}.' i6 i I (:5)) 1t.j;Vi7Xc;. J. :<;& x- 4~Cf, ~ '7 . /YY)/1 nr' j.<I GI- d '[)I./A/>tLJ/'.I!) L)f ?-AJ-IJ '-....../ 1- /-1,:):3 /7 .r-~ ~399g u 1AJJ;7\.cJt;;td- I; S".) j L 3' .'f ifl1(Jn.n) c{ (it (/ 'T DOH-2896 (7/2000) -17jc;}!,'J~:re- j ~,1'JJ~JU ,f)-i NEW YORK STATE DEPARTMENT OF H~ Vital Records Section I-:ote vc ......./ 7 /:);//1 (:~,) ) 'll.Q,111 (~-)) I "--" 71:.;v1 Ii 1(2'.) "---" r DOH-2896 (7/2000) .<./ ........:1'.... ...:t:':Ie~ '" " L/..j J J -n,)'"i L "IJJ 17r~ ~ 'frJ.3")/~ Local Forms Disposition Report ...1 ,': :'.........'.....,....".. . .....,.,,'....<..... ......... ...........1 · .......................I.......I<...........,. ...... ../ .......:..? .... .,...,..............,.i.........H........ . ...............<?../. .,.,.,.,',....?R~W:!ipt# . ... ..,'.' J '2 ? ,./ 1 ~ C,.,Q':; 'Yf '^ ^ i'li'''~ fl. 'r.r Itn.&'j]j,t1 i . 1("11; ,J V J l1 (') v 44/ 3 7 l'f)11 TV; } r.; " +11 ,/l hlLV1/i'i/J ~ j ;;J.;/? 'I cj I:rc; /Y/I/lf((j(:;J'" -tilJ'J:tl ,(/.//J I NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section /r(joflJLf~r ~1P Local Forms Disposition Report r~'."'. .......... . ...................... ......,..,..........--......'.... . ...................__..__..'..'. d. ...-..,...,...,......... ............,.........--...... ..--..---......---.-...---..... .---.......--..--...--..-...--.. ......R~seip!..#.... ...... R I II II (21 ~\t<)\I\ ~ S?/'11" :J~ ~ 11 \ \\ ;)G\;l.-\ t/qj" 2.~ ~1t9~/" Q . '--" ~I;fi/I{ @ x b-,d " ~ 3t~i III (2!) ~IJi/l/ (s,)) ........ ,~'j III (~s.:~ I ~ 1.,J (.,) II @ g J~Y/J/ (~ # ~) (0) @ )( :, \ \ t \ ~\\\ 91 fill ,I e} II ( S''> ~, (31fl qllq\" j~ q!rJ dll (9,3 Qfjc; II J (9) '0 1~}11 (d) IJo)3Jii ~) ~ /(J,J II ~,. '; II 0/ '7/ Ii (if DOH-2896 (7/2000) L '-/8' ~lctOI U-!8 ()VJ-<]';>( Ll..\8 d- \Jo<<1 l-L{~~\d.'O L Lj ~;Z:I ''L'i \ ;... tJrJI {)J J.. L 4181 or!:. L 4~IJ.J ~I L- Ii ~ Jf).l .,- l48;).jJ.Jl,. 14Iii9/~j -7 L l.M;)I;1-lt L 'IJ ;).1;)/ '1 L 4 J ?- I a~ <.) L 4J~J:1;11 L y iJ j&J ,>r, L ~i ~ ~.L/ S~'1 r..T{jf)JaJI' u\S).\ ).2(0 L lfj /2/J>> '-'LIS JH)J7 ~tj~olao~ L-~&d I Jd1 L. ~ &' () j ;;.;, ,) ~~~\ ~~\ . ......,....,............--.. ..-...,......,....-...'..' .. .....,...,............ .--..","....--.. . .....d.....__..__...... q6J'tjrBefjis l/ L/. -S L-') / /YYl v1 f) fl1f; ,; "t:' 1),1'/ /11>1.' J LJ: ~ c:r -, 'it if '-I '3 '7,;) It' ()' I/U '"IU'.. t' if: /)", 1M, ; /) f !f ! VO IlJ '^ ,A......~ --r(f,.-n<(.,~' P1- ,4 Y L-\ S q /hA.i r \...-'1<2 +1 A-V\ "l{L1 P r <J VOIQ J ,'~c' k' J ;< (;, y t-r~&-- IJIOX l ~L<2 8 J ,2.. ~) V / ( ~Io f(; /.J6Y J.3 ice! /; 1,(, x '1C/56d. 4'-1'"--111 l l l . i.J tf 5/i5 ^ _/I ~ '0 ;o,,;,o1-fl /\ AA ^" . ' /l f- a --, y Yoct:;; /VJ'1/1 f)[) JO'CL>€. ~rJ l- t I (/ 7J __ ,.1 f?, i ')...: ..... J' '''I'''' J()-;+:' I/Y(i .Ik'l) J ,e"", . rA fJ (",,/'I- f It f. ir .') - .}. I /,'i(/,y 4--'-"-;;- L r,r/'l {j",g"t.L .lAn/1'..vf'~.r;f- u 7 /0 (; ~ l.J q 59 ;:J -tY tLlnJlhr (LL_ ,1:1 (1 ^ ^h ~ 1- t! 7' )](0'6' :..Jl/ft,5l 100)( 1/</03'-/ . /3':, S/VO L - It -? L v tJ lr7 tji /3~k li..lw 9~-7J l \ ~ (,&- J .1 r-; 1 }~('lV vo,D I ~~~J \( () i ''1\ Vo / 'b 1</,')1:5'0 'cOJ" Il ~ ('lR I Y <q,2..:~ /~ 1 k, g II (:0 a / J ?JuR ,/ J/ bIer] I' (, I( (/ IVyV') f15'L-/ C: (" . -1:"'. A'i1'..O.e 'I , II' r :/ /.W) /;~J / /~ - rlJ/) A C'; 1 c: t.P. fA l;;'81), ~ r, . /) f U I T / '/'J' Ih'! I ni1'.o or" fl A. ..,,, n, /J rf- \\ 0 \ t ! 1/YJI1 /V)f\ :".,11 ~ 1\ .. J o L T ./1 ~ : (j (..j J2.. '-[1171 ~ "h /l 1- 17 I ,/n1Il~1)iQ"", -h /\~ ^.~ /M. 01- T /J yj f)),J',A (~.d [ALtl'...Jt.;l J[,J-- tl.J l-1 '7 2e,ll-- 2~'J'7 NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section 'i..ti rl('J" ;c:;,'J.~ '/LA./f;1,l/,/:..,/ ~~ . :I~. \. L-( '...r - fr- ,'. u Local Forms Disposition Report loll,J,! ~~ L'flJo.J.J3a- -#!.3~,f' t...j/c/,':)7 /n')i{VH1.lt(:;~ 7i/111.rIIlLlJ{.it /0/;.)/', (!J L~~~~ -*4-/3i..!Y <l1.J1':J3 It u I~ I , If)' I, ~ I /I ( (~J i. 4.~ ,j.I)..H .i-J- ! 'l I,' ./ " 1 j 11/ I /I '-/ ff I; ll' ,'I' tj L:) /? /YVl,...{t/lj"" "'...< .-t//l.h~;tJ;, I,} , 7 ...,.. , "" 1r . L'_ r- ' I, <--.I I , /YJ'ld.e.N':j:"- R'/ /l,rY/ y-.:r;.. /' ~ .d In < "" I <!"- .,'/ J /. ,... .".. f I r"l r./ LJ "'eLf) \ \ ::.i!'...........:. ....,........ '^ :_.-',i'~.,>r,,:~,"....~:"i~_'';;,_,"', ,~'....,,:.:..,",'.' '-~ ~ ......., "~7~ . .....' ..' ".. ",~.,.,;..~::~~:;,..,~",...L .. . .... /l An. 1. {.d\\O~ . 11"\ r // i ..r;-iCIJ(] ~ \ /,,:Vj , j J" I ~. J ';;;~-~~!U!'''''''~;:;.~~..u.,;;. T'~;"lol\'~"~:;i;m'''~';''~7'''~';:~~.~~~' ./2. '''!;o' ,:i.fJf!::l<~'~,f;J4{,;;:f'.r::,rr:-:~"",~.~T"'!;"'!f){m_ r) ~~r--z~,j::;)"-v-,,,,,,,,ryJ-J;~n.." 'LiJ'"J.... Ie,.'.. ( 'I / Y J U QI.~z:r -"- """'C.;,(~:'f";;l" ",q:;""""~'r'':'''I;'i.;l';r~~~ <::~_,_/...J, ~~ 1.,""'- I'?,;t,~ _...~~ J(. \( _. LI~ f"'\tnrl 'J ..,.," -. '8f..'r-rt"~'2:;[Jj~7""'T'!' ~fq"bP ~ L..;....."""'r;,.....''Y,..",.''''Il'1!'.~' ~-) L Li " L'~ l ~~ .~~', / "1-'-' .., ,/ :'\" /(l. i'~ " :,~. ) ...- I C) oC) . !JDII 1:/11 '(E '- ....y~~ I I ~lc ~ d-~-' /u)tQ 16 ~ L. (--tb~ \ / ~~?~ ;)~LP 1/ 01.-:; 1/11 c;') L 4i~)}3'tf I. 'l (:, rf- i(),~dll ( ;) L Y 't !)./ ;).3r Il :{ ~ k /Jh//I (~ L"'i~/J.Y{) /06 cf -- <. ~ 4' c.. / IJd//~/11 ~ )~<-IS 13~i / ;),J/~J~ /7! f.- 4~d- , ~ / 3UJ ~ 2Lf;} nJll;" 1I ~k' L~~ ~ , ~ bfS j r;..j, ~ /1/ ~~I) L L{~t;).1 I~GR' /.~ B. 44 It:} /~,I/J ~ ~ LtI?>':MJIt; J3hX I{).~/II :~ l-'1~l!){b 1~l6h If).k.~f ,J~ LI.{gQ.1 I~<l t141-t InJ /;7/;/ (<2.::-) L '16'8-;;; rtf' l.56J-- J -ry.- '-IfW 1;"/ ...... '-'1 ,,- -'7 ~J! ( 1'1 1-5 v?-'" .J.t": "^ /, L 4~!:J.j'.J. J/J/"O' 'Il n. 1/-)2, 1 l::h I t DOH.2896 (7/2000) .LJu()..CJL( "--I (tJ cy Cjc I 'ic,?))y ..., "05Iorm~l)\.\ Oc,-" +^^,>\ Av\:P{ () I u. l.J1A!J.3 /YVJ /J 1\/). (;CIfL T....,f'l ~."'.. A /I.t f/ I . < l , .....- '" .. ... .. \\ II '- Lf )~~5 L{'1'1~~ \\:';'" - Lf T:J4 eJ;) 1'- l-ft-"JL/'3C6 A ~/7Y,77 , In )74 '---... -. - ~V " q 'I ~- - () /1 W rh^,.-fr,. -.. "'" j U () Ir 1/ 't I I