CERTIFICATE OF DEATH
1. PLACE OF DEATH: PALM BEACH CITY: ATLANTIS CODE NO. 60-XXX
2.USUAL RESIDENCE- STATE: FLORIDA COUNTY: PALM BEACH TOWN: WEST PALM BEACH
3. NAME OF DECEASED: ROBERT VINCENT MURRAY
4. DATE OF DEATH: SEPTEMBER 18, 1969
4A. NAME OF HOSPITAL OR INSTITUTION: KENNEDY HOSPITAL
5. SEX: MALE
6. COLOR OR RACE: WHITE
7. MARITAL STATUS: MARRIED
8. DATE OF BIRTH: SEPTEMBER1, 1913
9. AGE IN YEARS AT LAST BIRTHDAY: 56
10. USUAL OCCUPATION: PUBLIC RELATIONS
10A: KIND OF BUSINESS OR INDUSTRY: KENNEDY HOSPITAL
11. BIRTHPLACE: NEW YORK
12. CITIZEN OF WHAT COUNTRY? USA
13. FATHERS NAME: PATRICK MURRAY
14. MOTHERS MAIDEN NAME: KATHERINE DOWNING
15. SOCIAL SECURITY NUMBER: 077-03-1615
16. INFORMANTS SIGNATURE: (SIGNED MAE MURRAY)
16A. ADDRESS: 2564 MORES RD. WEST PALM BEACH, FL
17. CAUSE OF DEATH: PART 1- DEATH WAS CAUSED: BY METASTATIC CARCINOMA
DUE TO: PRIMARY CARCINOMA OF BOWEL
PART 2: OTHER SIGNIFICANT CONDITIONS: CIRRHOSIS OF LIVER
(DOCTORS SIGNATURES)
18. CREMATION, 9/20/69, DELRAY CREMATORY, DELRAY BEACH, FL
(FUNERAL DIRECTOR SIGNATURE)
(REGISTARS SIGNATURE)
melanieslack@hotmail.com