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HomeMy WebLinkAbout0841 _ _ _ _ 1 • , • ' , ' ? . , _ . . • y . " . . • . .•a. ~ . . . - ~ ~ - ~ . ~ ~ ~ , ~ . . ~ - ' . . . ~ ~ - ~ . . ~ • • • • ' . ' . . ~ ' _ " . . , , , ( ` i ~ ~ + . • - . . . _ ' . _ ' "~.~+w..r.~w +,t'_ r .teT,c .o~o oR M~?t,rt .CERTIFICATE 4F DEATH 8~~ ~ eo~~s • ~uR~u?u oR vtrw~ R~n~cs •stw'!'It~ PACi~~ '•j•l *•0- • FLOSIDA- eN ~l~~w s ~ N ~d ~r.t.~l~ ' z •=•e.s•a 1. PLACE OF OEATH coo~ Na. ~ USUAL RBSIOBNCE ~..www~tiwa nr~.~r.:.e+wawn.. r •.a .a11 a. oouwn su?tt w~ ~x ~laaN T+1lO~A ~ 1a *~1- G11Y pt w~ ~wfaM 1wt~ wM ~11YiJ t LNlC1F! Of a G1Y l1f Mt~M~ wwM~ M~M~. ~eM~ t ' Nw~~t OR STAr 1WMw1 OR ~~~311 r: i..., TowN F rt P towN F Y e ~ HOSMT/tt Ot A MAMd ~r f~MfatM~, sM~ ~Nwt d!w R YrYW ~ (Y ww4 M» 1~ntlMt ! ' • ~NSY1111T10N ~''l ~ NAME O' (~t) 1. t111Yir) t~) l~sU lD~q) (2.ar) ' DECEA3E0 ~ ~?rn pprl.l 6~ ~954 ; , ~ ` SEX COLOROR RACf 7. ~ E11ER YAIRI~. R MT~ Of q~lf1 ~ ~ r ~~=w~ a~w r ~ i s,. OOt• 1 18 1 ~l~lalf 1M. IJSW11 OCCUlA1lOMl6tw if~ d 11?. KIND OF NKINESS O! tN- 11. pRiHl~JlCfi t~er~ ~r bn1N wMw) ' 1!. CiTRFN OFMIHAT ~ • i tl~ ~~r- aw ...t.t waty !~M w~ U atlsq 011tilY ' COUNTRrt . •••••t ~octor Mediaine nd Dn I.sa, 1~iiao~nsin ~;11~ek iwt IL FATHEt'S NAME K MOSHB'S IIAtOd1 !lA11i : • t~'p~~rit~r d.a IInob• - ~ " ~s, wws e~ ~N u. s. Foac~s~ i~. socu?~ secvem n. a~o~w~wr•s u~rr?TU~ Miltori T~T. _Bai1'd ~ ~ IT14, lR R~I I~ r~IM ~ Mn1MI Na ~ i 1a~~ra1 It. CA11SE Of DEAiH MEDICAL CE~tTIFIC/?TlON pniav~ ~a~rsw ~ - a~r•ee•r ~t~s o.b e.~ i. ~ISE/?SE olt Co11o111oN wro oswtw ~ .r.~ :,i. ~ p.. ~ a~. a~. ou~cnr ~r~twne To oEwn~~ ~s Fs3.lnrs c.. ~ E e~na.~. ~ ~??~r~caoeir cnusES ~ . .it~ cl. 7Af.~tw,.ut.«K M~...~It..~ v °W T° 1• e. 1 w~'i~ •f ~~I• siN a tb ~MN ~w~~~ ' sistra~ wel w A~t 1~ r~ ~tlwi~ ds. It wM~a ~*I +~I aw IaR ~ ~ •ltbf• T~ ~ ~M ~~ry, ~r , so~r• af- asf8estiw s~t~~ II.O1HE1316NIFICANTO0IlO11'IONS t~e H~tr C~sJitiw~ srsen'~liw~ h t~ M~t~ irt ~N y o* e.ro.. w~...«.. Cerob~oraeculQr aooidenb 3 d~is ; '¦.t~.i na. a?~ oF o~ ~r, wuoa wNneass oF o?EUno+~ s wvro?sirt t~, dis~~st• , _ . ~ - ci.¦ or ~ ? Mo ? Doa~. lrrw~l I~•ers) :Ib. KJ1CE OF elNUKY t. 1~~e~twt !1~ (GZYORfOMIN + 137AiE) i tla. wee~orrR ~..R. he~. ~nw~. rt+d. ~itiii6. ~ai 1[ wn~ M~M iOi~W ~ . svrc~os ~ . 21a. TIM~E pl+tq l~Da1 1TMr1 lH~s/ 21~. INJUlY OOCIIR~EO . ~ - ~~u~T ~otrwu % t . IWUtY ~ ~euc ? ~?Traa ? . • ~'ti. ' - ~ tz I~enby oatiJy t~st I attasdsd tlka deocassd fio~n_~ 1D.~, to~?ur~ 10.~ t~O! t teK aou tlle deeeo~td aii ic... abv~s o~ 19 asd tljat daatl? ocewned at • "fAs oawu s~d ow tlie daea st~led abovs. ~ t~ 1~ ri~. SIGNAT RE t~s~ ~e tlW) ti~. IIDDRKS 2le: W1iEt1 i e~~tl~t~ ~ • R ase~eat~. F Sinnott 708 ag• b~i 1 sti~.~~-' i~pie~'> 8• lia. ~ U R t A l, GtElIM lf0. DAiE 2~e. NAME OF CERIETEtT Ot CRH/ATORr lfd. tACd?TiOii .~a~, ~e Nab) (8l~q) noN ~o~ ~ r.8_ wood].~tt+n Maeoleum l~iami~ ~lori da ~4 owr~ eECO ~r aoc~t ec~~sr+~uts uew?~u~ s. wHrau?~ at~ctot~s s~u?TUe~ ~oo~ss •.•.~s~• Anna Lee Deanieon, s.r. Miltan W. Baird, Ft. Pie~ae, Flor3a s'~= - - - ; , - _ e~: i ~ t t ~ ' - . ~ ~ j ~ . } : . ' l _ , ; ; • . . t . ; . ' . , } • ~ ' , ~ t ~ ~ ~ . ' ' t ~M ~ : ; • ~ _,/ti~ _ ' ~ • . ~ ~ . • - ~ ~ ~ . - - - _ _ _ _ _ - _ ' : ti . ~ Js i , • M~ws+wML 3~+rrtR JO~TOK OvMwOO•. ~I~rdN i COt[ ~ ~ f ; " f y n : _ , ~ ~ ' - ~ Tj ~ .s ~ . , ~r; 1l00 /IIyT N~T10NA~ ~N11 WIW1M0 f ' ~ :sc ; ,~7 ~ ~ _ ~ ~ ~ - _ M„~~ F~R,o~ ~i ~ ~ ~ ~ = 94 ~2~ ~ , _ , _ , ~ ~I , ~ - - . . . . r~ - " . - - - . - -