The URL can be used to link to this page

Home My WebLink About0379 yc ~ f.. ti _ ~I~ ~~ch ~~I;,o~ ~e~tt~t~cei~# t n i~ e. - rr~T~ wwwo w Ns~?~n~ CErtTIFICATE OF DEATH eo?es • ~U11[/1U OF Vt7AL fTAT1~17Cf~ lTAT[ RIL[ NO.~___._,_ ~•a•~ FLOSIDA ord ¦n•n e1 N R ! 11 NR'~. ~ p r o p~ r 1 r 1 KAC~ ~I KATM COD[ ND. 2. NWA~ *[N~NC[ l w~... rrr.~ ti.r 1/~r~M~t... Rr~Mww Ml.n ~ww) ~t~eut~d COUMTT ST~Tt b. tOVMTY d: ;i:~:a ~'al~r 9each Fl~rida f'aln. i3each ~p v~~._ A. CIT~/. TOWM, q11 LOC~TIOM 1S KAC[ Of pLA M e. arr. rowM. a+~ ~«sr+o« t. i1ES10ENCE ¦an~nt 11t5~0[ tITY l1MlTS/ i~S~DE C~Tr ~ie~~T5+ . r,l.. ~o ton 3each res w? Ocean ttid ~csQq ~+00 f. lNME Of I!J MI fn ~M~N~1. /M ~PrMf ~/fnM1 • 1L11GTM O~ I. SM[Et ApOR(SS 011 ~ iRRYI I NIS It tUT10N ST ~ IM IA YES ? Iq ~ Bethesda Memorial Hos . s Dou las Ur. j ~~?~t N ~,.e K~t~r. L..r ~ DAtE ~o.u? ar p•..? ~ JANE GILBERT SF{ELLH:.S~ a rM Mu~•ust 5 1964 . S[I • COLWt OR IIAC[ ~ YARRKD ~ NEY[ll MARR1[D DATi Of ~IIITN ! A4E l!N lNr~ M uwOtR 1 rWl ywp[II1~ MS. ltrf birtAl~I> x..~M D~n Nwr~ ~I.~. • r t i. F8ff~1e W~llte rnoo~tv dvo~cca r 1 a 1 a 1~ l0~. USU~I qCCtlFlT10M (Qi~e N~I ~Jrpt AMet 1~ KfN00FlVSINESS ON 1110USTR11 11. NRTM~IAQ (~tls R J~rtyw tOrnlr~) 1 C~n2Ep OF ~r OOUNrnrr t A p~ r- ~srb+I ~M y~rrtiy h/r, weu y ree6~11 aaw~nt H(>t2S@K @ 'i~er ink r~TN[~s Mwe 1 woTnees ~~iOtM NArE er t~p~tri~~r x@4 ~J~ ~ w~s aa~sco cvc~ ~ u s. ~~MCO w~as~ Nc wcuu sccu+nrv w. s s~w?w~ 1/r. M. ~~Jr.wl J/ Uw. I~M vr ~ iWr qI ~ww) no - w'w."' /~w~ p~ 1 i~ 6AY~ N? ~tATN (~fM ~lI wr ewr ~n ' p(~). ssQ ir;.] IMTEewtl rfTM[~ M au.w ! t r ~ e t s r ?NIT O~ATN ~w! CA1b[4 t1f ~ ~ - i ~ wr[oN1[ ~~cqt f~) . _ . . _ . ~Y~l f1)• _ lYY C~f- ~ t1C1l~L• s ~ t a u• ~ . ~l a/. ou[ ~u (a) <"-ti-~---v"-!1"'~..~..~-~-~'-- - - - ~ ,1~ ~ _ . _ _ - - - - i• e. 1 tlwr e~er `i)• r~sistr~~ ~td1M~ file r~/e~• DuE Tv (01_ L •lt11JA 9i t~/ eraM /eM. - - - - - r~~7 n Ona S~wr~uwr pp~o~row6 G~ar++w~urrrt ro Cur~ M~? iar ~Ayre to nK mnr~ Oe~sR c~ar+o~ GMM n+ ~+e~r i(.) w ~ r ~onr• e?f- F rfRtORrEO+ a~r 6~at1+ !I rES? MO[1a or e~for• ~ ~ ~ OtSC11N( MQ1M INJ411~ OCCUR11E0 (El~tn ~rkn ~/Mp+~ fw Ptrl 1 M Part 11 4rw H) ¦~k1ws •M~ ~ ACC10iMT SU1Ct0( NQMICIOE ~l,oe~d- 0 ef.• ef ~ ~e tiK~ OF Hwr A/w~M. Dp. Yrs ~ed~. ~ NNUItT w~. r• ~ Nuu~r occu~o ~D.. rtacc o~ ~wuRr a. M k~wr M.w, il~Df tm, rowM. o~ toutaw couMrr ST~TE erMw[ ~T ~ woT wwKS ~ 1•rw. J.carr. Krw, Nke DIN.. ~te.) rO~K At MORK 1~tb+wMl tA~ I~wr+wd /wm . _ fa •nd b~t r~w~~ alir~ on DMtA ooor~iw0 ~t _ m o+~ tM MH ~bf~I r~i: ~nI to fA+Wst o1 m~ lteorhd~+. /ro~n tM uu t~tM. ~s••" t~. (n.n.. a~ ttb ~oaarcss t~c. o~reswweo .r. a. le °•r,'•:• • L.?.2-Ce., L B nton Beach Florida 6-6-6 aeeorss~. ~~K. Tq11. ~ OATE L3[ MAYE W C£1~T~R~ OA CM~Y~TOAY Za/ L06ATIOM lC1f/. NMDA. M C'~4t~1 ~~W) II[1101IY SyKth) Buria~ 6-8- Delr Beach Cemete ra B~ach ida a. ~eia ai. ruMC~u s s b Cobltl~l~btr~be F.H. wtc e[ca. sr ws~ Rw. ~nTe~e s s~.+u? re~. ~oss tar1 $Ch F18. . . I HF~EBY CSFiTIFY ~ 1lB0YE 1~0 E~ ~A ?RUE ~RR~C T tAP'r OF T'f~ R8t}ISTRJtA ~ S REfi~RD ON 1~IY~E IN THIS CF'FIG'~ (Itat ~ralLd unl,~ae tt~ e~sl of ths Palt ~~unt~ H,~sl,th CER?IF~D ~~~tt~°nt is at4'ix~d) ~'C t ~ I Cppi ~ , F .e-v. t ' . . ~ • - ~ jippil ~ • t~nr~t ~3, 19b~ ~~at 19 . t > ~ d +ri ? ' 4 r » ~.l.sM ~y ~ I' . - . . ` . _ :w ~ iw s+ ~t• ' a,~ F!L = ' ~f! . E~ RDED ~ . ict~ ~~cor~ _ ~ ~ o , - , , . r,, • , , ~ `~c~c L-tt~~ ..~W . ,b~- . JAor~,e ::r~E~.in~~~, Z ~ , ~ ~ 2 ' ( E ~cu~~~,ss,~Drive,~ Uelr~xy beac~-;, : 1 a - , , • - - . . . . • , . ,~J ~ ' ~ ~~tlL` . ` . 'r .i,.....~• s . _ ~ . C i C , C • . +f ~ ~CJ V ~ - ~k~f~;~;.~._ ~~~OK ~ ~ .