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HomeMy WebLinkAbout1225 r - _ . _ ' ~ . -T r~'~'K - - - •.,+ti ; • • ~ P a ~E4q ANO RE~OROEO ORANGE COUNTY HEALTH DEPARTME..~ BOOK P.O.Box 3187 ~.32 w~.c Centrrl Avenue ~rlando Florida ~:by~~. •,~t;~`„~• • • tiCT I S PM.~~iZ;: 4~ ~ , r~~Ye .ow~o or M~rn CERTIFICATE OF DEATH ~ .u~wu o. v~T~ .r~mr~c. ~ .r~rs .us »o. - i? n A S. C L~ i? K lLOZtDA Q~ 7 NO. , CiE COUNTY. ti ~ucs er w?rn coos Mo. wwt swn~es c+ti.~. w..r w~ ne~«.~r.~.. a.r~.. , F LO R t D A r. ca,eTrORAAiGE ~g-12~T ~ 5'1. I.(iCj,E ~ ar-r. ro+vw. ae ~ocATn~ c. n ru~ee or ou?rM e. tm. Tow~. o~ wu?now r. ~s ~rseoc~t na~oc ~wrra ru~a tm urrrs~ 'riltlTg:H PARK res ~o F"f. PIERC,E ~ ~ e. ~arE os ~ ry~wr ~..pa.t. e~.. war .u..w~ srn[cT ~oa~ns ~~ST~.~.b" ! s8 i~HISP~G o~ WINTEK PaRIC HOSPITAL 7 N,?~K oI fY?a6 AlIYr . v l.~f ~ DAft afwr Dq' YM? '~r`;n~: `v r~r~ JAI~.~ ~T IDWARDS ~T6~EP'l~ 0 1 b = ~S SEX ~ CO1011 OR RACE ~ MAJIIIr6 C~1 MEY[~ MARRIKO ~ DAR OI MRTM A4t (l~ ~Nlt r 1/rM 1 1f~ MrRw i1 Mt. frt er~l rr. w.w r~.. :'.AIE GAGCASIAN rnoo+rE, oEVORC~n KAY 1 1 8 ~ V0~ USWI OCCWAT~ IOlse tisf1 H~~~M! Y~a la. KHW G/ ~VSIME~S0141110tIfTRt 11. M4/YLAR (~rt R~~ pqb~) . CII~ v wMt m/11lrf ~ I4TI~I AO~ 0~ rM~f~ ~l~f: ~Rw fJ ~~Id~ 1 ~Al~i'iiL r. AUTO HODY SHOP S H ENGL?ND a . I~. F~TM(R 5 MAY[ I. MOT1R~'s~MA~ M~ J 01~ EDWARB.; ANN IE PI1lHT I. YaA9 CfCfAS[D CYC~ MI V. S. I~Y(D rV11C(S~ '6pLML lfC1I~17Y Np. (7. prM~~ti~ ~ Y.~. r. r~wtw~w~) UI W. Pr wr ~ iY~ d rrwl . ~ O . L" _ t:. ~J N~ - 58 Whia er ree a e . erce, e~ut[ N sLAtM I S~ta ~s~!? swe e~y/ey 7f~s.Ar{~). af~~+ Mf1~11fti ~ /~NT 1. OEATM 11AS CAYSEO iY: G s~~^ _ ~ ,,A_,I~O,,~ „O,f~Af~M,~ I~IY[OIATL CAUS[ Q "1~ " I/+"9'/~~C~s . . . ~~:1,Si.ifi;,. co~~~rrw. ~/.,r. ~ a,c ro (e) ~ r~lr~ /~N rY~ b , ' ~qt tptR . ~ ~ i~ • ~ ' ~/afirl fM rw~n• OGE TO (C) • ~ \ . , _ ~ i . ~ If~~~ tust int. _ ~ j ~Af1T I~. OrNN SKwF~CMt W~D~iW~6 Off~rt~R~ f0 OGtM ~U1 MD1 IIM~tD A M Tl11~ML DIwA~ C1p~ll~lf G1~1 M M~T S(i~ ;kt . r ' /LM~1[p ' . ~ . _ ~ 1E3 ? 110 ' ( : ` ' . N tp. ~ • !oe oese~roc ?aw +wv~r or_e~nao (~a wrrs y~err tu hn / r~t 1! yYew t~J • ~ ~a~anr wK~a r+oMK~ot ` -4 , a o - ~ - j ~ ZOr ~~~E Of /fiwr NwMA~ D~/. Yta . . , - : I ~tuuer s. D.w. . . ' I~ mt n~~o~r OCY~~eKD IOr. rtwCi OI n~Jl~l~ 1~ ~v ~wf 4ne. CfTr.10~. pl tOC~T~ WUrtT7 sT~7t . ~ wMn.t AT ~ ADY RN0..E ~ A~~. fbM1. ~Nt. ~ MM.. ~1t.) . . . . , . . MIGRK ~T Mr'M1K ~ ~ ~ ~ ~ ` 21 ~r .1 . I 1 ~tt~ndW tIw ~ Asoe...I Ir.w~ , n ~ ~N~'i M f w`~ ~ Dw urrM ~t w ew ~M I~M ~t~NOY~r: ~wt tir fA~ Mu M p kM~MIp, /r~ tM M~~ ~t~N/. ~ ZZr. Ttll~ r 1re. MR llwso a-~--- ° /-r.-- II z~. no~; an . a ctireraer o~ e~nrn~nr . wuno~ cair. w..~ . ta~ ~ Re~. Oct.2 1965 LalcrriaM Gat ~o ~uir d "~p~~ p~ ~ ~ i w wcx ~r. 1~ Q _ ~ CERTIFIED CUPY , :t . , ~ , i hereby certify the above to be a true and correct copy of the Local .R~jsEs~'rti~s"''•..~ r~c~rd on file in the rranqe County Health Department at Orlando, Fiorf~ar'~. 4~' ~ ~I WARNIt~G: Not valid ur,less raised seal of nrange County Health DeFartrncrtt..is ~ff-ixod. . I r / i ~'t 'r--r ~i _ _ ~ ~~,V "Di ~~~~J ~ . . ~..t A l~..+~ • ~ ~ Ccunt Nealth Officer & Local Registrar ~ ~2~ P~' ~ y 5 ~~C_../ -~--~--•.._-,_~,,~--~i,,_,,;r.. ~~~,,,,~-'-or~',;.~~,.'~ OCT L965 - - ~ ' Deputy Lo~al ~ Date . ~~~~~D ~ . . - . - ~ ,