Loading...
HomeMy WebLinkAbout0231 ~ • I ! )1~: )l' \'I`1" . .r`•~ .)I~:I':~1:'l'\t!:\'t' t)!~' }~t'1~1.1(' ~~i•:.\I.'!'iI - ~ ~ ~330 N. W. FGURTEEN7M STSt~ET ~ ~ ° - _ \I I ~1 ~11 :i.,. 1~'1.Ot! I llA ~ +~'ti+~~+~~• ~~,j ~.r .!^f~~ T. E. G~ro. M. D.. M. p. H. . ~ , D~1fLC'Y6it - . . . . ` r n,?*i ~ow~o w N~rn CER7IFICATE OF DEATH ~YII[AU OR YITAL fi'A71f1'16y !'TA7! F~L[ NO.___ FLORIDA -l=i 1 R[GiiThA!!~f HU U ~ ~ t?LACf Y~~I ~[I1TM COfl[ NO t YfYAI IK~fKIKi ~ r.... is~..+:...r lr.u.~ Rr~.w w...+..~~.~ ~ CWN ~7~d~ ~ ~ 5!~TfF I O? I Cja ~ Cp.:«ir'~~~~ L CITY i0~*.O~LOC?~~ iSll~:f d GI~TM ~ f C:1Y ~OWM b~ l(K~TIh ( lT 11CSiL~LhCI INS'Jl 1 LIVITSI ~ IT5~0( CiTV L~YITS~ h110mI r~s~l ~oU A"i 8m i Yrz~ ra? ' t iurc a S~J~yt h. w.~ k..H .u.. ~ ifnciM cw . ~ STR(tt .:~^A~ss ae ~ n~r Mpl11T4L OA k en . Sm r i e r s. . I ~ IIIYTTUTDM ~ ~ 1 4~? S BS~a E I SC ^ yn¢ ; I vd ~ES? ~om ~:~~~:-"~r_ -.-t~---_..4~:,R-~_,-~~- - ) 1Y1YK M flrrl - - a._ .VNJJ~ Lrr ~ D~T[ 1Vw~r~ P~/ Yea ~'ty„"~„",'.~.t> Henneh Sthmf f}er a,,.w Apr ! I 30 1964 Tfi f COIOA 011 ~lC( ~ M~R~IID ~ MIv[~Y~RA'[0`J ~ WT! d Y~~tM~ ~ ~~4f ~I~ MOI •{/~O[~1 iW U1~711~ IeR 4nfV~/) Y..w D.w N.r. Yr Ftme It ~h i t~ noowco avoaun Au ut t`Z`Z I f38 7e Im UlY40CCY?iT~Op (Ofre NNyrs~1 Mr. 10D a:~00f ~US~y[S5~ ~~uSi~v tl ~~~~wK~Cf i.4~tr r(sr~yn rw~n~~ c~~ ~~i mU~f~r /~riq soryr s.ih~ hp~ ui.. t/..w.1! Fiouttr 1 t~ ~Md Fiom~ N~w Yor k U 5~ t. r?M~~! iur! - ~ar~+t~ s r~ioc~ iu.c v ( Unobfslnabi¢ n b_tsinebie ( i.~~ 0[b[117ID [KI1 ~M 4 S. ~11r[D ~~IC[1` 1 70c~~1 t(C~~~Tr MO 11 ~ MMYTV~R { ~ I~, r. ~ rfr..i ~!i ww w. ~ Ir. .I 1~0 - - w~r.., 6 00 n I N t~uss « Marw (ira. «t~ .wr rnw nv r~.~. ~ r~, I ~~rtc~rK ~CTntu •~11T 1. 0[~TM II~ASC~VSED iY ~ ~ OIQ[T DEATM 1Y~[DUTt C~u3E 1~1 jL_( ~ ~ "'(.i,' a,c m ~ei _~L~r4•_~[ ~~.r ../~.ft~ / ~;.y'_~,,,•G- ,;,.rf . n~.«~!~" ~ a.c Ya tr;. 1~~ ~G C ~lc fi.• ?MT ii m~ swwrcur! ta+ar~aa caw+in~urws ro aun~ wn ~no~ro r~~(N~riu o~sux cwnna cn[M w wi i:~, r ~t,• r--- r / ~ / ` rcRrwrco+ c~ 4t1~ .r ~C t_~.1 ~~~_~~t~~, -/j/_LL:L~/ .j L. i[IJt> resL~ iar? ~ ? ? ? ~~1 2Q'~ C(SC4~~f ~Ow iMJV~r pCt~~~(D (F.t~r er?rr ~lnJrry 1. 1'vr !a Rrt Il e/Vis l1 i ~CCMI~t SUrtio[ MOrKiO[ . ~ br hr( Ot Horr NouN. Cyl. }'~s . _ . _ _ _ _ _ _ uuuMr • n. s. w. ~ m/ IWtl~t OCCVR~SD mf ?LKE Di IIVV111 !i n~ a faYf ~a~. ~J C~TY 1'~I~ p~ L:Yf t ry1 ~OVMTY ST?T[ J ~1wit[ ~T O /OT fMR[ ~'1 kr11~. hrev~..r•Nr. •Dkt Ny r(r r 1qRK 4~ 11q11R L~ tl 1 ~tfsnN~ ~M Nc1M~ hdsr _ ~ _ . . ro . . ~ _....a_~`' _ ~nd Iuf w ~L•~ on _ . _ _ ; _ _ Owt~ ~eer~sM~t _ m on M~ d~t~ ~urW ~Aa.~. and ro!R~ A«r o/ wer ~no.Mdp. /rom tM c~uMS ~f~eN ~ ( ~~e :1 Ib ~OOR[SS a[. WTE SK.11[D ` .y' • ''.D ' JA~~:'.SCti ..,,'.~JZI.'.L i"GS~'IT~ ,5_l-la tL Mrr~. t[~~. br c[rcrt~r w c~c~~r~r Z31 ioc~r~ ity~. r.r¦. a n+~h~ f8~h~ Bur"Y~ ~ f4~ M~mortel Qerk Miamt Dedt florlda Z~ ~ ' A•[MT[ R(CD ~T L~~~ 4 Zf K T11~~ ~f~11~TU - : ~ MAY 4 - 4 X f{i+ ,6~iRTII'Y ABOV~ 1'0 ~ A'T'Ri.~s CO!'Y OF TF~ IAC/?.i. fi~G '~'&AR~ 5 :iLGOfii7 K~ G1~kYFt. _ . r 5 " - i $ !Not pa1,3d unleee the raiasrd D ~pU~,,,,~y5-Z•~ A ae37. of the f3ur~au of Vital H~BE's1.U VITAL S.ATISTICS ~ Statistice ia affix~d.) DALB CWTIT'!~ I~pLTH T$pp~~•p NIAF~, F~.OftIDA , F I~IilCla~~- R E 0 R D 0~ K . . • ~t~ ~ '6S ~ t~QV I 8 G~~i 10 y ~ ~ ~ ~t~ ;~.:L - F, C7 c.~ , ~ : . . . t:' 4Z K ~T.' LU~I~ COU~: i Y, &OOK~~J~ ~~5 FLORIDA