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HomeMy WebLinkAbout0116 .14~780 , ~ ~~N,~ s f~~ . ~ C E C8V Y~~ ; ~ `~e ' ~pd~olsa J. OsTardo RECORD VERIFt~s ~on~r~st•Vw +-~e+r-.Ct.t~' ~M~d 8oui~var~ 'ss AUG 19 Aly 8: 12 : Nat,~°°~; ~1or1o~ . 14~80?~ , .4~ ~ ~IERK CIRCUIT 60URT - i~t. .T~TS .o~o or N~TM CERTIFICATE OF DEATH fiEC.•,~ PAGE ~63 co~es • ~YR~I1Y OI YITAL ~TAT1fT1C~ lTATt 1?ILi N0. ~ FLOaID1~ •.a ~ T N . pr~~~~1Y R w • O. ta~e~t~~ 1. NACS N~fATN Cppt N0. 1iW11< IIpIKMC[(~Yw~rdYrt lJrrr~w Jt..i/..rW..~ ' 1 `O0~8roWard b- Floride ~ ~ BroWard i w;• ~ uTn.1~OwM. 011 ~ou?Tq~ c. ~t ~ua or ourn e. Cm?.1~Ows. o~ t+oarqM e. a RE c ri i~ . ` Holl ood ~ira~ w~ Holl wood ~o~~T~ w?wE ar caw w w.~.t. ~rr.a.~.raw.) t sT~ccT ~oo~css ~ ~T~ ~189 Pembroke Roed 6320 P1Lnkett St t` t~?~e Wwe t.nr a?n x..a ar r~a ~ John J lon ~TM Jul 6 1'J66 . scx t. oo~a~ o~ ~ 7. wua~cu ~~cvc~ wu~nco ar[ as w~ s. ~ U~) x..w ~o.w r«+.i x~ " ~ s t• rNOO~rco aro~cm Fsb 24 1903 63 ~ 1~ 1~ 1~ 10~. YSWt~ OCCII~AT10~1 (INt ti~ yN?! IM. KIIqO/ MIlIILlsOw MIOYSTAY 11. MIITIMLACE (~'~!t ~?M~M~ tMt~h11 p1f~010F ~MT 001M1~tt . i t l.?w ..M ~/.«!6. a.~llnn _ ReL. Lon shoremen Stevedore NeW York LlSA . fl~et !wY 1 IATN[~'S MAME ~ MpTMp; r~ID~11 INII~ or ~s.•••se.. John ~o~g Eetelle HroWn ' . soa+~ sccu~rtr ¦a . s 055-03-7072 X V ~I/a 6320 Plunkett St oll Wood floride ~ ~ ran•r•~ e~ws K ~us» la~a..+~ r? 1~r tW. N)...~ ( - ~wrc~v~ ~rrc e i r. e e• r ~ o~?n~ wns u?usco w~ aascr n~a ou~ .~.a rai. wMCOU?ts tw~c W S c ee• s~r- . : ;ie:`•a:. o,a,i,p,_ AIQ-@~e,o LP~rbs/_~ ~ . 1 • t ~ ] ~ws twN~~~ ~ • - r•ai~tear ~~I~ ~ ~ (~l Aour ~•af- ~ r~T k or~n a~w~c+~rt ooianas aorr~nws ~o ouTM wn ~o? ~cuuu ~o mc ~oirw? oeutc coiano~ cwo w~r~r K.) . MrAS I?1R rw y~~y~ r[RFORME c~r A~at? - I~(G~.~ -~f • ~w'[p/tf sF rESo N0~ •r e~hr• ¦~ti~s I?CC~oEMT w1u0E MOM1C10[ OElC1tNE NOMI 1?oOCYRREO~ ( w~fs?tyl~r~4 Art /~r Art 11 y4sw /t.) as•r••i- _ sle. •t ~ ~ - s•a~. ~ IOt. TwE OF tl~t? Xi~f~. D'q. Y~M wiu~tr w. ~ I01. auwtr oow~ato 70e. ~a~?a oF w~u~r (e.-~"~. '1"¦ a.a..t b.w. toil. an?. TOwN. o~ wG?1qN oouMrr STaT[ MO~K AT ? 11TOT~K ~ ~M~.~MI. ~ded. y~w 1tII.. tft.) I~, ~ . 21. !~fand~/ tM d~owNl /row N ~ ~nd fut Ms n,~ ~/i~~ on ~ ~ DNfA eeovrhd ~t w~ en fM d~H r~80?~: ~wr M t!b iMt o/ aV ~nsnl~dN. lrom tA~ uuw~ ~~~t~d. ~ 11 1 t~~s ~TYA[ tt M(r!t) m. ADOIIESS ??t. ~ATE S~GNEC ~ •r• te 1• ~ ~o.,i.s. ~ .~LcG,...~ ~ /l ~!/8 C~ / tI E~ _ ~ a e e aratt,a,~ t~. C~Er+?iloM. Z~. • tk. E OF CtMETUY OR C11[MATOQr~t l3f. tACAT10N (CUI. Mr~. a eyr~fp (aTde) U U /A~~~ Jl~.tl~ 9~/~«. ~~ttl~scJooa ~rN~~C~/.PDB ~O'L~4~ooa roRia/i v.a.feia ~ 8.,ra•s a eccar,rwc~ua. ~~s ~Tu~, R••. iasa • ~,/.~cr.woa a, i~.w. ~/9GG a~~o,CPit.~ ? - CRSTIFIl3D COPY : I hereby certity the abo~e to be s trne and oorreat oopy of the Loaal Registrar~a reoord on file in ths Brovard Conat~ Health Department st Fort Landerdsle, Ylorids. . ~_-fiK~~iags~ 8ot valid nnlsaa raiaed seal of ths Brovard Conaty Health • ~ . . . • • , A~part~sat i~ attiz~d. ) = L` ~ • . _ a. . _i.~ f' • ~ ~ : ~ . ' ~ ~ •~r L' - ~ ~ ~ ~ N ~ ~'7, ~ ~ ~ y. ~ y~s ~ _~.c. - ~ :t. ~ ~1'1 ~ • ~`fr m . n~ J t~~~ n~ j~ . ~ ~ ' -3 = ~ ' j ~ ~ j . •.t -1 . . ° ~ Conat~ Health osr aad Loaal Registrar , ' t~ ; ~a. ; . : ` .e~ _ ' ~ , . . " ' - S ~ t ' • ~ ` . • . ~ ~ r ~ ~ 0 ~6+ ar ~ _ . . ~ ~ . ~ ~ . . . ~ ~ . . • - . - ~'.t. . r+ .n` --:A~ •v.re+cr. . , _ . ~ a'^`'.~'.`~v'.~r'" .y:`.:~°."".'~~f""r ~-,t.~r-•~crR•r,. d~~1~3 iss F'Y ~ ~ ~ ~ g . r~~~~ ~ _ . _ _ _ _ _ _ _ _ .~,_t~~. ~