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HomeMy WebLinkAbout0412 . ~ ~ ~ 15a.~ ~ ~ ~ • ~TAT[ ~o~o ar N~TM CERTIFICATE OF [~EATH ~ - - eo~~~ • •UwuV ~ m~ ~An~~ tTATi Fili !10. FLO]liD~ S~RTN NO. RA • NO. ~ F.r~p~~l~ t •.~e~t~• 1. ru?C~ N~[4TM COOt NR ~~A[MKMttI?M~ww.dN.~ % R•Nw~.?.r...~.i..w1 ~ •wl •1!1 ext~w • Ft,oRmA •~aFn ' i. ~•r- cm, mw~o~ wu?Tas s ~ucc or earN a urr.tow~,o~ ~ocnnoM a ~cs~a~cc ' r~w:~` Fort I,auderdale ~ I~brt Lauderdale ~~~~~op ' f'~ a. ~.rc or tM•n b.rd, rre ~a.w.~awl u~TM or ~ sT~cct ~oo~css +~OShTaL OR ON ~ iU1M~ "'ST""T'°" 6 S.F. llth Ave ~ E th Av ~s O"o ~ S ~u?rt !Ud MMtr L~M t a?tt XMM A~ Yti? ~ccu?u~ ~'~M~'~ MARGUERITE L. GEYER « T« March 8, 196~ S S(It " i OOLO11 O~ ~ACE 7. I~RtO Q IK1Rw MARRRO - IMTt O~ M~TM ~6E Ilw KM~ w u+o[~ ~ ~W u~OC~ N~+5. lYt 1M6/a1 x..r. o.w r.... xr.. i~• Fer.ale White .~oo~.~e o~cco Nov 1 ~ 3••• io. uw.a oaursnp. ~ow ~,w y.w~ b.e IM. ~cwoas w~swcsso~ woosrnr 11. w~n~Rncc (S1.ts w/Yny. a.d.~) anta a w~wT ao~rn¦n t~ y~r~ fariy rw/ wrt1~1 ~1R. we~ ~/MInf1 y • •~wqt xQu$A~e ~ VwRi Iie e Q • 11~tt l~k 1~. I~?ML~'S ~MM[ M01N~~ YAIO[M N~1K ; t,?•'~~~•~ L~x3.s A. Le~,ri3 Not availab e IS. w~ OtCEASiO [vE~ u~ Y. i ~R~O rO~t[3t ~OCMI S(CYMir 110. . NNM 1!'aa~~.trwl ~I/wR~s~~rvd~~id Vp8 ~ I10119 ~I - wwe» ~l r,,,,. ~.1 Il CAYit N KATM (6Vn wl~ Mt prM 1!r M~t f? (~1. M...r K~.) „~rc¦v~a.-~rccs dlr~et~f ~~?RTIO~ATUN~?fCN~Ow= Intestinal Obatruction °~`T.~°°`"?" s~~t fl1• (v tA• e~r- 6ltft~t• .?c~ a~• ~C~i4~+. qri~~*~. MR rp (N 1 • e • 1 ~1wr ~ r (i~ r•61~tr~e ~~y~1~~ OIR 10 (d w e ~ r~, ~ f, ~ ?A~T R O~I~ sw~aww aa~nae ca~sw ~ omn~ wr~ ~~~a w nR ~arNw~ a~ux cow~~ s~a w?~n 1(q . W~S AUTOKY c.~ a..u ?c~ro+~rcm s k f~'• aA ~ m' ~ ~arc Noir w~r oau~ca ~aMw wa. y~I..~ rwe r~w ~i y r•. ,~a res Mo C$ t ~ 1~~p[~T Syltlp~ Nptlltl~ ~i~~~~i- ~ ? ~ ' ti~~ ~ 1i~~. 20t 11M[ 0~ H~e? afiM~. O'~/. Ih1 ~r n. S s-•• Y = IYt. w~r ocw~ueto ~r- R~CC or wJwer 1~ a~wt 4ar. ~ C»1?. r0~r». 011 wG?iqN aovinr STATE vrNwt ~t ~ rot wNas ~ 1r~.l~I. M?Nr. WI•. ~e.) waiK q ~ r' tl . 1 M~Wr fM iM~wMr d1~~ ~+wl l~a~ a~r ~l~iw oe S I' C ~~~eM ~f = ~ ~ fA~ /at~ H~tN ~MN: aw/ N tM ~wf N wy ltno+hd~~. I?em tA~ uua~~ ~t~t~r. •11 ~t~~~ ~ ~K Assoc~et~~ Medical t~. are swNCo • Fort Lauderdale Florida 9 Mar 1963 . e c. w~.~. . w t~e. rwc o~ aMCti~r oa c~u~u~r t~. ~ou?TnM tCU~. ww. w e«wr? taw) ~ cre at on Har. 11 1 Delr CrEmatorivon Delra each Florida ~ v. .l s rw~c s siw? ~ ~oo~cm an aca w ~qcK ~a. ~ r+~~y s~n j j a••.~~sa d ~n C~RTIFIED CO~Y I aereby certify the above to be a true and :.or:ect copy of the Local .3e~istrar's record o:. file in the Broward County ii~~alth ~epartoent at .~'ort Lauderdale, 'r'lorida. ` ('.~arni~~gi'~ ::o~,`~~lid unleas raised seal of the Broward County Nealth ~c, ' • •~e~Setrt~qgi?t is affixed. ) ~ , - . ; - ~ _ - , , - ~ ! ` - . . _ ~22~.~.~ L{f ~ /~f.~ - - - ' ~ j - ~ = - - ~ ~ ' ~ ~ _ County IIealth Officer and Local ltegistrar ' t~ i:i _ : . .i~ /1 , G%,}"""'t1 7'~ ~ r,; a-„ Ry R~ CAV15 • ~ t ' :.AiEG"l. ~R ~EQT &a2 . . o• „E~;~A4~. ~'~R~OA ~eputy I,ocal t~egistrar ' ~ .j f °aT `'~u ? . s ' FILEO AND RECORDED ~ . . ~ ST, lUC1E GOUN7Y. FL.l~• ~ ~ RE~ORD V~RIFIED ~ , . _ , r 1 15. . ~~6 n~c 3 0 ~ : ~ 5 ~ R ' Rav~R ~•OITR~S PA~iE c~RK c~RCUiT covaT - - ~~~a~ ~ _ _ ~ . _ ~ . _ u~.=~~