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Home My WebLink About2615 15320~ - - - - T~~• ~1ATR SOARp OI MtA~TN CERTIFICATE OF DEATH ~ i • ~~RUU or vr*w~ ~rwn~ne~ ~rrwts au ~ l•i•~ FLOSID![ ~ •~1 s~~w Rf T IV • Rl6IRIIAI!•t NO. ~r~~~rl~ 1. KI?ts ~I ~tATN GODR N0. t YlYAI wdl~t~li[l~a..M.ndli..t N:..u.n..: s.Y....~.ti..d.~rW •a~ert~! ~ ~.3TATE ~.OOlp~t~ . •d •111 j~!$O O ' l,~ ll~t~~ ` i i• r•~- 1. GTn. Tow11. oll t+Ot4TqN e. K M.AC[ or fN e. GTr. TD1IM. OQ LOCATqII e. K RESIaMCc ~ 1 ¦aN~t M~S~DE CI?11 UMITSt pKtOE C~Tr llrlti~ ~ r,i.. Arcadia .csp No~ Fo Pi m Mo f. MAME OF (/IMt M~IWI. NM M?Mf NfrW) f. STREET AOOIIESS IIOSM?Al O~ ~ "°T1TYT101 G.Pierce h~ood riemorial Hos ital 647 Nor h eet 7. w?rK N FM~t NIWs Lnt a?tt X~M Dq Yea ( ~ n Le~?is A. Jennings Februa 7, 1967 ~ scx t. aouoR w m?a 7. wu~KO ~ McvcR w~eKO - an os ~arN ~u ~?a w.n r u.oai ~ rw u~oca ~ t.~t MrtNn) ~r..w c.w w... xi.. i i~• Male Caucasian .~oo.cop o~weccn Au ust 28 18 8 88 :l e~wli~_ ~0~_ uwµ oeew~nos (ot., a.I y.at M.. t0e_ KwoaF wsMCSSOa r~ousr~r tl_ wTwutt /a?w r/wey~ a~~rn) anm or.iw~r miwn~» f f ~vW ~wtyw?thlbk.we~ yrpMdl UnlcnoWn Unknown Penns lvania U. S. A. ~ ~1~~! l~k 1 iA?11E11'S 1uME 1. MOTMCR'S YA~OEJ~ 1u1M[ •r ~»••~s~.r Steven W. Tennin s Jennie ~lalters . socu?~ scc~rMTV w. 17. s rv~u • .1~a. 263-56-2125T . GPt~'~iH Records Arcadia Florlda r.....1 ewua[ w KwrN e..t~ «e cw«>e. t~..p. tU. le). aI ld_1 nrtc~rµ ~nwccs ~i~•es~~ ~AATL OIATIrAStA1K(~~: OKSRAIbOLATN ...a rii. ~~MEO~?*~ uu~ ta Arteriosclerotic Heart Disease associated with 11 hours u. Acute Failure titiaat• ~.~/ps. ~ ~ (`1 ~1t~ ti• ~ ~qr a 1 • • w 1 ~r t~s~r (U. r~sistra~ +~~I Ue ~~n- oYE TO ~t) •itl~iw 7i ~ m'M nrar 1W. I~~~r R /AIIT M. OT~F119CI~iKA~t OO~ORO4 OOM1aMrtwi r0 DEAT~ ~1R MOR IKU~[O T6 M 1[It~wK OlfGft O01i~T10~ iNtll M?MT 1(d S AUTOKr 3 rE11f011~1E0~ °i"~ RO?4 Y,~'DROI~ ASSACIATED kZTH SENILE BRAIN DISEASE res0 MoQ •r ?~for• = p~. p~SpUE~Oxpuu~rOCtuRREO. (E]un*~tvr ¦~klwa ACCIOENT SY~CIO~ NOMIC~t p N~~r t~ A.t I~? Rrt lly~r~. ~fJ A1~~~~1- a~ ? ? 0 ci.. •r J mt. TWE Oi x..r~. n.r. r«. ~ . ~•a~• s wuar S 1. n. ~ IOf. ~wlullY OCCYRR[0 7ae. ~L~C[ Os uyll~r (t_ I.. ia dw/ w~r. 201- GT~f. 7p~1. 011 IOCATqM OOYMf1/ STATE rrwxc ~T ~ wr vrNae ~ M~.l~?r. w~er. N~« btp-..re.) MIOIIK AT MOIIK 21-i.~r.~s.a~e.s.~..«ei.o.~ebruarq 5,1967 .ro Februa~y 7,1967.Mra.r., ;w.h.,.,Fehr~arv T~t967 DMtA oocurnd ~t 5:l~ a. ~n on tA~ d~t~ ~t~t~d ~10~~; ~n/ te tM bMt a/ a~~ hno~hdp. I?om tA~ e~uMS ~f~tM. ~11 1t~~a ~ ~~*V~ •f• t• M \ ~~MerwWk) ?IA A~ ?7t. WTES~CMED e~ql~t• ~ . 4-~ • hit,.~ .ee.~.s.. a F , 23/. RI~Y~. Ca[11ATIOl 2~ MTE 23t. N~ME OF QMET[Il1f OR tREMATORY j~3/. ~p~AT10M (C(f~. I~. M tMplfp laT~hl Rema afs"°h' ~'eb. ~ 196 ~ Fort Fierae, Florida s. ~ ei ~ t~. E s ss A7~oadiat ts. a?rc ncco. w ~ocu. ~a. Rc~aTiw~s s+cw?tu~c a...,aes s e ame Fioric]a . ~ . . ~ CERTII±xED~ COPT ~ I hereb.y certiiq the above?•`~~i~ e~~4;t~ue~_at~d~.eoi~root oopr at tho 1,oe„1 1tA~~etrar~a ~ rec on tile in Lho; Henlth pn~~n~•t.mont at - i = 4•; 1~ •e~; •.-.9 ~ FILQ~ AND RECORDE ` (warning: Not v~~'~~ ' ' f Y.- ~e ~ S7. LUCIc COUNTY. FL . • = CORO VERIFtED • Heal s ~ t i f . ~ _ ~ ~ _ ~ - ~ ~ . L`~.-:~ 153~a9 . r t~y.' -y - . ; ~ A ~~~::~w ~s~ aa~ 3 PN 2 . ~~q~ Q ~ ~ . ; ~ , 7 : ~ ~q: -;t~ ~ ~ _ ~ r~'O ~ ~r ~'a~.Cf' ~h ~.ll~A.LAK _ ~ i ~I ~ ; ~ ~ ~ . S ate . ~sa~ ~-OITRt~S ~ . S~ Deputy ~ al Regiatrar ~LERK CIRCU1T COl)R'~ -~0.10 . . ``t~~~~~..:•~"` . ' . M tr~.o "'~~,v. , - ~r o- ' rrr,o Yrao u~~. ~ - ~''~w•~ - `.'~t~_- - r Clw•• - - ~ ~r~r F-r oR ~ ~ ~ ~ dooK ~.64 2612 ~ ~ - - - - ~ - ~~A'Z'4'frlii~'"b.~o. fi ~S+'iu.a 1,;.~-'~ _ - +~a'