The URL can be used to link to this page

Home My WebLink About1421 156~22 ~ FItE9 ANO RECOR~fl ST. I.UCIE COUNTY. FLA. ~ RECORD VERIFIEO ~ 15s~~ DEATH CLRTIFICATS - HELBN SANTEE POTTSR ~6~ M~Y ZS AM ~I: yO ...~~:~CP ht)',C.a :•v}7Kl~S OLERK CIRCUIT CQt1RT ~ _ _ - _ , --.n..~..--....~-...r....~.+.....~~. ; t•___-~;.r!•-.,`J ~ • t,?~ ~TAT[ YOARD OM NtALl71 CERTIFiCATE OF DEATH FEC . 19 PACE508 ~ = a••• • .unu?u 6 v~Yw~ ~rw~rura~ F L O$ I D A trrwY~ r~~~ «d le~~l t~s• ~ or •A~w p~RTH NO. - REGItT11AR•• NO. r r• ~ 1 s 1. I~/1Ct 0/ WfN COO[ N0. L YWAI wtNKNC~ l~?M~ NrrM li~/ Il ir~tw~ It~dwr W'?~ ~M.w.wl . e ~ c• s a wuNTr a fTAT[ cowrr •i11. C0Y Broward ~~O- O Florida - Broward e. *l.e•~ •~n~~tr C~Tr.?Oa1N.OR 1AGITIOM t. K KACC 0~ O[ATN t. GTr. TOxM.Ow IOCATIDN t. K ~[S~OtK~ "~0E DeerPield Beach ~~TM `w~ rii.. Deerfield Beaah YE ~o res w j ~ ~ 1 oSMT~~ (U~t b~w/it~l. I~ MIRIf NMtM) ~ fT11[[T A0o11[ff 1 2 S.I~ llth Street 1 2 ~3.E. llth Street ` - MAM[ 01 ~•.r wr~s l~M W?TE x.,a a~ r..? i ~ in`~~s~•n gELE~i SANTEE PQTTER u?TNDeaember 31,1966 ; . S. SEII i. OO1011 0~ ~AC[ 7. MARRKO ~ MEY[~ MAR~KO OAT[ Oi ~TN ~6E (I~ Ie~q ~ V~Da 1 TW 11~0[a N~S. ~ ~~~Mw~l1 MwM~ 4~' Mwrr Mw. x r t s. Fe1ri816 Wh3t9 rnoowco avoRCCo y l~ f w 1 r ~a. usu.~ occw•TaN ce~.e ~+.r Nw?~ a.e la. KIN00~ WSY1ESi OA MIOIIbT~r 11. N~ITMl~ACE (51~ft M~INA tN~h/I ( trtiW 0~ Mw~i OOIMrtRT~ . ~ c n y••~ t,,.iM ~wt ~1/ wrYi~/ hft, ne. y.s+t?en ~an~nt go Sej„Ti Ohm 8ome New York II S A ll~tli lwk 1~. ~ATN[R'S Mnr[ li. MOT~E11'f MAq[M 1~1~E aTp~r~lt~~- 17LZ1iOY1 n. Sant Bertha liills 1~. SOC1Al S(~YRITr NQ 17. 1 ORM ~ sl ! A~/?tM ~1 26?-82-668 ~ 152? s.E.llth Street,Deerfield Bah.,Fla.1 Yune r~l 1~. CAYK 0/ O[ATN ~65~tp Nt~ Mt ~M~e li~t ~I. (~1. ~([1.~ INT[11VA1 KTM[[M r d s r~ e t o r ~AIIT ~ OEATN W~S GYSEO ~Y~ ~T ~TN t wrtoY?TE tAYSL W ~dl• ~ , ¦ust ~~1• tre e~t- ,.r • • cifie~t• C~~l'ui~w~.j/~~~. 011E TO (~1 • ~f ' y ~1/I` u/~~ C +l cA tAe r~u? O~re rut q 1 o e• 1 ~ort ewe . r ~ 6 l a t t M~tiy t~e a~le?- . pyE TO (t) ~'Ys ~ IS . f tDin 70 1/is~ nru laf. ' - r o ~ r.. r- ~ rMT u_ or~a s~cwr~c~rt ao~or?wss ooMrwirtws ro •`rvr ~ ~cuu~ ~o nt ~urrw asus~ oo~anow ~ w rr~r Kq • n s~M~ t- d.... s ~,.+trs.1~~ 1 e,z~t~.~.~ as~.~,~es „~p o r D~ f~ r• ~rrM.~ ocsunc Now w~r oceusaa (i1~fs w~hvt y Wv~ b Art / M AII !I ylM~ /IJ ' ..k~ps •.s ~ ACCWENT wK~oc xor~ua ~ ~~.P...- ~ O O O ~ s lon J~. TIME Oi Ilwr ~fi~t~. Dq. Yar • aoa~. ~ uuuar w. 'o w• ~ 201. Wu1111 OCCUlutto mr. ?IAtE Oi wlullr /e. I•. ~ M~N~ Mse. 20J. GTt. TO~?M. 011 lOG?T10M ODYIrtr STATE : wNaE AT ~ Noi rrM~c ~ /••n•N~r. M..e~. Nior Y4•. ~u.) f ~O WOIIK ATNIOIIK f ! l I Dec 31 19 ~ i 21. J~tt~nd~d fM d~owNd /~o . fo ~nd l~at w+~ ~~~~li~~ on ~ W~fA oecurr~ •t ~ an on tM d~t~ ~f~f~d ~ao?~; ~ml fe tM Mst oI mr km+l~di~• ~~em tA~ uuNS ~t~ad. j ~ All 1t~1• j~ ~GMATYA _ ~ .r• te IDrMN fYk) 72/. A0011ESS 12t. WT[ S~G~[0 ` -.o.p~.~. . , . M.D. Deerfield Beach, Fla. - - F7 ~ •~'CY~• . 23~. Yu' . GK~uTqk 2b- OAT[ 27t. NAME Of UMETCIIt OII C11CMI~TOIIr ?3f. IACATqh (CYI. [Nn4 M tN~~f/I ~87~tt) ~ C ma`t``~`~' _ l 6? Ro al Paltn CreYnatory po~ ~o Beach Florida v. s. t e~ s x• Nc~ a " ~s 86 61' ts. Tc ~cca ~r wc~ REa. tt. ~wsr~•s s~uuruRc per.1966 ld Beach ~ ~ ~ ~/G ~.t~.~ ~..z;.-. - - - - - _ - - - - _ ~ . ~ i_. _ . _ . . _ . - - - . - _ _ - CE.'tTIFIED COPY ~0°~DEOM10f~~0°~~ ' oF e~a+~uwo oouMn. Ft,aao+? JACH ~VHEELER , ~ - CLERK Of CIRCINT OOURT I hereby cortify the above to be a true and oorrect oopy oY the Loaal ~ ~egistrar~s record oa file in the Broxard County Health Department at ~ort Lauderdale, Florida. ; ; ~ - ~ - " ~ ' Not valid unless rafsed eeal oY the Brovsrd County Health a" ' '~;~~e~-~..~~i+~~ Departmeat ie affized. ) - _ . ; T 3 ~7 ~~r L'Y Y~6 t ~ u~ 1! • yQ ~ ~`V i . ~r,~! . ' ~ 1.~,~ . Y:~ : • ` , ~ 2.,. . r N. : i ~ ~Q C ~ r i ~ • "3 ' ~ : • ` 'w ' • ~ . 9i. ~ . County Health Off er aad Looal Registrar~ , . • • ~ . ' • . ~ ~ ~ `ti ~ • `r . _ . . . . 2-: ~ <<' _ • S 4, V I • .r • ~N~%li~i~~ ~ :,~:J~ ~p~ ~ - 1 . '~?O$~R~ , t ~I~.~E , L - ~ DBputy Lo al 8egia~rar j ~ .._-~t~:• . ,.11~i~~~~~~' , j . . . ' ~ • ^ . _ 'r~ ~ . . . - . , _ To- ~ R 1 ~ F. ~ amK 66 ~E14i9 998 50. FEDEP.AL f-~G~'~"!,Y . ~ ~l` ~~CA ~ ~ _ : ~ _ . . . ~~d , - - - _ R~' _ - ~ =.~:r. .