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Home My WebLink About2867 ~ . _ . . i - , ~ • DISTRICT OF COLVMEIA D~°AATMEN? OF PVBLIC HEAI.TH ~~~~~5 C£:tTIFICATE OF DEA?H . i . ; : ~ ; t~ f''_ . - ~ 5 i . ~ vo. ~ ~ ~ e r~ \fiuu7t I.~ut AATF. llorth Dny 1'ea~ :L, l:,~rof L)cat!f i . ' : : _ c.CE:,:~~D Fd-•: ~ . 1'+. . a.- P4:.•) OF ~ • ~~•~cnc Loui~ ~3att~ D1kATH p~~v 2r 1967 ~ a!•t . ~ t. t't?I.CI; OR R:ICE ~3. ~c~~r lllrr:rl. \fnr:lnl. ~ G. 2)ATF. OF H1ATH 7. ~CF. (In fca-~ • • i;` j Hn- . ~ ~ .\'ido~r3. Di~roccd2 : ~ p-tifc lcaf birthdop! : . ~~ethi ( oy~ . • _ : .v en. " ~ ~ ;_:7'~i_te S ~'ar= ~ P~; ' ~iav 1: 191I 56~~rs ~ ` . ~ • .":..~C"~: Z~=:_~:'1? F\ W3sh:72gie+ ~ D. C. itlAL R}::il.`E\CE (ri'; -rc ier~ared lird. JJ e-ititrtion, n.~..•,•o !.+~Jort \_\>:t-: OF t:t~PITA'_.. \L'7!~I\G ti0\.T.: OR OTF'.^•._•R IX~:ITL"ITO\ a. S1'.~Tc D•G.~ ~ A. COC\TY sd~r.'vainn)- ~ (7; rut ie I.vt:C'rtteK, ;;'Y s:nK ao:?.<:.• ~ CIT1 ~ I\~IDF CiT~ I.2~SIT•ti S ? icy `'.e^oria 1 .:o~ ~ita : ' 1 k,ashin~ton t`r~cl~:Y ~'ss ex ~o~ ~ cs - . a. ~-rx~~-r .?i~u~tscti c~/ .~R,. r~Te ~,xarc~~ *.;.z:,~inr`en. D.C. 5420 Ga ~n~ p - .iL OCCL'°ATIO\ (Cec~ ;i~d o; +c~r;c done ;u~. !+1XD OF 3C~1\E.~S OR 11. BIR?HPI ~CE CI'!`!ZE\ OF \~'tI,~T COC\'TRl? ~ , • ..:o~: n/ r~+r:;c? li;q ~r~e i( rtt~•rd) 7\llL'~TRT (SMte .•a ~orcir,w coswt ) . C.-; ,;r«~ :er Gov, A.r..~~ Serv~ ce ,,'ashin'*on,~ C t'SA ; ::::1, ~ ~ a~'~ 13~i. ~SOTIif R'~ ~'A2DE~ \a\IR 31. \ ~~:fi OF SCRt'I~'i\G SPpt: £ ,'c~eti~ iatt3ol*_a ~ Ccnce*t3 Pi. Bor.~~eri:l1 Mary E. Battaglis 1'•: L'. ~:4. \:.?i:CC?ZITF \O.~l:a. J~FO:i~1.\\T RELITIU~SXIP iODBCEASLD 17l+. ADDRFSS Strect City 8tate r.7^~~-ii "~cZ~n ( .:a.c L. ;;a~taglia , wife Sa~e ~ . : Y•.1;••- CF "E.S:I'.: !Er~.r er.I~ ee~ •a•rx.ytr line C~).?^a~~)• - 1'r.!enal Rr!~reca Q~~e! ~ i':;:1' L•E tiT?1 tiC~ti C.tC~'i.D id~ . , en1 1)es2h: ~ ~•YVt-~iri.~./_~' _ti}:ED2ATE CAl'Se. r f ! L .l ~ ! ' ` r . J-~ ` . . - l . ~ .4~L.- ~ ~ ~ - ~ !JI'^rnr.'i!i~~R!''~~~.Z /iL~..(i"ii % '~i-~.~fi'(~L~fi~'4~ti'(iJ %ljy_~~ ~ ~ -^ns r~ t~), r,c. DCE TO t, f ; ~ -i . . ~ I ' ~ y~:-r!;•r~. 7jJ;~T•r,Cfi~ -.i~' ' . ' ~ 1~liY i~.( -L~ , . t ' 7~..... D(: F. TC~ le) i~ I. ~1~ .l ~l i ~~i ~ 1,.~ r~~: r.~~~i.~'~ ' LL~^G`~?1 ~ i . ; : i?;: QTz:::R ciG~:FIG~\T CO\IJIT.:OX~: •-•^tc:'::.'_ !o dtath bnt not 14s. ~L'TOI`.~1 T:~i~. i(1~,~~'exeFir.~linqCra:idt-eci ~ . t tu tir 'rzr.~u~sl Si,~ e coa~iiuan ~i~•rn ~n jnri 1 k'a' OR \O ie? Ih:•r.rmin~ C~e_•e ot Ilr~t's~ ~ - - Ji . iT•- r•-:•-;a-;r.~ :r ' ='n3?:~~ i:''~_ D.\TE OF C'??.iL4T:0~ :tS. CO\DiTIOX FOR R'HICII O?ER.~TIOX ~ . : C~i~; P.-r:':.. _ . :~Z - Y:. ^d :~:~15 YldIiFOB~IED , ..rr~. i1 ~-•:•:r:si. ~-iir"v:~. har:~i-~ Zlh. itOL'R A\7 I~.\:F.OF I\JCRI': \fonlh. Day. 1"rnr 21e. UF~C'.'11t~: )[O\~ 1\JC$Y OCC!'HRED . • •.r c~:a-rr, i.n•!.•t~rsr.ice.: (F'r.[rr .:uCa1r~ ~~J In;ur~ i^. !'r.rt I or / a:t ; :I c~. . :~SL'::T :~T :~'r?R2~:t i I.::C!-: OF 1\Jl'It1 ~(dt If••.ar, F'cr~n, Fcrtn.q. 21f. ].Q(.':\TlOX CITI' . C'nl'\TY ST:~T£ ~ JT"=~J9 Ft. or ~"o) Sfrctt oi U,'c ii!cvai~~9. E~t•) ~ . ~ ~ . r ~ . ~ H : ce:;'Y at !11 (th3s ?nos~ !aP at'rac'ed L':e deteas+3.'.:e'S I9------• t° tj---t 28~-'--• Ciat (q (we) 2est f_ i ~cw ti.~ doreased aL~s ez ---:----:s-:~ _9 uad thc! ceath cccurred 3rom ths eansas and o+?tIIe dei~ and Lon: staied dvTO. ~ v : i ~ ' -YO. n~~:F ~tCs•~ s:G_'ei.?UURE ~ : / , \ ' i/% iT7'EXD7X0~~ ~IEDiCAi. ~!'~?F ~ ~ ~v ~ ' i":l"~. 1~71t'c.C7UR ~ !"i)"~- Q ~s ~ ~ ~i _---1 :1 / 1~i ;rc. J . ; ; . ~ l ~ i ; , / ~ - '`'t-~- y ~f Ctr;~" ~i(~~ ~ / . " ~ }'1':i_~ ~ ! r •f~ ! r ~ i.•J •}1 t. ~ f , . ! ^ ' . i:r•:~ ~ i. ~:e il.1'i'f: 1 T . \.\\!F: 1?!' ('t:t:.. ~ :•:IL1' OI: L'I:"1L\'Mltl'~~+.1. L(~C:\7'SOX +17, t..~r', or ~ra..~>) tc!~~ : ~r ~t n r y~ -`!..1~ _ ~ •J~^:~~j.C~~ ~ L~r-~llsl ».fr ~ `(n.~' li~~l~ •r~• ~ . . . . .'!S.•it,> L.') :E'~=' _ ~ ._°'jn:• 1'\U::IiTA1~F:i~~ NIG\.\Tljltt; ~L~1., l'XI>::I:T~i~Fii'~ j , . _ ~ j y- ~ • , t - 1 l~F:!:?~ "t:.\'1'il~X ~i,} .:'nn ~;-n Ti . ] v ;.~~.,aL _ • - ! \1~\'.ISt:K ~ . ~ l • ~ :i, . - ..::\:.\;:I~~ ' . •~e'~- ' _ ~ . ~ . . . # - _ - , .:tf--~ - # _ _ --i`'a-- ~ _ ~1r~ , . - - '-~~;-=~Ir~L•Iij~~bl7Tl-n~"~ Fn, ~ :'.7 S~'~_~ ~ ~ i _ - - ' _ ..i _ ~ _ . .','r_' 1S ii'LT~~ uT`~ C.^,~'±'E'^.~. ..~.-.,.r..j,•..?-~ ' ~ ~ . . . ~ . - - ' . - ' 'r . v • e_c r~~~j_~t~~n .t~i~'~~ If>}c1; 7".C~~`:_:.~:~ C'F`.'-3. ~T~_ - ~ . • i . ~ ; . - - = - ~ ~ - . _ ~,.,;,~~ti.L~ vr" s~::~ L:~c ~~.~,-.~ea? , _ s~~ - ~ ~r'~ . . . , ~ , . ~ • - ' tl ~ :1y-~yr~.~.. _ v ~ ~ ~ . 4~• . - . V l ~ ~?73. lYST/~ ~ ~ . • ' . _ 1 ~ . . . . . . _ . . . . . _ . _ . . . . ' _ ' . _ " ' FILEO ~lNp REC p: . sT. LuCIE COUN~Y~'! RECORO VERIFi~p -15`~495 ~l. JUN 29 AM 8: 31 ~ fiOG R ~ ~Q~g,pgIIy ~p E POITR4S Lt~ibilit~ ot writin~, tppiu~ ~ ~~ERK CIRCUIT COURT or priatin~ oaaatiafaotor~? in p k , thi s doon~ent tor ~icrof il~in~ 8tifiR PA6E~~ ~ _ _ ~ . - - . . . - - _ ~ ~ .