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HomeMy WebLinkAbout2868 t~~. ~~~~a ~o~~o o? M~?~rn~ ~CERTIFICATE OF DEATH e~~~s • • ~Y11[AY OI 1?ITI?L rlArirTIC~ fTATt IILR NO. ~•R•?...• FLOAIDlI •~t ~11~w 1 T N. At AA •f N. pr~~~~lf t. K~t[ ~t~fM COO~ NO? YiYA~ ~tN~[Ni[I~awl~rdMwR dMw?r.wr A~~MMM~wi.l ~ :iii ~ °0°""' - 2 't;Y~rida °01Droward ~i~~N 8.~w~.? ~ 1• 1~1• p?t. fOrM.011lOCAi1011 6 A O~ 0[AHI ~ pTr.lOr11.0w {ACAT~011 t. r! ~ti10[Mtt •s~s~• • 1Mii0t tm ~w1T31 ~S~Ot pTt lantlf r~t~. M i,r'.~ •r ncs w ~i ~ rts w ~ : ~,?~c a tM w w w.~r. Mw ~er.w wr.rl ~ sT~ soo.css , . ~ ~osn~a~ o~ ~n*~ a~ar ~Q~. ~I~. 2p~s w, nic~?~uico NAM[ ~I /'1?M I/IfYf • LMf ~At~ ~/MMr /MV YtM ~~r~«~ PAUL ~ SARrNST:~t ~?*N ~1 . scx cao~ a~ iua atc a~TN ..sc t~r... . v~oc., w. veu ~ • wu~KO~ rtva w~co lwt r..w aw w... rw. . s a• Md 1 e ~~1h i te Moowco owo~cce T ne 16 `9 A ~ 1• f ~ 1~ ~ IM. usu~ll oCtw~nON ( W~e ttn/ d•~r! M~e . RwOQI ~Ips W1 MOYlr~~ 11. ~M1Tw~ACt (8Mr w MtM ~s1u1M/ - on~a a? wMt oo1/~I~s~ i e ~ P~ O ~ w~M d~! M?. wr~ y?dlrM . ..~..a M Adr~`~nistr.at~ve Agst. Count Brookl n y Y ?i..t ~.t ~ ~arnc~~s ~c Morna~s wuoa «~c . ~,*::.~a..~ tfiobtainable tfiobtainable ~ , o ~ x~m ~ • ~Miramar, Fla. - 103050R43 ftenrictta Sor.ensen ~ 2825 w 1+1 ~ 1 ~ n. ~ s 1 N, pY~[ p KATM (61~M MII Mt arM /w N~t /r W. Ai. q/ wTterAt MTwCCM ~ 1 r~ t t~ I ?~T l 0[~iK N~3 CAII![O wt ~T ~~TM wMCa~tt cw~c W l • • ~ ~ . : ~ ,r ~ a su~t f~1• . . t~f t~f~ •lt~e'lwf ~~iMNe.1/p1. MI[ TO pl •~•1st~~~ ~ •ft~l• 1S 4iM ~+ut qN. OYt TO (d - ~ ~AIIT Il OfM~ f1iAHtYR OOIMI~O~d oan~nw~ ~o ourN wR ~a ~um ~o ns w~rw~~ osa~[ oowino~ awa~ w~ Kv . r~~ l~~~t• •f• /[~iOwM[00 . l~f ~~~~A ~ ~ ~ 1b0 • r ~~i •~S ~ Ia' AOC~O[AT s11Kt NOM~t10t o~lC1lNt~t~01r IIU~NIY OCC111U1[0~ (d1Mw w~flln ~j?I~pr~ls A/t 1 M M 11 yYt~ l~a •~if~ N O 6d~~ ov i o f -r. f. ti•a .t ~ 7oe Twc a..H..? a/w~. ar. Y... - 1i~~• 11UYR~ ~r~ a +Vr . ~o .r.~t ~s - ~ IO/. wJ~M~ ocCVluco mr. ~Ll1t[ or ruMr p. I.. t~ r~M.r M~r. 1~ CfTr. lbw~. 011 WG?iqN Oou11T11 STAT[ ~ MNRt AT O IIOT wNR[' ~ MA. MM~/. ~hHf. ~Nf 1N/.. dt.l ~K AT MOIIK ~M ! ~~~~M A d 8~? O W o~ J ~ 21 • I ~wMi fM /~ewMt /rww . ~ ~nI fuf w~ ~ ~ dn+ ~n 9~wv t ` ~1 DwfA oee~n+I ~t w~ ~w tM d~t~ ~t~tM ~ie~~: ~wI N fM M~f d w~ Rne~I~dN. /rom tM uuws ~ba/. 1 i a•¦• !ta s~ow~riws (drw.e a~r~ tb. ~ooa~ tte. wTC swNCo ar• t• 1~ p t i..~~.o. a ~''y7 ~ • N~.~/. ~~t. wooQ u~al7 . e • t•• tb. wMw. e.c..TOa Zt~ an t~r. wwc a aMCn~r oa e~cwrar tl~I. ~ou?~o. I~tr~. a... «e...r~~ (eaa) ~ 0 ~~t~3`P~ Tune16,1967 C,rove Pk. ~'rematory ~iar!i Fla. . ~s - rwa s s~wu~ ~oo~cs~Btitely F. H A. o~n aca ~x wcK ~a. ~cwsrw~s s~c~+?n~ 1?~~.t~~• Q . ~~,i/I~~ / /7r ~ / ` ~ _ _ . ~ ' ' _ . _ _ " _ ' _ , ~ ' ' , . , . ~ • CSRTIFIED COPY - - ~ ~ - ~ . ~ ~ I hereby asrtii~ the abo~e to be s true snd oorreot eopy of the Lo , 8egi~trer'e reaorct on file ia the Brovsrd Count~ Heslth D~psrt~eat at ~ ! ~ Fort Lsud~rdsl~, l~lorida. - • ~ . . • ~ 1 ~.(Yarninse l~o! ~alid nnless rsised ~esl o! !be Brovard Connt~ Health ~ _ - ~ ~k~•Yt•.v;.i~:•,D~p~?rtNUt i• attiz~d. . . . , ~ ria ,t~~. , ~ ' _ _ : s~,;~~,~~; ~ . . . . _ , ..~....;._1 ` :i~.~i.t(~~J. r ~ ~ ~ ~ ~ . ~ s ~ I o ~ ~ ~ : t " ~ - . ~1 M ~ Jj; ~V?~d ; . ' ; rr. . ` . ~ ~ a;';~` ~ :`1 ~ County Hesl~b 0! ~r and 1.ooa1 Hegi~trar ' ! ~ . ~ , ; : ,,~'s`:~.,+ 2', ...c ..o s , . • r . i . ~w„s ~ ~ a . . ; ~ 'r3~ ~.cu ~t-~- - • . ~ . .`?".=J.,', =;'i~~` ~ '~.i i;,"~ f ' _ ~.,G~2~ ~ i ; ~ % ~ ~ ~ ' y~ . " _ s~#i~ ~ , / ' f!~ M~ a 4, ' . ~~~~.~~~V': r~ ~ ~ C4 - ~ ~ _1 , ~ ' ~ ~ .~j~!k~_~.'. ~ ' . Y • . ' ! ; . 1:.._~' - .a , _ _ . - - _ 4 ~ - - r'~ ^ FIl.ED ANO RECORDED ~ 8T. LUCIE COUNTY. F'l.A. RECORO VERIFI~D ~ 15'~496. '6l JUN 29 AM 8:32 d~~ . ~ n~Gf: P POITR~S CLERK CIRCUIT COURT a~K166 ~~286'6 . _ _ - ~ . _ - - - - - - _ - - - : -