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HomeMy WebLinkAbout1156 162264 ~ ' y ; ; Lcorr E. Cns~ +sss ssTN sTaECT souTM ou~.rro+eT. FwR~cw sros fTAT[ fOARD Ot NG~.T11 CERTIFICATE OF DEATH ~1lqfJ1Y OR VITAL fTATIfT1C~ F L O R I D A ~TATt ~15,t N0. SIRTH NO pCGItTRAR'! NO. 1. ?LAC< OI OiATN COO[ NO. Z YWAI R~t10<NC~(IM~~dAr~ //~w~w: /~~~K~~~w.~•) R~~ Pinellas / ~ STATE rlorida a~~Tr Pzne113s ~ - u*r. Torr~, o~ wc•T~ n n~a os oi•~M air, ioti?x oR zou?r~o+~ e. K R[S~0(tiCE IUS10E C1~ 11Y1T51 IMSIp[ tITY 11Y1TS1 South Pasade!~a ~~:8~c ~p Gulfuort ,~s ~ ~uMC Oi (f/n~t i~ 1N~aa1. nre ahat attr~H1 f. STREET ~OW~ESS ~1~1~ ''OS""`~'alzs of ~asader.a ~OSDlt3~ 1~336 58th St. S. 141M[ O~ ~Wrf ViJQt LYf l. OnTE Xw1l~ O~I YtY o~cusce idarv H. Case o~T„ Feb. 23, 1~66 S. SEx ~ C~OIOR 011 RACE ~ YAll111EO u NEYER WRlltEO ~ O~TE Oi ~1RTN A6E l/~ ~tV1 If 1/~DE~ ~~W tA0(a t~ MS faM MrWq/ M~V O~M Nw.• M... Female 'llhl tp rnooMCOp avoRCCO ADT'1~ 21 1 g 6 5 10~. USUU OtGW~TqN tGi~r tual ~J~rat tq~ I00 Ku~00i WSuKSSO~ wQYii~Y 11 4~tiNKa~( ~g~t~ w ~irt~ as~tr/) 1. t~r~ Cs ~wf O(sr~n~r ~ ~wt r~rt~y d/Ir, «t~ ~J ~dvN) `~ius~:vii e ocvn home Cor_~ect~cut U~9 II. fATNER'S ~utYE 11 rOTNE1lT ru0[N NAME ~ William H~miltor. ~iartha Tryon ~s sow~ sccw~nr ~a. n. ~wro~ s s~o~uRS.~~~ wsa... ~g36 58th St. S. C48 12 04R ,.,~n,c„ . u?u~s er ou?TN (t.u...r~..e oe? t..e u~. ~s~..ws t:?_I ~ iNrav~~ ~~rn~» ~A~T L OCIITN tif1S GUSEO ~Y• ~~1,.~,. ~ . OE~iN IMrEpu1TE G?uSE (~)~LGC~i vi~r~ 1~~~ iup~~i OUE TO _ ~Ewe n~ae (i1. ~ ~qtiy Nt •n~e~. 04"E TO (H ~ ~ 4W t~aa l~at_ o t~uT k or~ s~as~t,wr w~wnoKS corrbwnwc ro ourn wrt wr ~cuan to n~t ~urr.u o~su~sc oouo~rw~ Cna w?nr N~! , w,?s ~urorsr rcRSORwcar m0 No[~ tos. ~ 206. otsu~sc Mow wuu~r otcaiuco. tF,nu..rr.e y~.~ h P.n Pa[ 11 y ir~~ i~.) ~ ~caoc~r w~cwc ~~c~oc , ~v O O ~ IOr. 1wE os Hwr A[wN. Da~. Ym v ueJ~?RY s. ' O I- W ~ ZQ/. d~~111~r OCCURREO ~It. ?IACE Oi tMIUR~ ft. it M~tiaf ~Af, ?OJ. CITY, TQwM.OR IQCATIpl1 QOUMTr ST~TE ( 1rMNE AT ~ +~OT wNIE ~ /r~. NdMI. ~f?td. ~jfte E11~.. dt.l M1011K 1T trORK i I ~tr~ni~d tlw ~2~~ /w~n a . to ~ ' •nd /~st a~r ~lir~ on ~ ~ f i ~ ~ . ~ a1afA OCC~t~~dlQ~. o~•• an on tM d~t~ ~arM ~do.r, ~nd to tM ~st o! m~ lnosNdp. /roen ~A~ uu~~s sr~r~d ~ s~a R~ ( Mwtr) 279 •OORESS / ?2c. pATES~WEO t~ ~ _ ~ - ~ ~W ~ a~`'~.Sr ~ ~~t f ~~~J - , -a y- ~ 2~. RpM4_ dEr~ ! WTE ~ ~ ?~C lA. CEMETE411 OR UE~11tORr n/. LOCAT101~ IC~f1. bew. M tN4f~) (~Kt) ~ 2/2 ,.b6 ' ei~t; ~oast Cre:natory St. Pe ter~barg, Fla . i j~ NER4LqRE ~4 r'~~t~;~~~~Q• HO ~ a~RECO.~1IlOC~1l~EG. I4. 6KTRAR"SSl6M~TYRE _ ; . ~ ~ Crllct ptort, :'1 . 2 - a, (,(p /}1 I here~y"fi~~;i~y't~~_=h~s is a true and correct copy of a certiffcate on file ~~i,,~'~` p ' • ~ t,.~t;f~~c~ o~ the Local Registrar of Vita2 Statistics of the Pinellas County Health Department, St, Pe rsburg, Floriaia. ~ s ~ ~iovember 27, 1967 ~ ~;,1,,~ _ ,Deputy Local Registrar FIlEO~~~[~"R~C~ORdED . S7, I.UCIE COU~~"iY. FLA. ..-a;~IFL' ;j~:rc;~,. '6Z (~~C 4 AM 3:34 , - - : ? •,5 CL.ERK•CiRCl11T COURT ~ R 169 1144 aCpK PACf ~ ~ ~