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HomeMy WebLinkAbout1295 :~i. .r~n .a?~o o~ Mw.,,~ CERTIFICATE OF DEATH ~ .L623~J~ ~ i e•••• • ~ua~?v ow v~w ~rwr~c~ ~rwTS nu ~ '•j•'r••- - FLOSIDA ' ~r~p~rl~ sl T N . ?54 ~ .:.sac•a 1. ~s~?t11 ooos t~w~ t w~ ~~Lf1~LMacn«w..rw~ d~rr ~r.. I~.i/i.n~w~..+.i.6J ~ .~a .au Flo~`ida ~1Cie l. ~l.e.a • - la *~r- R uT11. TorlLO~ Wd?TION s. ~s RKE Os ou?N s. ~m.l0~l~a1 1AC~?T1011 e. tS.11ES~oENCE •~~~~t MS~OE CT/ UMIT3T YIS10E C1TY Ur113T i tll~. 11ES JIp !iE3 IID 1; ~ MIINE Oi (~M! ~ MI/MI. /M ~6M! W~w~l ~ STA[R AOOAE~ . . N06~ITAL Ow i ~ 49th St. ~ Ave. (Residence) 49th St ~ Ave ; M~M~ N Fkrt WIYf • IAIt 1. DATE l~fid~ D'M 1'a? c «~~i.w~ WAYNE M. CL(ER ~?*M Julv 14 1965 s. sac a ao~w aR .ncc t. ~,n„~p ~,E,R,~ „~„~p a wrc or M.n~ s_ acc t~, . u~a~ ~.w ~.eF, s~ u~s. t Irt ~+MM) x..r. a... ~ww x+., ~ i:. Male Ltlhite o~vo.ao Se t 27 1913 ~ 1•i.1 y W~. uswt ooturRno~ OMe tW y.at M~e 10~. ~uroos ~tsso~ Mousrler 11. wtnruwt (!Me w/Meys as.e?~) a~ er w~ aaan~n .ter ~qk..o.ll.rnnA uro ~?~••••tyMinatac+ TaveTTl Bisco 'a ~A ~ 11a~t i~t 1 I~TIE~'S ~urE 1 YoTNEa'S YYOEw ~NrE ` :~,::.,s.. Zachary T. Clcer Etta Pad tt ,f ~ a~~sco cv ~ w~~ I ~ aau~ sccwurr ra n. ~M ~ suw?tr~s Alaf ClOe1'+ , Ft Fl a i fu~r~l 1~. iwW[ N WTN (i~Yr wiI Mr aw rr (y. e1(~)-1 trrEler~i K7r[rM ~p - ~ir••e~r ?uT~ ournrwscwxow: a~eT~uoourn f; .•.s !f~• w~~ uwisc W U711Q1Qa;1 t~• ••r- ~ tl[l~~t• .~~/p1. OIIE 10 A) ~ ' . ~itl tl~ p 1 • • • 1 ~lrr ewut~~A - t •~sistr~r ~ aw oYE 10 (c) ~ ~ ~ 10rf ~ lAAT K 0~10 9i~rYf ~I1~ ~tl~I1M 10 ~TII wR ~ w6A1l~ 10 M lp~l O~Y 0~1~1 CNO ~ IMi 1(~ .!AS MflOrSY r ~E~IWEW ~ t~r ~~~t\ ~a •r r~ oESCOYE MOw IIUU11r oOaIRI1Ea t~fs w1a+r y1µi~ b Art I r Art ll yt6e~ 1!~ ~atfai ~ ~pppENT AI~GOt NOM~CIOE ~ l~y~~!- 0 ? s:.. •t ~ mc Twc or N~s. x..I~. oa. r... NI~. w~Mt ~ 1. ~ 20/_ MhMl/ OOQIMEO ~e. /LAtE Of oJIMY k- 6~? ~lMf Mr. aJ. GTr. IONIL OR ~OL'J1TI011 OOiIMiT STA1E is ~xlf AT ~ IIOT ~MR[ O M~.~I. ~bqt. ~K MII., dtJ tiORK AT ~ORR L T' =~-I.tr..wwtr+.e....~~m.. June~ 1965 .ro =T~v s,~_.,wwe..~~ .u.~.o.. u Y 12r 9~ 65_ i a..r~ oew..+~ ~e 3: 50 A. M. w e.. et» a.e..r.r.a.ao.+: .nt ro u?. i..r o~.v ~•~o.~p. ~.o.~ u,. e.w«.e.ar. _ ~~1 zs•.• A.. se~w~[ .r• s• 1• (~w rta~fs) m. ~oo~css lle. onT[ sr.~[o { ...,~.e. a D. M. Bleec~, M.D. Ft. Piet~ce Fla. 7/15/65 : ••s..•s•. 2b. a~.r. au.noa t]~_ ar[ ttc. iurc w ccrcn~r o~ ucw?ro~rr z~r. ~ou?taw (C~. a... r aa.r~) (ae.or) - ~a~ 7/lfi Florida s. ~ sis u s~""" Ol .'Q:°~ StlAeet ts. wrc ~cca n~cc~ ~o. s. ~+srws s~wru~c a...1•s• Miltan W. Baird ~ i ia N ~ , . L'J C i ^ - Fil~~ q , 'f~•:. ~ 4,~+ireby. .~tii1~.t~,~fa a~rw and oorrect capy o# the l~ocsl gT N~ RECORD~p" ~ y~. CO`~,~ p~~" ~ RFUCIE COUNTY. F~A. ~ ~ ~T,fort:P'~ CORD V~ ; .~N4~+~ • RIFlEU "'lM~+~!nU+p~-Nd valid uni~ss ~sised ~al o~f ~he St. luw . ' 1 fj,~s,~, i:-. Cot~' Iii~iib p~p~rtrnent is affix~d.) ~s : _ • : ~ . ~ ;Y;; ; T DEC 6 ,4M 9 ; S 7 ~ ' ~~:?1., ' " j~ • ~ . • .1 ~ r N. O. MlLLfR, IIIL D _~~'~ro ot~.t,~~ : " - ~ : ~ ~ , GowNy HNlth OfficK i Locai Rpistcr ri 0 v ; ~ ~ -,p, : - ' ~ c~~RK crRCUir couRr , tt - ,~.H -L'I . . ~~t_ ~F . ~ . s c~•`- r ~ ~ D~- . D~wfr l~oul R~pistrK d• r , ~ , ~ a~K 1fi9 P~E 128~3