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HomeMy WebLinkAbout1000 _L'70~22 iAis ~TATt ~o~wo o~ Mrw~TM CERTIFICATE OF DEATH • ~u~uu o~ r~~ ~rwt~~nc~ sr~n n~s no. ~•a•l PLOSIDA ; o.a ei T N. A. prop~~l~ t. ?uei ~urn t~oo~ tw. ww~ ~lw~..~...~.rr..a uw..~.r.v ir.~+...~...aww~ l e:~e~t~l . L fTAlt 1. COU1Tr e. ,i:~ i Dade 23'184 Florida Dade ~~t ~ i s p• r- 1~. tm?. ?o1rM. o~ wGTqll e. e RAC[ Os ou?TM a CAtI.10wM. 011 toG?Tq11 ~s ~ES~ocNCE ' •~~~~t Miawni Beach ra~m Mfa11m~ BegCh m~ Q ~ f~l~. ~ w?MC oF (N Mt ~..rwt. rrr ~er«t ~rw) R wiarn as stwctT aoo~css aN ~ r~w+ ~*~TU*~Miami Heart Inatitute 1~~T$N 80~ - 4th Street ,r~sD No~ 7. w?r[ O~ FIrM NI//t Lrt l. DI?iE Xw1~ A~ Yea ~r.,~ ISAD(~B THBODORB I~ID~AN ii?rn Jan. 30 1963 !tR OOt+OA OR ~ACt • MMRKp e IK1RR MA~RO 0~?t O/ MMTN . AC[ I/n /tr~ ~ 1/~O 1 YfM YI~ M IM! MiIY~/1 Mw~r Drw l~w ~fi~. t• Male ~thfte ~woo~n avo~o Ma 28 1894 68 p 1 a~~ 1~ 10~_ YSUAI OCtll?AT10~ (QNe tI~/ ~/~Nrt Ms la. KNIOOF ~IISM~E~OR MOIIS7*11 11. MIIi1MlAC[ (a~M ~r~'dA ps~E?I) p11~101 wMt 001M~1tTt .~ss y~r- t~?h~s«t~lw?Ny~i~r.wn~J?fNn~/1 ¦•p•~~ Owner Taxi Bn land United States , ll~sk l~t 1 fAT11E~ M11E M~N ' ~..rte.? Chaim I~at?dman Sarah ~ w~?s acusco cv~~ w a s. ~MCO ro~as~ socu~ xcu~m Na . sww?~ws X ~i ~r.........+~....~? ur ....w».?...~w ~~1 w~+.» 80? - 4th Street M i a a?ws N w?~w I~e...b..e t~.sP? (q. n)...+ 1• ~i ~~~IDIG~.f~~L~! ~crMrEO~ n~ral OEA7M _ d f r~ e t~ r IA~T L O[ATM MAt CAIREp N: : IMYLOMT[ CAAI~ : ~ ¦~~t !11• ~ j tY• e~r- - t sit\s't\• ~ ~~Iqjf• Olt 10 : 1 • • • 1 ~Me twM /y/~/f~~jj_ i • ~ r~~i~tr~r ~ a • py[ Tp (s) !^[i4 O~r+'~ ; ' rour• •t~ ~ r T n. aowna~s ~a iory~ oang ~u w Mn Ky ' e•~ a•.s~ ~ ~ ~~%~/(~~lf' • lres No? s i ?~s f•~ AOCIDENT lYICIOE Klf~ ~ ~~0. ~~M/ Ml~It y b An! 1 p M// y~fA /SJ ~ ¦at!• ~ 1~~~~~!- ? ~ i•• •r ~ . Turc a!h.? xi.M, O.r. Y.w ~ ~•a~• a MtNMY s. ~ A. ~ ~ m/. IMJIMIY OOCY~REO mt. ~LACE Oi MUYAY (t. i1 M rNf w~t. ~ CITr.1~N. OA lAf~?I011 OOINITr STAT[ ¦1111t AT ~ NDT ~I~.E ~ w. ~t~• ~ ~I•• ~ft.) ! NORK AT MO~K ~ 1 ~ _ > ' 21. l~f hwJ~/ fb~ I~w+Nr /eem . to ~nd IMt M~ dh~ on s A oooutr+/ ~t ~ e~ en tM b~t~bd ~ie~~: ~ M tM 8Mt a1 aq tnNl~dM. hom tM uw~ ~bNI. 1 ~ l 1 ! Nu l7s. riwt -'.'y. . K. . O tZt. , •r• t• 1~ ~ ~ l ~ ~3 ae~~l~t• • / • 7 : • e s ~r ~t~. ~ oAi[ - ::!y + ~ET[~r OR C11EMA7011~ 7x. ~OCATqN (CY6 N~n. eN~) (8Mr } 1 g~~al Jan. 3~ ~ er~8e ~MeIDOrial Chape Mismf Florida r.s./sis y~„~~ s ~ ~.a?TCKCawwcx~a. ~s*~'s'~ a...,~ss :`Jan.30 1963 ut ; ~ . :'OOPT ~ • ~ _ . ; y I hereby c"~ . : be . a~. true and correct copy of the j record on fil i `'of~the Local Deputy Regi~trar. - _ a JAN 3 1 l~s Loca "puty ` gistraar 6 Notary Public. State ofQ; ~la. at L~rge. Mp Co~iasioo expir~s 1~1av~16, 1483 . ~ ~ ~ X~ l ~~m ~ C~t~ An0 N O - a ~ ~ O~ ~ m ~ 0 R 0? mc° 600K P~CE 9~ C> ~ z m ~ ° j' ~ ` ~ ~c" 1V.. m~ . v E ~ ~~m ~ cn D v ; . ~