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HomeMy WebLinkAbout0053 F ~ vo`~~~~~Jp~ OIiANGS COUNTY NSALTH DEPAATIi~~N-T'3 ~ _ • ' ~ r1'e~tI~ Cewtal A~Mw , • , . f . ~ ~ V. ~ .1~~1 ~ . . ,i , cu~..~r aa~~ ~ . o ~ ORWINDO. ?IARIDA • , • ~ °IlAN00 - ~ • . . ~ ~ . , . ~ ~TAT~ ~o~ o~ Ms~.TM • CERTIFICATE OF DEATH . _ . j ~uRUU or ~?nr~ RwnR+a~ . . p L O S I A A ~+rwTS w:~ ~ fl T N. ~ 11 tT11AR• MO. ~ t. ~u?e~~ ~s4fM Coot N0. Ys~uK ~tilKMtt(wwn~..uwMwr. aw«1w.. w..M..M.~.•~«iwl O~^arlge b8r084~ ~ a sT~n . F1ol~td~ ~~r _ St. Luc~e , atr. rc~r. ai ~ou?r~ e. e a~ct or outN e. cm.l~ow~. o~ 1+ou?tq¦ ~s Kswt~ct Orlando w~~ Fort Pierce . ~a ~~a . . 'j R w?~c a tp w a na~. N~+•r•w w.w1 a mca ~oo~[ss ~ ~ T~*~*~ Or Mema~^tat Hos itat t 719 Miami Court ' ~ ww~ e. ~Ir.e ~HMIe ~..a o~tt . 1~ a. Y..? ~ k Nltil~w irt~wl - , He Wat ker r °f1TM 1 E s. scx t. oa~ o~ iua 7. ~RO ~ wcvca ~uKO a?~[ aF w~ . f. ~c t~r.n • ~*4• u.eca ~ ~ Jul ~18 1 N~t ~+W) ~v.,+. e.w w.~.. x~.. le White .roo.co avo~eco s ~ ~ ~ f0~. YSYA~ OCCIMATqN (Oirt N~I K wr! M~t 10~. KMM Oi N13M[~071 Mei+YStl1v 1. M~11NRI1Ct t~tls w/ M~~ ~1 .~1111010I w1l?t 001/altn . . fv ~wt ~l~I MA?. wt~ y MMt/! ~arp~nter Gener~?1 Johnson Ci Tennessee U. S. A. ~ ~ 1 IA1NE11'S 1MME • • MOiN~R': 11~10[11 MAM[ Charles Thornbur ~ Flora 6etle Watker ~ ~-~ocu~ sccv~arr w. s s~~w?w~ ' ~ Mrs. James Stott 2013 Hiawassee Road Orlando Florida ~ 4~~~• 1~, iA1tK N~[ATN ~6~tM MI~ Mt I~MM I~M ~(~1. l~). p~ (tl.~ O~NftrTµAl ~1NM ~ ' i , ( ?~T L OtATM MAS pIR[p w: ~ • : s , - w~co~?~t autit W LS~Ld1. ~ ' • ~ • ~ • ~ : ~ r ~ . ' c~..tut..a. ouc ~ ~ , . .sies ~.r. .f.l~)• . ~ .c.ri./ w ~.re.• ax ro (c) ' • . ' M•~ a.as t~w. ' J ~ ?11~T M. 0~1t11 SIGNIRMR ~OI~O~iqw{ OOMIMIRM 10 OtAtM ~IR IIOf ~WUq /0111[ 1F~II~MI Oqil?~t OOM1~011 QIIdI r1 NMT 1(~l . IMA A . ! ~ /tM~0~~01 • • ~ ra ~o ~ i ~o.. ~ i~. oc~aiNC Now ~r cccu~~ca (i~a ~a yryv~ M Prrt t a Prt II ylr~ qJ ~ ~ ~ocwc.r wKwc wowiua ~ ~ _ . ~ ~ mr. TwE os Nwr ~[w~. Oq. Yar . - , • . ~ NIWIIY s. . i a !~s- I C~ • . i mf. auua~ OOdllutEO ~r. RAtt O~ wJU11r le. I.. t~ a~rt w~e. ~11. C~Tt. fOMN. C11 WGi1oN OOY~TY fTATt ~ ~ MNI~ AT ~ 110T rMNiL[ ~ /~'Ml. ~d. Mp M~1•. dt.) . . , i MIOAK AT MOIIK . ~ ~ i ~ 1 ~'?~t... . . ~ : : i 21. tt~w1~ tM I~ewaN /~orn te ~ w/ /uf a~~ A w~4.~ ~w , O.~tA oeevrHA ~t : w~w fM I~N ~t~ad ~ iw~: .n~ re. ?..e a.y ~~w~.arh. Iwm tM ~ w~s t~~~I. j~ tta. N~t1MC ~Dwr~r.?1Mrr) tb ~oo~E3l~. :L ~ L'- , f~"' ~ ; ~ . ~ p ~s ~i i ~-111 Y'?~-f - ~ -J {Yu~J ~ Y~~ i I w 1~?~ . a 0 ~ ~ ~ . . ~ i i]~. wwu. acr~*q~. t~1 wTC !k. t os artTUr oll t~c~u?ta~r 2]/. ~OCAr~o~( (~h. Mn. r cw~J (~w) ~ ~ ~t ld/Kylri ~ Bur"~a'1 8/ 15/ 1968 oodlaw~ Memo+^iat Park Ortando Florida ' ~ ~s'q'" ~ t~. s a. o~n ~cco. ~,r ~oc~ ~o. ~+ic~w ~ ; ra~ t rt-"0~ F 1 ` ' t~ee~~rs, ~r~an~o~ ~16 1 3 1968 f r'1~ L: ' ~ • - ~ , . - _ . - - - _ _ _ _ _ . ~ _ CEI~I`IFIID COP'Y-- 1; • ' ! I hereby certiPy the above, to be a. tru~e and correct aopy of Registrar's record on file ia the Orange County Health.,D,~pa~~~tfi'$ ~ Orlando, Florida. ~ ~ ± . ~ _<< , ; _ R! IN : Not valid wnless raised ~esl o! Oraags Co~t~~ealtb ~DlparCa~ti is affized. . ~ ~ - . . . .f~ ?f ~,~~~F r~ ~ - . - ~ ; ' ~ . -i . ~ Couaty Health OffYcer Local Regiatrar ' j•. • ~ ~ g 1968 ; . ~ , T; ~ AUG ~ _.t "wj~ Date Issued . ~ Daputy Loa~ ~g~s't~ar' , _ - ~;r ~ . ~ , . it ' • t P i'~ • FILED ANO RECORDED ST. IUCiE COUaTY, F~A. ~.r ,^r1:?N^y. ~~jr- R~• '~D ' ~~.lt?I'~ ~ ~8 0~'t I 8 AN 9: 52 F30GER r'ptTRt,S CLERK CIRCUIT COURl' ~ - l ,