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HomeMy WebLinkAbout0508 Oct 1 2 35 PM'66 _ ~'~1664 ? 4'7`~8~ ST LED ~V~ RECORD~D . LUC~E CC?UNTY. Fl..:. ~n:;.. ..:.;-~_~~i~ -~~iss ~ t ZS Pi~ ' 03 ijD9cR ~Pa;tRnS~ Cte r~t .Cticou:+ ('~arT TA~s N- fTATt ~OAIlO OI Mt/1L?11 CER'fiFICATE OF DEA7'H - ,',4. ! co~es • ~UI~[AN OR YITAL fTATIfTIC~ rTATS 1{L~ pa ?.R.~ rLOataa . o~a .s~~ si 7 NO. w - ~ a e e u t~ d ~ Kl1tt N KATN t NO. IIWA~ ~MKMCt 1 ti~e I~rrwl /i.d Ui~Mwrw: Mtti~~11~1. ~ •nd •1ll • STA1t ~r _ Florida e• ~~.o.e ~ Fi]~ ln p~t- A. GTr. tOMrM.O~ IOC~Tqw ~S K4CE O~ OEATN e. CITII. i~N.pR lOC4TIpN f. !f ~ •~Mnt tN510( CITY ilY1TSt t~ ~,v`. Atlantia •ES~(J .o p Lake i~orth ""P = ~ i : NAYE Of ~!f Mt i* ~wNt~l, /ik NrtM NI?fHl f. ST11[ET A00~(SS MOS~tT~I 011 . : ~ , INSTITUTqN John F. Kenn Ho ital South E. 3trNt 3 ~s~ ~r ' ~.r vw~r~ trr ~ w~[ lMw~ Ar . . li~r ' 7bp r pj~q v a r.[ ~Q~ J• ~J~S 0[AT~~`~',b t~T ~ S S(% 6(O:U11 011 RKE ~ M~A~K~ NfV[RMAARI(O ~~TE O/ M~TM ~ t / ~ty~ ~ MwM Ast /w~ r.~ s. ~ble 11ThiLe rinoowcn ~7 avoecco 70 . p~' 10. uw~~ oc~cur~LTas ~ cur t~~1 e/ ra~ a¦r ~OD K~»o as ~us~NCSS oR u~ousT~r 11 n~Tw~ut ~~~a w/~nryR ~w,~) ~ a~ r~ = ¦~n~nt•r RE~~•T~ t'O~tC h.~rr~iJrNVr1~ it~ of Cle~el,~nd Ciler~,j~) y~ ~ el~lk 1ek ~ATME~S NAY[ 1~ rOTNE4'S MI1i0EN NAY[ ~„~•r~ e~~ lhlobta3nable UllobLil=fa~l~ - 16 SOCIAL SECU11+T11 MO V MI { 11iMATYK AµtN -F~~ 62 54 9r.11 ~ G^'~+ 706 South E. Straet, Iaks Worlh~ llorl,~a ~un~r~l t~ CAYK N~TM (E~tn~f/~~enwr Jhr 1~1. 1 •d ~rl. _ dtreete~ a~TN~~se~uxo~r~ ~j~~ ~ . . •u~t fIl• IMMEdAT[ UUS( _ _ ' ~~l~+cV~3____~--~__ tb• t~f- . ~ ~ _ ~ t 1 f f c~ t• Ce~IwiMU. ~J ~~I. puE TO (A1 - ~ • ~ - • 1 t A t A• r~K~ pre ns~ b - ~-~~~r. ~ 1 o t t 1 ~Do?r t~~w (il. - `Y ~ r~Rfstrar +~ruq Mt rwfrr. p~E TO (r~ •ltAlA ~2 ~ l~l t~rM lYf. _ . _ ' _ _ ' 'i 1 i1lA SK111fIWi Cq1p1T COM M~1JI IqT R(U t0 T1K 1~~MML ~(y ' ~_j'ir' ~our• •f- • t~~ d~~lA s ~ ~ ' ~~G . ` <:`1 or eetor• ~ - ~ , ~ ' 20~ ~ ~ mD o[SC~~~E Nor :;AY CtiCU11Rf O : F'w~n a~rtrr y~~/rry t~ PMt 1 M M yMe~ 11.) •akfa~ •n~ 1- ACt~OE~T Su~ NOM~C~DE - a°- d1~Pe~t- V ? ? ? ~'i-r~-sTa[~. - . . c tioa sf 20c TWE Of Ilwr No+f~. (N/. }to . . . . - ~ ?od~• ~ ~Mlu~r w. -.--.-,_~t~_ S D- ~ . i . W ~ = 20/ MUU11Y OtCUR11f O 20r R~CE Oi tN1U11r fr. ~A w rwt Aov. m/ CRY. TO/11.OA IOC~T1pN ~}r _ ~ MN~L[ AT ~ MOT WN4E ~ N~s. Nt~ .~fr[d. • e SfI~._ Nt 1 ; _~3iv NO~K AT MIOIIK l ~tf~nd~d tA~ d~c~uM /rom _ - S, . fo _ •M /Mt a~~ ~~MN M II~ DN~A oce~n~d ~t ~.~O ~j m on fM d~f atM ~Dw~; ~ed to tM i«f d q lws~r~/M, II~ ' ~11 ft~~• J~'~~ ~ ~O~~V~ • rtY/r• ?ZA AppllESf ~ : •r• to y_ ~~L , co~~l~t• a ~ L~a~~ ^V~~ ~i~vi'i1~~ =i''~s. •cerr~le. 27~ ~unu. qe[r~iDM 2b DATE Z~[ M~ME OF CEMETSR'1 OR CREYITn~Y =y. 1,~~T10~ ~G~.1~~«N4p ~~`iioLLir~`~~' March 30,1967 Hillcrest M~3al ~t ~~-:r. Y.l:~dl2 j~ ~ 11A? OII SS TUIIE ~•65 , Lake Worth, !1~ ~ - ~ . ~ ~ ( - r, < `l' ~r l ; , 1 . ~~C^/ i.,~ ~t j __~`~~Jf r~ ~ ? ~ -J / ~ ~ . • . . / r~., ~ - ~ i Recorded hr Official Record Book Qf Pa!m Beac~ti County, Florid~ BooK ~74 ~ 5~~ 8. ~ Clertc of Grcuit Court ":1~`7b F~acE 1104