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HomeMy WebLinkAbout1212 1~6094 t~+, STAT[ ~ow~o o~ e~TM CERTIFICATE OF DEATH r.~~~s • ~UII[AU OF YITAL RATI~'TIC1 RAT< ?ILt NO. ''R" FL08IDA , ~rd •A~n pIpTM NO R 1 RAII' O. ~ ; rop~r 1) 1~~Ct O~ KI~TN CO~[ NO. : Vw~l w[MKNCt11rM•4r.r.rhW I/.w~Ar.w l~J~rMh~~ww.w) •~~eeul~d ~ ~V`~T~ , L, • STAT[ COUMTY ~r,, 11 •~c~ lry •'~aL:7 ~ Florida ual~, :3each br p1ar~Q - ~ ~ p~~ _ 4. C~tr ~OIMM. O~ tOC~TqN t ~S K~Cf Oi 0(~ N f. CITY. TOMN.OA IOC~TqN as~aNCc •~neot ~MS~OE UT~ UYITS~ IMSIDE pTr LIYITSI r~~.. :Sc_~•ti! e::ie3ch rES(~ ~op Ocesn ttidE;e vcs~ wO ~ I. N~Y[ of ~/1 rf i~ ?wptN. Iin wr~N ~Jtrta~. ~ •'{y~~Tw Oi J STIK[T ~DWKSS ON A fAIIM~ • ~ STA11 IM IA u~sT~TU~~ ".:e` ti:eS :l .'•`.9C.Q^l~sl HCS • C3- '3 DCL]'ZdS U2~• rcS? rO~) - - - i MAM[ eI - ' I'i.-M - Vi//ft tw 1 DA?t A/MN p/ 1't~r ~ccus~~ i' a • I~OIMp111) .~f?.i-~. .11L~.'..i~T JI~:~~iJ.'7r1J~~ ~OEATN Mu~st 5 1964 S St)l 6 COIORO~~ACE ~ Y~~~KO~( M(V[wY~Apl(O?~ ~tlOf~i~7N ~ AGEI/w~ftl/ I{MO[RIfEY {~H~. fvf Arf~IN) XMtM D~n Mww Yi~. • • ~ c • ~•pn.:.~~° ..h1tF: ~noarco0 avo~cco h 16 1~'~ y 1~ f n I~ 10~ uSU~I (XCUTATq~ ~(?~a t~~~ n/ ae~t O~t lai KINDOf ~US~MES5011 tNDd5T11~ 11 NwTMK~CE 1~1~ft M N~t1/A twwfr~l 1 ptls[N ~~INi CWO~t • 1 t h p. r- a.~.~ ..r N s«~~.~ nM. et~~ iJ retirdl ~y •~nent . =1r"•~t'~:':~' ;_~If: S~^ff.e • V . ~~J~ri~ { Dl~e1t lnk ~j. ~ATN[RS 1U~ME 1~ YOTNC~S Y~IpEN 14YE ; ~,p..~,~.. :i~ :a~ ~ l::Prt. T~ r.o:+ i IS M~S,OEC[45E0•EYE11 IM U S. Al1YE0 iO11CiY K SOCIAI SECUIIIi~ Mp. I1 NII~Rr S SISMATYw[ ~ In. ~~l.~w~ ~iI w. Fr ~v ~ MY~ J rs.sel nc .;.ne =,_?~~_~"i c w~a~..l n r) • 1; !'un~ r~ 1 1• CnYR N~[ATN ~b1Na wi/ wu t~u~ pn ( !r Itt. ~4~. ~d u~ 1 • INTEII~aI ~ETM[EM OEATN d~r~ete• ~~~T~ O(~TNMASC~USED~~~ - irr~w?r~ t~vst l~l Lc -G`-~~ ~`=~-~-Cc-+•s- ~ L_ su~t t!?e - t~e e~~- ~ c f f f e. a e ('?.tri~u. r/ •wI. pUt to te~ L/~" 2- - t~---v. .~s~~~y,,•,~.~.~~~ . , .?in tne •~r~ ~re ru~ ~I I o e• 1 ~Ewe r~rw li?. reRislr~r x~ r~~~- p,( TO 1~~ • ~~II /py r~rr fW - s~/ _ 't-r"`"-'L- - - ~ - ~ 4 ` • ou f~n ~S O /AAT 11 OMw SK~IiK~Nf COwpiqpj COM1fMl111K TO D[~M RR IIDt II~URD TO TM[ R11~1W1 OIS[wY Cp0ltpp WMEM M~iAt 1(~1 MAS ~UTO~SY j~ ~ ~RSOiarcw r Ae+tA ~ ~SO MpQ Defore ~ - - ¦~t 1 nR •n7 ACC10tMT SUK~DE MUYKfOF ~~KR~~I iION IN/UA~ OCCUARf D (BDIO 11tlY/f e/t~JYr~ il~ Ppf I M Ppt II ~I {IfD l~ I et~yo~~- u O U O cion e[ - ~ - J ~1f iWI W IIWr N~N~. /N~. YtY _ ' _ - _ eod~. V ~M)ull~ iw ~ ~ O ~ I jQ/ ~ Ihl~~f JCCURNI D h1t K~C[ Oi t1/1U~1~ 11. I. tA M~q~f ~~K. mJ CITY. TO*M. OA IOCAl10M CYIUbTY STATE 1YM~lf AT t-t hOT N~M~LE f"1 hrA. 1MO'~. Mr~p. ~i/// . Nf { ~ MIOIIK L} •I r1pRK v ' 21 1 ~~~ended ~A~ d~c~~Nd hom / / ~ . to _ _ ~nd /~st wr_~ ! ~/i~~ on _ D~~~A occun~d ~t m on fM d~f~ ~t~td ~bw~. ~nd to tM M~t o/ m) Rnorbd/~. /rom tM c~u faHd. All 1t~~s Y (/Mpfe .r_ I2A ApORE55 W?ESIGN[O •r• to O• ~~•o~•~• a ' ~~+--r.~t , C c;o r.tcn Leach f~'lorida 5-6-6 .«ur~t~. 27~ suMU r~rn~ ~ p~rE t3: wavcoreer t~ro~t~[r~~onr ~[ror~? ~pr~~j~~ ~ 23t ~OC~TqMI(Y~.ar~.rcwaf/t (8id~) ~1~iria~ 3-t3-%~/, Jelra~ ~?each Ce~re',er~ ' ra• t3each rida ---r - - - ~'.'~.~A12 ~ j~ il1MR~lM11[CTpA55~ 1~TUPE ~~Qb~.US l•~j~• D~TERECD ~YLOC~:IIEG EG~STR~~SSIGMATYR / - Re~. 1916 ~ ~.n - . .•i . ~S~ , i__.id~ - --1.-- i i : ~ • - - s ; : ~ + , m_~ v ;,`rm x c ~ cci ~ ~ c~ rc-~i ~-~n m z ; a' ~~v : c~ : c o ~ ~ c t.~n i - ~ ~ N z ~ c u' " o~ n°rn ~ CO ~ o DO ~P ~ BOOK 1~6 PAGE ~ ~ ~.ZU~ ~ ; , _ . ~ - - - - r~~. _ _ _