Loading...
HomeMy WebLinkAbout0764 188343 ~ ~TAT[ ~o~RC w Mw.TM CERTIFICATE OF DEATH ¦YN[AU OI VITAL fTAT1ITIC~ RAT[ FILt NO• FLOAIDA ord •~en (ltR1N NO 11tG1~T1~Aq'f HO ~ r ope ~ l~ 1~LACt 0/ KATN COD[ NO. Z YWAI ~11KMC[ !~~w~ I~rr~~/:.«r 1•.w.At.~+ Rr~/wnM•~~ ~~w.~~ ~~ecut~d ~ ST~~( ~ tJ~MTr •nd •lll • Ca%MT• e~ yl~ced ~a_1_m__t}each rlorida ln pr~- ~l. CIiY ~O~MM OptOC?IqN f~S ?UC[ O~ OC~TN a. C~TV.10w~.011 LOt~i~OM •'S R(S~LlMCf ~tiS~OE UTr lw~iY ~tie~o! e ~!r t:~uS~ .ES ~+o? ~'nrt Fi<~rce r~ M'e~ t Palm Reach g! •cs ~o - o I. h11~[ Of Nt tA ~wjNt~l. /Mt ~frtM ~1lrtM+ 1 I ST~tET ~p~111(Si ' ' MpS/~T?l O~ ~ INSTITuTpN ~.~t._ ~„~r 's 'r.os iLal ~___?_.~~`3 ~unris~ 3i~.i. ~ _ i - 3 IU~M~ 01 fnlf ~I~2Ut LYt ~ W7i l/o~N (M/ esecwus °f . na e. ~..~,n ~T - '~__';l _ ~AT"?'AP'-- c~.-N ~ecember b. t ~69 S Sfx 6 ca.u~ c~ ~aC[--T7 - - L'~ ! DAT( Oi ~~NTN 9 ict la r ~+u~~ uu u~neat~ ~ws r~~~~EC ~ rC1IpM~1~A1ED f,~~~rty~ ~ t~ .V.u~. [wN N~..~ ~t~. • . i a . p1x1 j '+~Y:1 Lr r~oowcr ; 'v1~CRCtD Junt 27. ' `?~d L_ _ - _ - ' ~ ~ I~l0 ( ~ 10! ~Su?L =1CC~~~~'Oti ~~:ue r orl4~wt 101~ Kt~p Jf ~„S~MESSO4 ~hD..ST~V I1 iU1TMK~CF tN~ft o• hr~y~ [crMr~' 7Z UhZ[~ Of rti! Cd,~~~+ •It~ p~r- ~rn~~+~sNOJrarl~~tftk.n~~t/rNcrtl') •~nent C gn ~ _a~1~iuJt?=1E__. _ • . G i P t~Ft - ~'~LS__ _ - ~Iaek 1nk (~TMF115 M~YL 1! ~~TNE115 Y~ID(M N~~( or ~ ^ ~~~~~r~e~r Paul ~LeS:.r _ :•tl::,~ H~.,•~~ - 16 SCY~AI SEC.~~Tr .q 11 IN/OAtlA {~ICMATYRt .~l~r~ia ;2~-(-'~-~ c?~~~ i~iii:am: -~::O1IlaS Ft.inrrai :~~m~ :_~.i ~~rtY, N:~in ~ t. Gr~incsvil ie, Flori~a 1• t~?Y1l OI KAtM It'utr ewl~ oar rar~e ptr bv M and ~ j INTF~~~I ~E7MI[M Funer~l ONSET ~t1D ?iM dt~eet0? ?ap~~ ~~~NM~SUUS[O~~ ~MYFDI~ITE C~USE i~i /~~,LIA"I~I" Y~~L •uat tfl• ~ / ~ j' tAe e~~- ~ tlftc~t• Co~fur;a.d~~~. Dc[ 'U L .1 th t~e r~u,? o~rt .~t{ N 'L/ 4 ' ~ I o e w 1 a~a• :trrt Uf. reRistl~r M~ttay fl~ L~Itr- D:.E ~O i~ • Z l~i~y ~acx lai: _ _ _ _ _ . _ ' ~ ~ ?~PT ~ nTw!~'YhYK~MT C4h~1'~7K C7~`*'h7TfKs ~J iA~T~ h~ pL~~~eD 1~ ~w[ T4AYi~?t C45U5( CMbI1Q9? GI~[M ~p ?Yi c~~, w?s ~~~TOisr ko„~s .r ~ ~(RfO~wEM i<- ~le~tA V - _ ~ES~f ~ c r t•efere ~ ~P* ~e- 7j j _ . . :~ISlR.SE~:.M.hJ_Pr!dC_OAf:` 'f~q/f~'1Jf4~~•r~n~a•t~n~'Y~ljnt~~e~71~0/VfA7~-. ¦~t1nR •n! ~ ~C[iDFh~ SWGCd No~~C;O( j - d~~pof1- W ~ u J ~ - tion ot ~ _ . ~p,~ T~n[ G~ 1/os. .y~n!~. l~al. Y~~. . nc.f~_ v ~w„~r • w C P ~ W 3 jf~ :!U:.R~ OCC~1111}.7 120i ?.~CF ^s ?r.. ? G ~A ~•.••kt lnwr 20~ C~T'I TQOY? OII l:{~'ti~h ~ - COI:MT~ 5*~~E . v~+...f.aS ~ h0: /I~.~.~F r't t ~s•~w. !a~fo•{. r.~r. ~Tirr'r'dI •.'r ~ . 1 • MOPK ~T MIUAK ~J ~ . ' ~ ~ _ ~ . i~ ! ~ff~nded tA~ d~ce~s~d hom ~ . ~0 " . •nd l~u s~~ ~,T •Ar~ on 1~~~' - ~ D~~M u~cun~d ~t y2 al:t~l~ on tAs da~e s~~t~~ ~nd ro tA~ A~st o! m~ ~no.~f~d/s. Itom fh~c~us~f ~Nt~d_ . ~ 1 1 1 te~s jj~ {IGINT RL- f!v~/.. o•/ r-- T22'. ap:.R(Sc . ~ j 2It DATE YGw[D are to De ~ /1~~"/ J ' ~ i i~. ~1 er Drive~ ' iI -c~Dlete ! = r~- "7~ Kn.'-t[~" ~ ylie $19 E' C 'larida ~-,2 _b~ _ / ' e:cur~tr. Ur 2Y~ ~~r~ 2k tia~Ens FvF7[R~ORCR/U~AtOAY 23~ IOUt~OIItCf (~rR.w[or~! I (S7~hi . ~ 23: s-..ir.•i [ r~e ~ ~ _ . 4 t Af.o..~ ~~.:~n. . : rion Florida --xU~~-,+.~~,, ~~a~~ _ - -~lcIntosh !;emeter~r rMcTntoah, !4a , . ~.~.~e12 2J ~~nF°~t ~'4~O~S~~G •;,R ~~~c s ~,?4TE?icD 6Y:"~C~~REG'• 26 ~ S?4A 55~ ra7~nE . ~ , ~r, _ - ~T"1 y r._____.__ • . ..__.~_`~s - f .3_. _ _ ~ . ~ -`~~c~:~_~ ~ . . - i' . ~'~'~y.t..~?I}~ . ' e.. ,.~.:,~,_~y 9". - ~F'S.~c,'.3 ~ y~ ~3M _ _ . - " _ _ _ _ - . _ ~ g~ - . Ma ^G-' h y+ sc' `ys ' ` ~~a' . . . a ` ~ ~ v~: €4 ~ :s3~. _ 3;" , . s 4: . }E ' ~1 2:' S 4 : 1 ~i,~;f:~{~i . ~ ~ _ 's, -~f~:, 's._- Y e t:f ~ i ~ s e Ri ~ _ i.: ~ ~ri - : " ' i • . ~ • . ~ ~ ;3 -~1 O N ~ ~ ~r~ _ , . . f trT1 ( ~ ~ 7 ! ~ j ~ ~ ~ t ~ " Q „~~e~i, ~,J ~(SlC(~Tl -1 ~ NJ O ~K ~ r~ ~ n Y~ N ~T1~ C7 ~ . • • -n [t1 G ~ BOOK 1~~ PAGE -~i w ' ~ ~ . ~ c ~ ~ ~ ~ . ~ =.:f~ ~ ~ = - - - ~y ~ ~ ~ _ ~;.,-~,~.r . . _ . . < x ~ ~M.~~~