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Home My WebLink About2402 N a? 7~? l„ i ~.~r c- ~ . , . 1~~8.~2 - - - - - - • rhi+ nwTS ~o~~o or Nr~?~TM CERTIFICATE OF DEATH eo~~s • ~UR[AU O~ YITAL tTATIfTiCf lTATt ?Ilt NO. 1i~•~ FLORiDA •td ~1~n e1RTN NO. R[OISTRAR•s NO. p~op~tl~ 1. ILAC[ 0? O[ATN GOD[ NO. 2. YfYAI /KS~O[MC[(~Ow~f.rr~ffwrl. l/iw.t~tn+: /~~f~rN.?~~+wi~.) •s~lrt~i ~ ~N~ STAT[ COYIITr ; ~i:~ i BRCfr1ARD ' b FLORIDA EF~I•IAFD ' lw ~~t~ 1~ Gir. TOMM. WI IOCATqN t. 13 KACE O~ OEATII t. dTY. TOMI~.OII IOCATql1 f. 1S IIES~OEnt[ ! t~A~~t NSIO[ CITy UMITSI IIKIOE CITr LIMITSI ' r•~.. Fort I,anderdale ~s~ NoD Fort I,auderdale ~s~ ~00 ~ IwME O? (/Jwrt b ~M~if~1. /tu aOa! M6sM1 tEMGTN Oi- I. STR[ET AOORESS hc A f~11M? MosnT~t o~ r w "'n1T1T101 6 S.E. llth Ave s 6 E lth Av Q MO ~ 1 wMC or nw xw1~ Lue a. o~~ aI«.u Dn roa c~s~.~i•+•n MARGUERITE L. GEYER o TN March 8, 1963 scx s. oao~ ae ~ucc wuuto (a Mcvc~ wrueR~coQ o~rc os W~TN l~.tlri x ra•,n.~ r~ :x~ w ~ i t• FeR121@ Whi.t.A aoowc0 ? o~r~eccu RW 1 ~ 1~ f wl ~ f0~. uSU~I OCCUrATqN (QMr tia~ ywrt Mu la. Ka~00F WSU~ESSO~I wouSTUY 11. NRiNrIAtE (37de w/~?NA cw~t.~) 1 tmsrw as ~w?T mu~rt 1 s A y. r- ~rria~ ...r .«!In/ b~r. ar+ q..a.aQ C . Aouse~it~e Otim Hams Canterb Kent Dz d • 61~et !wt ~j, ~A?M[II'S N~ME 1~. MOi1tE11'i MAIOEM NAME , ~n?•••s~~~ Le~wis A. Lewi.~ Not available ~ 1~. M~f ^..f'.ER+C:1 E'lE! i.: 1;. i A.~MfD FCRLLSt l5. SOCit: _ECUTiTII MO. (7. WfOflf/ f!lQNAt I ~ 1Ir. r. ~~.JlvwJ t?/ r~ w~+ w. ~ i~Y~ d~:r ~VO N012A AlBt» l i o r.l ~ urtuva}'~wctN F~n~ t~l 1~. CAYK YtATN ~~te? MfI nIt tsrM M? t/~tM (~I. (a). at (e).) ~ fir.ec•r r""T` °~°TMw"su"'sco~r~ Intestinal ObstructionST, I.JCIE CL'U"JTY, FLA. °N~T°."°°E"T" .~•t lfl~ wwcau~t uusc (~1 . , - . , , ~a. 1~3s ; e i ri..a. a.ttd.~.. il..r. ' .ics ea• ~ . oue ro :.s~:~:.. ~ ~ ~ ~ <<~ ;~'i'~ 2 5 PM 3 : 2 3 .~esf. ~s h+M a..e rar. - , o ~~r n. or~u s~w~r aa+omas cwr~wrtwa ~o ourr wir ~T ~nu?~o fo nR ~urra~ asusi ooNOinoM cnu w?~r i~u ~ . ws ~uTOrsr *e~r. ~t- ~u ~ rE11fp11MED1 t.r a..c* S i:;}~ ~ i n:-f? i5 rts0 ~L$ ; •r D~f~~• 20~ ~ OESCIII~E 110N MUU~Y OCCUMED. (6wlq • . f ¦~tia~ aw~ ACpDENT SUICIOE NOM1Q0[ df~o~~!- ~ ? ? ? E t~e; TI~ROf ~Nwr XQIf~. DQ. YMf ~ S~4 • ~ ' s a ~ euuRr xeuaRCO 7Dr. ruec a? nw~r ~e. 6~ v.~.et bwe. tD/ un?. to~rM. ou wuTa+~ oouurn st~tt p MM1L[ AT ~~r vrM~ ~ M~.l~?r.,a•d. Nfn a4•..~c.) ~ ~ MORK MOR r. ~.....~.a~~.a.~....~a.~ .~a~.,~,..~;~,..~..o~ arc Dwtl~ oeeure~d ~t ~ ~ p~ ee fM dab ~ht~d aDw~~; ~nd te tM 6af o/ m~ Reawl~d/~, fro~n tA~ uuNS ~~~t~d. ~t~ tt•~• ~aru?TUws (Ow~. ~.wp) ~ooacss ttc. atcswKCo ~ Assoc~`at Medical . a Fort Lauderdale Florida 9 Mar 1963 ~ t~ NAY[ OI CEYETERV 011 CIIEMATOII~ 23/. WCATION (G~f/. lNr1. M twd11 (.SY~4) 1 II[rOrK l P~n// ; ` cremat_ on Mar, 11 196 Delra Crc~rato;ivmi Delra Beach Flor3da Il. .=2S j~. FL~hfRAl [.Qt'3 5.~..!l~TL'R~ iiwnFS3 . OAT[ IIfCO. ~Y 1OC111 IIEG. ~t TU471'3 SK.~w- E ~ if~~ R~~.1ls~ '~+~LSltlja8~d..~, 1'_l~'{F 3 br1 ~ ~ ~ - CERTIFIED COPY ~ " I hereby certif~ the above to be a true and correct copy of the Loca2 Eegiatrar~s record on file in the Brovard County Health Department at ~ Fort Lauderdale~ Florida. _ (Warning: o.t valid•unless raised aeal of the Bror+ard County Eealth ti Q - . e{~pe~tmeat is affized. ) :~j ~ \ . r. ` - ~ ~r~ 6 . y', r.: ~ n a : ° ri ' l a , _ ' e: _ E ? ~ ' _ ' . " ~ County Health OfYicer and Local Regiatrar ~ , .~iaNV~l~•~~~?' • - r f_ 0 h I, ~ i. _ ~.~G~!Z~j ~ ' ~Y ~ ' 'oP"~ t;- ~ . Deputy ocalb ~e t ar ~ ~ ^ ~ ~ ' 800K 1'~t;E - ~ ~ • - - • . . _ _ - = ~ ; _ .