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HomeMy WebLinkAbout0443 F~LEO AND RECORO ~ 1 ST. ~V~~~ COUNTY~ F~D . s~F ~2~r~ ~;~..~F'~.U ~~3~~'~:1~ - 'TO JU( 31 ~ ~ PN 2 : p7` ~c ~ i,(j.;t i: ~•0'TRNS CLERK CIRCUtT CBURT . CERTI FI ED COPY ~ WE HEREBY GERTIFY THE COPY REPRODUEEO BE~LOW TO BE A TRUE AND CORRECT COPY OF TME ORIGINAL RECORO ON FILE tN THE 6UREAU OF VITAL STATISTICS OF THE iTATE OF FLORIQA, DEPARTMENT OF NEAL7M ANO REHABILITATIVE SERVICES, DIVISION ~ ~ _ ~ OF NEAI.TH ;,~A K. V16Lt. FLORIDA. . • F IMOT V ~~~R TM[ iTAT[ 0/ R~ORIOA. DErARTM[NT OF HEAI,TH AND REHABILITATIVE •[I!W G FFIX[D.1 ' • f M ' .`-~y , ~ r.~ ~~j~ • . ~ ~ ~ € 3~ - C~. ~U11tAY F YIrAL tTATIf71C1 1 . - ~ a ~ . ~ ~ ~ ; . ~i~,akT; S~v?~1.1'~~`, ' M~ ~ ~ , rtAn R~OIfTRAR: OIR[CT011. 01VI~tON VR f7 r.-.. ~IKNA~KITATIIR KRYIti{ Oi N[AITM ANO o-. . . ,_y ' ~ - - F ~ ~ ~ CERTlFICATE OF DEATH . 1 e~~ . oes RA7[ ill[ NO. FLOSIDlI ~ 1 ' - R[GIiTRAR•S NO. ~.SlD-NM~f ~wt ~ew ~~s~ SEE ow~ or oE~n~ ~ ••o•.+~, o~~, .tu ~ -y~'_ - ~ ~ E ? Z~lale Msrch 22 1970 RACE r+w. M~ow. ~wacu~ wuM, AGE-us~ ra~ ~ w.~ Men - o.. OAiE OF MlIM ~ra.TM. we. COtR~T1I OF OEATM ~ oc. ~ wan ~ M~awr i nus ~ ~w ~.~t +o~ ~ ~ ~ • - s. k ~ 11u st 14 189 Alachua . . l M w~~ aw rra N06NAt Ol OiliH fit - ~ a pa u. [n~e~, aM s~e~ .w ..ww~ ~ swcw ~ts w .o ~ a H et Adainistntioa IIpa ital STA~ ~ YRM 1 Y MOS w v. t.~., ru~ C1ii2Bi Of MIMAi GO~N~~ MIAR~D- NErt! MAR~1[D. SUNNNG S~OYSE ~ K.rw. orye .w~ow w~r~ ~ twu~n ~ . MIp01YfD. WMOKED ~ wtn ~ - ~ ~ N 11 SOCW SKWtY NUM~fR YSVAI OCCUMTION ~aw sM o~ .as ~ow ewuw .on a IOtG1 Of MJSNESS OR u~DUSiRr raaro uw. ~w r~~ ~ u ~ ~s. ~s Janitorial ~ESOENU-STA/E COIM~Y ~?.10'MIIl OR 1OG11~i ru~e cm iwrn SiREET A?~ N1W~ER ~sruu+ *~s o~ No orida Leon- • i~allahassee ~w Yss ,N 411 Bast Jeffereoa St. IAIIlf-NAME ~yp .~st MOTNE~-1NAbfN NAME srsl rioae usr ~s. M1111e - • Mdrev a Abb1e I~=?roe ~ - w?aMC. nDDRESS ~sw~ oa ~.r.o. .a., c+~ o~ ~o.~. s..n, :r~ - ~ , lh U~ oEntM w~f W~sE~ tr (erat orar a+t t~ rt~ u+~ ~~e~, (rl nw kH MitrE(N OMfti AMO OlAlll r a~ Pulmona Fabolus 15 Mimites ~ :~:"°::r:~•~ q Poat-o erative Course rolon ated ~ ~rrw~•n c~~u ro~, i ft~uMO 1w1 uM~l~• ~ q• « ~S ~ ~wMOMKI 0~. . . . pur0 Cwp u~t . . ~ Carcinoma of ri t lu unresectable MRf ¦ OT1~~ SK,wMK~Mt CONO~t10NS~ oa~w~ cor~?•+s .s «.w. +o~ ww~ a uyH o..w~ r.. r~n ~ N~ AYtO/Sr M ~Ei .u~ n¦o~ros cw- ~.u o~ .a ~ wa~n r. awu.~«rw c.use Or N~TM . . ' M. O ' 1* . . . . ~C~M Ot YIOl1EWMieO ~ w.~r. a.•. nu~ IWw INJURY OCNRfED ~~wn~ w.nwt a nuun ~w r.n ~ w r.~, u, ,n. ~ - ~ ~ M 1Y IN~Jft A1 WO~IC E 1tUUR11 a Mo+e. ru.. vv. ~.c~an. tOU'fON ~ snett a~.~.e ao , c~n w ro.M. ~nn ~ ~ wan es w~.o ~ a.~ rc . iR, ~wcrr r i 1M w Qf{//LATI~f~~ rOMM M~ ~tJ 4/'~ N• ~W ~ p0lO~O MOt ~Vw M p~AM OCCUIflO ~i Iq ryKf, pr~ qy ~ ~t ~00~ ~m~ Ot~!M ~«ou~- O~tf. uO. ~O M Ms* o w~".'. Jan 12 1970 T~n MsrCh 22 1970n~ t~~ Did r~.11:00~ o~'~ e` ~ICATION-MEDKAI IXAMWE~Ot CO~ONE~ a. na ~.r~ +r +o.. a a.+w ~w acea..f ..a io ouo ~y~w{~fiOti d~ pC~ ~MO/O~ Al W~~?IIWIOM, M 1O QI~G~. ~~iN ~1 W~ ~I~~ Ibyf ~ M~M OCC~rM On M Wd W ~M q tw! Uv1~~f~ tt~R• . I~ M?11 I~' ~O M ~~E~-wMAE ~ern oi ~o«i - ..lf ~e a %a~ A D ~«w.r.. c.. .-i.~• t,, id. Teache M D r, ~n, c 1970 w?~~+G ~OORESS-([t~xK~ s~~ v~ e.: ~n a~ r san i.• ~ ~1Ai UEMATION. REMOvu . C~EMATOt~- l A un a~c.« . su.r yKUt ~ • r.. Remo_v_al , ~a Greenvood Ce~et~ Tallahassee, Florida O~t "-"--~~,u: WNE~~I NOME-wwt ~N? aOWEfS ~ uNt~ w~. •»o . cw. a ro..n, u.n. i~r: March 23, 1970 n.J R. D. Lassiter F.H. Tallahassee, Fla. ~ - - aR - ?u~f R~G~S ',~E , e~v~o ~ ~ocu HG~SiL~ rw ~ ~ , , ( v, ~ ~ J h ~ i~6 ~ 4~ . S . _ - _ _