The URL can be used to link to this page

Home My WebLink About0673 . " _ _ _ _ ~ . _ - - - - - ~ L ~ ~ ~ ~ _..i...«,..«..:..:!~ . r~„ ~TAT[ •o~~o or Nu~TM ~ CERTIFICATE OF ~EA?H ~ ~u~u?v or v~T~ ~rrw? ~~e. F L O A I D A **wT~ Fi~c No. i.t.~ - • •r~ •A~w ~~RTN NO. t~ - AEGt6T11AR•i NO. prepetlf ~ COOt NO. Z. YWAI *~f10(NG[II~~I.ar~Ih+~1 d~wa~.M~ R~.I..~.~d~~Nny~i~.I t*eerte~ 1. /l~tt 01 ~tAiN (~~('~Q iT~~t COYMTr an~ ~l11 ~~TY ~J VO . - 0 4 1~'lorida Broeard ol.e.~ BI`_Q1V ~ C~?r, TO~MM, WI lOC~110N t. ~S KAC( Oi O(ATM t. CITr. T01M11.0~ tACATqM f. K IIESIOtwC( •~w~wt IMS10E ~Ar IIMI?S~ ~5~0[ C1Tr IIMIfs1 r«.. Fvr t Lauderdale .c:QD ~o? Pom ano Beach ~~c: ~o ~ 1, IurE O? ~iJ..r a ~..~er, /ir HrtN dbt111 f. STRtET A0011[SS _ ' MpSMT~I 011 "~*'~'~'0M Broward General Hoapital ~ 1629 N,E .~2~th _Cour_t ~uMC o. • Iy.~ ~l+eae tw aTC Ai.,r? ar Yi.. ~~ie~«o°•r•n Edt~~ ]I~. Hut~tle a~*NJube 25~1967 ' . KX ~~tt 7 MAlllll[0 NErt~ MAll~l[O WTt Oi ~111iN 4G[ I J~ ~eu1 1 tWt yip~a t~ ~S. t.~ Female ~ INhite June 28 1897 69y~rt x..,., a.. N~,. x;.. ~ pV011CE0 ~ l~! ~I 10~. YSY~I OCCW~TiWI (QiM t4~~/~eW~ b~~ 100. Rp100i WSI/~SS0111NDYSTIIr 11. ~I~TNKAC[ (•9~(t ~?/Ntp~ tfY~b~1 1. m~10? w~T OOWl1tY1 •1tA ~~r- frN~/~wtN~wtiNh/t.ta~ljrdi~e4 . Housewif ~ O p9 Y1Pl 11aet !~t 1 ~ATNE~'S 1tAME 1~. MOTMEIIS M~~O(N NLrE •r ~ - Levi William Sibaon Mer aret Carna ~ socuw sccu~,t,r „o. n. n~rw~M~r s aow?TURC p~Q- wu.~a 1628 N.I3. 28th COL~I` t 266-54-651 . A Kendrick Huntle ~.•vv~ Pom ano Beach Florida ~ r~n~tal I~.tAYK~1~[ATN[6aft?~w//ptarisDerli~r/sr' .(Sl. ' IM(11Y~1~[TIMECN ~ 1 r~ e t~ f ?~~T L OEA?N MAS CAUS[D ~Y- ~ - O~Sn ~~MO ~OE~/T~~ I ~ ~ ~ t t 11 ~ NtM[OY?R CAUSE ~ - - ° 3--'C-!=`S/ ~ ~ s~~• - tltieat• ~ ~ ~ •~ee t~~ - - - 1. 1 ~~«K~•~ ST. LUCIE COUNTY. ~LA. ~ •.~i.cr.• ar.wy w ..k.• o~c To - ' tAl~ 7! tity na~r lut. ~ o r~~T u. ot~u s+c.nwrt oo~anaa cw~aMn.R ro ourN wn iw* ~cu~no w r,~ ~ oeus[ CaMO~noM wra ~p~ r~s ~utorsr ~ Mrr• f[RiO11MCD~ ! t~r ~~at~ ~ - f[ NO? •r ~•hr~ _ ~ yp~ p~x~~ ~,~,~u~r s~ r~r r. w ~t M• Pat tl ir~w N.) i .u~~~ .ccacsT wK~a MoirK~a • 1 p N ~ .~,o..t- ~ o o a - i~~~~R x ~ tie• •t T~r[ Os /Iwr Mwu~, D~I. Yw ; ~ ROGER POfTRAS s ~ Io~ Nuu~r ocwa~co ~oe ru?cc o~ uuusr ~e. i~ r.~vsr . . t . aoustr ST1T[ •wKt AT ~ wT wN~c 0 Jr?~. ~•~+••r.•r..~r. Ik~ aq...~~.~ ~ M011K AT 1YOQ1( - - i 21 J ~tt~ndel th~ d~cuHd /r~om~/~ - . ~o ..~~~~Z ~nd l~st a~~ ~V~~h.~ on ~ G~tA urrM _ i vv -e+ on fA~ d~t~ at~t~d ~Ao.~, ~nd fo fA~ b~at o/ mr hno~f~d/e. om tA~ e~us~s ~t~t~A. ~ 1 3 f tf~• jj~ /101tATY1K r ~r tYlt 22S A E llt. TE S~6N~ ; . . . ~ . ~ G G, ~ ~..~i.c. a • ~rst• ~~u. ~rarqs. 2ls pntE 23r M+?~E O~ Ccy[TC~r W1 C~EM~T 23f. lOUTqN tC~?I. t~rw. v ns~r/? (S7rtr~ ~ ' RtrOUK t 1pr~1 '-JJ me~.~ion Ro a Palm Cremator Pomnano Beach. Florid~_L ~ . t./ a ~ ~u ~.a~cTO• s sw~ Tuec ~ow~css BA eY• ts arc ~cco. ~r ~ocu Rcc I~. ~(OKTMA S S~GN~TUIIE a...,•se • Pompaao Beeah 2a w~.~~, /~,~G~.~s~L . CERTIFIED COPY' I hereby certify the above to be a true and correct copy of the Local Registrar~s record on file in the Brovard County Healt~ Department at ~ Fort Lauderdale, Florida. (Yarning: Not valid unless raised seal of the Brouard County Health Department ia affixed.) ~ _ . , . ~ . . . _~a_ ` . . . i - ~ c - ' ~4 . - a0,~,,.... ~r " ~ . - ~ ' ~S ~ ~ ~ : :.;;;"~`a' ~ . `i ~ , ~ ~ ;f{`r-`+rQ ~C-: ~ . ~ f = y~,wc .-,•4~ ~ . : e..;~ County H~alth Off cer and Local Re~istrar ~ - : r3 j ~ ,.1 " . ~ ~ ~ r~ : ~ • !1} S1'. ~.tt pf . ; • ;3.,~.r"'~ ~'s' 'F i ~ ~ ~ ~ • 3 ~1~h~~N 0 i 7 •~~k.~ ~ : ~v s' i'l~ r ! • _ ~ :J • ~ ' ~ - •i ~ 'l~ ~l~~l~~~~.'~ ~MO R t Local Rcgistrar ~ Al~i• Q~ dUOK ~uV P~~ ;