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Home My WebLink About1781 CERTIFICATE OF DEATH Dtwt.e.u lie.lt`.~d QeF•bilN.~+.e Se..iee. srwTt r~<t No. ~ ~~~~uTM FLORIDA • - TrrE O! ?llNt IN ~'~~'K"~~"'~° REGISTRAR•f NO. i[tMAMiNT INK ~EA~_~E ru~~ rr~i us~ ~x DATE Oi OEwM ~•or*~, ~~r, n.~ ~ Sf E Mu6100i F0~ ¦STlKTI06 ~ t ~ fACE •~s~e. .~eoao. ..euc.w ~.a.... wGE-usr u.be+ ~.e.~ ww~ ~ w. C~TE Or WiM ~.o..m. w•. ICOUtiT1t Of OEwTH !K. ~ YlC~ ~ W~M~t 1 tWf ~ +Ot. M*f MOYtf u~. 74~ 1 . White s. 70 ~ Au . 15 1900 Brovsrd . tOwN. OR tOUTip+ wiM ..a~e un wf MpgMT/y pt 011~H NS tTVf1W+- ~r na em.ea, c..i s~ru ..e ..,,wx ~ veanr ns w .a ~ Plantation r~ Yes r. Plaatation General Ros ital SiAIE Of M~/M ~ r.w~ w ~ s.., ru.~ dT12H~1 Oi w1Mt COlR1TR1f W1ltlEC. NEYER MAtl~ED. SuRVNNG S1VUSE ~ r ore. owe .~ew wue ~ tow~ i wIDOwEO. ONOtCEO ~ frecr~ ~ n~~...« • New York • USA k iiidowed None ~MlH DKl~lN ~~~-eo ~r oe•u~ SOCUt SECN411r a1M+VER YSUwI OCCN~w1~0?~ ~aw a.+~ a.~w. eow owwa ros~ a ItIHD OF M~SIr~ESS OR WOUSTtY XCUe~ED m ~O~N6 tMf. Mw V MNp 1 ~ ,:050-01-0586 ,y Retired Housewife ~a Own Home • ~eLU..ce ~tqtl •%'~:>a'O'• lESIpE?~CE-Si~TE CON1~ir CITIf. TOwN. Ot IOC~~lOl1 w~re cse ~rrts STtEET A?~0 NU~4ER i viu.. n~ o~ .w ,N Florida ,p Broward Park Cicy ,u Yea ,,k 8700 S.W. 23rd. Place ~ , i~TnER-r~ww~f .~n~ ..~ae w~ MOTMER-~uuOEn n~w~E rKU .wa~ us. ~ ,s Thomas Francis Mea her Catherine J..Farrelt ~ INFOtM~wT-w?~wE w?awG ADOtfSS :ara~* w~ r.~. w. cm w ro~w. s..n. rr~ t Charles A. Filb ,n 8700 S.W. 23rd. P1., Park Cit , Florida ~ ?~Rt ~ p~iN wAS UUSED !Y: ~HvifR Or4~ ONf GtUSF ?Ef ~wE FOR W). lb1. ~?+D !~?1 Mr ~ ur ...s H.r. 3 wro~.a uuu ' (e~ f ~ l/ ? L. /~i ~1 R 1~ i f} 1.. I ? ' ! l ~/V ~ ~ I ~T /7 r. li ~,S . • • a-~a~~ra~- COM~ITIOM{, ~N1. ~ j~~~ F, ~rw•cw a~.e •ise ro J (b) ' (y Cj Cj ~j ~S ~S ~ ~rr~ouq C~~Se ~o~. Ma ~O. O~ ~f ~ CO«3lOulK~ W S*~11MG lnf YMOf~- ....o~.~,.,.,, <<? C_~ ~ r~~tiz~ ? .sc1..~Rcs, s y~~t~s ?att ¦ OT?IE~ SIGNIfICaIiT CONDiT10NS: cb.anp.s ca+iw~m.r. ~o o~•w~ w* •qt ~eurEe ro uru aM» r.n ~ w~ M YES ~e~e •~..o~~cs co+.- It~f »OI MOE~W DlTfb..~w;, Cwf! n~ r1 ; GT~-s m~ ~ i~s e~.~~ p~.?~s~1~CC~DEHt. 34l~C~ Of A ~ rOwiw. p~*, tea~ ~ M~UR MQW IN1UR• OCCURlED ~ errtlt ~u~Wt Or ~~uu~t ~w ~ut ~ M r~~t rt(r ~ ~o.~~uo[, oe urocrew~rao ~ ~ ~ ~ ; IN1N~~ wi wORK ?lwCf Of s~IURY .wr. ~~u.. at~ttT. r.aan. tOCwT10N ~~nen o~ ~.r.e_ ~.o.. cm o~ w.n., si.a ~ i snan n i w.w ~ ow ~a wsc . e.c ~ s.ecu. , E ~I. ! lM ~ CE[TIf1UT1O?d- ~W~~ O~~ AM ~ +O~+u~ W~ ~l~t ~MO u1~ Lr rr~rw~t ~~ne W+ t OO/FD+OFVNv+ M OE~TN OCWtltO rtit ~uK~. O'~ ~ q ~N/LKIAM: TO ~Ow7r P~~ rtv ~oo. .rn~ a.M ~wOW ~ O.tl. ~tiO. ~O +t ~lf~ ~ f ~~RlnOfG 7wf I~ L Q 1~. I 7D -1 O~ r~ awOr~It7Gt ~N i !N eece.seo r~o.. V l~ ~ i7C 'tt? V~~' ~ r f~~ ~ !H L 1 ~ t4 12: ~20 ro n~e uuse s. 3•.•io j ~ CEtTIf1CAT~-r~ED~U?t Exw~l?+ER OR CQROt+E[ p. .we ~.a,s o~ r.w „p~,~ p, ~~u, Tw1 OKfOt~~ w.s no..o,,..cro oa.o E I ft~rr+.t.pr W iM q0~ wD- M tM ~.nlSrK,~tpr~. O~w~W. ~~iM W~ ~t~~ Mu1 t ~ Yt~M CKCUMlG O~+ 1! O~~! u~O DJ! W Mt C~uSt S~ 11~11D ~J ~'"~\I I I,~ ~v R M ~ n' ~ --M ~ CE~hf~ER-n.wE ~n~e o~ n~..r, SK,N~TWE~. - ~unq~ .snt w~E S1C.NED ••a~.•~. c.., .~u, n. Dr. Virttil R. Rizzo MD r,. :'`;%~~L~: .f~l ~n Dec. 1 1°70 ~ MAIiHG AOO~ESS-CERi1f~f~ ?rae* w a r.o ..o ' c~n ~av.. lf.4 ~ t~ r ' ~ ~ WbA?. Ctfl+wTqn, REMOvni CEMfTEtr O! CRfMATptT-tiw~vf tOC.wT10N un o~ ro.« sT•n ~ ~ vaw~ . Removal x. Hillcrest Memorisl Gds. Ft. Pierce, Florida , " CwTE ~.aaw. o.•, .e.~r FU?~EW NOME-ruiwE uap ~pWfif ~ sran o~ ~.r o..o , un w~or», se,rr. :v, OT 8- ~ n. BAIRD FiJIdF?.AL HC~~ 71 .W.hl.st. Ave. Sunrise Golf t'illa e ¢ /E12 it~iERAI -SIGNAfURf( f r- REGtSTRAR ~ i{/1~ fOa:t ~fC ~!O ~OC~? ~lG~S:I~~,/ ~ ' _ . . :91 C ri s ~ ~.a~,f . t7. ~ ~ ~t~t- x. . ~ ~ I ty ~ : { ~ CERTIFIED CGPY ~ a ~ " s ~ I hereby certify the above to be a true and correct co~y of the Local ~~e, ~ - Registrar's record on file in the Bror+ard County Health Departaent at o~~r~ Fort Lauderdale, Florida. ~ w ~ v1 ~p~~ y (Varaing: Not valid unless raised seal of the Bror+ar3 County Health wco'~ Y~ o~~s " • • Degartment is affixed.) . ~ t.+ ~ ~ _ " , ~ ~ M ~?a _ y . : . ~ . y,.}M. . ~ 's . . ` V ~ . ~ „s.1 i - ' i_ ~ .i~ ~ ~ ~ ~ , County Health Officer and Local Registrar ~ ~ r ~ .,i .n 1 ~ ' ~2 ' - ~j ~ ` ' ~ • a ~ 190 i777 . , „ ~ ,t ~ 0 R ' , ~ ' ' t . ~ 600!( ~ . Deputy Local Registrar ~ ~~z _ ; - - ' ~ ~4 = ' =a` ~ a~._4 ~ ~ _ r..