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Home My WebLink About2933 b CERTIFICATE OF DEATH , Drz~etweet of fkalt~ a.d ~ ,hilitattve Cer.icea fTwTS fltt No. FLORIDA tTfE. ~O~ ~t~NT IN °O R[GISTIIAR•f NO. ?!lMAtiIMT INK OKE~SEO-hu?~f •~n~ uf~ OAfE 01 Of~M ~••o~rw, o.•. ~ SE[ 11~M100~ f0t 's"'~i0'~ ~I! Caroline S. Kirk 1!At t Femal ~/~s~ ~~/,t~f~~c,~/~_ ~99D ~~i vw~tt. i+t3W..W~K~r~ I~I~M~ A~~\~~~ YMO~• 1 R~f Y~~/1 0~• ~A~f \Ir ~~N ~Y~NIM~ ~~VM~~V~ KATH !K. ~ y~tM~' ~ M~tnO~t ~ fl~~3~ rpt Mri ~~OV~f rr~ ~W ~ /`C~ . ' 76 ~ k Act.5,1893 CIt~1. tOwN. OR IOGTWN Of OfAM ws~w cm ~w~+f pOS?ItM O~ OTME! NSTtTIlTION-N ; n w~ e~~we~. c~e s~Kn ...o srrcw. .~s o~ ..o ~ A R ~ f1 • . • STA E Oi ~RTM . u Mot n~ r f~.. •~?re GT12@1 Of W11Ai RY IMI?~RIEG. NEVER MAlRIED. ~S IvNf' S~OUSE ~u rut. ~t r?o .a~w ~ , New York ~ , USA N °~it~o°we~"n"~' „ ° r~„~°, SOC~~i SKUtlt1l NUrUEt USU~L O[Cll1AT10N r a~~n a..s w.w~ oo..e ow+wo .ou w R111O Oi MfStESS OR IWUSTRr OCCV~l~ M rOMr1f ~M~~ MM 11 f~h\IO 1 , ~ „ 101-OS-2689 „ Sal2sclerk Department Store •o..~F~o~. ~swtNct-sr•r~ tow+rr urr, iown. oa ?ouna+ w~. cp. ?w,s SttE[i ~wo Hw+~te ~ ~r~c+~ ns w .~o Florida Broward ~~Fort Lauderdale Yes ~..1306 N. E. llth Stree fATIfE!-NA.ME ~y~r ~Oq~ yft MOTI~~-MYbEN NAME ?H?i rOpl! y?fl „ Unobtainable Unobtainable ~~+.ow~??~T_?~...r ~w?..+c ~ss ~u«.* o...... »o.. a. ro,... 3 3 30 8 Alex Kirk ,A4900 Bayview Drive, Fort Lauderdale,Fl~. ?~tt p~iN ww5 GuSEO ~r (ENffR OrHr Onf UuSE ?Et tNE fOt .nwa~w .u ro~ AL •rro c an.ee.. owu...o ee,n. N r~lOUR GWi! . ~uc+E couNtr ~ Barbiturate Iatoxication ROCER POITRA= . . co»~..~oMS. IIECORD VEAIFIEO ~w~tw o~~l us~ e0 ~ (~1 ~r..eoure c.va ~e+, ~ ro. w.s . co..~ewa+u o~ u~nMa Twe YMDN- ~ ~'C ~ OA ~ ~ ~~wo C•~ff usr v 6 (cl ~At1 II OTHfR SIG?~IiKANT CONO~TIp+1. co-.anors ca+~n~u':~.c *o oein. r rea ro c~~u c~n« n+ ru~ ~ a~ ~ rE5 ~~~e r~«o~was tas- ~~H W~O~ YN~tO ~w Wttlr~ G 4Yf[ p/ 0~~1M ~ A Iq 1 ACCWEMT. A! A ~rpr.rw. p~~, t(~~> INIUfr O U~lED <t~tt~ ru~V~! ~~ruvti ~w ?ut ~ p~ ~f n!r e~~ ~$E. °""°ETE""'~° ~ "O~eceasec~ ingesLed a taxic a.mount of ~ ~ Suicide N'.arch 15. Z974 ,Lnk P. M~ ` IM~r wT wORR HwCE Of wlu~r .r ~.o.e. sr~t*, r.nce., tOUnON ~ sneer oe ~ r o. w~.. an o~ ~o~r, sr.n ~ I YKlA Ri G w0/ pwKt MpG . fK ~ 3?K~I~ ~ i ~ s. No ~ Res' ~ ~ 130b N. E. llth Street, Ft. Lauderdale, ~a. CERT~i~G?T~O?~- .wr¦ o.. .w .ww. w. .w .•o u~~ s.~. ~~~.K~ ..t.e o. ~ aoio~o wr .,er +re ot~rw occveno n.e ruci. w+~e ~ ?rTfKi~w: TD rO.+sw w~ ~eu ~ Wo~ a•rw ~+out~ O~*!. u.o. q ~.t psr ~ .*n..oeo r.a o~ c.~neoct. ou~ E na wce.see .~o.. ' n~ !k tU t~~ r?. ro w.e cwu~s~ s~.no fwt OKfp.~* ~U ~qwOV~.ClC Ol~O S CHT~iKwT~ON-MEOKJ~I Eau~v+ER Ot GO~tOnE! +»e us~s oI .o„~ a oe.r.~ ~ ~Wrr~~~d+ d ~Mf WO~ ~s0/O~ fH .~nff~+G~~~ iw rr 0~~~•. { rb~~w O~~ ~!y ~OYf ~ ~d occuneo ow ~.e w~ ~+o aue ro~+e c.ux~f, a..*eo ,w ~ ~t ~ M ; ~ I~ O• rn ~/y~~,~ .t f CNi1NER-w~ME :nr~ o~ N~K., ~$$(~IATE ! SK,Nwt~ E oe~~ee nne :O~TE 0~..o o,., .e.s~, ib ~l! 'tD ~?k _ ~~i~l~ ~ -Cf1 ~fiE1 s•ee~. u.• c~ .o.j-f- / u.n t~r ri tree F~ Lauderdale fla.'3?'?I ~ ~1 Wdw~. GfE~.u~Tqr~. RErpvwt WETERr O~ CRf~u?iORr-H~w~E tOCwnO?+ c~n a. a... s+.n R J Cremation ~ Ro al Palm CreMator Pem ano Beach Florida ~ OwTE i rw+*. w~, .w ~ WafRwl KO -~v~+Mf ND .~DCd1ESS ~ srnn o~ ~ r•..o , an w vo.w, sun. nr ~ ~ ~ March 19 ,1970 Jor~an-i~iomas F.H 5110 N.: ederal Hca . Ft.Lauderdale, ; ~ r. 5. sb 12 i ~l O~KTQR-YGru1U~f t({~'S ~-St~h~r~.f O~it ~Kt~~ED IOCw~ !l3ii:~~t ' ~ R. i9,a 1~"=~--~ . ~~c.,rr l ~%~ut.~~ 6 r» ~?r~! / i ~ ~ ~ _ ~ ~ CERTIFI~:~ COPt i I hereby certify the above to be a true and correct copy of the Local ~ Re~-istra:'s record on file in the Bro•.rard CounLy Health Departwent et Fort Lauder~~~.~~ :lorid~. ~ ~ , . 4 (Xarn~gs'~~Hot tial~d unless raised seal of the B:oward County He31th `y ' fl=~pgracegt is ~ffixed.) v ~:x~' . w ht , I ~ r;.~ i ~ ' 2 Coun y He~lth Of:' r ead Local Registrar ~ ~ ~ • . . . • . , ~ ' • / ~.e~2~ ~ ' + ~ _ v ~ _ ' g~PK z e~sty I. cal P.e~i s*.rar ~;s=- _ ~ . _ ~ .