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HomeMy WebLinkAbout0746 ~ . _ ~ • _ ~,~.4~7 ?-""'"-y.._.__ - _ ~:s_1_.:.,~~.......-...---- '.u?,,.. tu. KAT! w~e os N~TM '•CERTIFiCA'T6 OF a~A'fN ~ i • w~~wv o~ w~K ~?w~r~ ~r~TS ~s ~ ~ fLOIttDA ~ , •r~ ~ R A • 1 ~••r•~~s ~ ~N w?TM • coos Na ~ww~wssNtMtttn..~...r~r.~ ~w ~ ~..r..w..N...w •a~e~t~~ o id St Lucia. ~1.:•~ ' ~ • • ~~r. ~ nn. *ow. a ~oa~w~ K ~ua a oc~rr e. an. *o~ o~ touno~ K ~ ~ ; .~.•~t ~srt cm ~wmr rn~ec ar~ ~wn~ ~ ri~.. ns .o t P1etC~ m ro~_ a ~a~ ~..~w.......r a.a., t mRr .oo.~~s ~ ~oswTK o~ "~"""t0" 0 P acid At?atue ~ . . ~ M4rt N JiM NMf~ Lrf l 0~*t • iMA Aq )SM ! ' ~ n~~? Charlaa 1Ceuneth NcGskill ~*~eaber 19 ~ 1966 ~ xs oo~o~ o~ iua r,wa~~ 9•t.c~ r~wnco . Mn a wtM ~M ; ~ iw Iw w~wNt1~ .r~. w... xa. , t s: Itale Cauca~im? .ioo.c. aro~e Jul 1 1911 i >l~t~ls ~N. YSYKOCqM~?no~~Owthtywt 1N.Kwoo?w~l~Mtlfa~wOYf»r . w~f~+?~et/ ~?/M~MInsM~1 twqharswtea1~11tr . t .fe? ?•r- tuly.w+lM~rNNM.wnynMrM • ~ •~w~~t ~Ol~a ti• S• A• ~ ~t•~~ ~.t ~ r~rn[~s wnt ~~~~s wuecw ~wrt . a~?~•?~a~~ ` • ' Manda Buntha~ ~ soc~a ~ccuMr. ro ~ ~ w1?.~.. ` Pti1lQ~ Records Arcadia Flosida , ~ s..•.•! n t~v.a M wi..~ ( w.w. a.. p w. M~. w Kt.~ wrrc.v.~ K. ~t.~eN~ rNti e[~n~~~scw![~~r. • oiOttMr~t~n~ , ...e tu• ~~wn cw~ w_Chroaic_~rais?-_S~dn~a.~sa soCiat~d._vith~_ ysat~_. ~ i Intracranial peop a1 sw (1`ype U=tknOwn) a~.te.s. CwMNe.y~N. ' •~t~ t\~ MR 101~1 - - 1 • • • t ~ ~ ?~~~~t~v ~w~r NY~ MK 10 - . • t t~ ~ w s a ~ ?u? r aa ssrssaw ae~wrrs oswwMw~ w oun~ wn ~a ~na~ w na tarrwr omtt arMw~ Mrs ~ nrn Ktl N~r• •f- r, n~M a~r ~~~t~ - ?~t~t• ~ ~x~~ ~ M~~~~~0 tA1~ wrare N~VMtr Pr~ IM M/yMr~ N! Rt MO ~n~ ~ ~i0[st O rp~~[~Ot . tl~~ •f ~ ?w~t OI flwr kw~. 1~q. Y~w ruYln n. R A. Y = 2Q/. wLM~t OKYMt~ ~r- ~t1CE O~ wNRt i~. 4 Y~t yr. 1~ Mf. 10+rK 011 IOtJU1011 ODYAf~ 1~~Tt ~wlt ~T UOT ~Ml[ ~A. ~M. ~r Yy., Mt.l . • , bO~IR O ~OR1[ ~ • t~ ?.ia~aw.n.~....ia... Mt_r 31. 19~G._... DtC~~eL14.a~.266.ta.e... .~..w ~ e 66 D~a~A ~cewnl ~f - • ~ M fM ff1~ N~N/ ~~N1: ~w~ M fIr MN M p 1wwJMN. /~~w ~d~ M~w~ N~~N. •If 11~~f ~ a• tar.... nr? tt~ ~ss t~r. wn sw~e • M.D. Eoa 189. Arcardia. 1?lorida 12/19/66 •e~~r~t~. ~ .ac.~~o. wt~ ri~uer[orarctt~ro~cwcr~ro~r t!r ~outioMl~.M~.rew~n IatMn t rr+~yr~ e 18F6 Ft. 'rieroe, tlorida r. ~~t! j1 iY~[ f ~OO~[!f !S. M1E ~ICY. ~t ~+OtK ~F~. ~[MfiW'f fKM - ~...,.s• ',y ~ Sroadia L'eQ. 19~1366 ~ ~ - CB1i'PZ1~28D CO~P'i ~r ~ . ' , , • ' . I hereb~ certii~y the above to be a t,rue at~d correat coaT a! ti~s Looal R~1at.rar~a ; record aai tile i~n the ~9,~t. ~~`t.. • Healtb Dsaartaisnt st w ` ~~P w ~.w - ~ ~ . e. t1~E0 ANO IIEC~rR~E~ _ • ~Y. ~UCIE COUNTY LA. (`~Tarni s Not _v~.Zid e,e_-r ROCER POItRAt n6 ~tq~l,.;seu2 ot the ~~~n C~fRK CIRCUIT COU xesittk~ _ ~t!3~' +~y,~oed.) ~ . aeo v~a~f~Ea_.:~~ . ~ > ;,j4~~~.~i ~ ' - M~r 5 PM'11 , ~ 31t . . ~ ~~~;~j, . . . . ~ ~ ~ '~t~: ~ " _ ytY : +.~'Y ` . i`~;4. Date . ' t', ~t~~~.' . utY al Re6iatt~eu~ - • 88 r- j .j;#. . - ~t!" ~ r ` - t = • . .ti S~1~r _ ~r~~ . 1'~..' . . ~i~2 _ . - - i~~.e'~* ~G J ~ Y3 ~ . _ ' _ . . . . _ . - s~i rt"~ ~ ~ ~ ~^i' .~~'a~'2'-~ ~ ~~S.c.._ : ~.~„3~~-s~":~"~;~~a=