Loading...
HomeMy WebLinkAbout2215 t . . 4 ~t 9.. . ~ ~ ~ i T' ~rwT~ ~ow,a o~ ~~TM CERTIFICA7'~ AF DEATN • ww~u?u o? wtw~ ~rwn~rnw nrwTS ~ No. ~ ~LOETD1l ~ ~ N . • i ~r•y..>> KMf N~11rn coot Na . ww~? ~tn...~..irMr. u.....r.., ~.~..ww •a~~rt~~ ~ ~.a .~~t °01"^' V~OLUSIA `s'~'+c FIdtIQA ~TMVOLUSIA ~ ~ Mt?. Tow~. o~ ~ot~~~ e. ~s n~es C~ ouTM Mn. io~. o~ uot~T~oN is s[swcrcc .•.•¦t ~s~oc tm? ?w ~s~a cmr aN.~rsr i tii.. ra Mo res ; f. ~+?rc a /q.w 1. Mqw1. t~+ ~r~t Nlrw) I. sYw[tT ~oo~[ss ~ WEST VOI.USIA NENIORIW. MOSPITAI. 122 WEST PALJ~1ETr0 AVENUE j ~ s. «r n..e ~rwr. i..~ o~?,~ ar.~w a.. r... ! c~ MARGARET HARSFM~W BARi+fiART ourn DEC. 14 19b5 i sca ~ oa,o~ o~ ~a wwu~o ~~cra ~to an or ~rw f. ~u t~a?• ~ um ~ rw u~on ~ r.~t Nrw~) r..+. a. ~.w r~.. i . i a. F~.E M+.~itTE M~p a~ NON. 4 2893 72 ~ : r i~ y: N~ wu~ oau?~ ~ o~.e wt., f.~?t 1~.~. 10~. +crwot ~ss w Maest~rr ~ ~Twa~a ts.~r a A«M a.rr) on~ a ww m~ws~ .....a 4~ S•r+~•••••~•~? PUSLIC SCMOORS OHIO 11ast l~R 1 ~AYM[11'! IN~1[ 1~. MOiN~~'LMAIDLN 1NYt :n...,s•~ ORIS H. HARStMNV L ~ t r~s ocansco tv~~ ~ u_:~rco so~ccsr soc~ ~ccwuTr w, 1. s M~ • ~....~~...r u,...~••.- ;6-60-2864 ws«.» DELN~ FLORI . h~ /rA~1~1 ~ N. ~M~ N~A?M (s1WR M1/ M~ OMM /A MY~/ (u. p1. Mf d.~ _ ~ pfl'tRYK ~ET*CtN a i r•. e• r ~r eun~ ~ras uua~o w. aes~r ourn L • • w¦ca~n ~~u~[ l.1 ~ aa• .•r- ~ iit~s~a• v~~ww,~/wr. ou[ To (~l , f1l\ L~~ r1~/~ 1 • • ~ 1 ~6iwe twrt t~). r~si~te~~ ~ c~w~r~~ OuE TO (s) . f t~f • ~s ~ N~T r. a~ s~rin~w oo~nas oa~wn~s ~o oun~ rR ~ ~tuw to m[ ~arw~ o~tnt[ CaMno~ ~wa ~ M~r Ky ~ RM~ouuta Y~~~• st- ! ~~~t~ 1~0 i ` ~~t~t• ~ ..ti.~ •w~ asaMC ~wn rew~r ooa+~ao. (ira. s.rr.~ Mrv.rr w~ t r Au ~/Me. q~ i ~a~ourr w~cw[ ~Kmc ? .i~~ •t ~~r. Tw[ o? Hwr KwN. pI. Y~r N4~. M11111tr s. mf MNNRr OOCY1tl1~O ~1. RAC[ OF MWV~Y (t. I- 1~ M dMt M~f. CITt.1bMM. Ow ~i0GT10M C01111?r fT~Tt _ ~R AT ~ ~DT~K ~ 1rA.l~M/. ~?Mf. ~ M~/.. dt.1 t1 sf i~~~ t~ r~OMM/ / IA ! ~ . f0 ~ ~ 1~ ~Mf N~ ~r ~IIN M~~u ~ DwfA oos~rnl ~t P ~ M fM I~N ~f~f«/ ~iON: ~M t~ tM M~t d q l~we~NIN. lr~w tM o~wN ~t~t~. •t1 ~ ( ~Ml tb AoO~[33 tLt. oAT[fN1~ •I• t• ~ •••l~•s• • M.D. E. PEW YA~K-DE~APO ~•~.t a~~~f~t~• 2~. M/K.d[~Yt~00. DAT[ Z1t M/YEO~C~It[T[111O11t11[MATOIIr Zlf. 1ACAT10~1(GYfI.N~A.MMS~) (Y~Mi) - - 8~~~' 2/1 /6 S DELMD MEP~OR IA1. f ARDENS DELAND, FLOR I QA ? r. a.~si• t~. _ ~ s~U~EW1l. FIOP~E ~s. wn ~cca rr wc.~ ~a. ~casriu?s~s ~w~ ~ a••.~a~ - D FlARIQA " CBRTIFIED COPY ; ; t I herebq certify the above ta be a true and correct copy of the Local ' Registrar'a record on file in the Volueia Couaty Health Department at . ; DeLand. Florida. : - ,s`l . . (Warning; _~1~ot ~;valid. unless raiaed •eal of the Volueia County Health 't,~ D~ei~~tsept .ia affixed. ) ~l"~.. • 9 • ~ ;,~r , , ` ?~~~v ~'~;~o ~ , ~ . ~J ~ ~ ~ ~ f; ~ : f~ i;'_ ` • ~,'~texs.'~ •"`s County Health Office and Local Registrar . ~ : ~ , ~ Dete: i 9 7 / • . ` Deputy Re~iatrar ; A ti'~~ ~ • / il k ; 6~(~c 1~ 1 . ~.._r ,,u _ - _ _ _ w~