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HomeMy WebLinkAbout1774 ~ • . , CERTtFIC~ITE OR DEATH fl~..~.eo~ i k.id~ .w~ R~.Wln.et.~ Sa.ke. F L d A I D A ~ATt f!L[ 110. a~~ ~~~?~iu ~ f~?E, Ot ?tlNT tN REGI6TRAR's NO. SfE~W01001 IOi OECfASED-NAMI ~us~ .uoaf ~~1~ SER OA1E O~ DEATH ~ ro..t~, ~~u ~ i "s"~'01~ ~ Thon~as rl Aionahan ~D:ale , April 1 S, 19~ 1 -i RACE ~rw~ M~LW. ~~~K~N WYM. AGE~I~~I .w'u~ ~.w wwu ~ e.. OATE Of ~:k..f ~w..m. COUNiY Of OEwTK i ~~c. ~ anur. ~ ~ wow.~ ~re.~s~ ..os ~..i .wu rN itaf ~ _ + 1ti'hite ~0 ~ ( ~Nov 3o,19uo I3~oward ~ Cllr, TOMrN. O! IOCwT10N Of pEAIH rn+w t~n u.~ Mplryt~l OR O~NER tiSltiU~~CN-NMw ~u rql r~~rw~~. 4M f~tll~ u~C uYr~l~ ~ i / ~ . f?ICMr ~11 W NO ~o ; w l:allywood yes H I~;emorial Hospital ~ ~ S1wiE Of WiM ~ r NO~ M Y s~. M~YI I11jEN yr WI{AI CCAMI~r .~uiroio. ~~.v?mEO. ~ iivevi„~,c s~o~nE .,,,o.,, ,r,,,,, j C?~M~'~. MfK1ONtO. WvOR~p LICw . ~ ~w.i eeswt»u ~ Illlil0].S i• U.~,'~t A.aI`I`l6tl it~ Ceeilia Fitasimmons 3 MNl~[ OKl~lfO ~ ~ uvee r~.M SOCULL SECU~ir NtJ~tEi Uwwl aCwwl~dv ~o-.a awa ww. u~.i ow.w w~~ e~` ~~~q a~u p~ q~p~t~ oc:vnte w+ roa•wo urt. ~rt.. u u~•uo ~ ~ j ~ ~a:: 32 ~3 ~532 En ~ineer Refri eraL-ion ,c.ussw~.. ~ES~OENCE-S/AtE ' ~ COUNIr CR~, TOWN. OR LOCwi~ ¦+s~w cw. u.~s STtEEi M+O MW~E , ~ s?tcM, ni w .a +a Florida ~o I3roi,rard Holl woocl no w 622.~ S1~ 26 St fAiNER-NNNf ?NSr woae ~y~ M0t1~1-MA1DtN NAME nW we~e Wt ?s „ichael R:onahan Nora Case ~~~~T-~~ w?IING ADGlEii ~s.ae~ o~ e.~.~. .a, en w w.n+. se.w. i~~ rirs. Cecilia Asonahan 6224 S:~t 26 St [ioll •ood Florida ~wRt 1. OEwM wn5 G?uSEO W~ (EkiEt ON?~ Orrt UuSE rtR ~wE IOR „'w` (e~ (bJ. ~u+D (cA ~ur~iw o.ner •ns aur 1~ ~r..ea.n u~rse 1~1 , fO~ , . • co«~moNi. n •M.. ~ mmncr c•n ~.s~ q I~1 ~ ~r.rwrt c.~fe w~. we w. w.s . c ..ce w fT~f/M6 tw( yM~(~- ~M~1( • ~ IHNp CLiI~! {al~ ~ : - V 1ARi M- On1ER SICiNfKwNT ~OlX11TION$: COnWNOr~S CON~hu2u~G q Ol~1M ~yt tipt pu40 p GwSI GMw ~~~tt ~ 1y A/ROKr • rES .n~i MNM6s COI+• _ . ~~(f a M~1 ~O~\!O IM ~(T(tNMWd (A~/y~ ' M O~~~M p~sy~~ ~K.CiD[M. A ~ rOriw. O+s, t[u ~ NOI~ IA. n~ 1* ~OOE: OR iMDfiEtla~MD 110W INJURr OCfURRED ~ twre~ wiwt W a.wn ~w ?•n ~ Oa r.~t n, rte. ~ ~ ~ lit. ~ ~ 1?ilUrY AT wOb( rIACE Of IN1t7~Y wo+e. ~•a. sra~r, ~.cw~.. lOCwf10N ~ s~~f~ w~.r.e. wo.. cm o~ ~w~+. u.w ~ ~ ~ wu?e as w..o~ ow.ce rse .~rc ~ snarr ~ 7~ ~f. ly GER~fKAT10N- +O~+iw o.• ~e.i ..w~w~ o~~ nu u0 wT f~w wa!nn a~nt w ~ O~O/Og nOt vKr M OE4TM OCC1ilttD •r mt nKl. o~+ ~l ~N~13KI/W: - ~ tO ~OMtI~ • qY WO~ ~nl~ Ol~M. ~~OY~i O~aR. ~+~0. q 7M ~!F S : a/qw0~0 nN 2h oeC~~fte rWr ~2p ~ 1 II~ W r~ iNO~ratoGe. MR ~ I Z !11 ~ tli Z: M~O mt cwat~l~ svq~ ' CERT~IGTfON-r~EO1Ut Etw~w~ CORONE! p. rw s.s~s d~ .o,,. a a.w~ M~ ~a.+. v.s ..a+aw.cH ee.o t:u~w+e~ow w o.[ qs~ aro/o~ noe +.nesr+cano.~. orw~o.~. -+or.~w ~.r nu ,qw w.m ootwea w Me o.n ..w ow a nK c.vseu~ a~.ao. ~ M tl? y~ ; CERflf~f!-NAME ane O~ nw.n SIG~NA eeG~e~ Ot nrt S~Gn+EO r. w.. ~Wt w n. t;i~arles E, Lowe, M.D. x.{ ~j MAl SS=CE ? • s~~etr M~ r.o »o u d~ ~ ri Ave. Holl ood Flori~a 33~5 1 WbAI. QEw?r~0r{ IIEMO~wt fµEtEitr a caw?rOtr_~vw+rE lOUr1pN un w rov+. s,.a ~ srecw. r« Burial ri~pollywood .'•:em G~rd ~ fiollywood Florida ~ DATE ~ ro.ww. ~.t ~W ~ fUNERAI MOME-NAME M14 ADDfESi ' st~en O~ ~ ..0.. em o~ to..n, sr~n. i+~ ~ .i r 17,1~7j :s.Bo d~s i~'Ii blVti IiolZywood Blvdltolly~voc~d, Fld 3302.~ ~ v 5. ~61? fu~lwi o~eECtoR-s+c°.~., , ~ECasre~ut- r o. eey~~~eo n~oq,? ~ee s~w R.y. i9~o ~ ~ . Y,~ - 1119 K. c-e.~_ ,n , ~ l ~ ~I ? } c~rzr~~u co~t ~ ~ ~ I hereb~ c~2•titp l,he above to be a true and correct cnpy of the Loca2 r Regiatr8~r~~e `~'econ~`~,s~t} file in the Broxard County Health Department 8~ST~~ C E COUNTY f~A Fort Laude_~el"e • P'~pri~da. flOGER PpITAAS ~ ~ ~ ~ CLERK CIACUIT C6URT ~ ~•?arni¢gs HQt- ra,lid ut~less raised seal of the Bro~aard County HealthECORO vfRtFiEO.~. _ Depar~t ia affixed. ) - ~O ~ ~ P~'' ~ '~~,l,_ • . ~ ~ _ Co ty Health _ Offi r and Local Registrar ~1i`'~2 _ ~ oj~.~~~Z ~ oac19E3 ~ . - ?'~i~ Deputy al Registrar , Ki~,~;<µ3 ' ~ • _