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HomeMy WebLinkAbout1838 ~ _ 21'~ss~ CERTIFICATE OF DEATH ; D.~..~.~ .1 tk.hA R~L.bdwnw Se..roe. F L O A t D A *rw,r~ No. ; IMV/SNIIV (1f IIF~11.111 ! ~~?t O! ItIMT IN ~`~~~~'~R'~~° ptdlSTqA11•~ NO. ~ ~t~IMAWf1?i INK Stl huD1001 i01 OfCEwSED-N~ME ~~a~~ r~oa~ u~? SE• DATf Of DE~)H ~••o»rw, ~.i, r~~~ ~ ~ =~Sr~Y"~ ~ Edwe Wee Curren t Ma 's an er 3 ' ~CE +iwn, M~6w, uu~ltar r«~un, wG[-~~1r w.w~ ~ r~~~ u«ot~~ ~ e+r ~DAIE OF ~I~M i rorrw. ~r. Cp~~T11 pf pEATN ~~t. ~ NKUi ~ N~Iw~?t ~ tYU 1 rp\. yt• rw ~ ~1~~ ~ " ( ~ J F .;~.~,4 ~ WF~ite s. w ~ .A r- 9 89 ake ~ C~, TOwN. W IOCA OfATN ~.+~ae cm u..~n MpSrylAt p~ OTMER lIS11~U1 -N ~N ~rn iN ~~r~~, o~„~ s~~i~ n,r M~„~~~ ~ ~ I~ICIl~ O~ MO ; us t ~res wat~cm~R ri e_1_Nosp ~ta 1 SlwTE Of YRTN ~~r »or .r ~~.,...w CITIIEN Of wNAT p~1t11 w?AlRiED, NEVE~ MARdfD, StMVIVrM S~OVSE ~n r~~~, on~ ww~w w~.y ~ _ ~~"°r ~ wqpWfO. DtvO~Cf~ ~ wcw ~ • Mich~.~an Vni~~d S~etr.H1~_~CC rs_`~essie M. Curren -en wce,uo . oe•m ~CU~i MJ+~E• USU~I OCCU1wT~Ow ~c~.e awe o~ wn ap.~ w.~~.o ..oi~ o~ ,cu,q a wsr~u oe ~r+ousra ro..a.o u?., ..u. u~,.w ~ ; o.., a„n : .~,o.. ~~~~9-QZ-Ofi LiL~.tyR~.ORerator I~~.~ewspe~ er " i~ RESIOENCE-SiAfE ~COUN~r UTY, 1QN'w, OR tOCATipH ~Maw~ an ~a.n{ SiRfEt ANO NUM{Fl 2 - ~~NtCUr ~If O~ h0~ ~ ~N ~u Eus t i s Yes 508 Shar Court _ fA?ifEt-MA~?~E r~~fr .u0oa~ ~•f~ ~ MQINf~-AU~DfN N4~Mf ~u~f r~owf us~ ~s Andrew J Curran~~ Edith A. Allen ~?~iORMAt+t-N,uNE ~ ~u?MwG wOG~ESS ~~~n~~ o~ No. tm w ro..~, ~~.r~. tr~ 11re Jessie M Curran 508 Sher Court Eustie Floride 32726 >3 ~wIIT 1 pEAT?~ W~S CwUSEO ~T: (EwfE~ ONl? OK C~USE ?Et lWE fpR p~, ~pJ, ~p ~ltrl~I~ OM~~t ~M~eN~t11 11 wWOure •tit1 ~ ~ , I ~ 1~1 . 00?16-b: • • o~ . 1 . } COM~IIIOM~. 11 ~M, t ~ - ..w~~. o.~. b ( ~rr}Oi~tf [~Yt! ~a~, i ~ p. •f c0w1lOul'+C! Q~. - C l~~t~MO Iw~ YnLtf• ~ ~ I 1~~N0 C~YN ~~ft ? ?AIIT N OiNE~ SKi~+YKAN~ CO?+O~t~OraS. o~una.s co.nn~w~.q ~o oe.rw w~ ,.o+ ~wuo ~o c~r~~ omw ~w ra~~ ~ w~ AU10~S1I N 1fES ~~~t ~~ro~roti to«- . f~~1f q w0~ ~•O~~lO ~M OIII~r~w~MO (~VN - ~ ei at.rw ;~M ~M 1~. I AfCiOtN) 1 A~~~ ~ rpatw. 0~~, qN 1 NOW IN/yRY OC~U~~fO ~~M~~ Wry~! O~ ~~ri~r ~r ~•n ~ O~ ~a~~ n. rttr q~ MJr~~CI ~ O~ Ut0!`IEUn~NEO _ ISpc~{II 70~ ! !M 71a M ~ til IN1UIIr ~T WOfK ?ulCf d Wri1tY »o..~. r.~.. uartr, ~an.~r.. tOC~OOw ~ iner. o~ + i.?. ro , un o~ ~o+.., ~*~n ~ ~ sr~un .n o~ .+o~ ~owK~ wo . ia ~ ~rec~n ~ i - H. ~~1 j~ . 'a CE~11i1CA?I~~- rp~tN O~~ r!u rp~wr tla~ u~O ufr y~r w~r/wf~ ~~wt p~ ~~ydOM'+Ot ~~Iw M Dt~M QCCU~~tD ~t m! nK~, p. nN ; •N~SKI~M: TO ~ ra.tw w• ~t~~ ~~OOr ~~rNN•m ~wOwi o•n. ~..o. ~O uM MN { ~ artl~of0 tw1 t~ V~ !1~ , ~ ? ,11t 4 1 5o O~ rr ~~+OwU00~. ~W 1b eecuao nor 7 , tU ~ 71s : i ?O Mt C~Y111/1 ~tatN. ' GE!?tflUtlOW-MEO~CAL EIIM/WER Ot COtONE! o« ~w~ ~.~tf a tw wpy~ p~ «.tw rw~ oK~ tMt w~! ~~p~py~~~ 0~~~ • ~~~YiM~i~~ O~ fM~ ~QO~ ~MO~a ~M~ WYIS11fi~lOM, IM . ~ (~M~d~. Ya~IM 0~? ~ f/1t ~Y~ - o~.rw occu~~w o.. w.~ o•n .»o eu~ w~w~ c.~stw ~~.rro _ 17• M '771 t CEtiiFlE~-~+M~E ~nn o~ rn..n ~ f o~ u o i ~ A E 1 O~.•o~.n~ ~~u ~ t Dr. Frenklin P.. Holmsn . . Iik ~ a~'~, M4ltM+G ADDRESS-~ERl1/Hf ~+M~~ o~ ~ r o.a un o~ ~o+~ i. ~ J~ 297 S Centre Ave Umatille Florida n ~W~AI. C~EMATION. ~fMOVAI ~GfMffE~Y OR UfMAIOtr-w4~ttf IOCAiION c~~. o~ ro.~ s~•tt ~ fnc ~n ~ R I~~?~akeview G~metery iH~ Clerkston Michiqan DwTf ~ w..~w, w•, .w~ ~U?aEliwl NOME-tvAME ~r/0 ~ODtEiS ~ mea o~ ~.r •..o , em o~ ~o,.M. ~un. w, ~..Jan.25th,1971 ,s.Pe e-Thhug 1617 Souti-~ Be Stroet Eustis Florida 32726 S. ~a lp f ~i DutEfTOt-LGN.r lEGi51RAR_.,SIG ~tuRh ~ o~rt ~ec i~ea ar ~o~aa ~i~r~~ a•r. 19)0 ty~ ti Jw i tu CERTIF~$D COPY I hereby certify the above to be a true and correct copy of the Local Regietrar'a record on fil~ in the Lake CounCy Health Department a ~ 421 Weat Main Street, Tavaree~ FlaYidt 32778. ~~~E~R'~D ~ECO~}QED •$T kOG~~P ~OITa S~, ~ - CLERK :.i~CU1T COURT ~y~ ~(q~' ki~03D vER~~~EO~~...~-+~J ~ ~ ' 21'769~ Oct 16 9 3t aH'1! (Date) . . ' ~ ~ , Reg etrar or Deputy Regietrar 8C~r1~7~ P~1f_,E183? ~