Loading...
HomeMy WebLinkAbout2170 ~J 21~926 CERTIFICATE OF DEATH ~k~.~ttwKnl oI II~~I1ti ~wd k~ti~~.illlatl~e ~nlati fTAT[ Fil[ NO. ~r~naw~k~n~iie~ FLORIDA ~•~t. O~ ?R~wt ia a~.aw..w.u......e~.. Ift01{711A11•• NO ~ ~IRMANtNT INK D(IUSfG vU+! •~~t~ . a..r ~S!¦ OAtI Or DIA1H • rOriw, q~~ ~ f u~ ~u~~ca~ roi : ; nt~FJt1~OK ~ ~ r e S f P!!!~PT` 1~?1 ; ~ _Fr~c~~~i~k-t~~._ las}~^yer . ~'i~l t~S` - ~ACF ~+wi,~. w~JN. •~I~M~`~ "~D~~~. AG~ -t~f• v~.ay~ ~ ~~r+~~ ~ O~-TDATI OI ~~RfH .no~.M M~, t~Q~J~~IY OI OfATN ~ ~~c ~ v~c.... `~~~r.o.. .~.n~' ..o~- ~ o..f ~cw~~ . f n.~i ~ , , ~ ~-~o~ Irdsan R1ver Rr'itlt e _EQ ~y =w _~an~ C~ r~ TOwu, Ot lC~~l~Ow O~ D[wiN' - ~-.•.~~e~ c•..~.~...ti HOS?~r~l OR O'Nt~ NSTitut~~~. w. ~~ou~. o~v~ ~~r~~ .~e .v.~~. ~ ~/_v • v~.~.. .n c. .o ~ i ~ Yer_e_5sac+~ v_~•s- _ Ir!d1F~22 ElYPyT ~:e~cQrial EQSRit~~ 51~1! O~ ~'RTM ro~ •w y~•,~.r~ ~U~UEN p M/UT CO'.Nit? ~ MA1RItD. Nl~YR hlAlf!!D, ~SIl~rrv?~C S~'OllSl ~r om u~W.+....1 ~ ~ ; ' w~we o. on~oree ~ , ..a.. ~ I •~..o...~. ~ V ..t~ t~$1~ i:srrl ed . _ I{athleen LenR _ ~,e;. e~_ - ..~c ~y..~ SR~~I SlC:~~'~~ ti~'M~tR , VSUaI CY~V~~~M7~ ,<...t a:..o m~c~. o....~ ow•»c r»~ o. ilMq 0/ W31Nl11 OR IMVSff• ,`(:l•~HC r~ / ~O~~~tif. ~..l. f~fh ~~•~~ID ~ a ~.r.r~.•.c.. c~. ~1 ~71~L1~-~n~~-----~'1~----- r`' t~ 1 f ~~17~-~-- . _ Z__ eut..~.~__n~ - _lns~ranc_s ~ ;d .c~,~~c~ ~!~~DtviF--S.w*! COUNl1 .~ITV,TOvW.ORIOC.~TION ;.rf~NCw~~rrO 1nttr AMO NUM~F~ li~ ~ = ~ ~ , a Rt . ff ~ ~a ~l i A f u~ ~ ~ ~ ~a . 1 nr ~ ~u ~ '~a ~P ~ ~ ? ~~•••fR-~v~~~E n~.r ..•oau u~. :w~01Mt~--MI41fNN~ME r~Mr r.oa1 uf~ :3 •t ~1 a (1 Z' 1 `-?C(`~^(~..AM '11 ~ iN~ORMANT__N4Mf ;w~;~!+G ~DL3ESS o~ «o. c.+. w.a.r, ~~.n. iN~ ~~fYK:/ ; ~ J +',i. c t1~} c, y~ c~r.. `~q x ti ~ ~II P p w r~o~ ; pE~ir~ w~3 U~SlO ~r fy•[t Ornr O~vi Guif ~tf t~vE rOf fe!. !s). ~rML+ tal' ur..a. o~s~~ ~u•~ ~ ~ri~.N C.uf1 • ~ • ~ = l~, ~ ; r: ' . , 'C • - L : ~/~~,~.J. ~ i - : , , ' ? ; ~ -0».e„~oh,. u ..n f , ~ , i," _ ~ ~ ~ ` ' ' ( l- ^-'r~_~-- _ ~c. c•.~ ~.fr o IA . . , ..f___'---~-~~..-_~-~~_~.--,i~-% ' fy - rrf'+'~11 C~u/~ ~0~. D~~ ~O ~O~ ~ COM1tVa~tK1 M , 1~~~~~G I~f J~01¦- ~ r~ ~ ~O C~~f/ ~~f~ ~ • t _ - • r~~i OtH[~ S~Gr~tKwr~i COvCmprrg ccwo-r,c~.s c wn~v~~.c ~o w.a ..o~ n..nn .o uos~ om. ~ a~ ~ A1f10~S~ M rES ~rrp r~re~..ot co~ . ~.n a»o~ ~ v~~~t~ u. enur~.~»o t.~+r ~ M OI~~M ~fM ~ Q Iti _ .~-ebN~~ •CC'C~!V~. SItC~M l~ 'iSl1f[ b~ IVII'~Y ~~0~+'~. D~• ~ H il~ ~ M~W IN)V~1 ~~Uf~f~ 1 ~Mn~ w~YN O~ ~riV~~ ~w ~~~f ~ p~ ~~1~ rrlr r~ r - »,:M~:•Of. CR U~:l~t~Mi~.lD ? , ~~`5 tSw.~~~l ~ ~ 7Ot M . 7Y i Vx)rt w! wOtR tuCE OI !~~tN~ •.,•r ~vn•. •.c•o~., : lOUtiON ~ u~~n o~ s ro . cm o~ ~o.r. vn ~ x - :f~f:~^ ~~f O~ `~O~ ~~On.C~ MO4.IY ~/~F(~r•~ ' ~ ~p ~~~~~Y Ct[!,~riU•K~iN- +o-+.. w. ~ n.- .r•. ! •~.o ..r u. •un on ' ~ ~e~oro ro~ .w~ .w~~o~~rM OC(v~af~ w.~ rucr. o-+ en ~ s:- rn.S~r~~ti T~ ro~.•. O~• _ ~fU ~00• .rry~ N•n~ ,.p,h~ a a.n. •.+e. ~o +w n~• ~ :f .~~»o~o ! ~ . 1 ? 'l i1 p ~f o~ ~w.~~o..~. o~.• ~ ~ 7i. oe.~.un .w. ` ~ 1 ,l~ ' iq . ~ :7~~ 5 ~_-_Lt~~ \.111.i ~7~• Q •O+w~ uwr~v f~.~~_. _ r~U•t0"~- v.EDY~t fi~!?~ER Of CQvC.~ f~ c». ~-e .,rs o~ o• i1~... ~-Trw~ DKt0/w~ ..?...r+oo~.<~~ ee.~ i - ~~~~:r~•~Ow'J~ !M A'W~ ~~rD V~'M m~f1~~G~•+c~ • C~.•~•:~•• 1 ~W~w O~• rl~• rOL~ ; e•. ~cu~~~c i o•~t wc ru~ ro'w uv~r:s~ v.~o Y'7b , f~. " l~ - t ' , ra CCtT« f~-raAMf ~~nn o~ n.....~ - - - - . _ S'C.+~~l7E~.'~ a~c.u o. ~~n~ ~SA~~1C,N[~ ..o»n.. o....t.~~ i ~ ~'h ! 1 D. _••:orrar._ yA r_ f f;~ i•iD ~0 14~_ aw~~rz~G ADCtfSS- ~,t ~ jYf ni~ o. c M - i~A CY o~. s..•~ t~r ~ :•r 1L`+~S.Cl 2 t;h. S`T's'~'t '•it~TC~ i~nc1C!t ~'~q. '~2~E+C t::1+~1. CtEMA!~ON. ~t+~JyAI ~.CEMftt~~ Of CREMATON.__v~+V rlOIAhON on o~ w.. v•n _ • yr~~~n . ; Burial ~~.Cres.*.l~v:n Ce^:etery Vero Be~ch. Fla. _ - - - - :+~•c ..o..•. Wr, qa~ ~ f fL'til~Al HO~wF -N/ W! ~ND ~DD+ESS • f.~~~r o. • w. c~.. w w.., u.n. n. ~ ;w ~ :n.~iOt'•~~.~f~'~.va~^nl~r..?„ a ~-22-1~71 ~ Q ~ • ..r, Y. S. ~F 1: ~t1NERwt DntECTC~-S~G~v~tutt f iEi,~Y[~¢ _ S.GN~•c~[ . f lo.n ~ecu•eo n,~oc.~ ~t4~Sn~~ . _ Rer.:c',. rs? Ci~/`i'~f~.l,: ?,!`/~'Y~/' -"i` .i u Clivf~l J. LO ~ i _ ~ - "I hereby certif the above to be a true and correct co~~E~ ~ECOROEO - v wc~E couNSr Fu- - of the Local ReQistrar's record on file in the Indian aOCER PO?tRAi , CLERK C~RCUtT COlM ~iver County ~.eal ~h Departr~ent at Vero Beach, Florida. RECOND VE~~~~ED :i This is not valid unless the raised~seal of the Indian ~ 9 s~ aH~~~ ~ - i ' Ri~ver County Nealth Dep~rtTent is affixed. a . ! _ _ , _ = ~~926 _ : ± County Health Diz'.-1aca1 Registrar _ ~ . . ~ ~,~~=r2 /Q/Yt~L ~ _ ~~nuty ?ec~isir<~r 8 R~ ~~~"j - l/ 1