HomeMy WebLinkAbout1292 ~ - i3~6$~ ~ 112
F'.E: E 1/2 of Lot 9& Lot 10, BLK 1, PLANTATION ESTATES UNIT 25, :~lB 23, PG 91
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Lots 16 & 17, BLK 6, PLANTATION ESTATES UNIT 9, MB 23, PG 2 ;
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r pt- RA?E lOARD o~ H~?~n+ CERTIFICATE OF DEATH
~ ~ r s a ~YRCAU OF VITAL eTAT1YTIC• fl'AT6 FIL[ ItO.
~.t.~ FLORIDA ,
ot6 ~Atn SIRrN NO ~ Mlf.iS1HAH S?+U. ~
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e i e c u t e d 1?U1C( O~ O[I1TN r STATC ~l. CO~i~TY
.~,i OOtNT1 Bro~.~ard /~S Florida Broward
Ce pl.e•a
`~t_ 0. CIT~.TOwN,O~IIOC~TpN l. K~l4CE O~ GE~TN t. CIT11, TON'N,O~ IOC~T~p!~ t. ~S RES~DE!~:E
.snent IMS~OE C~Tr l~~~TS~ ~hLDE C~Tr U~~rgr
Hollywood ~~SQg ,~o? Miramar ~:1~1 ?~.~p
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NAwE Oi Il/ ut iw ?e~pWd. Iut ltrttl ~.flrtu~ STnL[T 11pDP(SS
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~sT~T~'p'' Pfemorial Hos~ital 7530 W Panama St ~
~ N+?MC o• FirN Vid1lr - Lu( 1 OAtE - ?lawtA D~I Yra? ~
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~~;~N~„~~ CATHERINE CROOKSHaNK u?TN November 5, 1969 '
S SEI[ ~ CO:d1 OR R~CE ~ YAIIRIEO ~ MfvER k~1111~ED ,~j •~TE Oi ~tN7M !~GE il~ ~rt~r~ ~ w; ~ rW u~qa i~ ~.?i
l~.ft dnt~d01) ~/~.e4 D~M Nwn Y••
t~• female white w~oowEOD aYoRCCO E1 ril 24 1899 70
y 1 a 1 n 1~ ySWI OCCW~T~Qw tC~« had o/ao~l !uu tOD K~\D Ji ~65tNESSOR ~MDUSTR~ li liIITNPt~CE lStatt o? Jort+~~ tot~tr~) 12 GnZEK O~ wMJ1T COU~n1rt
• t t h per- Iriiep wwt ef ro~i~ep ft/t. trtn i/ rttbrd~
s•~•~t housec.~ife home Scotland USA
D 1~ e t f nt ~ j_ ~ATMER S N~1NE 11 MOTNEQ S MAtOEM lIAME
James Ross ' Martha Morton
tTp~.N t~e
1~ SOCU~L SEC~RiT1f ?W (7 IM/ORMAMT t tIGNATYR[ AI~?~u
71 22 1.00 William Crookshank 7530 W Panama St, Miramar, Fla
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4trecter ~yrE~~ u~ + (~(4'~:. a~_~~iehaLt~.
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t i f 1 c~ t• ' C~wtKiq~. i/~~~. DUE TO (01 "-^~~L Z~'u-i~u F K~.i~ Yt yc 1~,~~~
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,s ~ c eur ~te. 23e k:~~l. CRfr~lrqw 23G D~7E 2Jc N~rE Oi CE~E7ERY OR CRE~?TOAV LOCATqN (CJt. te~'~. M cornt/) f~7 ~~t~
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cr tio \ov~-8, 1969 Grove Park Crematory Miami ~ Florida
~ f' S.~d12 jJ ° ~~r;'' ,~p S 5~?; E A~0?ESS Hollywood ~~~TE ~ECD. B~ IOCa~ REG ~ ~EWSTRAR S S~GM~T4RE ,
~ " 'e~•1D6S ~ D U\iTE`~ FUNERE~L HO~lE ~ G/~~ ! /1~t Cf"~:/ ti '
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Rttt~OfD iM OfF ry F~URIDA
, ~ * • ~ JA CK WHEELER ~o
~ C:.RTIFI~D COPY ~~ERK Of GRCIlIi COURi ~ i
<; . : - , ~ , - • rt~
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;3 I hereb~-dert~fY~Zhet abcjve to be a true and correct copy of the Local c o ~
~ Registrar' ea~ ;ot~~ ~i~e in the Broward Count;~ Aealth De partment at
' Fort Laude'adSel~, Flpr1,~. _ ~ ;
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'j ('larning: Not 'va2id unless raised seal of the Broward County $eal ~p~~
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= Dep~r t~a is affixed. ) c ~
iitEO aK~ PE~~(l~E~ • , h, L~
ST. LUC~E CJUNTY LA.
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CLEF.K ~'f'CI:tT COW1t
AECC~' 'i` . -~cp~ ~ ~ ,DA~r^.~"
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- Couaty Health Of cer and Local Regi ~
: ,~u~ 3 8 z9 AN'TZ . ~ ~
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gC1;LICHIT S?.A!%LAN. Atlots~Ys M L+w O~ ~
_ 413d tioJy~+ocd doul~~~d ~ 9 " ~~90
HollTwood. Fi~xida l~020 •
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