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HomeMy WebLinkAbout0060 CERTIFICATE OF DEATH - Dep.et«.t f ie.4L uJ Rd?.b~1~e.N.e Se..ice. trrwT[ r~t! Na rn~~v c~ ?~u.n+ F L O R I D A tri[, Ot ~lINT IN ~w~~~R~~° REGI6TRAR'S NO. finMANlNT ~MK pECfASEO-~+~wf ~~n~ SEI OAiE Ot OfwIM ~~o~~•, e.•, .~.t~ SfE ft1~Ot00[ f0t •srnaars , ARMAhD LIONEL MILLIER i: Male ~ Januar 27 1 1 ~ACE ~.n. ••~cw....~~•cu. u.eu., wGE-~.f~ w.e~. ~ nu ~.wu ~ w. OwTE OF ~•a.r¦. w,. COUNTV Of DE~TN ~K. ~ iNCw ~ wn.o.~ ~~ws~ ..os ~ ~.q wow~ ( +u~ ~ ~?~th i t ' k b.12 40 R w ~ t11r, TOWri. OR lOCwilO?+ Of DE~Th ..s.a cm ~w~i npS?R~? Ot O1nEt t+Sl~tu~~.t~-Nw~w w~ ua in~a~. a~.e s~n~r ..o ..w?u ~ / vecN. .es o~ ~.o n Pom~ano Beach No t~rth B~2w~~S~HH9K.s~~ t~~ S1ATE OF ~.RiM ~ u.pt Y 1~.. M~r! C1i1ZIN O~ WW1i COUnTRt MA~t1ED. NEwER MA~RfED. tSURVIVNG S E ~y rV~. OM M~OIN M11M~ 1 c~w.+•, w~ooweo. o~orcto ~ • ~ Canada U . S _ b~ar~~e~ ~yar~na Kur~ub~ se ¦~~n a~~.ua Sp~lwl SECU~~tr HvwyE~ ~~US4t~l OCCUIwiqN awo o~ .c~~ cc•.~ a:u»c. .wa c•~~r~p pf ~USwESS O~ IN~USTtr l~+lD Dl~tn t vp~~•rp a~l. ~~'l~ M~l: I p:cur~l0 + 1 tailhM~O~+. L'.1 . G~C~~GOSi 1~~. ~wner - o ;~~01"'~~ w~ un ~~..~n STlEET wN0 NW+~Et ?r++ss~o... ~ lES1DErKE-Si~rE CQUNir CRr. 10wN. Ot IOUi~Or+ L-~~ ~ s.ico. .u w .a !'I.OY'1'~2 ?rowa~Cl Pcm~ano ~each ~:O ~'Fnn T.~' 14' mP r~ThE~-N.u~f ~~n~ r~oa~ usf MOIMER-wuiDlH N~w~E ~vst .uoal uf~ ~s II'°!?@ Mi~.lier ~;T ~ ; ~c ~ P INiO~MA?~T-nu~E aMIWG AOGRESS ~snen o~ ~.~o. ..o, cm o~ ro~... s~.a. tr~ Mrs. Evanna :~Iill~er ~n 4600 N.E. 14 'I'err. Pe*~nano ?each F??. ; ~ ~~1 OEAM WAS UUSEO ~T {EHiEf Or+tr WrE UuSE ?ER ln+E ?Of (o~ le1. ~u'~0 (~!1 ~~r.u. o..se~ ...aaw.~+ ~ ~rMOU1t UYS~ ~ . , NI , . . ..u . , ! cowemo..s. •.n, ~ ~wKr G~+e t~s~ r0 1e1 ~r.eoun c.~se ro.. o„i ro. a•a . eove~.ce w ' lLnr~G tw1 v~+OU- ~f k ~LMG.C~VSf uf~ !~:ivKJ'~Jrf ~ j /wRT OTnER Sif'l?+~f~Cwni COt+WT10aS: co.~o~no..s co..t~vru.o w w ~ no ro c.use cr~n.. r•n ~~e~ ~aSY rt YE e. r~~~~.cs cc~- ~ - I~~«wpl ~O-rIM t~t\Y~hIr~GC~V1E ~ ,w Ye s ~ p,~y~~ ~ A~~1~(Nt. w{ { ~ A ~j 1~OMtM. ~(~~1 1(IA~~ WtYtl O~ ~NWA IM I~\1 ~ a~~~i , ~Tlr-1~ I ~ ~~[so~.Mo~qpE; OR WDEIEU~~EOA~ MOM~ ~NlUtt OCCURRED ~ ]0. M V 2M 7h- M IY ~ If1J1MY AT wOR~t ttACE Oi ~NIURY .o+e. snt[r. ~.c*on. tOCAT10N ~ swea o~ v.~. .w., cm w ro.~M, sr•n ~ ~ I~MO~ ~t! O~ r~0~ OMKt MOC..lK_ ~t?K~Ir~ ~ M ~ ~ ~NO {?~1 f?M M1r/ ~lM OM ~ I 010/ V~(M M! ~ CERTIf1CAi1pN- +o~~w o.r "o"'TM o'• ( ~4A DtATM OCCNt~ED .r rw~ .;.ce. a. +*t ?NYSKUn: TO +a+m w. nu ~oo~ .rn~ w.n. ~.ou~~ o.n. .«o. ro a.e us• ~ ~rtenoto *~.e '~/f~ c`~ o~ •w.+ucor. o:.e ~ tl~ eece.s~o rro.. ^Q ' ~~•1 ~t~~ 1~~7~71 7k V V~f ~ ~ ~ 2t~ V O tt~ 6: Zv w? ~o me c.uu~si u.r~o ~ CERfIFK~f~Ot~-MEO.Cw E~[wr~NEr OR C ~ER o.~ r»e a•s~s o~ Me wow w ~¦e eeu ~.s e a~•o w ~ ltww~t0~+ O~ ~JD~ uW/O~ rM wvlf~K.~•~0~., ~r. ~r O~~Mb~. M W~ ~t~~ r~pv~ ~ Ol~M OCCYf~lD 0~1 ~W O~~! a1~O Ob'! ~O C~VSl~SI ]T~I~D rn 6 ~ M ~ GERTIFlER-NAME :+~~f O~ rnwn E et ee ol n!„ ATE SfGNEO ~+o..*~, o.•. ~e~~~ ~ J • ~ ~ n.. Treadwel l L . Ir a ~ _ ~ ~ t •f~• + . MA~l1G ADDtESS-CFRfK R s~ n~r oe o». c~n w ro~~ • sua tu ~ <81 N. re~?eral uicti'':t ~ O.^.1n8"~ N~ ~ ~ ~ ~ ~URU1l, CREMAi~ON, tEMOvwI Cfw~ETERr p~[ CeE~tO+tr-NwME ' ~ lOCwnOn un o+ ~o.~~ iun ~ s~lcrr ~ ~ . ~ Renoval ~.~Holy SeFulcrre Oakland County, ;iichi~an ~ F~ pATE ~.o..rr, o.r, nu~ fUNERAI MO~ME-NAME AND AODRESS . s~un o~ v»o_, em o~ to.~~, sure. [v ~ Ja . 1 1:zr K.raeer ~ loG ~6 . n r?~~h , 1 a ~ Y~L. 1612 fUNER~i,t1~ Ci - iEG~Stp~l1- ~wt~E DAtE ~fCCrvE, ioCw~ .~is:+.e ~ i9to ~ ~ , . . v~.t...~ tw ~t 9~ ~ ~ Cx..'RTIFIED C0; Y - I hereby certify the above to be a true and correct copy of the Local Regi~tra;'B record on file in the Broxard County Health Department at ~ Fo~:d.~`~ut~erdale, Florida. 3 =`,('~i1~p'fi3ti~ Y NOt -valid unless raised seal of the Broward County Health ~ T . , 80 ~ c~ N - ~ c i{ i?-~l? Aepaf•tr~ent is affixed.) _ ~ . .1S+ti ~ ~ p r ~ . L .~O~o j : ~'i`~~~~ ~(i . : ~ : V : _ 'g • i~'.LA9'DERD{tE ' - . ' ~ r a F10Jl1 ~J~ ro ~~=.z~ j~••:~;~~~~~.-• Couaty Sealth 0 icer and Local Registrar ° o~~o ' . ~ ~!'!1 b~~~ - ~ ~ , - . .~GGZ~ ~ • s v ~ - ~ s Deputy Local ~egistrar ~dQK~ g PacE ~ 'y':~ ~ . ~