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HomeMy WebLinkAbout0800 . ~3 Jerrotd Knee of RE: ESTATE OF DADIIEL LAWRF.~iC$ HARRIS, DEC'D, ft~rf Ta SAITER~ YEg~pyy a BURNSTEIN 1710 Hat~ison Stre~t Lot No. 3, Block 16, Plat of NAziMONY HEIGHTS ~h~d. f~r~ 330'0 ADDITION N0. 4, recorded in Office of Clerk of i ~ Circuit Court, Ft. Pierce, Fla. 12/4/53, Plat Book 9, Page 71, St. Lucie County, Fla. CERTIFICATE OF DEATH ~ Il~ep~rt~ewl e1 Ik~Lh and Re6~I.i111aUre $nrk~es RAT[ fiL[ NO. ~ t~~ wov c~' ~rt_.~ n~ F L O A I D A t~?E. O~ 1~inT IN ~''~'i°~~~R•'~° REGIiTRAR-S NO. ~tlM~NtNt INII OECEwSED-N4ME ~~~u ~'s' iSEx OwTE Of OEwT?~ , ~o~~•. o.•, ~ ~`t:s`N~a~`s01 , HARRIS 1:Dialie Februar 2 1972 DAI~i IEI, L. ~ ~ACE ~rwa. ~ecw..re~KwM w.a~.., wGE-~.i~ ~~w~ ~.e.~ ~u~.oe~ ~ e,. C~tE Oi H4M ~+a+rn, w., COUNTV Oi OEwTH nc. ~ sncw ~ u~nw.• ~~~.u, ros. w.s Mows .n. n•~ ~ ! . White 68 ~ ~ Dec. 1 0 Broward ~ CRY, TOwN. OR IOCwT10N Of Of~TM r.ti.w c~ u.m MpSrlTwl OR OMER NSi1TUi -rl.wE Iq 1b~ ~M N1M~~. GM ~f~l1 ~p MVW~~ 1 , ^ sreun .es o~ wo _ Holl ood Yes Doctora Haspital - S?ATE Oi 6!RM •~r .,ot :ti ~ s.•-. ~•~e CIh2EH pi wnwT COUnTRY MARRIEO, NEYER wUtnED, iSURV1vNG SrOUSE ~r •rw, 6~r~ +u~oeN ww ~ ~,m~ W~~• ~O Ellen Shambau~h aes~ceatt ~ New Y + USA N i r e rweeF OKt~3lD S«~l ~V~1T~ ~'~1~ER USUwt OCCUTATION ~6w! lw0 O~ rW[ OOw! OYtlNG rJ31 p/ (ri~ ~f ~S~u QR 1l~lJSTRY i~veo :r oe~~w occ~«:~ w ~O~rK~ lM~. l~~M N ~(~d[p 1 ~~s~~~u^°~.~^~ „062-24-7544-A Policeman Nevr York Cit Police De t. ~es~oe~cE nroa .or~ss~o«. ~~pEnCE-SfA?E COUN~? Gir, TOwN. OR IOCATIO?~ ws~oe c~+r ?r~*s SitEEi Iu+D HlwtER ~vicv..fs o~ w ~N Florida Broward Holl ood Yee 2311 Dewe St. iwTMER-NAMf nKr r~ppe ust MWTMEt-~w110fN N4ME r•a~ .qat usT „ Sol Harris Not Available I WORAUt~t-NAME MARa1G wDGtESS ~ama o~ ~.r.e. .ro . crt+ a~o.~... s*.e. tr~ ~llen Harris ~n 2 11 Dewe St. Holl ood Fla. rult L ,~r. v. v.. DEAIM WAS UUSED ~ENiER W~lr OnE UUSF ?ER IINE f0t (ol N~. A~ k/I ~lMflM OMf~f ~rO Ot~tM WrIOUR CAYS! Nl / ' ' , . Muwe..ce . coNaiw..s, ~r .wr. WMKM e•ve •~se ~o (b) uu.~o~.n c.use ~o~, are ro. oa ws w co«xout.~ce o~: suuwo ~Ne uNOe~- ~nrc c~uu usi kl TARi OTHEt S~GNY1CANi CO+rD1T10N5: cwanws cowww~..e w eww w~ ao~ auno ~o uuse eneN w ru, ~ a~ ~~Y f rES .te~ nwo~MOS eow- ~ns o~ No~ s~w~eo ~M oereuuwwe cnvse NO * OEAtN 1~. ~h~p~1~1 wOCWErri. StpC~E Ot bAT~Of l~N1RY ~..oNrr, s~~, ~e•~ ~ ffOIIR NOW INJURr OCCU~~ED ~[.~te .unNe a ~wun ~w ~.~r ~ p~ur x, mr ~ - Ip1l~C~bE; Ot INiOEiERNDtED ~ ~ 7M M lOI. INJUtr A? wORIC tWCE Of NAIRY ~we. r.w, f~~en. ~.ows. 1OU110N ~ suter a~.r.o. ro., an oe ~mn+, s~~u ~ i ~~~n nf O~ Mo~ pNKt MOE..EK. ISrlCY111 I 7M. !N ~ j CElTffICAT~ON- +a+rw wr n~e ra.a w~ n.a ~~O 4S1 LM1 MW/MI~ AlN`O~~ ~ ao~ao w~ ~new nw o[wrn occveno me n~ct, a+ oe ~N1r51CUW: ~ rorn~ w~ nY wo~ ~nt~ a~u~. ~woAu~~ wn. ~.~o, q Mt ~[fi tl~ oece.seo~ror ~ ~ l~"Sp TOI?. Z~C~7G !li Z- Z t/1. V~ ftA i GD ~*o nu e.u~ie~ir ure~o. CElTIf1Ut~ON-µEWCAt EXM~InE Ot COROt~ER- p. rwc ~.su w n~e wpre a ouu~ Tnl OKlOtM M~3 MpMpyM~[O Ot~O tt~rMlUqr~ M b4 ~OOi ~M~JIO~ 1M MnES11G~nW~. IN MT WM~p~. rOM~M W1 ft~ IqW pt~M OCCYUlD ON M! Y~1! ~MY OYt 10 Mf C~YSt~SI S~~RD. • ~ ~ ~ CERTIFIEt-aM~E mn o~ r~,.en S1GNA a~e w t DATE O~ . w•, Dale T. Anetine ~ , z- 3 ~ 2-_ W?ltiC, ApORESS-CfRTlilEt van o~ ~.r.o cm w row.. sr•n ta 1206 S. Feder WR1Al, CREtitATlprl, REINOvwt CfMETER~ OR CREMAiORY-N~ue0leum tOCwT1pN an o. ro..~ s~•n Holl ood Fla. :w Entombment Iioll ood biem G :k o~ie ~..oN.~, o.. .e.., wr+Ee~ Ho,~-~ wr~o ~norESS ~~•.~E• o. ..._e. Mo., Clft O~ 10MN~ s,.n. ~ ~ebr~[ar 4,Y972 ~Yadlin t & Dixie Y. 5. ~612 f1JNE QR-SK,NAiURf RfGIS1RAR JUtE ' ' ~wtE l~rvED r l tEG~i we R e v. i9T0 ~ ~ i~~•='~-tG~ ..?/L a ' ~ ~ ~ . -L.~ tw ~ !N. ~r G/ ,~w _ ~ 1~ - ' CERTIFIF.D COPT I hereby eertify the above to be a true and correct copy of the Local • ~ Registrar'~ record on file in the Broward County.Health Departc~ent a~ ~ Fort Lauderdale, Florida. ~ j • - ~ (Har~n~~.~~~ '1lalid unless raised seal of the Broward County Health _ - : ' ~6ti,~. ~ment is affixed. ) _ ~ G _ - - - ~ `~Y; : 1-E F~0 • . %~'C~'~r~~~~~~ . . `r~ i~Ev $Y~'AIt•~, ~ I County 8ealth Office~f" and Local Registrar -s •.~...i. :z'::.~ ~ • : . _ ~ , ~ ~ - . - ~n~J ~.Q ''r~ - U~t , t , . ~ r'1~ ~f 2-4-?2~ ~ Deputy Local Registrar • . ~ LAW OFFIGES OF SALTER. YESLOW AND BURNSTEIN OTt1 RLOOR HOMB FEDERAL TOWER. 1720 HARRISON STREET. HOLLYWOOD. FLORIDA 33020