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HomeMy WebLinkAbout1399 _ . - - . , CERTIFICATE OF DEATH ~ Uep~dweot o~ ~~eNlb an~ ~eivi.~utatne v~ ~ TAT[ fIL~ NO. ~.~w?.~~n?.~~~u FLORIDA . TriE. OR ~tiNT IN ~''~1O~"fLLQ~'~" ~ REGIiTNAR•f NO. • /[lMANlMi INK ~~st DA1E Of DEA~M ~ YOM?1~~ 0~~. ~E ~ OECEwSED-~+M~E i ¦S~R~ ~ ELIZABETH CROCOLL ~:Femalef, Februar 1, 1972 lACE .~un. Micro. .••tuc... ~..ou... wGE-i.sr u.~mf~ ~.eu ~u«oe~ ~ w• G~TE Of ~iRM ~~n~. o~r. ~C01l~1TY Of OEATM White ~""~'1'~"••s~ j a•s ~s Mar 17 1899 Broward ~ O J ~tt~l. t0'xtr. OR IOUt~O~+ O~ CE~iM wLC~ CT IWOi MOShTwI OR OtnEt f+STITUT~Orr- ~u wr un~~. cM s~rn .no .awa ~ 8 snca. .es o. ~+o ~ Hallandale yes Golden Ts?eQ ~?ospital SiATE OF NlTM ~ w MO* u.s «~~e GT2EN OF tiIMAT COUwTRY 'MAtlIED. NErER MAb1E0, SU~wirN('~ SP0~~3E ~ n ~w, one r~~oeN wu~e e cow~er ~ w~oOw~. p~voRUD ~ sncr. ~ ~o . Hungary . USA ~narried~« Albert~C~rocoll ~~.:c r oe•m SOCI/LL SENRI11f NU+~tER USUnI OCCWATIOn ~ uve c..e or ~.o~a eone owv.o 1tMlD OF MlSNESS O~ occ~neo w .ouoa un. ne•. w nr,eeo ~ ,~"„~'w~, 059-07-4397A ~L Housewife own home ~~voe..ct ~ero~t r~s/ee tar wns tTlEE1 AND NIW~ER .u.+ssaa. ~~pENCE-Si~iE COU?~n? pTr, tOwt+. OR lOGtiO?~ ~ ~ vtcr+ ns o~ w ~ ,N Florida ,q Broward ,.,Pembroke Pines yes ,,..7810 NW llth St fATMER-tJwME n~St rpNt ust MOTME~-AU~DfN NM~E M* r~oo~! uw ~s Unavailable Bauer ~ Elizabeth unavailable ~N~ORMAt+T-t~awf wulr~G wOG11E3S ~sria a u.~_ w, wr a w.w.. s~•n. tr~ . Albert Crocoll ~~.7810 NW llth St. Pembroke P' es la. wr.raM o.ne* •w watw r~ur i. ofwrn w~s uusFO ~r: ~~r+rte or~r onE ausE ~t i • _ u ~°"n """~'~Gr~ v~ S. lUC1E COUN Y . ~ ~ AOGER POlTRA9 ` ~ , w ~ r" ' ' ~ RECORC YEt'•~f1E0 coNOmoNi, u ..n. L~"'v1/_'L~' ~ ~C wM~cr O.~! ~~te w lbl ' uu.ea~n c.use wr. pK ro. o~ •s . co..stoue..ce a: ~V - s~.nNC rw~ uroee- IN c ~ ~~~MC cwu ~.s~ Icl - tART OT1ER SIGNIfK~NT CONDII~ONS: cowano-u co.~n~wu+c ~o ou*~ su~ w~ auno ro uuse o~reM ri r~ur ~ ai ~~Y ~fs r~~~ ~~rs~wG! !Oy- i.~i p.,o~ EO ~M OlIf~NIMG VYf[ ~~M ' 1~ n~ ~ = ~1 wCCroENT. AMC~OE O! DA WlUR1f ~ ronrr, w*, ~e.~ ~ HOllR ~fpW INJUR1f OCNRtEO ~ EMt~ wtu~! Oi ~«Wti IM o~ r~n ~r ~t ~ IDMiG6E: pR UrqEiE~MIINED Q ~ ~ ~ Ik. M tM ~ INIURY AT WORK rlAtE Of INIURY wor. r.~r, sncn, r~[son, IOCAiION ~ snen oe u.e. wo., an o~ ~o~+. aun ~ ~~eun nsa.wi ONKI N06..(K ~S~fCH~1 7A. 1M. ~ ~ERfIflCAT10N- .o:nw w. n.e rww~ w• .e.¦ uo usr s.r wn: ¦e~ .u.t a+ ~ ao/ao w~ .~ew or oewrM oCCllneo .r w.e n~c~. w mt ~Mtrs~CUw: ra.TM w. nu soo. un~ oe•w~. ~wow~ o.n. u+o, w Me rs~ TO P q r~ cwowuoGe. out tN oECe.uo sw~.~ ~~G ' z~~ Feb 1 197 2 tk - ~ .t ~II q~ t th 8: 2 r'J M io +Ne cwse~s~ si.no_ CElilfKwT10M-MEDCnt Exu~wER OR CORONEt: o.. nH us~s a n~ ~wu~ p w.n. oecea..r .ws ~~o..ou.~cfo ow tiu~~u~~W p M ~00~ w~0/O! tM1 ra~I~~K.~iG~. w r~ Wr+qM. rd~iw O~~ il~~ MOY~ O[A/M OGCUbtO OM ME OwR u~0 OY! W M UY~t~L ST~~lO. • M. ~ ~ CERTIFffR-NAME nrr[ o~ rw.n 51GN ' , ae p~e ATE SIGNEO ~•o.+m. a.~, •tu? Bert N. Tankleff, MD ~-/L1 n~. 2-3-~2 MAlNG AOOtESS-CFRiM[R s~an o~ ~.s ~+o. u•n iN n~. 6811 Pembroke Road, Pembroke Pines, orida ~{JlIAI. qEMI?iION. REMOVAI CE/~?E?Eltr OR CREw?tORY-WMnE IOC~i10N un w io.w. s*~n ~ sracmr. Burial r~Southern Mem Park ~.North Miami Florida OATE ~..a..w, o.., .uu~ FuNErnt MOe?E-rv~~+E ~u+O ~DD~ESS . snea w~.r.o. .o , uT. o~ *o.M, sure. t~r ~ ~ eb 4 1972 n.FRED HUNTER F H 6301 Taft St. Holl 003 Flo~i - RE REGiSiRAR- R OAiE ~ECE tD ~ l ~[f4tS/~~~ n v. s. ~612 ~ Nw Ec~ Rev.1910 ~w ~ 2S~ ~ . ? ~ ~ " . mo - ' CERTIFIFD COPY r'•'' ~ rP~ I hereby certify the above to be a true and correct copy of the Local ~ Registrar's record on file in the Broward County.Health Department at ~ Fort Laaderdale, Florida. ~ ' - ~ ' ~ . ~ - 1 ` f~ (1~ai'n~ ~tj~ ~~lid unless raised ~eal of the. Broward County Realth _ ~ . =-~~,~••••••.~k~ibfident is affixed.) O~ • . y~~ ~ ~ / ~ : ! ~ ~ ~ ~ ~ . ~j~~~Al RFMR . s.,~, ~ ~~y::~;d~ . D~, .,AL.~ 00~.ao~~ ~ . GZ,e;c~!/" ~ ~ .}!`ao'- ~ ~t o~ ~j ~u~•tc ~ t~`=' County Henlth Officef" and Local Registrar i;~t~.IP,.~]Ah2~ gETiTRN TO ` - - . , , ' ~ : . QUENTIN V. LONC3 ~ . . . ~1~`' ~,e;eL~J ~.Q 801 E. Hallandale Beach Blvd. 2~_?2 r~~l'AL.S~}_~ Hallandale, Florida 33009 ; z Deputy Local Registrar $OOK P14GGr 1~,D~ i; f T",Srr~c.~ y . - - _ - - - - r~