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HomeMy WebLinkAbout0769 ``~'~~"~ORA~TGE COUNTY HEALTH DEPARTMENT ~ : ; ~72 WEfi GENTRAt lOUIfVARO ~?OfTOiFICE ~OX ~lq • TEI.~ 2~1~,111 • O~UNDO. FIOtIDA ~I~01 ~ CERTIFICATE OF DEATH ~p~rt~wewl e/ If~~~tti ~nd Ite~~Gi11t~11~e Ce~ke~ ~'TAT< FIL[ NO• ~ O~~ IN\'l[NAV lIF 11?J?I.lll F L O R I D A N ~~~~~R~'~~ pE~i1~TRAR'! NO. OfCEASfD-HAME ~u~t a~ft g[x DAfE Of pEA1N ~ ro~+~r, e~r, ~t~~ ~ ~ ~ IIrlMMA MUNROE BAKER ~ Female November 6 1 1 ~ RACE wnur~. «taw. ~rtuc~N uauw. AGE-wt . w~e~~ ~ q~~ w+o1~ ~ O~r OAiE Of WiN ~.~wn~. M~. CO1111?V Of OEATM ac. ~ vecN• ~ w.n».r ~reusi .wi. ~an wws~ ...a rw ~ ~ ~ White s. 66 w ~Jan. 1 1 0 Or ~ tT/. iOwN. OR IOCwTWN Of DEATN waw cm iwf MOSMTAI O~ O1HEt NST~RR~ON-ltAME ~w .ar n~ enre~. o~ ~rrea aw ww~e i s.ecv. •u w wo ~ n Orlando ee r~ 2 1 Illinoie Street y~ STAiE Of WM ~ n wot ~w r.~ ruu CIi1ZEN Qf WH;T COtJIifRY MARRIED. NEVEt 1MARMEO. SURVNNf) SI'011SE ~r ~rue. ow! wuqw Muu ~ coa~~ ~ w~00wE0. DIVORCEO ~ wc~. ~ ~ Marr~land • IISA - N Married Charles H. Baker SOCtAI SfCUbi11 NIIM~ER USUAI OCCWATION ~ W~n a~N W~~Wa OOM! MNwq rW~ M KM~O Of NISNESS O~ If~OUSTR~ MO~MO lW. !hN Y NMH 1. • 2i -01-8 81-A Housewife Own home RESIOENCE-S~AiE CpUNTY pry~ TpyyN~ p~ ~pCAT10N M~IN (M ~WR! $itEEi I1ND NUM~E~ . ~ fMC1~t f!! W MO ~ Florida ~w Oran ~4 Orlando es ~w 2 1 Illinois Street ; FA1H[R-Nl1ME nar ~qMe uft MOTlIER-1MAIDEN N4ME nn~ r~epe us~ ~ ~s Thomas Munroe u ~ Sara Councilman 1 N~01lM~wT-wM~E MARwG IIOORESS ~inetr o~ e.r.i_ «o , cm o~ q.,., ir.a. ~ Mr. Charles H. Baker ~n 2l~14 I12i.nois Strest Orlando Flo"rida ~ IwRT 1. OfA1N WAS GUSfO ~Y: (fMft OMr 4Nt GUSF /ER /Nf IOR /e~. Al ~ k)I ~r?w~~~ : a~rruM w.u? •.a w~~w ~ r.reww uuu ~ ; (.1 l~ (L~ 1 l Lt. Y"L ~~~`ti"t ' . M ~o.o,,,o~,.„.~.. Yw.l~,.~ / ~u~.,.~.~~ I 1~a~ rw~~w p~v~ ~~S! t0 ~...~e~~n uu~e m~, we ro. w~s ~ co.~uow~+te or: ~1~fIMO ~N~ VNO~~- . inwo uuu ~•i~ . 1~~ t ~~rI l4-C. YCl ~ h~ Lf./~rd~/ <~i t- ?ART p. pTNEt SIC•NMKANi COHOITq1i5: tp~naaf corwn~~rtuw q~l~n~ w~ up~ kutto M U c/.t.r ~ur ~ M~ ~ YES .re~f ~~MO~MOS CON- ~ ~~j ~1~ J/~~~/~ ~res w No~ bN~lO ~r MI~~~r~r6 CfYft i L~ w/ 1'~ ~ k u ` (i~' ~ J C ~il~ J ~ ~ a e~•,w 1R Iq (Irebob! 1 ACCIOENT. SUKIpE A uOw*w. M~, re~~ ~ qpW INlU~1l OCCURREO d~Miun ~w r~n ~ p r~n a, ner ~ ?arK~~: o~ urotrcu~wuo ~ M !M 1M M. 2Y. IHAM~ A~ WORK hACE Oi IN/Ullf sort. ~~ar_ sr~~t. ~Ktp~. IOCATi~M ~ anen w~.r.~. No., tM M q~. p~t~ ~ ~ ~reun ns o~ ~o i pr~ ix. ~ fr[an ~ ~ . 7b l01- l~1. ~fRTI{I~AT1~l1- ~WtM M~ ~tu rpfM W1f 7!Y ~ ~MO 4S1 M~r wM/MN 4M OM ~ aeiao w~ nn...e ot~rM occunco ~t A! ?uCf. Ow 1M - /N13K/~N: TO ~O~1M M1 TtY W~~ UIp /(~M_ ~ .v~«o~o r¦e ~ ~ ~S - G ~ fD. ~ _ !h ~wow~ ~ e•n, ~w. a n~e ns* , fl• oece.ao no+ / w.~ ~.w.uou. su~ ~ ~ G' 1t1 ~1~ '3 ~ M~o me c.ufe~s~ ~uqe. ~ CE~TIi1UT~ON-rEOKAI EXAMlNf~ OR CORONER p.~ rwe us~s a n! wpw p. ~e.~w Mt Huoe«~ .~s ?~w.o~r..cn ea.~ ~s~rw•~0~+ d M q0~ ~w0/W ~M M?lSnG~tpw. w~~ p~+Ww. rdrtw O~t ~l~~ ~WU~ D~~~M p(CW~fO ON Mt Wt1 uiO OII! Ip IMf C~YSIIf1 ft~MO. D~ 77• A~ 17~ ~ ~ CERtIf1ER-NMtE mn O~ nn~n SiGNA M~ 7J~ YI ~1 G ~ C~W J - y~~. wu o~ onr • E S~G?+EO ~+a.M. o.., •eu~ ruNwG ~DO~ESS-CERfIfrER s~an w ~ni'o «o un w ! _ ~ .Ik ~,1~ O Z- 1i S~ 7+^i o~6 s~ ~ n,. ~r~ z- b~~ ~ {uRMI. C~EMATIOH. REMpVAI CfMEfEIY OR CREMATORt-HM~f l un o~ p... s.~n ~ fNC~R r Burial Hi$hland Memory Gardens Fore~t City, Florida OwTE ~..p.rw, o.., fUNE~AI MOM[-_HAM( Alip AppfE : tu~u q~ r0:, tm p~ ~o+M, w~n. ta ~ _;7ov. ~Li9~ 1 H F rc ld er 1 ome 01 N. Ivanhoe Blvd. , Orlando, Fla. i~F~y O~iEEtq-iIGN RE R f ~ O~rE ~eCl~vlO ~r ~p~~~ nG~sru~ rti. t=• ~ z~ NQV 8 19 ; CERTIFIED COPY ' _ _ _ _ . _ - ~ . } I Hereby certify the above~to be a true and correct copy of the Local Regiatrer's record on file in ~he Orenge Cotu~ty Health Depertment, er3ando, P~orida. 231~2 - ~ . : y County Health OffiEer and Lp~~ba~~g~t~~~0 ' aT. ~uC1E COUNTII fLA. • NOY j ~ ROCE~ POITRAS . ~ n~ i9i ~ c~Ea.K c:.:cuir couRt ~ ' ~~-c,c..Z , L aF-co~a.~r~;.~~,~~ Date Issued ~ ~ Depu~y,~eg3 sr ' Y1N~ 4 Zo PH'~~ ~ •r , WARtYING: Not valid untecs raised aeal of the Orangc p~i County fiealth Depsrtment is affixed. £O.K ~1JJ ~'AGf ~ ; , _ _ z . _