The URL can be used to link to this page

Home My WebLink About1653 ~ _ , - ~~~9 ~ - ~ v• ~ ~ 1 ~ CERTIFICATE OF DEATH ~ Deprt.r.~ .t tk.6L ..a Re1~.b111e.~ne Se..+«. srwT[ FlLC ito. ; , on~won aF r~.~~n~ F L O A I D A 200 ~ _ T'f?E. Ot ?tlNi IN NEGIiTRAI~•f NO. S ?[tMAN[NT IMK ~w~_N~ rrs~ •+ow~ uit ~l[ owrf w oewrH ~ wMw, w~, ~eu ~ ~ i SEE IYI10~00[ t0~ ~ i .sn~aia u i ' RwCE ~rra. ~wow. ~atac~w .~wr. wGE-ua u~.w~ ~~w u..w~ ~ a.r ~TE OF 4!M ~raww. ~wr. COUNT1f Oi OEwT11 ~ ex. ~ snanr i r~wr~r ~~uas~ .os. r» wows nu ~ t 6602 ~ M A. k ~ • ~ G1t. TOWN. O! l i OEwM wsw~ cn u.m MO6?ITAI O! OiHE! NSTIMION- ~r wo~ w urw~. o~ stret ur ww~ ~ ~ YtCM~ ttS O! w0 - fR ~ It. 1~. ~ ~ • STATE Oi MRM ~ ~ ro~ M wu.i C111ZB~ d YWMT COUNTtY wUtCEO. NEVER tiuRlIEO. SIR~IIVNG S!'OUSE ~ M wnw. o~re .MOtw ww ~ , cow~~~ W1DOVVEO. D11/ORCED ~vK~~ usuu MY~lK! 1~ 11. , . r.e~e ace•s~~ SOCW SKUMi1l 111M~E1 U6U~l OCCINATiON ~am [w a wn wr ~w'a .~oa~ a RIND Of MlS~ESS OR N~DUSTtt u.n~. r w?~ vror~.o uw. ~e+. r awu ~ «cwn~ r~ ~MSnhRqM, o~rt ~ ~ U.. ' ~~ywwn Kq~e ` •orts4or. ~ESIDENCE-SiATE C01Ni1r CIT11. TOWN. O! IOCATIOH wsN an ~~n STlEET ANO MNM~E~ ~ i vec.n ~u w Mo . ~ 1 1~. tk I~l IN ~ fAT1rt!-NAME ~~aN rMNI ?W MOiMER-MADEN NAME ~~W ryM! uW t . i If 11 ~ ~ I WORMAM-iMME wwan+C, wDGRF55 unee~ w ~r.~. .a.. cm w~o.... u.w. tr~ ~n 3 ur au.? ~w ~wwa ?~[t oEw1M wwS CAUSEO ar: (E++rE~ Orur Or+f GuSE IEe ir+E IO~ hl frL ~ k11 Nnruw a. 1~w~ N~M u. r"'~n" . % • (~l ~ / . ~ ~ r' l c _ # Y' corMOOMS. n un, ~ ~ 1 ~ ~ f~ ' ~wKw O?~~ bf~ q I '.l ~C ~ Q * IrrlM~f~ C~Yf! IM. ' ~ q. q y~~~N~~ y: - ~ ~1~TIM0 t~t IIM~l~ ~`IN~ C~YK Wi . ~ <<~ ?wRT OME~ SK'rN~hGwt GONqf~l7raS: cwr~wous cowwrnno a a.m w~ wor uu~ne ro uws~ un.. w r~n ~ w~ wUTOK~ ~f YES ~r~n nwe.was co~- : ~ ~~f p~ wQl YN~lO IN NfIVUMNIO 411N . ; ~ p ~1~1M ? It~ ~ It? + 1 rO~+ti, M~, ~l~~ ~ ~~K ~!M!f IY~11~ IMri~t ~M ~Yt ~ p ~Yt u. 1l~r 1 ! ~ , oe vo[rcrru[o now uuuar ottvnto ` ~o.~ ~w, ~ µ ~ u~lUtT AT wORK hwCE Of N111RIf .or. ~.a~, srrn. r.c+on. tOCwTIOn ~ sna* o~ r.~. ~o., un w~o~..., u.n ~ . . ~ ~ snc,n ws o~ wo~ ow~a wo.. nt. ~ vearr ~ ~ 70.. 7M. ~ ~f~iCAiION- Yt AY ~q~D~ Mf ~W ~MO 411 Mr M1n/M~ YM OM ~~1010 MOt v~l~r 1r oe~n~ ocwuco ~i s~t ?uCf. OM ~t /KtfK1AM: TO / ~O.~iw N? qY ~ON ~U Ol~M. 1~WV~~ O~A. ~wO, q M Mit ~ ~~m~es ne ~ ~f l • a r. aw~++eou. eua ~ t~a wce.u~ rw. 3 Z tt~ i I~a 2t~ ~~w~. ~o nu cwae~s~ suna. : ~ CERi1fiG~W~+-rEOCAI Ex~wPrER O~t COeONEt: w me ~.s~s a. ae ~ow a oe.m i.¦~ sect«.n rws .~o..ou..cee ee.o i aa..w.eo.~ w w ww ..~/a na .nes.cana.. r.• w.~o.~. I ,.w~w w. n.~ ww i et.m occrwe w~e ~.w ~ws w w w~e uosta~ iuae. ~ M M ~ CERTWER-NAME mre o~ w.n S~G TWE ~ , .a DwTE S~Gr+ ~ wc w~ ~ ~ W William F. C~,~rter M. D. i r~- ~.eti~- ~ h' ~ M~R~iG AOO~ESS-CE~TS~ft srrn/~ ~~.o. ~+o. ~y~ u w+r / s to . fL V ~ ~ ~ ~f f ,l ~ ~ Wf1Al. pEMA110M. ~fMOVAI El1f Ot C~EMAiOtY-N~ME IOCATKJN un a wv.. s+~~t ~ l IYKw~ Florida ~ ZM tN. ' • DATE ~raww. r~, .eur fUNfIK MOMf-HAMf AMO AOORfSS ~ tatn ~.r.•. ~o., cn? q q.n, sr~n. . ~ 1 ~ 1 n. Funeral Ft . ' t ~ V. S. f612 f ~ RfGI -SIGNAfURf pwiE ~ECE~Vf~ ~I IOCAt ~EG~Si~wt ` a.,,.19T0 ~ r,. Apri.l 13 1972 ; ~ . ~ ~ I h~r~by asrtify thit to b~ • trw and oorrset c~opy of the Locsl 9 ' ~ Repktrala roootd on f(k i~ th~ Sf. l~uc1~ CouMy Heihh DepsA~ i~~~~ t rrrnt ~t FoA Pl~a. Fiorlda. ~ ' . . F LEO ANO RECpRpEp ~ ^ ~ . . - ~ ~ (1Muninp: Not valid unleu ralssd seal of ths St. L~ud~ i~. lUC1E COUNTY ftA. . . ~~fY aP~~t ~ R06£R POITRAS ' ~ - ~ . 3 CLERK Ct3CUlY COU T - fIECORD YEF.+Ft£D ` . _ ~ N. D. AAILIER, M. D. yl1~ ; € Counly Hwlth Off+oK d~ L~oosl Rogktrar t6 9 k4 s~.i. , - . . . . . ~ • t~ . _ ~ . . • ? , 04~ D~qrly L,o~al R~o(st?st : ! • ~ - . ~ ~ ~ . $ODKF.V= FRCf~~~ ; • ~ ~ tt~•R , : - . ~ f~ ~ F C..~. i... - ~~_~~~\~..~`v~§"S.YLG~ ~"4 L.., .