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HomeMy WebLinkAbout1441 ~ OR'~\;~7I? COt'~T"I'3' ~-TI;AL~'H I)L'I'.~IZ"I':'~1I:IV"I' i ~ EE~ ~!IB ~E R@~ i~. . Rox _;1?7 ~ r idn~sc~, Flcrida ~#,~~i~~: 4~U~~~FE~: ~ 6Glc r"01 ~ i ~ i~i~va~.7~~ E8K e~:;C~~i fi9~4fi_ RE~tS~{^ :E~:~~:~1 •T11TE BOARD or Nu~rn CERTIFICATE OF DEATH ~N sUn[~U OF YITAL 1TATIfTIC~ F L O 8 I D A ~TAT[ FIL[ NO.__._~_ [ P1RTN NO RCGIiT11AR'• HO • ~ ` 'A~ 1 lUC~ 01 O[ATN CODE NO- I YWAI A[NKMCL1f~wr~~r~Nl.w~ /~~Yt~M~M R~.M~M~~~~rw.~.l r , ~~'OFiAiVGE 5~~ • STAT~'IA~RIDA , `o~~ADIGS ~~~'i.*r T:,A• :~A t~Y~InN ~ K 1l~CF u~ !'f~Tw ~ ~ UTr. TOw~.O~ ~OC~TqM • IS R[SIp(llCf ~~.A~O ~~z~oc c!~nr i •v ' ~~N~ ~.~s~a c~•. : •v ~ _ . . _ ~L ?fS W . ~IS ~ ~ ! yW: ~r .~W bipYd. pt~ ~rrtN aJhM~ r l[MGTN O~ ; t STII[[T ~OOIIFSS @ f~T y~,~ ON ~ i~AY~ '"'Y~6 .S. OKANG!'~. 1} liJ.7.~1~6 S• CQ~CsFi r[s~ Mo[.~ - - ! MAM[ O~ ~1rN~- ~ - .V~/Qe LYI ~ DATf MMI~ (N/ YtY sccc,?uo ~,/~t~ r~ft L~m ~~T y /~p~~~ - r~tvr, J.~nt~ w1~.L1If1"1 Cn~i/ai~1CA ViiAl~l OE4TN ~ 8 19~ S~ • - ,~6 t~:~cy~ ;)R ~ACf ) ~ ~~i( d WIIiN ~•GE I~ sI/ f IJ~O[~ f~W r~1111~ED ~ ~?C~[ItYaI1~QOC N 11~ClAN~lL f bst~/~t' x../V Or~ Hw.~ lfr :.a~.E _ ~ _ __~fIiITE_ ~.~~«EO C~ w.o.«o KARCH 11~ 1893 ~~7 ~J, ° , . ~:u. c„l..•,.,•, a~,.• ~M K~w~os ~~s~rtssos ~tio~sr~r 1~ ~111TMK~CE ~v~r~w N~~y+~wv.~: ~2 ur~nior ~wr muwrn.• 1.•~~. w..r r:,.i~~~ bl~. r:ro e! rrtur/' ~ N.~:r+Tr:~A':C~ 1u.,1AI BORDDii COMPANY jCUTFi CAROI.INA U S A -1- -~-:-l---- + 1 ~~rMf ~ ww4 . _ _ - U ~tlTM(~ S Y~~OEh /YyE THC:!~IAS L"r:~ GRANT c5 M~i ;V:faS(~ i.F~ iw l C ~11YfD sO~CES• 16 5p(ul S(C~II.T7 qo 17 /M• • N~IMfY~ • ~ r• ~ rnw ~ l ` ~ / iv . Y:S iiliii J .,u••• C~V1t O/ ~t~TN ~F:+/r• ov qwN ptr luv hr ~ 11(TERY~I ~CT~EE• r.n- rf.•~,~~sc~~s~n~r , /y, ~ desttuo l! ~~~IO~~~f CauSE y- ~ ~ • .`-J ~ i ` ~ ~ 3.~~ 3 Iir y . - ~ I J. ~~o~/~nov:ra~t~ ~:f TO~D: . ~f • ~ ' L `~_v~.~~ l .l IA, ' , y~ft? ~at• r~K fa - • ~ - •arw i ~ ~ e..~ i ~ i ~ u~f.tl ~a• •.s4.. (~fR/ :~l'~~f :ill Ol.~ TO (fl _ Z _ ' ' ~~I~T ,•e.fl1 ~~4WKt~r COhO~~~S COM1fyU1NC 10 0(~tr RR ~IDi RIUTt~ tC ~w[ TEMItM4 J~Y~Y COM0~1Dh G~IRh lw ?Mf 11~~ MAS ~~TO?S~ j rE Rip~ M[ 0~ ` / . '1-- ~t` ` ~ ~_I y L rts? wo(} :i`raTi~ 20h otXR~~E MCrr ~sj~wv cKC~~~tD F'wrn ~r~.~ d~~~wr~ n Pat (~s Pan NYr.~ f1 ' - ~ ?CC~O7fM' Sti~~C~~C! MpY~(Ip( ~.7 U lJ ? ~ 2Qr ':vE O~ !/o~• .~fo~~\. !M/. Yrtl _ _ _ _ . _ . _ ' ~ ~Ml, wr ~ ~ ' V a v ~w W ~ A]i ~wl~~t OtCt,~~EO mt tl~C[ M~M1U11~ 1~ I. M~ ~r ~f ~~v. ~J CITt. TO~11. OA IOCAfD11 ~ (`017MT? SMT[ r»•tt (J wot rr«i~[ ~ ~s.~. /«tr~. ~nM. ~~ct ~if~I . wc ~ MO~[ ~T IUOIIII - tl ! ~tt~nd~d ~M d~c~~Hd horr~ - _ _ - . !o ~~nd Jqf w~ A ~ ~h.~ on ~ • W~rA oceurr~d ~t _ _ m on fA~ O ~~t~b ~lor~. ~nd te fM Awt e/ m~ R~o~Ndp. ~om rM uuaN ~t~r~d. a. .w~ - ~o~ ` ].~pdo ~ lorida - ~ - c :/fi ~ Cf. c--.~ A ~n v._ }~~Cl~ ~'c~~~~• C Z3~ CRwtq~ ~i D~fE 27t M11ME O~ C(YET[~1I OA CR(YI?TOAt j]/ ~p(~TIDN ((Y~, fMrA. M twAf/1 ~ 3w) ~tw1µ~ ~~prr~/~~ . ~ , 2S p?TE RECp p~w~ G R[ ~.s~- lL ! .~L 1 1 ti9b~ i E I, The undersigned, County Local Reqistrar of Births and Deaths of the ~ County of Orange, DO HEpEBY CERTIFY that the copy of the certificat• • • E shown above is s true copy of the form as filed in my office. ~ . _ ~ Sworr. to an~ subscribed to befoze me Witness my seal and signature . ~ 4 . ~ ~ - ~ J . ~ ~ 1 . " 1 4 t ~ r ti ~ ~l.~_~Yn-~ ~ Nctiry• Pu:;t~r_, State of F'orida at La p,~ ~~y j Deputy Local Reqistrar ~ ':nmm~ssen cz~ires ktarch 2, 1 6~ ~~Q~~'"j" ~ ' f3o,~~~d by Amer;can Sur~ty Co. 01 . Y ~ ~ ' _ ' ' QW~i~L~;~ j f'+A ~ . . . . . . - . . . - ~ ~ F ~s't s, a- -i. T~~'t~"~~ 1..~~"3 ~'~-Z~ , i. . ~..Wt~