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Home My WebLink About2836 CERTlFICATE OF D~ATH. ' z41~3 D~..c.~.~ .f tk.i~6 .pd R~6.WIu.~~ sr~~t RIL[ No. ~ FLORIDA l7Df, OR ?tINT IH ~Or~LLR~wlta REGISTRAR•a ti0. ~1lMA~NWT INK OECEw$~O-NMitf rwp~ ~~st SfE MAM0100! i0! . SEx DwtE Oi DEATN ~ ~owr¦, o... .e.~ ~ ¦s,e~cra.s , Peter S. Costanzo :;~iule , June 5 1971 ; RACE rwn, Necw, ~••~~K~M u+ouw. AGE-usr ~~+o~~ ~•t~~ ~.wt~ ~ o~r OATE Of {tRTM 1~NIM_ OA~~ ~p{~TT pf pEATH +t ~ snun~ White ~~nwy l.e~~s~ ~.ot. w~s Mwas i•r•. ~ex)t. 1V ~ 1~~~. f~ Brow~rd 3 y ~ Glir, TO~MN. OR IOCATIpN pf pEATM ws.ve cm ~r~n l1p5MTAt OR OMER NSi1TUTIpN-N~E ~ n.w~ ~M e~r~.e~, cne srae~ •w .w.u~ ~ ~ ~ snc~n •~s oe Mo . n'r:allandale Yes Golden lsles Hosnital SiATE Oi ~ltM ~ ~r wor u.s..., w.re pTREN Of 1N11AT COUNI'RY MARpEO, NEvER MARRIED, StJIVNNG S?pUSE ~.~~t, ane r~o[M .ure ~ tou+m ~ WID~yVED. OMO ~ srtcr• ~ ~s~.,.~,~.,~ ~ Italy , U. S. ,~~arrie8 Rosalie Pezzella .nt~t a~ce.seo u.rc oe•a SOCu?l SECUdTY NU~ER USU~I OCCWAT~ON ~wve cwo a..oK oo..e owo.c ros~ a KINO Of WS~ESS OR RrWSiRr o:c~~~eo wa..a u~e eri,+ ~7 ~tfi~E01 • ~~~T~~UT~°~. „ Unobtainable Au~o~:obile Hollywood Ford o[S`.GEr1C[ {~Wq ,o..~ssw... RESIOENCE-STATE COUN~If CITV, TOWN, OR lOGT10N Ms/ot cm ir~n STRffT Ml~ NUM~ER L~,~ _ ~sncN~ ns o~ w~ ,N~l~r?da ,N Broward r:allandale Yes ,wldl lOth : ve fAThfER-NAME ~~~St +qwt u.s~ MOZHER-MAlDEN NAME rrti .uoae utt ; ,s John Costanzo Unobtain2ble ? ; ~?'~fO1tM,aNT-N~E M~RWG wDGRE55 ~snen o~ ~.r.p. Mo., cm o~ ~o.~, ~rwn. =r~ f i~:rs. Ros~lie Costan~o „a.41 ::E lOth ~ve, Hall~r_dale, rl~ 33C09 - ~ ~?r a~.u .~a. r.t ~~t DfA1M ~MAS CAUSED • fNTER ONIY ONE CAUSE ~ER LINE fOR (oj, (b). ANp 1 ~tn+teM oNSn ...o a.rr rreoun c.uu c.~~ ~ ~ ~v r~ `v c 0 E N ~ ~ ~t ~s . ; , . . ..u i COMOIt10M3. I/ AM. }..y ~ J~(,i~+ ~V 1 ` ` O `J Vi ~ ~ .iM~c~ c.re use ro lol L IMMl01~f~ C~YS! /01. pw f0. 01 af ~ CONS[O{IfI+~! O~: SU11NQ, fM! VNOl~• I~InG C~Y3t I~ST j ; IARi q. OfNE! S1GN1FICwNT CONDIiIONS: cu.ano..s co..rrNUn..c ro a..m aui ..o~ aur[o ro uuse c~e~ r.n ~ w~ If TES .e~e r~MO~..cs ca.- ~ ~Rt o~..o~ uoeeeo ~w wre~.uN~wc uvse 1f' w oe..t« 6 ~w 1?w6oWr1 ACUOENT. St+K~OE Ot A Wl ~ ro.+rw, we, R~~ ~ 11011R MpW IN/URY OCCURREO lIDM OR {:~ETfRMtkED _ ~ erae~ wrue o~ vuun u. r~~t ~ W r~n n. rter ~ ~ ]N 10c iy. . IWIiR~ AT WORK ILACE OF N1URr.~ ~ore. ar~i, r.noa, IOCwT10N ~ snen oa ~.r.o. Mo.. an o~ ~or., si•n ~ t wun ~es w.a ~ OHKf MYf., lK. ~ SMCU1 ~ ~ ~ CERTIfKAT1ON- rWfM W~ fE~~ .~p~1M O~~ ~W wwO 43i LV MW{wt~ ~lnt OM I Oq/Oq rql vlMr M! DEATM OCCY~tCD ~t M[ ~lKf. Or~ Uq ~II~f~(I~N: ~~ONM W1f fFY ~00~ ~ItF~ Ol~M ~wOY~1 D~~l. ~MO. ~O ~Mf R!7 - 1 ~RlMDfO ~NET t 7 L^ T~ ~r , r1 C 7 I~ A ' Z1~. DECE~SfO ~Wr cJ V~G ~ ~j1~~ V~` V I~ 7~ V~~4 ~ i~ ~ D ~ d r~ ~MOWttOG[. OYl t~~ ~ 1J 71~ M. r0 mt c~u3e;s~ s+w~lo. CERTIfICJ?TION-w~EpKAI E1twMINER OR CORONER: o.. r~E us~s a*Me ~ p~ ~•m rMe oatawr rwy IppOV+KEp Dt~O ' [1Y+w~iqp p~ TIt pp~ NlpfO~ fM! 4~/11lSi1('i~tqM, ~r~ rf Q~wiOM. r0lIi11 O~? rf~~ 1qy~ Dl~M pCCVMtO Or~ 1M! DwR ~rro DuE p M[ UYft1f1 STaRD. :h µ m CERTIHE~-HAMf ~mt ~wn S e nn DA~SK',NED ~.o..+M. o~~, ~eu~ . c~~~~ ~ ~ ~2. ~.a. s ~ ADORESS-CERiif~ER sT~ter w ~.r.o ..o. cm w rpw.. s~. r,. , Ft~~~~A~ ~C•M 'r ~ ~~~~~'c.~,'~o~ ~~`r~~v/3- "~~~L~~ ~URIAI. CREMATIpN. REMOVAL CEMETEl~ OR C,REMATORY-NAME IOCATION Clf~ Qt 1GMM st~n If/EC~nr. 24 Removal ~~it. t;~.lv~ry ~tentune New Jerse ~ OwTE ~ ~ ~ fUt~ER/?l M ME-NAME AND ADORESS ~ sneer o~ ~ r o. ro., crr• w ro.... sr.re ni, I June ~,"1~'~`~ rrlad~in~ton eaver 20 • -:i . Lc:~ Ylvd -:~llandal „"`1G y• 5.;612 fIR~ERAL TURE~ REGiS -S~GNAitME J / ~~E ErvFO N lOt~~ ~ a.v.ia~o i~ l-. ~ 1i:l~~-~ ,d~,~ ~ " / . _ - - - i!•:. , - - _ . _ CERTIFIID COFY ~ `t r'r . - y : . ~ I' ~e~~ `~ert~ ~~AB~~r above to be a true and correct copy of the Local 1 Re~g~$ ~ s rec_ ~ on file in the Broward Couaty Health De~artment at . Fort ~~Florida. . ^'t~ ~~,~~=r.=.:, , . (M~n~ig~ R t~16.~ :~'valid unless raised ses~l of the Broward County Health ^ ` I1~i~tmeat is affixed. ) • f j - O,e ' ~ J~~~,v' . .1~~ , , . . ` - . County Health Of cer and Local Registrar ~ •0 k fT,l,~./ Q~.e;c~~~ aooK 2~7 ~ ~~34 , Deputy ' cal Registrar ! ~:wz,rl....~..Y...,-e. "°~c~_ >_J.a _ r l - _ _ _ . ~;~t' ~ ~ . _ . ~ st,~rr. .