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HomeMy WebLinkAbout2614 ~ I! J= U 1 1 i 1: ~ +i ' i CER~'iFICATE OF DEATH . (kprrl~wenl o( (k~l~ aw1 $a~adlitt~tlve Srtvke~ ' RATt /llt NO.--- - ~w~ttiKw ik ~rw~ lt~ F L O A I D A • a~ ~ ~ ?t ~lf ?flNl I?i "r'~ ~'^u ~~ilMAINN~ INII RtGILT1IAR ~ NO Sff !YI~~pOt f01 DECf~SED- ~.~wE ~~oo~~ SEi OA~E OI Q(~TN • rJ~+1w. D~• ~ VIVIAN S PARKQt ' 7 Fea~ale Au~ust 9, 1971 ---r - l~CE .~n~. ~~o~o ..~a;... ..o wGf - ~.u ••w• ~~we~ ~ o•. DAiE-O~ ~~~7.~ w. COVNTr O~ Otwiti ~rc trtc~~. ~ o ,eu~, V,.o• o...~ »a.~i ..r 1 n.~ , . White ;,.6Q „ • 1~ Palm Beach C~~r ro~w?~ Ot ~OCwnON d DE~7N ..~w~ c;n' .r~n NOSHt~~ Ot OinER S~~t s~n~~ ..o ..,...~u O U~~ N N4Mf •+C+~ ~ti I~t. ~ /~1~ ~11 O~ w0 ^ ~4~i~._f~l~ ~~~4h Yee GQQCi _Sam~lLaa iiQSIIital S?~tE d ~~tM ~r ..o. ~ ti . «,.eTUttlf?+ O~ ww~l COUNi~r ,rW~~E~ ?~EvEt w~RtitO SUIIVrvi~G 110uSE : • .,n c~.~ ..~oe.. .+..u . - ~ . ;w~(iOwtD OrvOKED vn~•• ~ D~~q-ton~ Chio ~ U.S~A• Married Allen .I Farker . - ee ~t~eM.o~ ~~u tCU~~t ?aUW[~ 1 UStiAI OCCU~ATKJ?1 ~ A a~..o o• .ou c...~ co~~w ..:.v ~ ~w0 OF WSwESS OR u+OUS~tr . ~uro ~o~. .c . q. nt.. U' QO ~ -r,•~~ t... c~.~ - .~b.~ ~:53Z-~?-1~0~_ _ _ _ _ y _ _ T~aC21~ - - - - Fd, on---- "o•• efS~OEr~CE - St~Ft TCOUNIV ~U~r tpWN Ot tOC~l~p?a ~•a.w c.~. .~.~n S1HEt A?~0 ?a4~w{it _ _ - -_V a„`?~ ; e•t~~.. .e~ o~ ~.o'I ~M Florida a z ~ ~w ~ f ~TNf~ - N1.ME .~n, .~oo.e ufr : MOTMEt-~ AUt/~fN N4ME ..n+ .~oo~r ..v ~s Harve Stauffer A es 1?tIORMwNT-HAMf ~ w~KU~G ADC~~lSS fnen o~ o..o . c~~. o~ ~o~~. Y.•~ r~~ Mr• Allen J. P~ker ~„?118 Ur uhart Street I.ake 'dorth Fl rida 60 ~~i ~ OEAfN WAS CAUSED jENIER ONl? ONE CAUS! K~ i~NE ~01 0;. ib~ •rrp ~ Wr.~e. o«+e~ .w a•n. - - - - - - - ~..:.to~.re t.~~i - r ,e~ C.~ ~ ~ l c, n~ ~ ~ i . ~ o„~ , - - ~o.o,,.o~, ...~c. o..e ,o ( ~e~ ~...ro:.re ..uf~ ~a. _ . _ - - - - . _ . . _ . . ~ur,we ~..au~ ove ro. ~ .e . co-.s~wwce o. - - - - ir~..e t~~fe ~.f~ ~ i r~~ ~ _ ' ' . . _ . ' /~~t n OTMF~ SK~NIilCAN[ GGNUIilONS co~.o,.o..s Ccw~n~~~.~~. •u oe.~. r.• ..o~ u,.•eo ~o e.~se ..,.e.. ..n - o------ --TiW10Kr 1 k YES •e~e nhe~..es eo..- •~a w..o yo~~eo w~~~.~..,.e c•uu - ~ • 2es i„".'" NO 7 .a.•» o.. ~-T~~ ~?.eEoW 1~?CCiDENi, SUtUDF O~ IDA~E CT~ 1N1U~Y~---- ~ ' : ~OMK~~( OR LLWEiERM:atD ~ . i NOw ~N1U~Y OCCUtfFD • ~rn~ •••eon o. ~»~u~. w .•~r ~ o~ r.n ~a~ . ~IDSV~e ~b1 ~ ~ . : ! 7M M : TY - IN1Utv wT wORK ~ ~?UCE OF MIU~~ ~.~w s~nt+. •.nc~• i tOC~hON ~ f~~rn oa o . r~.. or to.~, . ~snu•• ~f o~..o i;»~~ct ~.x ~re s•au•. iT ~ ''O ~1M f~f CE~TKKwT~Ow _ +o,..» w. •e.~ ..~..n. o.. .e.~ .w us* s.~ .r:.~~ .u.~ o.. MO'DW ~Ot .•ew n.~ ot~rM Oeeunto •r n.~ ruc~. w n~ IM~SIC1eN tO rM.M O~• ~ •t~~ ~00• ~~~f~ M.n~ ~ ~Gu• o~~f. ~w0. q~M Nf~ •+i(wOtD rwf ' 1 .J M r~ a~O~~fOGl. DY! 7t• ott~.seo no.. ' ~ 1~% ?1 7U ' C~ . :I~: ~ 7~ 7~~ ~i ~i ~ 1!~: ~O ~M ~o n.~ twse~s. f~~q0 . _'_t__..__' - _ ~ - 1 _ Cf~TYK~t~Ot~-MEOKwt Faw~a~ff O! COROr+ER o.. ~~e ~ o• .e ..o.,~ o~ a.~- oee~o~.., r~) ~p..py~/D O~~D e~uw.e~o~+ o. n~e ~oor .,.o~e~ .~.e :.n~~rw.•n•. ~ ~ . ~ ..prrw o.. .e.• +ou~ n~~..~o o.. o..~ ..,o ow ~.~u s ca ~ : ~~0 a ,r, Z ;_~l~M rn - - ~ CEtT1i1ER- r~AME .n.r o~ raw•- S A FR~E --oeaae u~ 'DwlE SK,?+fp •••o..*~. o.~ .w~ " R i r+ 1 : E, - h* . ~ . r~ ~ ` , ~ ~C ~71 t _._char.. I. . d~~~~C.Y?~. - _ ~ - -~-~-t- - - - . - wuflMrG w SS - CftTtliEl - s~nn o. c o n o~ •o+. y..n r,r ~ 7L 1 1 / i: . r • •`n .rt n n {URIAI. ~lEMATI~M, p(MQVAI ~CEµEifRr pf C~f~c.~TORY N~~vf IOCwT~ c~~ w~.+ s..n yryC~n . Crenation ~ t~P~Ln Be~ch Yemorial F~rk ~~k_ Bo_y~ton Beach___ Florida D~tEAU st••qr+r w•~~5~1 t~U~E~AI NOM.I - NAME ~w0 ~ODRESS snee* o~ ..o . cn• o~ ~o.~. ~~•n. ~ N. lls ~ 7~Iatirnal Cha els Mortuar 1 0 H oluxo Rd. Bo ton ac ~612 ru+Hb?l'oMtECT~ ~-S+GN~t o~~ ~ecE~vto ioc.. eec~ iu r. : Q ti~ :o,~ ,u J ~ ~w I r- ~ ~ :i. ;i.~: r ~'r. ~ u: 1 •1. ~ ~ ;r ~ i ~ ~ 1 E: 4 . . ~ . ~ . ,i ~ 1 . ~ . ~ ~ ' ~ ~ ~ ~ ~:si/ ~ ~ - r - ~ ~ is ~ • • • ~ • S ~ ~ • ~ ` < St ~~r,ic COUNT'! t~J?- : qO~~ER ?OI~RAS ~ a Cl.ER~. C~ic:uti GOIJRT ~ ~ QECeNn yE^:! tEC ~ _ r,,:,. R pEC 8 3 Zo ~N'~Z k ~ ~sLV. M e~y = ,~ye:~, F1s.. 3~0,~ ` ,,,r~ty• ~ , ` ^i~i p8~nftr~~ ily!?F.~E r / ~ ~L lJ FrIJ t1? fV ,p'~B. od . . r ~ ~~~~tt L f ~ v ~ ,0 208 ~?~2fii3 ~ 9 _ ~4 ~ ' w . ,..4 . . ~ ~ ~ ~ ~ ~ ~ : 2'i ~'.~°T`5t « ,~,.~.z~ r' r ~ _ _ _ ` ~.~c'r~,'.~'~~'"~~x~*'