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HomeMy WebLinkAbout2129 . ~ ! . s CERTIFICATE OF DEATH • D~erM~wew1 ~1 Ilrahl~ u~ R~6al.ili~~uve Seevlte~ ~'TAtt IILt NO. i t~v~Y~~ ~a..ii~i FLORIDA tr?E. Q~ NIM ~N ~Mr~YR~~O RtG16T11AR•f NO /ttMAMINI IMK OECEASEO-Nq1Mf ~~bl ryM~ ?~ft S(lI OAIE Of OEAM ~ ~J~f~, Nt, r~a~ ~ fE! IM~IK q1 Richard Arthur riartih rlale ~ = /9 fACE •Mn. Ml6W..reucw u.a•w. wGt-?.~~ u•w~ ~ n.~ uwx~ ~ e.• O/?TE OF \~tM ~.~o.ww. wr. COUNTtr OfwIM rt ~ M~ ~ Itt~q~ +Of. Mq wWq rM. 1 ~ t~i~te 9 w k ~I`:~ L~ 192'1 Broward O~ . t0~. ~ lOUi1pN Of OEw/N r~w c•n ~...n NpSMTAI W OME~ NSt1iUilpN- H ~r w~ u~ww. cn~ s~ru wwa ~ s?~<u• w Mo ' ~ ~~i~--~~!~ ~~!^w~ - ~ ~ • _ A H ~ STA/E W~ttM ~ v w0~ w ~ s~.«~~~ CIIIZEN 0/ WMAT C Tllr MAtt~E~. NErER w1R1dED, 'SI~r~~'K~i S~OUSE ~N rql,4A~ ~M~OfM M~IR ~ towa~~ WIOQWEO. tfrtcr~~ ~ __,,,,...,,~,K„ , Penns~lv~nia: . U.S.A. ~~:arrp1ie~° June Piersob •wr Nce.seo ~ut S[CUtiTY N1wyER USW?l OCCWwiqr+ ~ an i..~ w.~wa oo~.i ewwo ••ox w KWO O~ MlS~+ESS OR a~DUSiRr uv~D M N~M OC[YrfO M ~O~l~MO UI~. !r!w ~ ~h~W 1 ~u~M~.«~ „ 169-12-8538 Anes~ zosiolo~ist Physician ~ NLMM[~ Mq~l •W~s~+• lESIOENCE-SiA~E COUNn? UiY. TOwN. O~ IOCAt10t'+ "s~t uR ~r.n SitEET /WD NU~UER ~Y~cw~ ~t* « ~ 1966 s~ 23 Avenue ,y F'lorid~ ~pBrot•rard ,~,~t. Lauderdnle Yes ~ ?winER-nu~wf ~~as~ .iw~ w~ MOihER-~u?#n i+u?~E ~au wx~ us~ , 4rthur 4. Martfn tiar;;Rret Diehl IWORMnt~T-n.wf MAIIWG ADGRESS ~ua~~o~ ~.r.~..+o. un w a~.., u.n, tr~ ' June I:artin ,~1966 ST 23 ave.,Ft.Lauderd~le,Fla. ; ~ th .puu4 ~~tT 1. oEwrn wws CwuSEO ~r: • (ENrE+ oru~ oaE c~uSE ?Ee tw[ w~ (•L AL ~(cN ~m.ee.. e~.s~~ .w s~... ' ~ wrtwa c~u~~ s • • • ~j N! • ` ~ • corMnoMi, n ..n, wwcw o?v~ ~.s~ ro ~ _ uuuw~~ c.use w. we w. w.s . co~seo„ ~ w ' ~ lt~flw0 tw! VM~(~• ~ ~.wo c•du usr ~ fcl a%' ~ART M. OTMER ~Gr+Y~C~ i CO?+Wt~Or1S: ca.ano..a caa~ sw.uo io ~e•m sw ..o~ ~e. no 4Y31 GrytM w bJt 1 NI ~ rES ~t~! nwo~•.as cor- ~ ~nt w Mo~ woe~eo wreu+~~.»c c.ust ~ ,,tt w et ~df~ • ' 1 iM ~ ~ 1 ACC~~ENt. St:~i.~E GR AtE Wl t~ ira+t., w., ~e~~~ NOU2 ~ NOW tNlURT OC U!!~ ~lMn .urw r~ww •~w ~•n ~~ur u. .n. ~u jt~DEtE~~ ~sp ~ ~ ~ • p~~u ~ 7YO ~ 10~ M 7or. ~ INJWY wT wOiK ILwGE Of w1u! .o..~. u . ~.u x•, tOC~T10N ~ s~een c~a.~.e. ..o. ~r. o~ *o-+. s-.n ~ ~ war* ~es oa w~ wnce woc .~c ~ sncn. ~ 71~. Sb+ 7M ~ • CERTiFIC/~tqr~- .o..r.~ t.• .eu ~ .a.a w~ .w ~••s u~st s... w~ .~e. ,u+e w+ ao/cw w..~e. na oe.iN otcuueo .r n.e ruc~. o• ~.e INYfKr~N: rO~M O?~ ~!Y MO~ nrR~ q~~M. ~p~~~~ O~R. ~~0, p 1Mt tlf' ~~m~.oto mt • a w iw~.~uace o_e !la aa.seo raor 21~ !Ic !1~_ tM. M*o Me c.useY~ s~.-e. , CERi1FKAilON- ~ o.~ ut uus o~ me rou~ a oe.m nu oeceoe.n r.s ~~o..w..ceo oe.o f1~rw~~WM Of eM! ~00~ ~~0: O~ rw~ w.lSr.i.~ r_M. .w OIw~~, +0~~ ~ W~ wOJ~ Ol~M OCCUf+lO OM M! 0~7! w0 OY! ~O M! UW!•i1 f~~MO. 7!~ ' n'~ m M CE~i1f1ER-NAMf ~me O~ nwn S A' tE ' otc~ee ~ DwTE ~S~G~?~~EO~ .w. w•, •E.~~ ~ ~ ~ . L/,. i Jk Lf~/l~r~ ~ 7`1 /AA~!!G AOORESS-CEti~Flft s~n o~ ~.~.o C~n oa ~a~.. u~~t ~ Holl w od Florida 33d21 Wtlwt. C~EMATION. REMOVAI CEMEIE~tr OR CRE~iORr-N~w~E tOCwt~ON a~• w w~r.. sr.ri ~ warr . 3t~ri.a1 ~:uLaud.i.som p~r r~ H~. Ft. L~uder~ale, ±'].a. ~xi~ a.., .e.a. :„~:ii,u iiOuF-rawiF .trtII ,c.:::+~iSS . s:a~n ~a : ~.a. ~o.. cm oe r~w, ars * ~ ,M ~~ril 21~ ? :~.31^ckburn `'L.ner^.1 hor_o 61K S~ SSt. ~ t.LuL~. M~? w.333i' 5. l612 EUnEtµ~ EC10~-SK~+i? REWSi G'tuRE ~~~E ~E ~~EO r ~ ?~EG~Sit~~ n i ~ 7N ~ 4 b.~~ ~ ! / V Rer.1970 V~ ~ ts~ / v ~ . ~ ~ _ . . - - - ~ . - - - ~ . _ . . . ~ . . . . -r _ . ~ - CEATIFIED COPY • - ~ I hereby certify the above to be a true and correct copy of the Local ~ Registrar!~ rec^oirt~~~a file in the Broward County r~ealth Department at ` Fort Lauc~~~e1~~;/;~o~da. . . ~ v •••~R~•.. ~ r ~ . + - ' ~ - .~e~t~ ~ ~y~ - ~ (~1ar.~iA~+ ~~~d~~~~~ss raised seal af the Broward County Health ~ - } ,t ~ ~'affixed.) " ~ ~ ~ : ~ ~::~R~'~'%.~.? °aa.,~`f - ; .t . `"-::~i. , ~ ~ ~ ~ ;f'T.lllv"~=~ '~ZE~~~4~~ ~ ~ ~ :?,ftor.~<<:.;~ ' • ~ ~ ; _ unty Health Offic and Local Registrar ~ i ~~.o ~ ~ • , `/TO i~ S~:t* ~ ~ - . ~ ~.~Gd~~~ ~.Q ` . ; ~ 1-2-73 . _ ~ Deputy Local Re~istrar _ ~ ~ ; . , : # Re: P~rt St. Lucie, Lots 19, 20, Block 1528 ~ ~=f ~y Return to: RIMES, GREATON, MURPHY AND BATCHELDER y~ Suite 2410, One Financial Plaza, Fort Lauderdale, Florida 33394 ~ $e~Y 210 ~A~E 2:12~7 . : - v~~ _ ~ _ ,