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HomeMy WebLinkAbout2823 :r~ows AFFIDAYiT OF AMENDMENT TO MEUICAL CER7IFICATION OF DEATH sto[ S.~T~ s,~q~ ~r M[Al7M s~:~cw ~s v~Tw~ s.~T~c~~cs F L O A I D A ~ u „e tiaYE lf ..~f- - ~"1 ' - r~Jti `~F~=E~-ED : - . Harry Joscph Darie:s ~~ti;s ~ ~ _ ir.c VL~~.. [ ~ ~ . . a . . . • . Far•N pc•bruary 22. 1972 t~c•~..+ Dade.. Y.iani , AMEhDED ~1E01:.4~. CER?~GiCeTt~.>V t~VY~IiIA~NIl.~oW~.vraurA'6vr+ • •N.~ ~ ••e-.~~.~„~••. .u~ [f~•..r~SUVLDh +'~•~r: ~~v' ..~~.rc ~.~,s~ ~rteriosclerotic tie:~rt dist•as~• ~ ~ . . ~ ,e~. • ~ .trW ,'4 r +4• .i~w~ ~~.r :u~ IH.t •~~T ~~•y~ SK~ICM~ COI~J~'UOf COM`1~f•~K ~O iy~~r M a1.~~1!. •rl '11~ v. ~ .n.- • r~• . • . Es~Aha~eal carcinana . C, ?p„ ni.iTir ~ 'IDr .-~x~.w..~. .~..n~ - F.. . rr . . . . . . - •'<~:+fA• ~.:.K,^l .~f~.Yii~!1 i , r~ ~ ~ ° - -~J _ . _ . - - . , ~ a .vT.,~. ry~ ~ . ~ 2W ~.~ro'C •~eC -~T2Lr .a~' ~-__'i.~t. r f --a,-~vbv Tflb . . . . , w•.-.~ j sra'~ r•.n rf~. :N r.. . ~ ~ i y-- - - ~ - ' 1~~ ~7l7~R)l'#'7fX~MO1MqONK![R^ J~.~x?`v~a~~~YrK . . fJ.•rn.. ..J. Found li:4l~ i' „rn.J~qn~~~J.t~. .~a~.,,n.n..ro .~~.,~:.e~. .n.. . ~ ~ . . . . . . . . _ . . . . . . . . . . . . . . . _ . . . . . . ~ . . .....c . - - . . . . ..o . , . . . . . . . ~ ~ifi Error in ~ast his[ory o:~tained f:~~ haspital record~. ~ ~ a ~ ~ ~ ~ ~ :aE '~.~.~t~; . , . 1 , , ~ ii N * ' ~ s ~ 313/72• ~ s~c .h • , e.. v~ sc ..~.c o• r~o.~~. ~R~~1.~1~TA~~IORIDAATI~ ~ t j~ - ,,~Lz , il ~ M1 COMMISSION EXPtRES MAY 12. 111 ~ ~ ~ jL • c d ~ ~ o ~ ow f .vor v i. ~ i s l~. ~s ~ 1MSYRANCi YlIO~RNnqTERi~ ~ _..r . ~ ~o .u.u~ or v~..? ~ _ _ . s r~' ~ ~4'7695 ~ ~ ~IL~D -'+i + =CCRDfO ST. LU~f: CJU~ITif FLA. ~~k."~ *:~~,t : : :iTRAS / ,.y.~ ;F.X i 1<.~iT CQURT t//i~' ~fC'?= . . - i~ :E3.._._- l. ;"3 FEe 11 3 3o PN'73 ~ ~ `~a i=u r. . ~ r~ x~ `',Y ~ ~Wll~~ ~O: ~ - - '~T ..s 4 ~ ~ : ~ - _ - .