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HomeMy WebLinkAbout0177 . _ : - , _ • ' Mtt~ _ . r i,'-. .1:~`?;_.. . ~ - ~ . ~ ~_f t - . ~ ..R'r ' N'2GL9~Q~H ~01~lY it8u.'11t D!lA~Tl~! ' : • : : . 1420 Za~ 8tswt ' ~ ~ ~ ' } John S. Neill M.D. ~ M. P.H. ' P.ti. Booc 17~1 ~ .'P'lsnt City~ , Dir~ctor ~ lawp~ 1, Flor3rda ' Co. Offic~ al+d~ ~~r• . . • . ~ !~'t ` -~i . . : ~rwn w~wo or Nu~~~ ~ CERTIFICATE OF D''..-ATH ~vs~wv o~ v~tu ~nrwT~en~s ~wts ?as . lLOHIDlI - . e. r.w~ ~un~ coos Ma. rwAa nww..~rl~ ~e?~.~r.v I.~r..M...w.r.Y~l t:~.!~ ` ODYM~'Hill,sborough 9-062 ` "•n Florida ~ ~ pinellas ~ - ~ ~ R~.1~OAM. OA IiOC~TiOD t i KAtt OI 0[ATM t dTf. TOAI~ O~ tOCAT~Oi R~ NacDill Air Force Base a~T" Lar o ltarbor 8~uffs ~p ~ ~ w.~ o? ~rw ~ ~.pw. ~..r.s.+rwr1 wsn~ a R sT~ccT ~css _ ~ ~ ~~n : ~ . ~i0" D f T ~~~~a~ 107 Czeataood L+at~e ~O ~O . L MaK N 11Yfb latl 1. M~ !~M Iilf - c~r• ~ Wayne Osman Axtall ."uTM Jnly 16 19~64 - !nt ooto~ ae ~o[ f. ~ ~nr[~ rwto ~ a?Tt or ~r ~st I r~ ~ . Nale 1lh~te ~ .~oo.n ww.«a Naiv 12, 1~88 eoa~~rw.t w.~ .~or ws.nto~.~aanr t. wtw~~a • v wir ~ y~r~i qR. w~ ~'~A ~onel 08 Retired ~tiacassi~t ~A ~ atwtws ~wt ~ Mo~c~y ~uoc~ ~+~t ' ws l~nd Sa~uel Axtell Luta GYay _ ~s ~ccu~sce cvs~ ~ u. s, co ro~asr sow~ xaarr ea . s N~w ~ lr...w..~i....r u~............l4.~..r....:r Y7: Yes i~1I 6 Wi~III Q6 ~-0 L07 Creat rnc' N~LATN w Nw . . k! MefT~~rr~: ~ : t: ~ wr a aun~ s.s cwxe w. ~6Ctite O OC ~C 1lI1~Gl41i ' Y OOf1th~ ~ w¦swrt ew~e W _ ~ . t ~ y«.. .K a~ ic h eoa Yeara tM~f~~~ s . w•~. cs~ Adenocascinoma of coloc~ q ~4+: ~ ~ a... - ~ ?iuiT a o~e aanrKrir oNna~ ar~Aw» onm ~ w~ iruw w f~[ ~or~ ai~ 4w~w w~ w~r ~1 ~ • S 1sf a0 ; =~Oa anau~c ~ wa~r ooa~ta (~rrr ..r~r y/y..~ 1~ ~rt l~r wrt !t r N~ ' S 10G0[~IT fY1C~0[. S~OMK10[ ' . v ~ Tr~t OI tlwr J~IR D+~. Ywr , N1wY s. ~ ~ar. .u~.e ~ow..eo ~o.. .ua w .uv~. a. ~ .e..r emr. w~a o~ ~o~.to. ~wrr sr~rc awni ~T ~ w~ +~Nt,i ~ M~~. A~d•r/. M?..t..,~ir MrI~ rtI ¦ORK ~T ~R J ~tww~~ i«~raw ~e~w '2'1 64 . » ~wI iNe w~ ~w ~~Ir+ - Ow~fA we~~nf ~f p ~ M fA~ I~M rf~fN ~wf M f~ 1Nt ~f p tM~MI/~ IMMw W M~rN~ ~t~f~I. ~~MA t • !!r) IMMN M~! ~ G ~{/.l~ MaCDill AEB, Fli 1~ Jul 64 § Z7~. ~urri. otrar~ tc wNl[ aI ~tiwf OO c~cwt~7111? iii. WG1T~011(Ab. Mr~. r ) (~M! ;y< ~ Renave~~n`'~~ -2 Ths Ko~s Crs~t,oriwn Clearyater Florida ` z•. s ~ t~'~t1s Anss t~ r?n ~cca ~r ~oc~ sq, rsalM.~s s~w ` ~ Lea~c~rater, Fl+~. 3u1 17 , 196~ ~ ~ _ - . ~ . . ~ . . ~ I hereby cerrify the above to be a true and cor~ect copy of the Lacal Regiatrar'~ ~ record on file ~n the Nillsborou~i County Health Department~at Ta~npa, Florida.. ~ (k'ARNIN6: Not velid unleae r~ised seal of the Hillaborougfi Caunty Health ~ Depar~ment i~ affixed.) ~ sB j ' " ~ . A . . ~ , • • ~ist!'~p, ~ L Coun Health icer and Local ~ AUi~1..g.~~._* ~~~1 ~act Jate ~ puty gistrar ~ . . _ ~ . ~ ~ - - ~ ~ - : _ - _ _ _ . , . _ _ ~ . s-;,~~.