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HomeMy WebLinkAbout0480 . - _ ~ _ - ' - , . ~.~f _ _ . - _ . - ~ r DADZ~3 COUNTY ~ l . ~ . ~ • / ~ L~EFARTMENT OF PUBLYC HEALTH i t3d0 N. W. FOURTEENTH STREEI' M~LTON S. SASLAW, wo, MPH. ~ 'r` DIAFCTOq - ' • • • s + MIAMI~ FLt~RIDA 33125 ~ . • - ~ CgAiPIFY 'l~iIS TO BE A TRUE COPY OF 'l~iE IACAL REGISTRAR'S R'ECORD OF DEATH. _ . _~y _ : n ~,~o v:t:: } , ~ . . . ~ . ~ - y • .5.. . ~.~.~e w~n~c: . _ ~ ='~~iot valic~ unless the raised seal DEPUTY REGISTRA , ' ~3~ ~ tn..~- `A'=~i of the Sur_eau of Vital Statistics VITAL ~CORD6 pNIT f . ' l~ ~ a+~ '''-t• ~'i4•` 'i`~~ ~~O~s;~~~}- is affixed.) DiADE COUNTY HBALZR DEPARTl+~NT ; ^ I's2 ;~i" c +C . ~•4 R MIAMI, FLORIDiA ~ • ~ - - 'r - . . - - - CERTIFICATE OF DEATH Ikpar~acl~laol~l}aU6La~ Rc6al.ilitrti~e ~.icec " STATE Fltfi NO. - 1Ht l'Vl~V OF i1F 11 Itl F L O A~ D A ~ CJ ~ r1 ;~r,.,- ,N KbVp~LLR~mff1 REGi6TRAR'S NO. ~ INK ~ECEAiED-N.lMf ~•esr ~woce .+St ~Ft lOAiE Of Gf}7N Mo~~.+, o.~, ~t~a ~ ~ ~Y:.~ _2 HERBERT F TORREY iZ *faLe ??ecer~~ber 20, 1972 ~ r~cf ..,•r. ~ic~o. •..r~.u~ ~+a,... wGE-e.:- r ~~_ee ~ .r.~__ _~wu ~ e.. TpwtE Cs 6+aiH . C~r. .COi1~afl GF CEAt•+ 1 . YIC~~• '~~~IM:~I ~.~~~5. rOS ! WrS~ wG.t1 , rtra. 1~l~~' _ `s. - - . _ t White 55 ` i 'kOct 18, 1917 Dade ~ F C~^~, iOwN. GR LOCATIOti OF pEATM _ { ~+s,ce :m .~..*s 1 MOS7~TAl OR OTNEi I[aSTIT~t~~~i-r:a.:•: .-a: . ~~u. , s-ne~ ..:c ...,.su . ' ~ i S+tCl~t I[S CE NO i • ' Miami yes Veterans Adr.iinistration Eiospital , ~ t S'~fE OF FRTH ~ u..o' ~ s•~. ~•~t;Ctt1IEN Cf wiut COtiNticf iMwRRIED, ?+EvER M~RR~E0. ,SL'R:rvNG SPOUS: ~~•t, c~•t ~.~cr.. .r ~ , ccn..ar,+ .w~DOKED.Ct:OqC£~ v[:~~+~ ' ,\eh York LT. S. r+. `.arried t, Piargaret Restarick ~ - ----t-- - - - - - - - - - - - - - - z~~~u sECVa,T~r Pp.••efR uww: occuvw:~ON :e~ve ~~~v o~ .e.c c~.:~ ec,~.~ +:.u c. Rw~ cf Ei,s[t~ss oa v.,:~s,~r , wou.w . rt, t~.[.• e[::~ec , ~7 ' :7 LOS 14 8L 85 ~,i CoZlector Turnpiice Authority___` ~ ' ~ES~OE~vCE-StAtE CCUNTr ~CiTr, i0~. CR IUC~tiC~v '~ya •y~~s '.TpEEi /wO nuM6ER ~ +S` . f : :IF4r~ ~fS 61 r.v `1 ~ Florida ',u Saint Lucie Ft. Pierce }es 2007 i3orth S1 street ~ - ~ ~~~+~fR-r~~ ~f .:~u ••wo:t ..u MOiMER-M~:DF:t ?+a~~f +.u* ..~.r..:e uv f - ,S ~ Earl Torrey Edna OLes ,i i r+f00.wMlT-r:Aiv~ iwtt~:h'G AGLRFSS ~s•~[e* o~ ~ ~ o. »o , _ o• ~e~•., sr.~t, za ~ ; ~ - Info -Taken fron ~ ' a ~ urkh t r rd r~•~ 16tti Street ~`iani lorida 331?.5 ' ~ JfATN WAS CAUSED 6Y- fr•IFrZ Ot:iY Gtif UC`f Ff? i~*tf FGR o e a':J c, ~~~~~j~ ~t~+f(ti O~.S[f ~wD t[ab ! - yao~.a~:;,,.------ --------f!~_r.-~-~+;:,r~0E6 ` SLLU~~~ :.~UMTIf FLA. , ' " • CARDIAC ARRESI A~,~:: ':i-F ;I ' :.o. c..n. eo.v._t•.ce o. ~er. , r Jli CCUjtj j\ ~ PROBA$.__. BF.ADY CARDIO CCrF:. :r~ , " :.:•.o:.,o..s. ! i F ' ~ ~•:nse r0 (D~ . s..e Fyre.^e ~s+F._n. , a~.i ci .s ~ c~ . ~e-,: ~ - ---~~0---~ ~ - - - n.++: uust ,.sr ~ , ' ' CffRutvlC CO\DtCTlliti DI~Er1S?~ 3? ~H 1~ , PwPt tt GTNER SKsNtft_ANi CCt~IIi'iONi tJ+a~t.7r+S cG-.rf.~v:•.:.'a Gf~M s.t ~r..n~ *o c..~se e~•e*- ~ c ~ 1~Ut0?Sr f li rE5 .nt •.~o~~:.s co.+ . . .•f5 Ct 1 ; UC(If7 t ~:f[ir ..i+~G C~u11 ~O ' 6' Cf~Tw~ . ~ 'Ifa ° th . ~ ' ~>-o~a~h` AiUL`£'•T. 5::7:•CYE CR~ - }O~TE 0/ WiUk~ . ~cr:,.r. c~•, •e•~ ~ rHiUR ; MOW lNlUir CCCURRED ~ t~-•e ...::rt~+~_•. r.•~ ~ r•~r .re.. - rs.~MtC~DE, OR 1~.1~fIER:~:t-':? ' " ~Sxc hi ' _ roa ~n~ ~:k i~ ~ ~ tNJG'f~ Ai WO?K P1ACF 7f iei/JRf ~ s-ac•. ~•u., . ~OUnON , uau, ar ~ s.o ~o , c~~• c. +n.~, r.-~ . . ~ ~.31luA tfF G~ MOI Cfi~[t ~iD:.k!~ ~YEC~.rr. 7~~ f }~1 ; i iy ~ CEI1IFiCATl~N- ~O+iw C~~ rE~t ~ r~~+ C~. tl~~ .~'+D USt i~r+ wuw%n!~ ~u~.! O~+ D+D~o'~ -AT .~e'w r~ejCiA1M OCCI'ttfD iwt ~u;t. C+~ T`4 ~ ~M~StC'~N: ratirn a ~:A~ ~•(a Ci•r+. ~ rv~~ r wvJ. rJ v. 1[S' . t •"!'•DfD TnE bec S l'~72 1O Dec 20 19%2 ~~ec 20 19~2 ~ ~j~~ LQ: S~~jl~~ ~~.;Yf. - ;:t,t~ccc~.sto no.. f TI f :i'~~ f_4_1.71f _ i2~e _ to o:[ u~se s~• ~o ~ + CEQ:IES~ATIGN-MED~CAI ExAM1NfR GQ CORON[R O•a c«~ ~.5~5 c. r~,.r C• :'~E [!~y![~'-r •S •~Or.~i;:: o ce•7 ~ ft~~~r..'~~v C~ Mf ~C'J~ ~~+J'Ct 1~f •NrtS~::a:~Or:. ~ Of~w,~•.. •.'M • 1~-^i.f ' :e~ ~ ~iCu~~fJ O~+ ~M! D~iE ~r+D : Vf ~O 'r! C~vl! 1' S'~'t:: - - ~ " ~ ' 7`~ . M :i!_ _ M ~ - C.RTIF!ER-r~~VVf mr~ c~ ri..•~ ~ ~ StGNATUR~---- f. see c~ -.~,R OwTE Si,r,}.ED ,y.^.•'~. •t.~~ ~ n. Denna G B1 the i~i D. '?n p~~~ti`!~-'.ti.x,-__,1~ ~:r.. 12-21-72 n r? q l N C s A O D R t S S- C E R/~ F r, Af----~ sr~eE: c• e..c e•n c~ -o,.~- v•-c r• r~ ~'eterans Adr.ii.nistration 4ios ital 1201 \t,~ LGth Street ~iia~ni Florid~ 3312 5 611RIAL CR[NAi10N, P,FMOVA! CEMETE:'r OR CR;MAT02~~-r~wME IiOCRT~O~ t*~ O~ To.+. s~•~e ~ s~ec+n . ; Removal :.:Hiilcrest Cemetery Fort Pierce Flurida ~ OltE -,,,c«n. c•.. .e.r, F1it~fRt,~ nOU~E-r~~t~ v0 aDnoESS n o. r r r o ,~,1_ y,-.~E ~ ~ :y December 21, 19 7S, `Jan Orsdcl~ ~orthside ~fortuary `~~`~~~3 2nc~' Avenuc, Ptiami 33137 - ~UHE: - - E ~S 4 GuRitlQf r ~*t nct,.eo ~r aoeu ~ G~s* : , ~ u,.l«~ ? QEC ° ~ 1~~' ~ - _ . . - - - _ _ - - - : ~ r . . . _ ~ ~s~'~' _ _.,cz " ~ - - , . _ _ ` " . . . . . ....vc;"5xe