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Home My WebLink About2369 . 249439 GERTIFiCATE OF DEATH ~ ~ Dep.d.~ea+.t Ik.l?1~ .,~d Rrt~afal;e.a~t Gr.lres bTwTe ~~1~ tio. FLORIUA T11YE. OR ?fINT IN REGISTRAR•S NO. ?[CMA11IH1 IKK pEGt~StD-n~WE ~vir ~~x.~ S:t •DAIE OF ~A•e~ ~ ~o..~., o•., stt K.¦:?~~~ ~o~ FAi~IId3E HIId~+:r.,Y ¦u~u«ars , ~t Fenale ASarch 4, 19~?. ~l?CE .+w:n. Mecw. a.enc•.. ww.+. wGE-w~ v..we wa~~ . o.. DwtE Ut ~~;t.~ ~.o.+:w, w+.~ COUrrTY Of CEw1H uc ~ v~cv. ~ a~a.g,r ~.~.~i ~ +os a.s ~ ..o.is ~ ~w. •u~ ~ ~ ~'h 1 tC s. ~ „ 4 ~July 23, 1911 Broward I/ ,~O! IOCwI~ON OF OFwM w+~~ee c.~s .~...y NJSoIiAI OS OIMI~ l~S~iTUT1ON--N .u ..o: ~~e.e~, cne ~~ese~ a.o ..:i.sas ~ s.ecw. s~i oa .w ~ ~ Nollv~.vo3 Yes r~ Doctor`s H~os ita3 STAiE OF ~t~iH . N.o~ ~.1 M..e Gt1IEH q wnAT COt,titt-r ~wu~t:E~, hEtift wuR71+ED, ,SYIVtVNG SPOUSE IY ~M~, p11f! W~OlN /y~r! ~ cow=n ~ w~J~'EO. ~:+rOtCfO ~ wc+. ~ ~~-:n ce:~e.sMio ~ ~r@`w' Y02'k • II~S~ i• r':a2'2'.CC~ i~~ TY'l'221~ H112L^.e3Tt ~~.e, ue.n~ SOCtwI SEC'elCtll ti:rrtER t1SUAl OCCU?wS+GN ~.e ar.o o• ~o~a n.w o.r~,w: rost or RxiD OF i4SwESS G[ ?h'D13ST[Y oc, v..; w~awo u~e, ar. u~rute • Iv5•.r~T.M. GM1Z ~ ~ ~ ~j ^ ~ . ~lS~D~r_!~l~OV ~t. ~2~u1e~~lli~~. ~J~ V11~ uore ~ •o.:fs•c~, tF~DENCE-SiAfE COU?+iY CIlY, TOWN, OR IOCATION ¦+sa~ Cu+ t.~~» STREET ANO NU+~?~ER ~ a~ ~s?uu. ~~s o~ w Florid~ ,n ire:•:ard ~allzn~ale Yes 400 2d.E. 1~th 3vPnue 2 fAiMER-N.~?MF ~Mft rW~D~l u~• IMO1Mfi-AM::i~ti N~ME ~.H~ ~ w~t ' ~ ~s Barnett Siegpl 1,~ • Hil~a , (iJrobt) ~ i INfOiMl~vi-tuk w~t1nK, GSfSS ~a~~nr o~ ~ eo. .w. enT w w.~, s=.a. rr~ . ,h h].an Zi~°f~r ~F4i0 T~f.E. 27~' 4ve.2ue, Ft. Lzuderd4le, F_a. ' •I)ii~. V~'! . . ~ • ~ARI 1_ (~/?iM WAS C+~USED ~Yr (EN/Ei Or+tY O.VE CaUSF DEi t:rtE fp? 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S~G?i .~fiF M~m = - ctcni.ut r.r,~ rOwiE S~Gr:EO ~+'r~'~_ ~•..•e.~.y t~. l-Cii1,'t ^f t/ t'!~" C.>> /l~- C m ~r..l.-i.- _ rC:~. re~ - ii ~ . _ . ~ ~ ir _ - _,r ~ C' / ! lKwttwG ~DU:fS~-•E~:L°.tR srq{r Ot D wo Cnr Gt c:~ ~ ft~i~ t7I.-1/:~•~~ l- /'•,-`~.:r•.'ii:r! ~*i:=~l ;'~c :r"l,w_^.~r/J f~.1li~lti:~ .i- fC.i"rz~~,; - rj WR~At. CREwvt7;-;~r:. :~~..rjYAl ~Lfu.fiiof 02 C:i+µSJkr-~aaw+E lGCa1.JV a~• O~ to~.. i - - • ~ s?ee.a ~ ' ~,r~~ 7a ~e['EOtiB~ tt's ~•=.ti. T..rtiJ3:10T. ~i..^.CeC~^~/ _~L~ ?SCi1i1~ .iE:'.7 ~iE'2'S@;l ~ ,y~ Ditf ~~a w~, n•~~ Y fUt~[R~l NO+~E-r~~Y~ ~:.~LD"55 • i•.eir o~ ~!.o. ~o . en• ue ro»ti.. s+.ae, t:• ~ 7rI :•~aCCII ~~72 . :Sc ~Il•('TSIC~^ r~Z' i (:t : ~~1 142(1 -1 '~n r i n; ' - _ " S.ff11 FUH1RIt1nnE~i::Q-_•:a~jU~f ~_Gs..~ ~ ' ~ .l F.',. . .pi - nev. oj~ t~~L~- ~ ~ f-5'G•.s ~ ~ ~ `.-..:..:t c : •i ~G_ii ..y.~:,~.-ii ~ ~ • ~ 7SC..! ~ li~ Ne I ~eiiC! ~Y-G'..u.-.1~~~~? //~'t 1 ~`.J?_ J~ / ~ / ~ ~a ~C / . . . . ~ CERTIFT~'D CGPY ~ ~ I hereby certify tr.e nbove to be a true and correct co ~f Registrar~s record on filc in the Broward County i:ealthyDeparteentCat ~ • Fort Lauderdale, Florida. - ~ ~ _ ~ ~,;~;1~~, G.ti~~ ~ ~ , - . ~ arnin •'~ip~ vnlid unless raiced seal of ~he Br~ward „~ut~T.1?-;:~cPartc~Pnt is affixed.) County Jiea~t~ t!-'~~; ~ ' ~ ~ ~ .v.. , ' L •t•! •J~ ~ . ~ . . . (!rn ~~D ~ ~ ~ S = D C 9 ? 1 : = f GZ~~-C~'./~r=~ f ' ~2 ~4 ~.dP •n Q t*7 ~ ~1 ~'n~ ~ -/~.~fi~~i t~ G , ~ County :'iealt~ Gl:ic~.: " , ~I .ti~~~ Et~(~r• tj- ~n.. Local riebistrar _ - ~ ' ~ c - ~A ~ ~•~~~`C~a- 7 . ~ ~ 'C Tl, .Sf.I J ` Srf` ,1 ~ ` - ~ i_, - . ~ ~ ~.C~.'~ ; ~ ~ ~'+'t~ 7-~"'r2 ' , ~ • _ Deputy .Local itc~;i~trar - ~ ~ ~ $e!'k~~i n!~t C.,~U 1 ~ , - ; ; ~ _ ~~~"~~``y~~~ _ ~ - ~ .