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HomeMy WebLinkAbout2170 _ . ; . . . _ . . . . .,r ~ ~~r ~~c~' ~~x~~~ -~~~G~~ >~~~~~r~~~ . ~ ~ ~ , . ~~qT1F{C~1TE OF OEA"TN ~ ~ ' ~ larp+rlw~ut nl ~Gv?h~ u1l Re~iwbtlil~Hre'~e~alreM ~ y !TA'~[ RIL[ NO. ~ - , ir.~~ik i~ ~s~?~ ~u b d R I IIlli . . [r?r,- o~ hiNr ~r: ~ ~ lY..lwt.w...w...~..•. . . . • . . ` . .1?R4~s711A~t s..lio.~ , . !~lMAMINT INK DECE?SEO - NA~ ruv , r~0ote t ATE O~ #A1H• ,•o•.r , ex.; .~aa ~ SEE II~IOOi f 01 . ' s nsnuaars , ~ ' - F~le : ~ e~~whwr? ~13 ~ ~ - ~ ~ACE v ~q ,~f~Ur AW~K~N. IMQI~n. AG~~ t?i~.. ~~+oe¦ ~ n~~.,.~. vwt~..f 0~~. ~Ow1E 0~~.~MZM 4+~. ~ CS~M'~l,Y Qi OEI~l„.. ' . - , ~:ec,~. o.. ~.~.~s~ ' o..~. . »o~"s 1 a.. ~ . ~ Wh1ts • } ' . .i~ ~ 4 ~ . . ' ' ~ CiTr, Tpw?a UR IQC~T~ON,Of O~~T?~ ~~me c*n ~~rnt e105Milt O1?1ER.li5~1 rlw~4 ~••.o~ a~~s~u., o~w uM~~ , w n~we~ C~ 03 a o, M4 _ , ; . - , , n , t~.,~bst Pa.~w__~__Beaclz ~ t. 7~+l~r , _ Si~u°~'~'~; _ - STAif OF~~IR1N ~.A~.~Or ..a ~t~ i• •ur!T1CITI2FN QF WNAT.CWN'1YRY ~ kW.kRIEO, NEVE! 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Sr•+f ~ Sr~_I~.. . . . . . : ~ ~ . . . f. . . Burial '~~b Palm Beach Memorial Pa~rk jt~~ ~o~ton flen~h. Flor~~ D~TE •.ow~~ e,. . ~fUNEPAt HOw~E._ Y~•.•E ?r+0 ~DORFSS '~'s•.~n o¦ e ~o. cn:.o..owa. sT,.e. ~~r . . ' . 'u-~C-'~~~--~ 7~~ ~ _ ~R fECE~ IOC~I tEGtS r. 5. a612 Fe~il~lt U~l~C?~a-SjG'uru~,~~ . - ' _ _ ~~v.191C t ~'~C y ti ~~l~'-(c". C, ~ ~ rw - , • hiS` ~it~.~t'S :~il:(:.ii~ Gi~ ~ ~ h~:2:3Y Ch.Rtlr { 1 . A~t. .t~ `i~t~~ .t_~~ Cl ~"(C~G~1T-~~-~ . ' 4 ,.t,::rh~- ~•r . IL:': IN TiiZ~ C:'~'I;,~ ~ t ~ Health ~ (Not valid unlesa the seal of ~~~e PaLn;~each (.~d~~y Jepartre~~ is affiaed) ~ ~rT• ~ l>' Q~ ~ ; - j ~y -,~;1..~ : _ . ~ / ~ ~ ~ t-~ - C.'L. Brumbac ~ D. • - . . . . , . :.ocal ite~.strar ~ "ureau of Vital ~t.acistics - 'riest : a7~~r, :seacn~ rloriaa , ~ ~ ~ ~ r ~ 3 , _ - ' ' _ .a~-. < _ m . ~ .rT" y%_z ~'~'d.~. _ . _ ~='~`.c.:~.... . . . _ _ . . _