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HomeMy WebLinkAbout2678 ~ 253893 ' CERTIFICATE OF ~EATH S' - ay96 Dep.N.Kn~ at t1~.id~ ..d Rd.WM.~l~rt Se..k.. trwn nlt No. ~~~~n+ .~LOHIDA ~N ~~~4Q~~w~ REGI6TRAR~S NO K DECEASED-?~AME ~~~s+ ~+oo~t i~u s tn +o..+. o•• ~ ~ SEi O~TE O~ 0_~ , - ETHEL $AIC ,~Female , A ril S 1971 - IGCE ~~ur~, nlGW. ~rt~K~w u.ouN, AGE-i•s+ w~oer ~~u~ V~+Olf 1 D4~ OwTf Of ~~Ri.~ -..o~.~.. o•• ~Cp~t~T~ Of Df~iH 3 n , ~ec. ~ sreca, ~ u~MO.. ~.WS~ ros w•s nw~s rr~ ~u~ ~ . Nhite s. 6$ s, .Dec. 1 2 02 Pinella~ ~ C!!Y. IOwH. OR tOCAi10N Oi OfA1N ws~w c.n ir~n MOShTAI OtOME~ f~lSlR~!~GN-?~.uwt •,u~ ~~r.~~. c. .~ae- - fruu. .ea o~ wo ••~r. ; -~,o ]sr'.• ~ ~ OC n St. Pete Beach yes Gulf Boulevard at 52 Avenue m ~ SiATE Oi ~tRTH ~ u..oi u s•.. CITIZEN Oi WNAi COUNTRY MAI~IED. HfYFR MARR!EO SURVIVNG S~'OUSf ~~~e c•~ ..~c~+ ~....e ~ ; c:vn c.~v..•¦• ~ ~ wJDOwtO. DrvOKED s.~:... - ~ . ~ ~ England _ , USA Married Henry Hai~ SOCI~LL SECUR~IV rAIMlFR USU~I OCCU1Ai~Ot~ ~ c.e iw.o o~ ww. cc..e ou~~•:~ .wa~ c• wD Of WSurE55 Ot u+DUSTRr ~ O~ K M ~ Y+C~~.hG l•r[. Mw q*~~lD 1 ~ N 182-07-3124B ~~,..Housewife Owm_home a„~ W RESIDEN~E-SiATF COUNT~ CITY. TpWN, OR tpC.A11pN ~~swe c~n au.rts~ ST~Efi ANO NuM~E~ :?eor. .[s w «o ' '~~uLSC- ~M Ne~v Jerse ~w Ca e M ~«Stoneharbor Yes. - 22nd Avenue ~ f4TMER-NAMF r~nr ,.~oou ~•s. MOil1ER-MAtOFN N~Mf ~:ni oo~~ uy - ~s Enoch Underxaod Not known IN/ORMAHi-NAME MA~W(~j ADORESS ~ S~~[!T O~ O MO . i~lr O~ tJrv S'~TI IMI Ren Aai ~n 7-22nd Ave. Stoneharbor NeW Jerse 082 P~ii 1 . ~ ru _ OEAIM WAS CAUSfD ~t - jENfER ONl? ~4iE GUSE i(R IiNE ~~~R ~01. Ib! ~r~D i<~; oNS~~ •.w auw il ~ ~+wou-n ~•vs~-~ - - - - . Multiple injuries including crushc~ct chest ~ seconds e3rT~s . . c~..uo„ ..c~ - - - - - COwD~1~O~S. ~t I ~wiew o..e ust ~o I (b1 i ~.reo~~re ~ •uu ro~, ( o~e io. o~ ~s . co..s~ove»ce ~i--- - - - } ' S~~~inG iw! vi+D~~~ ,.iNG ~.V,~ ~.fi ~ ' I PwRi 11 OTMER S~CsNIfKANT C~NDIilONS towanOr~i cWaR~vr~r~G ro ot~*+ Wt NOt niuto to u~se ~+ev r.~• ~ o. ~ ~_AUtOIS~ T IF YES n.~o~wGi eOro i ~.!S •~.J' S~D(~~G ~r~ Jltf~r~..~~1G C~uS! O~ Df~~M ~ ;~~YeS i yes ; iv.eboE1~1 ~CC~OFNT,~3UK~DE~Ot DAiE~JURV i rCw~w, p~v, ~t~t~ HOUII Ap ~HOW INIV~~ OCCURRED '~~•t~ ...•ure ~n r~er w r~sr .~.r.. ~ ' npMIC10E, OR UrDfifRMINfO ~ ~ ; ~~~'Accident_ A ri S 1971 ~7•2 P M~~w Pedestrian struck b two automobiles i ~HAIRY AT WORR ItwCE Of Mlil~?'.r «o~r. srne:, ..o~+._ tOCRnOrr , s+~t~r o~~ ~ r o MJ . Crt~ o~ ro.a, v~e ~ ~ ,ts o. ..o, a~K~ ~K ~ ~.K,~. , . F 2or ida ~ ~ ~ ~ . ; Cf~IF1~ATbl17~ ' hd~jM ~~~W~. . e~a~ ~ rpwM D~? rt~~ uK uSt S~W M~r'ti!~ ~~w! O« ~ MO~C:D •.Ct r:1~+ O(~1M OCCU~lED ~r twl r~~~f O.. tM E I /1 ~ . rO+~M O~? •1u ' ~OD. . t ~ Cf~n. c~~f •.D t0 Nf~ ' ~N~SI'I~N:6`"»F L/1,\ . TO - , t '`,y~ pr y. ~wOK~fOGe. oue ~ r{~ r~t~~f c th oPctis~u n~:~ ~ ' • . ~ L , i+ !~D ~fl~ ~if __1iif` M /0'Mf C~~Sl.S~ Sl~flD ~ CFRJU~IN(J-- fX~iA~N~OR ~OROriEa ~o.+ r~e a.s~s a*~t »ou~ o• oe.,.. ~ i~e oeteoe... ..s .ro.. ~o ce.r ° .e¦ i~Ow O/ w~ qY rLn~Sf~G~npr~. ~w Y1 ~IWIljti. iYpMI~I ~.r M~ j ~'~t~~~ ~o,K:e.~.~ ~.~,i, ST..~o ~_7:25 P. -""Lr1' April S 1971 7:~SO P. M i ER i~ER bIM~~ ~..~rr•+ -T- . . ~ SIGtrA URE - c~ ..re • .,e ~DwtE S~C. . - r.: - . ;~'::yoiiti'"~.~:Sh ~e~~ H.D. •.E~ F r,.z: ~,~•,lS~ Medical Examiner ,,,A~ril_6,_1971 _ TIjXR~-e . J.'' ' STHf: O~ ~ I C C~~ C~ tOwu St~~f ; ti,~S ~eet South St . Petersbur Florida 33701 i .€f"7~• . n~- : \ fm oie CtEwu~oar--ru.u~[ t?oesnoN : ,T, S - ' :u a~io~ r••~~~~'-' Beach Aiemorial Cha el tt~ B~ach~ Flori~a ~ ~ P --_-l= St.--Pete s 33706 ~ »~E ~i.~./M~~• 1~l~li ~ fUNERAI NOME-NAME ANO AODRESS ~ S~~flt O~ e o~ re-.. ••.•r t~r ~ qQz~i 1 ?s. BEACH ~iORIAL CHAPEt, O1 Core Ave St Pe t * i F~pERAIJ~IbQQ~-SfGlYAfUff REGISTRAR N~fUf[ O•'! ~1'!~v p~• t tCK~~ ~f~.~t!~~¦ rs~ A r. !a' • 603 t.. " C. , ; i ; I hereby certify that this is a true and correct copy of a certificate ; ~ on file in the Office af the Lucal Registrar of Vital Stattstics of the Pinellas County Health Department, St. Petersburg, Florida. ~ S i ~ j ArTil 7~ 1971 ~g,,,~~ ,Deputy Local Registrar : ~ t [ . i (1 R ' e~e~ z13 rA~:; 2f'i74 ' I ~~~.,a *~z~ _ - . ~r p a{ _ _ ' ~ e1..'~`.-' ~'4'2' ~`~u ~ " . ` :~'31== `.,r;~i°~i