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HomeMy WebLinkAbout2073 " CERTiF1CATE OF DEATH ~ rZSSS3~ ~kj?~rtment e~ ~(~~Ilti ~od RctialJ~tl~llre Servicta 87ATE FILB NO. ~ IN~'l~N l~' (RAl.lll F L O R I~D A t:. Ot ?tWT IN ~+•V~raiLL~•Mo REGISTRAR'S 1~lO. ECNAN[Ni (NK UcCfAStO-NAMf ~~U~ ~ S!I F.ltata~c roe SE1l DAIE OP DtATM ~~o+~~, o~•, n•t ~ '"S11K10"~ GERTRUbE RESSNER ~ Female , 1?iarch 8, 1973- • RACE v~-wn, MIG~O~ ~WIK~N IND4N~ AGE-t•si v*Mee ~•e.~ u..oe~ ~ w• D~IE Of ~WtTH ~.~o+.rw, o~r, ~p~~TY Of OfwtM - etc. ~ urwi ~ ~ur~o.. ni~~u .,os. ...is wouu rM. ~I~R 1 white ~ 72 ~ ~.l~iay 1 1900 Broward C1IY, iOVYN, Ot l()Ct•110N OF DEwTH • r+swe cm irun NOSf'liAt OR OIHER KSi1TU11pN-lIAME ~u aot w 1~+~ea, one s~uu acwea i sRtur iesb~.a ~ Plantation yes r~ PlantatiOn General Hospit~l SfwTE Of t~RRt ~u wor n~ u.s Nut C1111[N Of M W1T COUNTRY MARRIEU, NEYER MARRIED, SVRYIVrtG SPpuSE ~w ~rue, art rwctw w~wt ~ ' covunr ~ W' +~IED. WYORC ~ snt+r ~ ~5~~.~ ~~s~~~. Russia USA larrie Samuel Ressner .~.e~~ oi;r.xo SECURITY M!W[R USVwI OCCU?Al1pN ~wve iw+o a vro~c oone ow~My Kost M KY1U OF WStNfS1 OR INDUSiRY ? t~'.eJ. MO(4M O::vI~[O W r0~l1NG 111~. [vfM U ~ln~{OI . ~T~~;~ ~ 192-26-2857 Beautician B~auty Shop RtSIDENCE-STAIf COUM~' UIY, 10~1M, OR LOCAl1ON r+sbt Cm lu~ttf STiEE/ Ml0 NUM6ER' Florida ~ ~y~~~*•e1«~~~ ` Broward ,k Plantafion yes 551 NW 42nd Ave. ~ FwTN[t-rt~+~f ~~~s~ rna~ ~ws~ MIOiMER-AMIQfN NAMf r~a~ .uoocE ~,as~ Abraham Kanefsky Rebecca unavailab3.e INfORAtANt-N~e~uF /,u1lWG RD~iRE~S ~srernoe e.+.n. «o:, an a~o.n., s~.n, tv~ Samuel Ressner ,n 55Z NTvl 42nc? Ave. , Apt 105, Plantationd~ ~ PItRt t_ pEATF1 Ww5 GIUSED !Y: (ENTFp O?rlY ONf CAUSf iFR lNF fOR {o~ (bj AMp (cH ' ~et'vt~.~i oniet .?:.~ct.~, M~wlOU7! C~YS! - ~o~l/L/((r4.^Ctl/~/~ ` ~~1~1'-Y I~ ~GtL. F ue . ~a A a4r.Se •eM! W: . . MMICM„G• 1 tlif O ro~ C L~~~~/'~Y / ~y/~/f~~/!/ . S41.1/~rl~ ~ ~7 IrriG~tl! Cau3~ 1e1, p~ t0. O! b~ COr~StWl/+Ct W: ~ s~auwo iM~ uNOU- . ?nwe e.use ~•s~ ! r- : ' (tl /~~/~'~i?ClJ ~SLIL-~lY.lG G~/-~-`~~l~I~" /,~l~f-Z r: '.1 IAAT Y. OTttER SIGNIFKANT CONDRIONS: eona+no.,s eo.a~uurv.e q q.w ~w ..o~ au~~~o ~o c•uu e~.[.. u~ rur ~ a~ ~~SY ~ YES ~eee ~IHDINGy GCa 17~5 W MCI 3~Dl~lD M WI(~MIN1~t(r (~i:S Of OlliM ' ~ no p~oSsS/~.I ACGW_Hi, StPCtRE O! ATE~1ltiJURY ~YOKT~1~ p4T~ ttau HOIfR HOW ICL'JRY OCCURRED ~lM.ll N~1Y1E OI INh/!~ ~N Iwli 1 p{ ~4ti il~ 1![4 If 1 ft'•M~l1C~UE; Ut INSDF1EtMIHE~ ~iM to~. xt ~t. tx. INIJRY Ai ~sQ;K P~ACE OF INfV~Y A1 bCW1~ dIM~ sraa, ~~e+wr, LO:ATtON ~ fnttt ca a.e.e. No., enr o~ iorw, vwr[ ~ 13~~UR iFS O~ NOI O~~Kt ND~_,lK. ~S~KHTI F . i . ri. c~~~un..~K,?~- ..o.., w. i ..a.~, o.. ~.:~s L::.- - ...:.I G: ~ 4.:.i4ip..Ji Y.t~ A::'LiAi.i Gi~:.a..v ...t rw~, v~. ...i fN1S~C1l.N: ' TO Yp~(N D~f t[~! ~OOT LII[t D(4i}l_ INOU~1 OaZf, ~rip, f0 ME ~ ~ao.oto ~w[ C c~ n o.~..~,o„o.,~~~- C/~~ ~!>3 3-8-1973 ~~~1~~1~:!. ~ 8:32p o~...~~~,~..u,~.~; " i_..__ ~ / a/~~ tt1.n:~ ~~lC: f tt~ w sw[ e•~ze~.~ s-,~~, CFki~tlCi.is~?l-MEDSCAI EArJA1ntER O~ ~O[ANLR: p~ ?wt ~u~s or ~Mt w~ya pr ~~u, ~h[ DK~D ril w'A7 I[ONCnnClL Dl~O fserr~u.[Lw M 1~F V'.OT ~nD/G~ i..p ~•..tft.G~~bV~ J~ MY ~1W/~M~ ~M (t~T f(~ ~1~V~ . 7'1 _ OlI.:M p~C1i~tW ON TMI GAtI Y:D OVt t7 IM~ ClY1[1)1 S/~llO. . ~ ' ~ i~] CfkLlIfA-N/Mf mr?t~o~ ~r...q SIGNAI - ~ - ~ owrei oi ur i DATE SIG~~ED up:.r.r, c•r .u.r : G y.J~ _h /t c-~C.~ 1-tl~tL/ rn _ll:lilj~ l tj ~ ~~~r"` tn~l~~Y ~~j /y MIl4W.r, AOCwESS-CERTli1fR ~ f ~ f~~u~ o~ [.r.o_ ~+o. urr / / / st~it ri!. ~ ~i /L' '-J~ •J/ ~~1~/~ ~ / i/.:"//~l ; EL'i!k!, CDtw.AltO~l, PINtOYwI LEMtI[RY Oi CF:~l~r.AiO£T--Nf~J~tE lpC/.tt.7N un w io,.N s,.n g ' ~ snun ~ ; " - Fs'ntombment ~~?Ho].ly~aood t•iem Garden.,1~, Hol ~vood, FloriBa ~ . . " rn~ ~ ~ - - - i_ sl ti_.= DAiE ~...~.~n, o..~, ~t~e~ FUNtRA[ H"J.NE-NAM.( A1D 1DGSfSS ~ sutn m ~.r.r. .+o., Qif Ot 10MM~ sT•tt, 1u ~ ` i Ni~r. 12, 1973 ~s=.FR~D I~'JI~TTrR FUI~7~RAL HO{~iL,G30_l laft St, Ho11Vt•,ood, I'l~- N" f(+22 fUr:F7Uet G'r#L70A~Si:;ri<7U:c tiG11'+F C- + - - i f~ ' / SGNA:Up[ ~ ' ~ j ~ Cwtt ifCfiil.7 t~ ?C/w~ T ; F.c 1970 )S! ~ t.'.v/. ' z i ~•'T__~ / ~ ~ ~ ~ :ci>rcR~ ~r,., ~ •~:,L ~ C.~~.~c_.,. r / , ~ ~ . r _ < i . • . i.. . .f. - . - - CERTIFIFD COPY - . - I hereby ~ertify the above to be a trua ~nd correct copy of the Local ~ { Regzstrar s record on file in the Broward County-Ke~lth Departc~ent at o ~;A~ + ; Fort I.~uderdalc, Florida. _ _ • . ~ # - ~ - . ~nmm; ~ s ' . . ` 't ~ AC ~ i J~_A ~ ~ (Harnin~: Irot valid unless raiaed seal of the Broward County Health r+~ o`-°~~*°+ ~ • _ . : ~ .~gpartc~ent is Af fir,ed. ) ~ . o~ ~ ~ _ - _ tic'J ^ , • ' • ~ • • E » ' _ ~ e-A ~ . , - r f0 ~t ~ , ~ ^v 'F • ~ t ~ [ i • . , " ~?'~/``~r9i'~'1T~//,~i ~ i ' ~ r ~ • i • . ~ - ` ~ ~ ' a ' . ' Cotuit lic~lth Of° ' ~ y ~icc.~ and Local'~egistrar ~~m~ ~ ~ ; ,Q . • . ~ ~ ~ 'D ;F1'.lt-JD~;1!.O~lr • ~~~G~lf ' ~ . • ~ ~ ~ ~ . c +l 0 ~Z t ~ r. i ~ ~-P " . i ; • : ~ ~ ~ ~ - ~ ; '~p ,~GG.~ • ~ I ~~~~t' Dcputy I.ocal 'r;c~;istrar Q R ; ; eooK21~ P~c~2072 . =Y~~ Y'`: -~~„~-~°F'.~'.. _ _ _ ar~s- , ~ ~ i q~~~~r'y~3~'~.."y ,~F"~~ ~ _ -