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HomeMy WebLinkAbout0249 ; 256355 ~ 256355 ~ . ~ fILEO AN~ HECURGED ~ ST. LUCIE COUMTY flA_ ALACHUA COUNTY HEALTH DEPARTMEN'tRUC~~ Fa~tA~s CIFRr GIl:CUIT COUAT ~ B]6 3.w. FOURTN AVEntVE r~~Cf:~' .':f~'F!FQ GAIi~ESViLLE. FLOR:DA 32601 I 3o PM TELEPMONE ~79-3j21 ~ p~RECTOR ~ P• O. 9OX 1327 CERTIFICATE OF DEATH ~~ry.~~tmenl of Ife~w?t6 and Reti~6111tatirc Cervkef STATE RII.E NO. IN~'i~?(~\ fIF:V.TlI F L O R I D A 'VDE OR ?fINT ~N ~1°"'~'^"'T"""" REGISTRAR•3 NO. I':CY.A\iN! !!!K .:c !+:~:!O)K tQt DECE~SED-!~~wf ••~sr ..~e~ie ~•s+ ~SEX DATE OF DEATM ~ ~ow'~. c. "~'`°t''='~ t- R i C~ARD HARDY MAGRATH Na] e I,. January ;•971 ~ tACE ~.+Pt, ~eGrO. ~rl~~[~w wp~~.1, AGE-uff `uw7t~ ~~F~r jynplr ~ o,• ' O~TE Of 6!RTH :.co~*w, Ow~„ ;~ajNT/ pf pEqTM ~ rc < arear. ~ rn«o.. ~.e~es~` .os r o..s : »o~...s ~ •e.e ~ ~ r. i:e !s. 7~ 1s. iH P1ay 6, 1900 Al achua ~0~1, OR :C,J~~:~"_A'~ ~..s~oe ar u.~n MpS~ITAI Oit OTMfR NSTITU7YJtJ-kwa+F in ~+o- •r e~*~e~, erve i~~ce~ •»o ~~..fn i i ~ ~C s~e<~•. .es o• ..o „ ~a i nesv i?': e Yes Shands Teach i nv Hosp i ta ~ 5'Aif OF 6:RTM ~ n ro• ~.s ~•~e~CITIZEN Of WMAT ~p;;wTR~ ' AMRP.1fD, NEVER MARIFED, ~SURVIVING SOpUSE 1~~ wHt, Gryt rwWfti wu~t ~ + ~wrpOwfO. ~rvQRCE ~ wc~•. ~ _s_.:.~:.~~.K~ ~ I 1 1 i r.o ~ s t!n i ted States htarr i e~ Sus i e ~reen•~.•ood 7Kl~SLO 1 R;:v V_~vl? - - i r p=~n. SCC AL SKU fR USUAI OCNPATIO!J ep~vt a~wo o• •+O« ocY! eve~..o rost or ( KIND O° 5V5'~t~55 OR INOVSTRY ~v ~ K`l~~~{, Mw ft*~ffD f . ~i 1-fll -G23g Consul tant ~~h ~~--~-~t Company : _ ; R=.St~~~tCE-STR'E tCOUNTY CRY, TO~i. OR IOCAT!pr. '~u±t C•n te..•'S .STREET wrr0 NUMSER ; • vear. .es o. ..o ~ rloric, 5re~.~:ard ,,k Fort Lauderdale Yes 4~ Isle of Venice ~A'H[C-tV,V.~E rr?S! rMM! tal~ ;M~%N~R-NJI:CENNM/f r~t1! wOM! t~i* r~' ~ '.S Le^n Nagrath Rose Hardy :~v'~A~t'-nR,vE n~ ; .:~ecosdfi; ~~i~tal~ ~OGRESS as~aEioe ~.r.o ..o, un o~ •o~..+, sr.~, t:rr I! ~ ~ Shands Teact~inq Hos/~ ital Gainesville Fla. ~ ~ ' 1 ~ ~j:I ~ , ~ ~ • . i :1.~~J Y ) ) ~ ! ?A~' ' ~ y D8A^i wA5 Ut;,D EY_ 'fnTER Cv[Y ONf C~USF PER (inE FOf (a;, (b±. wnrp ~i;J w.r.o.~...-c ~+~t.•.~ ; j _ ~lf~v!!M O~+S[t ~*YJ D!~tM ~ .rr!C~~^ G~'JSE ~ ~ ! ~ ~ to~ C~rdiac arrest ! ~ST,S, .~3 ~ COti3[O~F++L! O~ ~ ~ ' - ~MVDI~~Qti1. ~I AM, I I ~ ~ te, Pos: operat ive Heart Sursery .~•C~w~t :~l'i! 10',- Du! ~O, O~ w5 ~ [O~.S!O~.t~.t[ p~ ~ ~ ~ i'~"V(~ tY! L•~+Dl~~ t~'~G C~VS! t~5• _ _ ~oro~ary Artery D isease ~ ~ `f ?w4' ^ OTH~? S1,^aV:f!~AN! CO~?~'!C~S co~rno-.e eav~r~w..+e •o oe.n. ~ur ..o. ~eu•eo +o ewvsF wve~ r~~. ~ ~a~ AVTO?SY ~ iF 1'ES reRe nrei~es eo..- 1 (1~~1 O~ M01 ~ 1~0l~lO IM D!~l~r~M~MG ~AUS~ ~ _ J !)w Y~S ~ ~ DIA\M ~O 1'~cr,~~,' AtCDES• •~rp~e Q~-TF•7~e ~ti:`_~ -„9v... D.•,.[,et MOUR ' P+pvr~._. . Oi U~~E'EiJV.•KED I -HOw tNlURr OCCURRED ~ e~,e~ w ~•c o• ~Niun ~.a ..n ~ o. rw~. n, ne. e„ Y.o ~ , !;n, M •7•Jd ~ IAi~~v A7 yy~~r •C~tc ~ . .0... • , S•r.~. .w~~~~r, ~ Y ~ S~SC~•? •!S O• .~7 ~O'r'C! : . . '•'E:~n~ • ' LOCA.IOti : 5•~••t p~ ~.r.0. MO., Cln O~ fO~N, S•AT[ 1 ~ ~ '7:q i ~ ~:"-;-•UT!O~- w - . ..w-.. ~..c~ r~« M~~/w~~ w+ : ~ D~D/OrD +A~ .,i.+ n.e t 1v.-SK:~`~: ~t~~ : ~ ~ DFATw OCCVRwtD ~r .r~t ?twtl, O.a mt ; ^eaCtD•... ,.n.•;1"V._._ ,'TO,.~.:?^~7':'ZJ r-~..V2~ 1~71 } ~.~~t'D[wrw_ ~~~,p•:~~o o~Y,~..~.ro~f.tfeit i 7. sec ..c.. ~ 7~.. c.'lLo. ~ ~7~~. V 5 a. ~w.+~.ex[. ~oe I r• P•M. ro ~.e e.oir.s~ s..~eo. ~ ~ ~ ~VATlON-;t~D.~1 f - - . . . . : t ^ . rivV_• • • _ ' DlCt~Mr vvwi nprOC:~.rro CtwD ~ e x. o e• -»e ,ro . / .w..- ~ i a cct~.re~ o~ ne o.•-.~., _ s- . o-- ( •e.~ wov. ~ " M.' 77. M ~ ~ C:n'TtT1Ei-~.Wt ,•~~t o •~r•~ ~ - e[ O~ !~q ' OATE SIG'}~ECr~ro~.'r., o~~, ~e~N i ` • '?s Tt~r•" ~ .~i..~.i*? °L~ ~~ti-^- ~ t ' / ~ /f' l 1 ~ ~ ~ ~ r ~ ~ ..~~•_~rvG ~D~=tcS-C' ,?•fa • oi i~-~1~°~ -;•~G~ ,1 s••-e ~ , t~. S~ar,ds Teac~~i~e 'r;os~i*_~t Gainesvitte~ Florida 326e~ _ E~,;?~R:. =:~~u':~v, ^,pv0!AL ~CEMETEVY OR C=c~?Oar-~la.•E ' .~tOGATtCN vn o. ,o~~ y~.-e . 5,~~.,., i ~ -i, :°:'Q1?_~ i1~~ in; r3~~f ~rg;~a•~,:Y ~t~: ~elray 3~3C~'1~ .Iori~'a ~ `JA'E r..e-.•~, o.., •e.e, 'F;.:rEZat kO~AE-hA:If AV7 ADD:ES$ e s!eSer pr ~.r.D.~.r9., Cnr Ot ~OWM, S'11~1, jt11 '1 ~ :~e ~?fl. z7. ! g ;ts~i0:""SO'2-'13'Ic?5 ~•~!n~a~ ~p,*1P ~Z~ J. 'y~i 1'1 .~'i3 *:~Gfl l ~ o ~`T 1. ~ZS~Z . ! ~ 12 ~Ci~[9A[ t7.LE!'~OO-$ ~ti~'U.~ ^ . . ; . ' Ap-S~GNAiUAf~• . ~ECF:Y;D ~Q~A: [EG~S'PA9 j ~ f LF~SEIRE t' ~ i , ~ ~1~'~~,.!-`~r-~-`~ ! ' ~ ~ * V :l~~~7~~i~~~ ~ ) RALPH R. QUILLIAN ~ - ~ A'ITOBNEY .~T LAV?' ~ ` 1909 TYtER STREET I u%-~~Y CE2TI~'1' TP.E ,A~~~,LFt~: ~E; A: T~tt A\D E:CACT COPY OF T:-i~ ? ~ s ~ HOLLYdV000, FLORIDA ~LnTH Ci:P.TZ°ZCATE FZ;;~~ ~#'.ZS~(~'FI~E. _ • ' ~ • - ~ J. : t ^ _ ~ ; ~i - - ' s . ~j ~ 'O••ee.ou+'°~ fl~t?~ ~~Jt~~a,(.~,9~ y ~04K r! ~~tTe-'~ror:e , ~epu~}~ ..-~nglstrar ~ ~ R ~5 ~.r ' y ~ ~ f ~ DATE : ~L.C~( ~Q:2.. J I7 Y - ~ . - - - - _ - - - f . ~ ,z _ , 4~f - ~~y . . ~ _ ~ - ~ ~ ~ ~ - ~ ~