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HomeMy WebLinkAbout0032 - ~ ' ~~=~~t--==~ORANGE COUNTY HEALTH DEPARTMENT _ . P. U. Box 3187, Urlando, Florida 325U2 * Phone: 849-332b, ext. 134, 135 '•'.n~~•~~ , • 'CERTIFICATE OF DEATH ~~1s`~ Drp~t~«roi e( Il~..l~b ~od R~6+l.iNeN~t~ ~rn1(n RA7[ ~Ilt NO. „t.,~„ - ?3 )2~~ V ~tYaY4Al~iR~~L7 FLORIDA p~c~~w~a-s No i PKE4SlD-NVMf •~y~ . r~c~••~ ~~1~ OAfE Of DE~TN ~ rowrw, 0~~, •eu ~ ~ C~~SI'gt SANDERS , Male i, March 14, 1973 l~Ct .wn~. wtGro. ~•l~:ua .rouw, ~ ACtlf -~.1r `~..t~r~ •~e.~-'-.~u~o~~ ~ D~• OATf ~F a1tiM i rO~.rw. O~t. ;~OllN1Y ~ ~CAiH . ~it ~ tNCY~ ~YLL~.G lu•V~• . ~~.~1 ~I~w.~ . , '.W•f ~ wO~N1 ' rra 1 ?Itl ~ ~ . ' ~ ; i ~ Dec.30, I909 G~ e ~ Clit. fOvVN. O~ LOCA~ION OF DE~TH 'l.~~o~ c.n .~~q NOShTAt O~ O/hEt NSf1~U710N-N/u~f ~.of ~my~. o~+t 1r~en ..o «wut~ ~ ~ } fret .es v~ ~+O n O~1dIYl0 YeS ~dhtJ@ Marc~r~a7._ HOS~tal Si~TE OF ~~1M wo~ v s•.~•re~C~T12fN G wK~f ~;i~r+IRr -~~tED, t+E~'to w~¢EtEO, ~SUtvlv~; SE Gr+t .uwh~ wu.e ~ ~ cow.n. ~ ~ U~ ~ w~00M{(D, D! _viCEQ ~ sncr~ ~ ~@ ~lE~Il V ~ P7dLr HQ t ~ SOCt4l SECiltlTY NUwb!R^` ~L1'J~l GIC~V~ih:N .~..a u. +ro+a owe cwuw ros* o~ KIND OF WSY~SS OR INOVSTR~ ~ YrWa: 252-16-2416 ~tigfi~ '$c~man „ F~ccl~a~ge (~aw~ers ~ES~DEnCE-Si~TE COUNir ~Ctt~, iOw?+. O~ lOCw1~Or+ wsw~ cm .r~n STtEEt ~w0 +w1~?~Et ~ s~eu~. .es o~ no ~I Flo~i,da St.Iucie ~Ft. Pierce No Rol t St. t~ttiER-Nw,ME r~~sr ~,oou us~ MOTIfEf-h1ASOEN N4ME nss+ ..+oae us~ ~f Mose - Sarders Margie Ann Flanders ; INIOR/y1ANT-NUNE wtwrWG ROG~f55 ~31~tl1 Of ~.~.D. w0. C~T O~ IOrw. ft~R. i~11 I~: J. E. Saniders ,n 2503 Rolyat St. , F't. Pierce Fl~iaa 33450 ~ IJl1 1. dlWu.uiE ~~+tt~r~l , t pEATH Ww5 UUSED ~Y: 'FNTff ~Nlr W+E UUSE ?ER lNE FOR (o) un.ee« o..set .w w~rw ~ , ~..roun c.uu . , ~ c c , e~C Cc -C. S~_ aOCE c?Ot?RAS ~L ~a, ' . . . ~ 3;,~~, ~ (OMOq10M1. I~ ` / ~~~~y~ aECORr, ~E?,~~Eo,~-- 25,8 ~ .vM~Cw G~v! ~~1[ t0 J (b} IrrtO~~i~ C~YS! '.0~. y ~~.n..a r.e u~oe~~ a,e ro. o~ .s c ~~~~.ce ~C u...o c•us! ~•sr ~ ~ ~ ~ 5 0 G l c ~ ?~~T 11 O1~tER 51Gr++f1CwHT CQhO~ S: ~~u~~ s o..~e~svru.e ro w.n. wr ..p+ eeu*en ro e.ust entw n. ~.~r . io~ ff 1fES .+en ~~NOtNf~S CON• ! f~ plQl ~ f/Dt~FO IM 0~~~1N~MG VVS~ ' a ~~~1 ( { ~ i ~ jp•apcLt~} ~{~~CE~+T, W~C~DE OR A E W1lSRY ~~On*w, o~~, r HOUR MOW INIUR~ OCCURlEO ~~vr[~ w~wt O~ ~wivn ~w ~wO ~ O~ h~~ u, ~ttr U ~ rqMK~CE, OR UtiDEiERINiNED t l,J0e3o~a+f1 ~ 70t M 20/ ~ i S INJURY A~ WOiK rlwCE Of W3URY.r ~c.e. sretn. r•van. tp~~npN ~ sne~r w~.r.o. «o.. an ~ ro.m. sr•n ~ ~ ~ lIK~?t ~!S W~O t ONK[ ROG .~K ~ 3~tC~~1) 7M 10~ ~ + : ' CEtT~f~Ut~Ot~- +c..rw o.. nu ~ ..o.+ew o.. •eu .+•o usr u.. ~~..~~ee .u.e d. e ao/aro wr atw fM[~OE~~M OCCURtlD n.r ?uce. o.. n.e ~ t .p.rM o•. n.~ ~ ~OO~ ~/T ~ DIAM. 1MCy1~ o.R. •••o. ro nti .esr ?M1SK~•Tttr~OlO ~M! ~/l TO ~/f S~j ~~(1, ~/y L O~ w~ ir~Q~+ttDGl, Ou! ~ OlCb3lO nO~r ~ / ~ 21? y./_/ ~ ~ / y '71~ I ~ 21~ N~/ ~lilp•~O ~M TO ~r! UuSt~L S4:tD CEAi1F1U110N-MfOKAt EIIUw~NER Ot ~O~O?+ER Or. ~.e ~~s~s w•+e wp;~~ q. ~~~t oti+r r41 ~WwAUKtD Ot~O I eau,»ir~ou o~ ~.e wor ...o,o~ r~[ ~...eu~e.now, ~rw~o... nr o.~ ~t.~ wu~ i oe.m occu~~eo w mt a.n .~.o eoe ro*~e c.vu~s~ s~.no ~ ~ 2:~ -M.' ]i ~ At. - e CEtTtNi~-~+AME ~*~•e w n~..n SK,?rwt [e . e .DATE 5 D~+o~^~. o,...e~~ ~ Rubert B. Trumbo I~1.D. n. , •~j ~ '~k .a 3 S`~I~T'J~ •.D - C'~ O+y. tt~R 11 ~ t M?RIMG ~DlfSS-CfYfiil[R ~~tJ4) ~ 2U /.~'t• r ` ~ - ~ ~ / 4~~~"Cr___ /t-'~t!-ri.~ ~a= ~ ! luk~wt. CREMAi~O?a_ RENeOVw? CfMEtERr pR CAE~MtORr-ra~~aE tOUnOn , n o. w.~~ s:.~e - e rSr'in~ : s :~,~roval-Bura.al :.?Hillcrest M~an. Gdns. • l~~. Ft. P~P~-,~ Flrn-;~ = ~ DATE ~ ra+•M, o+r, •u~~ FUNERat M~yE-' % zr~U ~pD4ES5 sn[tr o~ r r o. ~o.. c+n o~ ro Sun, t~r ~ ' ~ :y Mar'ch 15,_1973 c~~ HCN~,901 N. 7th St. , Ft. Pierce, Fla. 33450 ~ ! Ow1E t!CllvfD ~t ?041 lEGIST~wf - iunE:wt Df[ECTOf/~SrG+~~~ eE ' / •¢fG~STRAt /'S~~ ~GC%+ ; TSt t-~~ ti %i . ~ L l~ ! ~~Q . tf?. ~ ~ i CERTIFIED OOPY 1 ~ , - I hereby certify the above to be a true and correct copy of the LocaZ Registrar~s record on file in the Orange County Health Department, Orlando, Flor#. ."'t~t~'" : ~ . -''~,~i~~t'•,y~~:~- - . F ~ • . ~ - , _ • ~j~!r - ~ ~ / v / /•~";•r•Ci ^M. . ~/`~/l~~ ~~,'~;t~~i°j _ A . ; } ~ y~': I : j _ . County Health Officer and Lucal Registrar • r MAR 2 6 19 T3 ~.~;L'd ~9 ~i - - ~ = Date Issued Deput ~ ARNINC: Not valid unless raised seal of the Orange ~ _ ~ • ` ~ County Health Department is affixed. _ ~ - - ~ ' ~ ~~r ~ ~ ~ ~ ~ ~ ~ ~ ~ , ~ ~~~~~~~s.~~~~~~~~~~ - ~ -