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HomeMy WebLinkAbout0427 CERTIF[CATE OF DEA~rH 258438 y'j~ t~..~,a~„~ pt ~ i~~t~t, ~nd Rct,.t.;I{latfre ~rv<«. F L O R I D A s7'ATE F'ILE No. ~u.~:r~. ot u?,i n~ iYYE. OF ~tlNt IN K~vr~nu~ranno ' ft[NAH(NT INK REGlFTRAR•5 ?,t~. SEE AAt^~ppl FOt O[~fwSfO-HVU( ~~~u ..~oa~ us~ SEi !Ow1E Of piwin ~ ~o~~.., o•~, .e.~ ~ .s~~c~a.s Florence C. Aebert ,~'emale I`ebrtiar 13 1973 bCE rrwti, ~~a~o, ~rt~~caw ~NO1~N~ AGE^-~SI o~rn ~ ~e~a u..o~~ ~ o.t OATE Cf ~IRIN ~vrtw, o~i, ~(~NT11 OF DEASM - ut. ~ sntu¦ ~ ~ aa~o.* ~.e.u~ ros. wrs raw~~ reu ~ ~ l~mzte 68 k ~ i:ov 27,'! 90~ Broward ~ CITY. ~OwN. OR IOC.ATiG~t OF Of~IM ~~i+oa un u.ns NOS?i1Al 7R 011iER hS111U110~t-N:.KE u? ..o~ ~n urwu, a~.e s~n~~ ~w MJ+~lI 1 1~~GH1 a MO 1 n Pe*nbroke Park 1'es ~^~mtini ~=os ital__ S~wiE C.~ I~eiM ~ u wo~ w us ~•.e7GriZEN O~ w?u~i Cp;ie~iRr MARRiEp, NEvER ~nwQ~LE~,~-'• ivRV~v~G SPOUSf ~+u~, cne ruwe.e M.re ~ cow+r~n . W~OwED. DNORCfO ~vtcr.~ ~s~.,.~s~~.~~ ~ t•je~,r ~ork + ~ U.S, ;s;~rried - ,~r.~ ~t«.uo - - - ~ - - ~av~n ence- -J~.1i~_h~~c~ ~,.~n i.~.~M SOC~AL SECU~i~tY NUtit6ft t1SUwt OCCUPAT+Ort ~GK ~MO 0/ r'O!a DOw! D~l~ra(~ rQlt O~ KII~D pi lt15WFSS OR INUUSIRT c:CUxrlo W MOla1Ki lMl. hlw ~~I.~tu 1 +~S':~J"J~~,Gnl! n~~~' ~ ~ tti-l~.:t ~l~Of! " ~ 01- 60 ~io~~se~~zf 11~~~ •D'.yy'~" .'ESlDFNCE-SUIt COUr:TY Clilr, iOwN, OR lOCwtlpt~ u~s~~~ un ur~is 51~EEi MtD NU~.tDER L~„;~ ~artt~n ~n o~ .~o~ . ~lorida ~3ro~•~~ rd 'i~ll nd ~ 1. . . s ~AT11:~-AA.N~ y~ppi{ NSf MOiHER-AU~GFt~ hAai /~l~t uppt 411 i7 1 ~ ~ ~s Unobtain~ble ob a'n INFOGMwhti-ruME µAIIWG AOGRESS ~sutu oe ~ ~o. wo. u» a~o~.,, ~~.ie. ir~ ,'?1r. Zak~rence J. Heber_ t C Ea Ave . )ial]_and i e F1 _ ?ARi t. DEATH w~5 CwUSEfl sY: (ENtE? OHt r Or~f C~ VSE t:•:F : vr lo~. I~). tr:p :~'a= ••~~e ..ea.., 1~. • ..ntousi uvse •er~u» oasn aw~ et.r~ ~O~ C~-~~ K/!i &itlo,-o~ .s . w.se~ue.xt o. CONO~t10N3, ~I •4~ ////~~I - ~ ~y.~, .~~~M 4..i ,o ) (b~ . ~~__~/VI~~~~/.-~C~ _ _~Cvi', S IYylGIAtF C~VS[ t0!: 1 OL•! lp. O~ ~S ~(4wiFO~fKCf W: s»uwe i~e u..ou- ~ I~~NG C~u1E t~ir t n _ ~i ~ <<? ~'~Ya n. a. ~ aGG~t.~-lt ?ARI k 11tFR ~Gt~~FICwNT CONDR~Ot~S: cd.~T~o..s co.a~ING tp p(~?N ~W NOT ~t\~TID c.use u.~r. w rut . w~ AUi6PSY IF TES .~t.[ r.. ~,,.;,s ct.. _ ~ - -w tns w..o~ 3''vi~lD ~ti een+..~.,.,e e.,s[ ~ r ~ er oe,e~. Y~_r V v CJ~ v ' He ~ ~b-- - (hc5ab~i! ACC~:.i•.(, SLt,cOf OI DAiE Of L•tJUiY' ~Y~M1N, WI~ r[~~ ~ HOUi - HOW IN/URY OCfURRED ~~wi~~ wtve! 0? 1/:IV~~ /N ?4li I O~ ~t.~ ~i~ ~ Hps•fC~D[; OR U!:~F1f:~t~~:E~ "'"~~y~ YJ~ 77c. M X~ INISIRY AT WG2K ?I/~CE Of R~1VRY .r r~;..[, ..e.., ~n~f~, ~~p~e~, ~p~~i1pN ~ snen o~ ~.rs. No., ert. o~ to.~M, ir~it ~ Iir[C~~~ ¦k14~ ~O~ G~K! uo:...U. IS•l<.n~ ~ 70~ ~ . T r CER1lfiU110N-- rOvtn p ' MPNM D~l '\L~t arip USI )wM NW/Nf~ ~l~Y! OH ~ G~7/C~O ~.~1 v~tw iM[ D[AiN OCCVFiE4 •7 Tw! I„~(!, p+ :-i /NfS1U~N: MOtatM L~i 15~~ ~Opl I~tTlI Dt~i~1 TD ~wOUf~ ~ [•'F, r^ n ~ ~Rt~:ClD ir! / j A' f~ r+ ~ti~~_!"Y+l. "f 71• OFC~~S!4 ~.v.. I- ~ti~ ~ )i~ ? 3 Nf ~1~ 77r i~.~'µ ro ewse-s~ CtRiIfICAl1;~N-µF~JtLA1 fltw~rt cC OR CC~~Oi+ER~ ov ~~r ~.s~i cr r~[ wp~~ O~ oc~rn ~~t 4!:l.~lN' w~l Iipr.a,..~tD Gt~D t¦w..:«.i~rn+e• r..t a~~. ~..o/o~ r. iwur~;•~..... rv. or~r.~G,., rO~+rw c.~ ~t. ~sOVr . t ~ Ct~[w OCCV~~[D ON ME O~~t /.MD OW ~O C~V1~~I1 11~7(O. / Ti~ . t~=-/~~~ ~ _ / / ~ CER11Flf ~~tJ.~s ~rni c~ n n - - 7_.1 _ - .E.e M 7~ ~r SIG?JAii;F. / ~.f f .Ow1E SI'.:~~y~ f, 4:~~_`~`~`~L .Tr, I- ~f K/ ~ ilk ~M. ~ ' ~f J • ~ MR G RUDCiSS-(re•'r~1.~ e~- s-fe~~ oe t-r o~ ~•i ca re..•. u•:t ; ' ~ V. . ~ . ~ls {~t ~ ~ ~ _r_ 6URtat. G?iuA:lOtt, iENQv~tt CW.ESf~2v OR CtiMAlpiY--?t:.h+f 10.~i~U-t c,n c~ ~~w„ ~,.i ~s•icujr ~ / / ~~,[r ~ tt0. ~1~!1Ct:7f 74i f1~~/1R~ L l~i+sv~l,~ ?ic. Y : ~ t Y y~ 1 ~ DATE ' l- `J ,-t ! /i/1"i J , 6 t=` rr~.tN, 0~~, n~~~ IUNCRAL NOME-NAMf RrfD 40DRfS5 ~rren o~ r.r.o. w0., Un o~ iONN, }}~i[~ j~. ~ ~ _ ,1 ~ /1 "l-3 '~k tladl inrt:~n_~r~-~~•er ?(1 1, ~ ~l : r T> > ~ i~~ _ .~_.~c~~.~.?.:e.._... 5. f612 fUtiEHAt Vt;LCTCC ~SG•Ui(iDL t o:Gt i ~ ~ Cev. 2970 ? ~i~~~ l 5 k.c~-s~~•:~tr~~' t,..-~ s~c_. io ~r i~,cai x..,._~r~e x j .t t / - ~s~ ~ j.-l~~~~ rJ }'e i~ . / ~L~,I ~ ~ y~ --y-.~- - . • . - - - . ~ - CERTIFIE~ COPY I hereby certify the above to be a true and correct copy of the Loc~l Regietrar'c~ record on file in the Broward County.Health Department at Fort I,uuderd~le, Florida. _ ' . ' - ~ ` ~ r~' .-Ni= (Wnrning: Jlot valid unless raised seal of the Broward County Health e ' - - , :Departcaent is affixed. ) • ='-'T a~~ , ' ~ ~ ~ ~o , • . _ - . _ . ^ • '-•ii~' ' , . , Q..!/_~e~~/ rf ~ < > _r ~ ~ V ~G~ O ~ . z N ~ ~ ~ ~ County llcalth Office,~ urid Local i~ebisLr~3r ~°;o , _ W ~p r r+~ s v ,,.,t~.. ~ a',. • ~ ~ .GQ~~j ~ ' c"' ' . . . . ~ . f. QJ ~t f - _ ~ " 2-?i.-?~ . . veputy 3.~~~~1 xci;istr~~r . , aocK~16 -r. 4?7 . : - ~ ~ ~w s ~ , . - ~ M ~ I : ~ ' - -r~~„ r~_..:~ .~.~.s~