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Home My WebLink About2500 ~ . _ . r_L' _ a "F- _ ~ _ - `F. s ~ ` \ Y~ T . ~ ' - _ , Y ~ ~ ' ' . . ~ _ ~.~~~I~..~ . . ? ~ E . + ~ . . ~~R'1'tf1~TE OF DEATH . ' . Ikp.rtM.w~ .t i k:6? ~e ~.,.i~. ~ ~ ' irAts ~I~R '~+a. • ' • ~~~?~w ~~~~r ` L ~ 1llb A . _ . ~.~~i~ii~nw-• wo : . ~.Iy?E. ~ -/llNl IM • ~ . . ' ~RMA/NMT INK . . , . • . . u r . ~ . ~ ,r w, , , ~ ; sEE wqoo~ ra oecc~seo-~.uwt k u, _ - , ~ MS1Ma~011s , •$jJ'j'H ~,p~ , ati'!' L~61G181.8.. ~ j:1"~Q~. t/~CE .v~+~. Maew. ~+arciu. ~wu)+:. .~O[--~t~at e ~ i'~ ~ DA1E O~ MRIN Mr. ~ C04M'~1Y OF G~qTN- ~ IIC 1 1NCN~ I . . .MQM?~} 1l~ufl -'YYO! . Onl!~ M011~~-. ~ ~M. R'V . ~ . . ~ -,.l~lh3te . ~ : ; . w . A . 1~ 1$ , ~ PJ1~LM ~each ~ CTf, TOWN. W IOCA OEA . . "M!kM ~I 11u1M AL~ OT/~ _ tM,MQ1 w;IfMp. GM l~MR iM0 ~l~~MiMY ~ - . ~ ~ ' - . ~ . ' . YfCq~ 7!f O~ w0 ' . . . _ . ' - . . . . . , : . ~ . n Lake Park , ~Yea . Helen Kil.ke~ 1~tu`~ . .Home. , : . , STATF Of MRTN 1 M MO?. W tl.Y#.~ ~rie 2p~1 p~ T GUIlN1RY D. i~lR MA~MEa. N6 3~OYSE l r' W~w. 6M r~ox~ ~ i - ; ~~~~M~.~~ ~ ~113nois . ,U.S. A. ~ ; ' ~ s+.K.. ~ , . Cha~rlee ~ ~S. Ste~re~n~~~ _ . ~+rtr Mcu~ o ~~u ~qr 1i~M1~ OCCL?AnO~+ 1 g~ .+.R a~.or sore ow~.w ..wr a.: itNp t~ MlSMt~i~ OR. MOIARr - • t+vN. w Ol.m Q G ~ ^ ~ ~W . ~ IMO}tMq U1f. fM~!~. q ~l1Ml01. ~ . ' . . ~ . ~ ~ ~ . . . ~ .OCC11Yt0 M . If ~ ~61 . . ~~B ~ . ~s:~ ~ -Housewif_e ~ - . - _ ~ ~:Home- . . . ~M ~ . - ~~:~NYOtMCf MMN . . . . . . . ~ eer~s~la+. eESWEr~C'-S1ATE C GIY iOWN. C1R tOC~T10N w~w cws. i~rq S ~ . _ . ~ . . . ~ ~ . . - - ~VKwensp~MO ~ ' r. . ~ ' - ~M FioridA ~w. St 'Lucie F« •Ft. .P.ie~ce ~W Yes ; 5~ :Sou~h.~ Sth . 9~reet ~ . . . .'r°r , _ . , ~ f~iHEt-r~nMt " . nw " , ..rPeu . . usr wWiyE!-wuiDEtr MiNF ' : r!p~ us~ ' ~ ~ • • . . ~ . . . . . ~ . . ~ ~ - . . ~s : 'Jobn ~ . 'Alder; ~ ` EQt e lla ~ : . . :Aust3:n - _ - ~ ~ ~ ~ ~?~NORA1ulT-NI~ME~ : ` ~ . ' . ' . MAIING wOORESS - ~ ~~sne~rw r~i.~aiw..cA* w Eowi+. f~`.w, s»~. ~ , - : . . . . : . . : . . . . . . _ ~ , - ~ : ~ - - . . . . . . . ~ . ; . ~ . Mrs. : A. Tom : H a~th . ?r?~ 349 La~arie Road , I~ies.t :Pa1Q?- $~ach Fla:~~ 334~5 • r•RT i awni wi~3 C~I1sED sL~-. : - _~Ern[R a+iY a+E ust ?[R iu+E rw bk f~L. ~~kN •«.wew o.w~ uw N~° - ~ ~1 . ~ , , ~ ; . ' . : ' . ' _ ` . , co~o.niows. u_.Nr, ; • • . . . wMiCM Gwv! ~1f~_p.-~. ~ ~ irrl0~~t! C4tli~ t01..' 'Of14.lO.Or ~l~=... .0~~• . . ~ . , - ~ ~ ~ ' . . St~nwO ~wf.YMCH- . . . ~ . . ' . . ' ~~ir`O C~YN l~ft' ~ ' . . . . . . . . _ ' . - ~ ~ ~ . . . ~ `.~t~_~ . ~ ~ . . . . ~ ~ ~ . . ' . . - ' ' ~ - .?~~l N, OTNER S1GNlfKMli C~7NWtIbNS: caw~nati taw~ni.w w a.n. wi .af iiurw ~o c.use cMM ru+ ~ ro~ AtROK~' M'rEi w~ .awp~wo~ cer ~.es o~ .w~ a~tw w anu~uwn.a:wq~r. , a ~e.tw . ~ ~ • ~w~ ~O'~ ~N. . . ~'~1 ~ ra+nr. e++, u.~ ~ . MOw INJU~~ OCCURRED ~ i•mc .uewe a iMrvn ui i~n ~ w r~ur u nw. ~~s~ ~ ~ ~ ~ ~ npC~1McK~0E> Ot 1J~1[WMl[D- . , ~ . ~ ~ . . . - . . . . ~ . . f0~ ~M . . • ~ , . . . ~ ~ . M. ~ • ; ~NJUR~ ~t wd1C: 1lK! Of •t wowr. ~u«. sn~a. ~.c~~: IOCAiION ~ tnen w~.~.o: Mo.. `Cm o~ tiSwr~: p~~! r • ~ _ . . ~sm~n~nsO~wo~~,-. Ow~p.YYO:rlX-..tfMC~ff'i.~ ~ ~ ~ ~ . . . . . . . . . . . , . . : ~ ~ - ~ ~ - _ _ . . . . . . . 7M 7M. . " ~ ' ~ ~ CE~T~IUT101'~~- ' rOeni : ~ wr ' "~ttM'.~ ~ ~ rpnN - ~ ow~ . . ~ ~tu~ ~ a.io usr s~w~ ~r /.n~ uM o., i ao/o~o ~+O[ ~ ~ Ol~1N OCLY~REO ~ii wM Mwl; pL M ~ . . . ~ IM~11CuN: . _ . ' . ~ A . ~f ~ rwn~ ~ e•r ~ ~~RU MO~ • ~oe ~pov~1 . ~ o~~l~. ~ee..~1 fE Mp~ - ~ _ . ~ r~g1MOfOlM1 -.~~7 ~ r . , ~ pr~.aMOW~t00[,MR - ~ - tl~~ o~ci~sro r~pr ~ ..'~tK. 'l_ ~ 7k ~ ~ !li ~ l1~. ~ _ ~ro me twseoi sr?uo:- ~ CERtIfK#TION..,.MEDICAt EuItMM~EROR CQROl1ER: o.. nn'us~s or rw ww o. a.rn t~+ oecea.n ~.s no~w~+ceo a.o f W~~4TW1+ O~'114 WO? ~!~/O~.tIR ~11!lSTG~~~ON:-lM -r~ ~NWu. ~ ~ . , - . ' +OM1w' , .W~' ~la~. ~ ' MQY~. . _ y~~tM..OCCYplD W WR ~MO Ol# ~V~ ~IM-t~Y!!/L S~~~FO ~ . . . . M. 77? ~ ~ . . . ~1 ~ - ' . . . : - . - ~ ~ - ~ - CERTIiHR-NMAE mn A nwo ~ . SrGM• E ~ ~ DA ~ SIGMED ~:~o..n~, w., n~~~ . . ~ . ~ . . - . , . ~ ' ~ 11 .1 : . _ , . r ~ • _ MAING ADO~ESS-.CEplf~# - ~ n w~ r o c~n oa - s~~ 70~ "North ive Avenue ~est Palm Beach ~la. 3~1+01 . WIl1wt. CRE~uT10M, ~E~VwI OR GEtitATO~-r~wME " tOUtION an p~ wr~ , sun ~ snun i . . Burial ~ ~ Ebe~ee~n Cemetery t~. • ~'t. Lauderd~].e . Florida ~ - OATE iro~AK, w~, nu~ FU'lERwl -NAME Ma0 AOORfSS s~~eir o¦ ~ r o ~o., u~. o~ rov.r, sun. r~r~ 12 1. 2 n. Mize]S-F ville-Zern' s 101 Parker, Av . 1~.~..B. Fla. 33405 ~ v. 5, f612 fui D1ltCTpt~Sif',w~nM~E~j,~ r,r-> ~ 'r. ~a R.~ r. i9 7 C. .~"I!r~iL/~ . ~ !N. - ~ _ ~ i , - ~ = '~r _ ( ~ , ~ _ , ~ ~ l I HEREBy CERTIrY. THE AB~VE T~ iiE A TKUE A.dD CaRH~~~~~'~E..~~T~~$ rtDGO:tD .ON F.II.E IN -THIS OF'FICE ~ ~.y' a ~ . ~ ~ (No't valid unless the seal ot~ ~'y .1 t~fr~So~ .~~y H~ealth' . . Department is af f ixed ) 0 Qt Z, r • ~ { ~ - ~ : ,~r ' . ~ t ) Apri1 12, 197? - ~i ~ . ` _ ~ ~ , I» , ~ ' . ~ Local Reg~t~`~ ' ' ~ ~ Buresu o.f ~ital Statistics ` ~ - . West ~alm sseach~ Florida ~ • ~ ~ . ~ ~ . .