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HomeMy WebLinkAbout1354 DEATH CERTIFICATE OF WILLIAM CHARLES KAMMERER ~ ~ a/k/a WILLIAM KANII~ERER 2b~~~ _ _ . _ ~ - -----~1 • - .`r.~,1~==--_- _ - - - _ _ . . ' ~ ~ r . ' . _ , _ c~F~carE oF n~?TM ~ FLOHIDA ~ ~ ~ ~ y ~ 1. PLACE OF DEATH coos Na t USUAL RE8I~ENCt lw~w~w..ta.+ =ww~~e °°uNr ~ St. Lucie 66-1IX ~ ~w~ Florids - ~ ~r w ~ cmr w..rw ...¦w rw~? ..r. wa.w ~t~,°. w ww ' o coRr ar ..w.. r+. ..r. :IIa.r~ ° Ta°wu Ft. Pierce rs F ~ taA ~ Moi?N~A~M o~F tn ~....rr. wue~u.. a•• r,..~ ..ru.. r.w+.a i. fTR~T ...L r..~.N AODt~f ~ INSiiTY710N i7QS NAME OR (fL~U 1 t1[MAM) . a(L~t) OAiE pf~1 ipv) (=rr) D DECEASED w' o Ylilliam o~rn ~`ar 2? 1950 ~ ~ SFX OOLOlOl~11C~e 7. NARRIED. NEYER M/1lUED. OJ1ifi OF ~Itili t. AGfiqs ~ •~rr .r¦~sa~~ ~a~ ?a w~oowEO, o~vo~cEC i...w„ l88'y ...r+.w? s... s.. ,e. d 7 u.. usuAl occu?Anoll~a+. n...r ~oM. KINO oc ws~NFSS ol ~N• utn+nwc~ .~w~ ~~m t7 . ~ ~ `'~~ress~n Publishin~ ~r Cincinnat' ~ d a i~. ti?rNEt~s ~t N. won~aY rwoei w?~E ~ ? Ed ar Kannaerer ` ~ ~ y+ wwls~ oEC~?sEO Ea~N u. s.nw~ roRCESt socu?~ sFCU~unr n. iNFOw~nrs s~aw?rwE ~ cYi R'fQV'.~t....l lu~..a.....~w...r....wl L,~ti,t Na ~ w MBDICAL CERTIPICATION A ~ ~ 1. OIfEASE OR OONDITION ~ °7 c.~. ~r~. a~Y ~NO ~~TM.~. Carcinoma of the Prosta t•~ wit!: generalized metastases 2 yrs ~ ~I ~ - ~rcc,~owr c.~?uses Ku.~..,»e.~..+. r«w a..+rw.~? v..,~.~.i*~~uE ro t eA. .nt~ N ihr~al. .i.. a 17?. .M.~ .r.h ~ wall w ~wt l~. ~~~wM 7~f. ~~.i~, I~t wr~~,~ ~ OUE TO c ° «~..s~ ~~~A II. OiHER SICNIi1GNt CONDIiIONi a m ~ .....s c..+~ ~:a~'o` ..ei..ra. ~ .~~~o If~. DAifi OF O n~ Nr. MAJOt HNDINCS OF OIEI/1TION Y AYiOfiTt ! ~ ? ~s ~ ~ ~ ~ • ~ (Aas~WI (~4/ IIr. RACEOF INJURT (..t.t~~~w~r 21c (CIiYOtTOWN IO~YMiY) ~l?7t~ ~ 11L AGCIDOIT ~U he~ NM~q. M[M. rM ~YR. M~I lf MW tIIL1.1 •uie~os ` 21a. ME 1~~) I=rl (8~) 21~. INJURY OCCU~RED V ~ OF ~rtu~T ~oT~nu , ~ INJUtY ~ ~o~~ ? ~TeoR[ ? ~ ~ I l~ersb~ urei)y el~ac I a~lewdrd el?e deeeat~d hom Dec_~ 1y~, to 2T . IY~, ~.e I l..e as. eis 1ec,e.e+i alivs on ~t3I' [7 ly SU aed thut deatA oeeuased at~ut tks eavse~ awd ow ~s da~s ttoted obooa , ~ ~ i~. SIGNATURE ~~s~ R ~ ~ Ric~ard 'r'. Sinnott N. D = P' ` ' ~ Q !M. / U R 1 A L CRE)~1A- iN. DATE 2k. NAM@ OF CEMETE~Y Ol C~d1ATOtY 7Y. LOCAiION (aV. ~ a~~ ~ iIO~REI;I~ U~w141 1~~' ,Z 1 ~ DA?i ~EC'D ~T LOGAL ~ECIfT~AR'i fICIL1iYRi ~f. WNERAL DIR6CTOR'S SIC~NAT{iRfr ~ ppril 3, l~ ?~ary t7. Frere, D. R. b:ilton Baird - Ft. ~'ierce, FIa. - ~ ' FILED A%t0 'nEGOFOED ST.IUCI~ i~UNiY fLA. P.OC=F. itl?RAS ~ CLE4K i,iaCUli CQURT ~ R~~„~„ `.~Z~~tE~3~~~ ~ 1~ X~ ~~a.~,?~,~b~.:.,~,~..~~~,?~~,.~ucl0 4i1PM~ ~ ReQistwrs naord on fil~ in ~M St. Lud~ Coumy H~shh D~p~rt- ~ .t ~ P~., F~.~.. 26 ,~3 . . . ~ (Wamirp: Not vaJid unl~ss r~tsed ssal of ths St. Luci~ '~~c County Health Depsrtment is ~ffix~d.) ~ 't ~ ~ , ~s~ : i ~ N. D. MIIIER, M. D. . ~ ry Fiealth Officer a loul istnr _ . . ~r s = ~ ~ 7 ' IMi ~t l a" ~ ' ~ _ ~ D~ O~wAr Loal Reots~?,~r • ' ' 1 • ~ C. ~ - ~ BooK 217 ~ 13~49 ~ ~ - - - _ . ~ . _ ~ _ - _ sa~