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HomeMy WebLinkAbout0095 ~ CERTIFICATE OF DEATH ~ Dere1~1 d 1ka11~ u~ ReL~b11Na1tK $eedt~ tTATt ?ILt N0. o~vwcw oF ~a~n+ F L O R I D A • Tr?!. W~MNt 1N w~.•.mawaws. IltdItT11A11•s NO. IG M~MAINN/ INR ~EASEO-MM1t n~s~ rra~ SE¦ DAIE Oi DEA ~ rowti. u~, nu~ tEI ~11~Mp fOf .s~cne~ ~ MII,ISSA ROBERSON PATTERSON , FFr1QALE , DLAY I}, 1971 - - - RwCt ..~w. uww. wNC... w»..... ~Gf-~.si wa~ ~.w wn~ ~ w• DwtE Of WiH ~raar, w. COIRIIY Oi OEAiN nc ~ s~ecw. ~ u~n~e.. ~.~.~s ~ ..os w•~ ¦ows •w ~ • NEGRO ~ . DEC. 1 18 . VOLU3IA Cm. IOwM. O! IOCAiIOM Of DEA1M ww~ un ~wn HOSMiAt q OiMER NSt11U1~ON-NM~f ~ u w~ ~w ont~. s~w sotn u~ wwrw ~ frlt~t. .It W MO . SOUTH DAYTONA YES H DAYTONA ~dANOR NURS ING HOM~ Sfwit OF pltN ~ M~o~ w v s•. N~rt dO2EN Oi NmAf C01MtR1l W1~R~EO. ME~Et MAtf1ED. SURVNNG S~OVSE vw~, ent ~rre ~ cowh• ~ wlpOwlO. UhrORCED ~ snc•.. ~W~~~~~«~ ~ NORTH CAROLINA •UNITED STATES MARRI~ ~~ANDERSON H. PAT'1'TsRSON ~ ~~ne secake SOCu?l SECII~TY NtW~E~ USUAI OC~tNAT10N ~u.~ a..o o~ .w¦ ow~ ow~.w: wf~ O. MM~q Oi M15~SS O~ MOYSIRT I ~1 InM. Ir N~~M ~W~WO WI. Mr a tlnq0l r~ ~ ~ ~t26 -Ol- $6 B PIIBLIC SCHOOL TEAGHER EDUCATION ~ ' RESIOENCE-St~?E touair C1t11. 1oMRl. OR lOGt10N u~~w cw. ~rm StR[Et I i~ ~ s.ua+ •is a ~.o ~ I ~a FLORIDA ~w VOLUSIA ~~DAY'!'ONA BEACH ~u YES ~N 0 C~AR $TREISMI' /AiNER-NAME rNS~ rioou us~ MOTMER-MA10tN N4ME ~wsf rw~~ . W~ ; a FRED ROBERSON AiIIANDA I INWRMANI-HM~E MA1lNG AOO~ESS ~snfa oa .a., c~? w w.+. a•+e: t~~ - ~ ANDERSON H. PATTERSON ?0 CIDAR ST. DAYY'ONA BTACH FLA. ?net i DE~n~ wns Gvs[o ~r: (fnrEr Orx r or+E cwus[ r[R ~r+E ~p hL AL ~?w kll w+.w~. o~w~ wu i ~..ew c~~se • FILEC A1~4 REC~~D ~ i.~ Cerebral infarctien 5L Wc~E coUN r flA. 'C~ ; . N c~F~K c:~:.u~T couaT i tor~u~oNs. Cerebral thrombosis o.ECi•P`L7 VEP`F+EO .M~~» e... .~u b n~ ~.reeun c•we ~w. ~ ~o. w .s • cor.s~oua+ce o.: t1, • ll~t~w0 tw~ YM~t~- \tIMO C~Y~ 1~f1 ~ ~8 ~ . i~~ Cerebral arteriosclero ~ ~i ; ~~tT ¦ OtMER S1GN1fK~nt COND~i10N5: cwana+s caw~wurwc ro wuw «n .w~ nune ~o uwu w.eM r.n ~~u ~aiL f 11Ei rrew nM«ro~ ta. ~ Senile dementig, Parldnson~ s ~3eA8e ,n~ ~ pt ~ iw C; N~, ~ u~o~ta~unEp w ~ ra.i«. a.~, nu ~ MOw INIU~? OCCUR~EO ~ t.m~ w~we a~wv~r x~ r.n ~ a~ r.r r, ~r u~ l' ~ ' ; 1 ~ ~ M. 7Y ; I INA~T AT Wd[ MACE Of NJUt~.~ ~w.~e. r.~.. s~~~, i~oon. lOCwt10N ~ smn o~ ~.r.~. wo., cm w~o.u, a~ue ~ ~ 1 Hft~/~ Rf W MOI d~Kt MOfi . tK 11rlCN111 . ' . * , ~ ~~ATI~f'1- ~M Mt ~!Y rOMM O~r ttY ~MY Y~f/ f~~ Wr/Mq A1~7 OM 1 O1~/Oy MOI OIl~ M etwm occvreo i. ~e n.n, OM ~ 69 5 4 1L ~Q ~ wn uw. K.r. ~w.~~ a w o~'wA~wo w ~ ~ nnsK.r~e.wc~ ~we TO tM secuse~ nor tu tlc f11. fN • K to ~e aMqNp wwt ~ ~ CEl11f1GT10N-r~ED1Cwl E1cAMRiE! p CWONEt. oa nw us~s a nw wou~ a o~•iw ~ecea.n .~s Mouoiw~ce~ ~elu ea.r..•ww a we nw ..riw a~e ..wuw.~wn. o..no~+. ra+m e.~ nu ~ p~~ octua~o o.~ Me Nw ~.o we w oe c•use~a~ sTwwo. ~ i • M. t1~ M ~t-~yµ1E ~~M p~ ~Mfr OtG~lHpf t 4~ . 1~~. Mt. ~WI ~ ,$obert S. Robinson. M. D. rn` c. il~ li ~~2 l~ ' w?a,+c ~ooass-a.~ Ridgei+rood Ave. °~$o~t Hill p•~•Fla. 201~•~ NlAAI. dEMAtqPI. ~MOVAI ERIf OR qEMAiOR1f-nMK IOCAt10N an w~o~.w . auw . ~MKw~ - H.. BiTRIAL H. I~T. ARARAT C~}Q~'T~RY DAYTONA BE'ACH FLORIDA ~ WwEe~u NOA~E-ru~+E ~r~o ~DOecss , snea o. ....e. wo.. o. ro.+M. sure. w~ 5 „MAY J. GAINOU FUNERAL HOD[E g0 2nd AY~. DAYTONA H ~ r: s. K it -s+cw~ n,~ wu~ ~ R~~. ~ . • 1910 ' ~ - ~ ~ ~ CERTIFIED COPY ~ ~ . = . _ 4 _N~~1b~(d1e~~r~'q~~ i fy the above to be a true and correct copy of the ~ ~ _.~C~qc'~=~13q~jS3,~T~~;~s record on file in the Volusia County Health ~ ~ ,-~_.ap~8~t~n~,~~~dDaytona Beach, F 1 ori Ca. ; T~ , t~-. ; ~ y ~ O I ~y.' i ` ~ : - r :~,•F~ f ~?~~~rj I t:~ un i ess the sea 1 of the Vo I us i a County Hea I th ~ :~~,N' ~~~~~~ar`tment i s atf i xed. ~ ~:;4 , : f~~ p'~4 ~ . ` * ~p ~ ~ t~ . • . II `1 ~ "1 • , `i ~ c~: y . . . • • ~ ~ - F S~ ~ , ~ ,~~~t%~~, 1~~~ oca eg s rar A'•\\~~.~~o w~~ ~ L ~ Date AUG 27 1973 , ~L ' ~ y~ ~ ~ v a.: . - eputy eg st~ar . r~, BCOK 2~p ~A6E ~7~ ~ . . , _ 3 y ~ ~~-~."t`.~.`.`~ _ . ' ~v_~s.',.'~i' ._....~e. '.i~?'~,-w~?a~