The URL can be used to link to this page

Home My WebLink About1464 ~ . . ` ~ - - - ~ ~ . • ~ - ~ ~ ~ . ` ~ ~ w _ r...ZS 4'7'7 covivT~~ '~V . • . . ~ ~ • . • ~DADE : - • • DEPARTM~NT OF PUBI.IC HFALTH ~ ~ , M11.TON.S. SASLAW. MO. MPH. ' ' 1350 N. W. rOURTEENTH STREtT OIIItCTOR ' • , ~~,~„~e.~•-.- biIAMI~ FLORIDA 33125 ~ ~ • . • . ~ . ' . , ° . _ ~ _ . ~ OF THE IrOC1°?L REGISTRAR' S RECORD OF D$ATH . I HEREA ~ '}~IS TO BE A TRUE COP'Y , ~ . ~ ; ~ • ~ 1 ~ ~ RSGIST S ~4yi j`` ~ "i w,~~ ~aA'~ DEPUTY .'+1 ~~alid unless the raise8 seal VITAL RECORD6 UNIT pADE COUNTY HEALTH DEPARTMENT . the Bureau of Vi~tal Statistics ! ~ E ~ ~ ~ r~ • t • ~ S: T' L~ e~ ~ t r~~~ ~f~;~xed.~ MIAMI. FLORIDA ~ .i ~^•:~~.a •'a,~ • _ .-j i J? • ~C ; ~ x ~~l ~ • ' . z,., ~"S ~`~y_:"~ CERTfFiCATE OF DEATH 11. parhn~nt o~ I~raltti ap~ ~a~~~ ~~yit`,~t~viRS $~fATE FILE NO. »v~wxv~w~.n~`S''~"-- FLORIDA ~ . ' . w~.owmum~rro • REGISTRAR'$ NO. - _:_E>SFD--NAMf ~~~St r~oae uf~ ~7f DAIf OFOfATM ~YOMTM~ o~~, ~e~e~ ~y apI,D~T~ta : peme?le , 3eptember 2, 19?3 - 3 ~=_f ~ '4 ~tGto, ~rlRK~N IMOI~N, AGE-~1~~1 v~oe~ ~Tt•~ w+ot~ ~ o•~ DATE OF NRTM ~ ra+*~, o.r, ~p~/NTY Of DEA~N 3.«,.. , u.,~.70~..,, ~.b~ ~ a., ~ a:sT .w-1` Jan. 1903 ~ - White ' 3s Ik?de ~'.vN. 6t LGCwTIJN Of OtAIN ~NSOf c~t~ ~~r~ss F1p5?1TAl OR OTMER!l5111U11pN-NAMf ~~r ~.qr ~rtne~, cr+e s~rrr~ ...o ..ur~e~ ~ ~ fHCJ~ rti O~ 1+0 + N~rth Miad Be~ob Yes Pas~kwa~ tieaeral Hoapdtal - - - - - - - - - - ~T~ OF 6~QTM ~ u r~oT ~w v s~, N~M( CITUEN OF wHAi COUt~iRY ^ MARRIEO. NEVEt W1RRtE0. SU~NNG SPOUSE ~n w~it, G~•F r~~Of» wre i cow+n. ~ U s~ I WI(~Ov!~~. D__~RCEQ ~ vecr~ ~ ~ s~e1 +~l~rg ~ , Nex York , . • l7aST ea „ ~ - - ~ - - - - - ` SKU41if NUM6ER UwA~ aCUPA~ION .wve ~wo o~ +~o~r oo.~e oouac rost d'Kk1D O~ ~1151Nf55 OR INDUSfRY ~pt[INC. ll~l. tVIN t{ ~F11ifO 1 " f 132-20-1226 A Clerk Hospdtal I r C , i~.:E SMTE ^ COUNIY ~C~ir, TOWN, OR IO~ATION n~swe an ~u.~*~ STREfi ANO NUM~E! ^ - ~ ^~orida Bro~ard I~4 Holl~tiaoci ~~~„".~ea• 53~ Waehineton 3trset _ . ..ati•f r~~u ..:uae , i.sr MOiNER-iWK~EN N~MF ~usr ..,oo:~ i.sr Mprris Godlv?1!f 9srah Poener ~.•,~',cv~ri~-NM~E ?~AN~NG wOGRESS isreu~ o~ ~ ro. .ro. ur. ci ro~.r.., er.re. i~ri i., Samu~el Ooldb~rg . 5300 uaebing~ton st. Holly~rood, Florida~ 33021 ??r~O~~.u~tt ~~,rf yu ' DEATH WAS CAUSED ~Y. (F~/IEf ONir ONf UUSf IER lWE FpR (a), tb). Ar~D jc); uiwteN o..sn ..+o w,n~ ~ 1rrlD~~It C~VS! . ~a, 1//~~' c. ~'1 ~ ~ ~-,lirc 4 i ~ ~ ~iAc.~f~ ~ ~ r")~ y bN 1, •~S w COMSIQUFNCF o~ • 'i ~ : s~ ( ~e? ~~1M1-"~ vc. ~ ~-4~•'T~ ~ 1~ ~.tT 7 / I-C~'s c - - - - - - - - - S r ~``,1 . ..f~ ~~t! .=~US! :0~, I OY! 70.0~ ~ CJ'~SfOVlr+C! QI---_. _ _ ~ , J~E VMDI\ f ~ , • I~ST ~ ~ t<< F yc.,~ r ' ~ ~~--r-`-~-- ~r~ ~`-"r ^~1~~ _ G?~'ER SlGNtFICANi CONDITIONS. ~~D+ho.+t CO«•~~~utna~, ro ot.r.. w. ~+Gt ~tl~4D ~O C~uSf G'.`.f~+ +r. ?.n ~,o• AUiOrSY IF YfS w~~e n«mNOS co.~- ~~~y wOi 1 LDt~[O 1ti oteu..~.+~Nr. e~use O~ Df~1N ~ . f ~ , ~ ~~1 i S r`1 ~ i, :1 ~ , ~-f-,r~e r r ~s ~ 1 ~fi~ -~,,;~~'fr ~O ~ - •-!.~DErtt, SUfnOE OR O~tE df I~IIURY , ro.+rr. n.~~MOUR ~ ~t~ru ti.rua O~ ~w:Wr m+ur : o~ r•n n. ~rer r~ ~ ~ ~ GNDE(EUU~tyED ;HOW INIURY OCCURRFD~' ~ ?Oc M j?'~d ~ ~ - 1 ~ ' ~ t vr~aK itRCE OF tNJVRV.~ ~~..t. r...., sraer, r.aor., iOC~TiO?l ~ sneer o~ o. Ko . ur. o~ roY . iT•~t ~ ~ ..5 .~0~ ~OfnC! ~tO.,ftC ,S~fC~Ir~ ~ I~ ~p'i~~~, .'pr•1N D~• ~F~~ ~O'+TM D~• ; ~~+D 4St yaw M~r~Mt~ ~lM Or~ 1 Oq10W MOf v~Fw f.y'pEATN pC_U~~IO •T M! IuCF, O~: M( rpwfM D~~ ff~~ {OOt ~~1F~ W~~~ ...y~~~ O~T(, ~wD. TO Mf NS~ ;t0 rw1 { y~1 S` n 1 y 01 rt ~r~Or:IWf. OJf a ~ ~ t- 1 I ~ /Y~ TO„ ~il ~ / 7•) ~71~ ~ 21~ //_N~r 11e ~t~~ M r0 rM! c•~s[~f~ ir~rtO ' ~ J mtEO~CAL EX/1MlN~t COQONEg o.. twt us,s os ~~e o~ oe.•+ r«~ oecFa-.~ .+.s rro.~nuwuo ot.n - q7 •tiD: O~ M! '~vlS/K-~rp~~, ~H rr Gt~r~~pr. { MONTM DI~• ~t~• r~OU• 'Mf •~t IwD DU( ~O C~uSf•5' S~~*~D. ~ - - - _ -!"L - . ~ • _ .aME .~•n o~ ra,nr~ - , 51GNATUR - otou~ O~ ~,o~r :O~?f SK,?iE0 ~M'.Tw ~ia?r 1 :.~4,1~h~. ~ f'r,~,J l~-r n s ^ - i,Y,,~ y ~t,•3 ~ ~ ~~GRESSI CE4L'fr(P ~ uo~• o~ s r o wo u oi rn.H sr~ ~ .;r . ~ ~ ~ 'i . `i ~w ~ ,a~w~, e /'~1-+- n rc fa r i ~ /~a~ r ~ - - ~_~EMATq . MpvAl EME7ERY OR CRfMAtf)RY-N~Mf lOUT1pN c~n o~ ror.+ s..r[ ~ ` to tar9 ~ F't I+suderd,Ale F'102'1ds Bsth $1 Cems , t~, . - 3-- ' •rOw'M, D• ~t~~~ IFUNFRAI HOME-~~AMF ~MD AODRfSS ' ST~~tt O~ ~ r o r~0., C~t~ Ot tO~+ti, S~?ie, t111 _ September 1 ',,.RIVERSIDE CHAPEL 16480 N E 1 A ~.~asECrOrt-~G~vJuAf ~ / G~S. ~R- ~tuaE y ~ ,o~TE ~ ~ i~ ~srewR - C .~1~:..t~::,. .O. _ F ~ _ t FilEO AN~ RECQROED S1.LUCIE COUM?YfIA. ~ ROCE~I f~11TitAt ~ ~ CIE~.K CiRCUIT COURT ti ! Lots 22 and 23, Block 766 of Pl3RT ST. LUCIE, RfCCR4 Y~°~~!Eo _ SECTION 18, a Subdivision accordinq to the s 9 16 AN'73 ~r . Plat thereof, recorded in Plat Book 13, Page 17, of the public records of St. Lucie ~County, 26r~- 4 . ~ Florida. F.~~Tt; RN TO; ,i ' d00K~iV ~~~Fi4S3 E~ SCHWARTZ =-~~CvaRc „ - ~~'~`A'