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HomeMy WebLinkAbout2913 CERTlFICATE OF DEATH u , ntpurlmtnl O~ IIfJ~Iti ~nt~ ~:r~ia~.i~~~.dire `rrritta $TATE PIIE NO. un~:nw~» n?~een FLORIDA ltiE. OR ?RINt IN Nu.cMrrtu~una.s REGISTRAR'S NO PFRMAMENT IHK S`.f Ml\;:~JC[ 10! GiCf~~tU--~+ti~~t r~ne .aw~ cu? ~k D+Uf O~ DFwle~ ,~o~~w, c.•, ~ ~~~waro?s ~ }i~rr~~__ C2iarles _ Timberlako :r!a lP July 26, 1973 RACE ~~tl. wIGW. ~~I~K~w ~wO~~w, AG[-~~St u..GM ~•e~• TuaDt~ i•p~r OAIE Of lIRM ~..Owry. 0~~. COUNiY Of DEAiN ~iC. I f~ICU~ ~ ~1~IMO~~ 1\I~~S 1 W1 1 O?~~ MpN~S l W ll~~ 1 / ~ tdhi te _~69 ~ JunP 26,1904„ Bro~.~rd Cnr, 10~'N, OR lOCA7~ON OF D:ATN ~~wi cm ~..~n HpSP1)Al OR O1MER INS1~1UilON-tv.~tisf ~u .q~ .N ~~~~e~, c+re ftuet ..o w ' ~ f/tC~~~ t1) O~ NO ' ~~`r~~ ~Fort Lauderda le y Cross Hosnita 1 ~j? ` - YPS „_Hol St~TE W NRiM ~ u~o~ ~.s CqUEN O~ MrNAT COUNIRY MARFiE0. t.EVER iawc4~ED. 'SuR~rvwG SPOUSE 11/ ~V~1I. GM MAIWN lYY~ ~ • t,xm~o ~ W~ppWED, D1vO~CED ~ f~[cur~ ~,,,.,.,,~.,t~ , Illinois , U.S.A. t~arried ?~Gertrude Krue~er t~ .~e.~ ceci.uo SOC~~t SECURi~v truM.6ER ~~.~o u o~..¦ USUwI OCCU?~1~ON •w.e awo or ..wa oo.~i cuu..o ..oi~ a Kw0 01 6UStrtESS OR u+OUStRr cccuu~o w ~rwawo ure. ne.. w~enuo~ „338-03-6608 P~in~in .~.o.~ P ~u ¢ "~~'SfOw- RESIDEHCE-SiaTF COUNTY ~IiY, IOwN, OR IOCATION u+s~ae e.n u,.n~ ~S1R~f1 Ar~D NUM6Et IS?tcut ~H Oe Mp~ i~~lorida ~u? Bro~.nrd ~sPOT:1DSf10 BPach ue Y[s.S ~+~~297Z $.F:. S(,'Ot,lrt IAIHkR-NA.vf hqi r~ppl( l~f~ {MD1H[R-MA~OEN NAN.f pqt r~p(A( u?i ' ,s tdi l liam Robert Timber lake I,~ Joanna Moore INfORA1AN1-- NAMF MAtturG wO;.RESS ~snen a~ ~...o. wo . eu. oe w..., v.*e, iu~ Mrs. Gertrude Timberlake ,,n 1971 S.E.Sth Court,Fompano Bch, F1. ~~i ~ DEwM w~S C~USED 6r • jEkiER OtalY On~E C4uSE vER ur+E IOn ;o), ~e). ~r~D ~c); ' `~~f ~u.•u.. o..sn . :e.- ~rrlOUtt C?ui! Ml /zc~ F~T+vttiL ~S~-r 44 L~ 02 /1 , ~s . co..uoue..ce or: COMOIl10NS, II •M, ' ~ - ~r.eo ii c~~~e~~oo Ib) _ fS'7~f /rC f~yrtlJCiC's~KG~ ~ s~/ a /=jz--- uli~~u.sZ ~Uw C yl' l~~~IMG *wt uuOtl- ~f 10, Of af ~ COn3tOvfwC~ O~_ ~TIMCI (~VS! l~Si ~ J ' ~j ~ <<) O'1Ll~'~L~If/ \sl~C~L~/Cf~/~ !`~~/~JE ^~UF'~lt~jq, ~s' : ?ARi q. Ol?fER SK,r+UKwNl C07vDiJiOnfS: ~a+a*~a+f co..+~nuu.+e ro ouM ~u~ ~or nwio ~o e•~se IYIM n. r.n ~ ~m AUiOiSY IF 1fE5 ~~•e ~~~~:~es cc- • ~r[s a Moi s~oF~eo ~ue~..~«~~~ u_s O~ 1~l~~M Cc:cGr_rnv.-_ i~~~suT F-~%~G:~oo~ ~ ,~.No ,w (?.oEoE1~) ACC~DE•.:. SU~C~DE 04 DA1E OF W1URY ~..puM, w•, .tu ~ NpUR HOW iNJURY OCGUQRED ~ wR~ ~ututt o~ ~.uuar ~N ?~u ~ o~ r.u u, rter ~ iY~~tK~D[; GQ ttNDEtE[MixfD ~4M 70? 70[ M. JO/ ~ INJURY Ai WpRK ?UCE OF~INh1RY ~i .ort. r•~+, lrutt, ~~[ton, IOCAiION ~fuUT q~.~.o. NO., un O~ ~orw, aun ~ Ilrtt~~ ~ls O~ ~o~ O~~K! ~W4..IK. ~sreun~ . 70~ ~pr 20~ . taw~whw..v..- •:.r_ -.-c . . - _ ~ lMtSK~~~a: ~ - rO~rN o~~ ~l.e sOOr .rte~ oe.r~... ..'I,,,p~~ ~ p.re. ..+o, ro ~t f!• ~ wnwoto ~~t ~7 r 7 1 l 1 7 c-ll 7.J c~-. 7.J O~ ri atiO.ritOG! _ ~t~ e[ce.sto no. tl? ~Ic !11 r,~ = ~I~ r~ ~o rwt uose s~ s'.-e-~: CERhiKwi~pN-rrEDKAI Ea~MIr.ER OR COFONER o~ *~e ~.sn d rwi ~.pue d e•f i~i oecroevr ...s reo+lo~;..cro oewa ~a~r:..~l~r~ OI •w! k^r •..~:0~ tw! ~•'~ISt~~.'pn. ~v rr 91:~+W~. rp~M O~t 1E~~ wOY~ Ot~~w O(CY~~t7 OM ~f D~f( ~.~p 01.Y ~O !~t t~c/fl'f! 3~AilO. T7~ ' M. 77? ~ CF[TlNER-Ft4Mf i•••[ ~n.n ~ 5~ ~ otoae o~ r,. ~DATE SI~EO.~~"_;;x. o..,•e,a :H Gerald ~:eier 1?t.D.. ~~~~C~ Gu•~ '~k 7-._i-r~ 6uHR1Ca~CC~RE55,-CFG:lf~f4 , f:?tn o~ ~ r.o ~ c:.r c. :c~~ f~ ir4n t+r ~-v. `.1 ^~'Ci)_ "i. r•c -~~uc~~ ~'c~=_c ; ?_oric,c J.iJ^V ~ f, ~URIAL, CREMA]KjN, YEMOvAI CEµE iERr CR CRfMAiO~Y-Nw,WE ilpfAT~CN un o~ w«w vut , _ ~ t srtur.. ; , Burial „Forest i,awn Cemeter~ Pom ap no Beach, Florida ~ : pAif .e w• fUt+ERAI MO~~+E-~~~e.!i •r~D 4LJRfSS ~ snte~ o~ ~ r v ..o., ur. e~ ro~~, srare, t~r i ' ! . July ~~~0; 1~y3 ;,q Jay ~'rac~Qx 200 i1_FA~ i E ti'• S. ! 6 12 i tAaERAI D~e(LiO~ S;Gr~i tUpl/ ~'R,~~, _ -~L.N nTTar'~1~.~~LY].,..~' 3~~J 62 j/ / I' S.rAR-S~t~,r~wi~.f ' a•,i ti:t~.~~ ?r ~O,,wi -eG~s~afe~ • .:ii~ •1 ~ ~A •-~s..~I1 . ~ ~ `7S~ ~„~~i. , ts- ~ % ~.2i~ ~ 7 ~ _ ~ ~ ! { ,a[ ~ ~ i V . 1 ~ • CL~~r._ . I ~ ~ ~ . C} RTIF7F_~ CCpY ~ C_.. _ : x l~creby certify the nbove to be a true ~nd correct copy of the Local - Rcgit;tz•ar'c rec•~rd on !'ilc iii the ~3rowarc, Cou,~t;~. iicait~~ De~~-~rt~cnt At Fort Luudci•d~~le, I'lorida. . , ^ ~ • ' ~ J • ' ~ ' ~VVVV~ j . ~ ~ . • . (1~=iu~nin~: . 3{o~,vulid. w~les~ raised ceal of the Rrot:ard County I~ealth • .~l~q~r~r~'raent ic affi_xed.) ~ . . • • ; ' filEO ~4U RECURDEO . ' ST.IUC:L ~4UNtY Fl#. ~ , ~ i ! fY, ~ ~ ' liGCc:. i'Q„ RAS ' . " ~ il.Lti..-c%"./~i'..,~'l~!-l /1';!~. ~~=r~ ; COURT . - • a~ $ it j . ; ~ _ ~ ~ pF~r.~~' ~~:',I•{~~ ~ ; - • ~ : - : : CounLy Iicr~lLi~ U:ficc: ~ ~~ia La 'r--`~` ~ ~ ~ _ cal I~e~istrE~r ; _ _ . : . a ~9~H~~~ ' •~~.cs,,: ~ - , ~ ; . .OCT ~7 . - I j = • . c~ . • - _ ~ ' r t 0,4., ;ti~ f ` Q'~,G~1~~'~f_ ~ ,^~.zl.:~:~ . ~ - ' - ~ 1--J1-73 ~ ~ ' ~ i . . ~ ~ i c ~ ` bc ~uL Locc~ 1 i: { . . l r c~;ic:~rc,r 800K~19 PA~f~9~