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; ~ , ; , + ~ ~~~;;l:F~i ED CUP.Y ` , . ' : . WS HEFEEY C j~R~~'~~Y R~pR~UCED B[LO'V TO BE A TRUE Ati0 CORREC7 _ GOPY OF THF~~ j~ ~ON"h1-£ IN THE BUF~EAU OF VITAL STATf5TlG5 OF THE - STATE OF ~FL~ r ~~T-.OF HEALTH AND R=HA61Ll7AT1YE SERVICES. DIVISION ~ OF HEA?:~~r f ~ V~j~60~DA. - _S ~N:7 Y..UO.' ,?7'ME i'7~'~/~TC Qi fi.OR1DA. pCP:.G7~E'~T Of HE~.LTH AKO REMag~U7ATItE ~ L~. '1~.. l' ~i SFF~ICC9. ~OF NEALT~1/~~,~i~/.CDyY ' ; O 's'~i ~ s . ~,,a'.~ \ ~ C\~_ Rj ' - ` ~ f ~ ~ ~ 3 ~ ~ - t . 4S+W~~l~I~~'_ -,_ea y_ C ~~`~~~~~,1,\ ' ~L~ u:.r. ca~ cr v,iu i t:.::cs ~V 4 ~ . ~~~Y _ I L~DEC~~~~_ ~ ' ' _ Sx~,. _ ~~~t i . S..•,,,.~,.~~ .~n~, ~ . _ ~y;~l.S:,.d~~~~_~ ~ s...,- ~ -.~._.M i ~~t~%;S~'~C.:au O. r w~.,... - cer.c-r~.~: a.r ~ .~o ~ ii~. ~ ~ w:...e~u'~iwc x..~:es `q - _ . ~ _ ~ _ _ _ - _ ~:~~:z EGARA bf' . CERTIFiCATE O~ CEATH , BU:.[AU OF VITA~t~ ~`a~ 57ATE FiLE :.0.'-__1 . , ' FLORID3 ~~~-T:: rE S:nsa S ~ _ . ~ i. ~ OF DEATH Ti ccce ~o . i U Ulit RESIII-fvCE . ~ . . ~ . . . - 4 krlQ i ~~,~.Y~'_? LT~~.~e rg on _ . ,~c '_~~f~~ r.:.. - - . p. C ~ ue .:s r_......_ :~u+. ...<le. ~uii ~..c. l_ti_ H OF 1 e..~it ~u a..• ~.~.:.R t. . . Cir / 1 STAY-~LL~c:~•;,~ O~ •N1/ j TJ~:~. I ~ Y ~ ~ :.'~WN ~~5~~-YI ~.1 ~ ! : :~-Tl ~ C~~::I`e.~~-r~_.rL~ _ ~ k r 1--- f t h~1:E CF au~u .•••:ee.e•"-.evur•:a. ~ d S:tiFi ~ ~ ~ ~(A~. ~iiESS . • 4 ; h5 1 AiJV ~~~[Wi'L~.._C~ ~ ~ ~ ~ ~~O// ' . . _ . . - . . - ~ . , _ DA7 ~r fl 1 1 i. h t~ f.F c~t .1 d l't~Je) 1I~aS1 - i l o~~F.~SEO ~ ~ S~XY~ t~j~e _~,~_~p'r~l $ r,-r e, r.-r~ ~ lN ~,r_,.. cew SFX f_ I.O:CI UC, }:ivi2vA'-1ED, L CA JF E liH j~ t. ~E:~:.,:y_~. 1i y~ n j~:.. .-E~ ~~~a~ 4 / C _ J . `,r~`r r:J _~~__'':~y--~_-:C:!"--?f ~ _ . J ° ~ ~ 1.~. l5 G_:,N~i1C4,~:,e t ~ I~.~. KIN7 OF {J:tKESS Oi ~N- II E_ tih.ilACE ~cu : ~e+ --w~+s~~ ~IS ~..F_. :t•.~T d,. ~ • . P oar¢r ~ 1 ~ _~_ti d ~ ~ ~ 'i~.•7. ' ~ - - ~'y?Y1 ~ ~ h~.~_~~ ~'~,c--e--- - t r . _ . _ 4 ~ i ' FAittEw a NIW~ { 14. ?.+~1EiZ MA4^Fri MME ~ _'Y~f-4YIerE_~'.1"''1--~~1~~.~'~. i ~~:{i'~l1!~,_ ~~~~~~v~..~ / i-- - ~ : M'AS C:C:ASEiFiFi IN 0.[+~F~ C ESt 1:. :OC'AL SFCUII:~ U 1f:i~fANI S S!GNATuGQ !1 ~ ~K ' 1C j a~,.~~.~,i,~r:..~~~-..T. ~ ~ ~:~:~ss ~fi ~ {~G~2 ~ ai`li t J~ ~ _ `-i ~ i ' ~ i.w~:E CF :.E.~:H! MED1.G<L n'l~GATION ' . ....ccv I r-.:~: eis~se c~ co~.iT~cv ,~.~.t`~V /,~t ~.s~ : vl~v~. e?l..r ta~. lw).~ D.iEG::T lEW:hv 70 LEATID~~~ ! an.i ~iel ~ ~ ~ AHTFG£GEtIT WUSES " f ~ i DL'F TO 1_.~^~"i`~ r----_ ^ ~ r_KAv ~r~.w.wp.!Sio.::3rr.Z:cic~~.~il~.~.iis:~p Y, ro . ~ ~ . r;:._-~ .cq !a f!e aE.a ~ c w :_1 r:ct- ~ ~ 1[ . • y W ~n?s~.Y~'J t su :uL ~ . Ct,E i0 (cl ,T "w"~~(. ~ i_ a . ~nyti c . , , - ~ R~1. CTM_45t:l.F ..C\~ 1 HS--r- ~ c,~l a ~t ~ cc,._ .w n• r~ 2c 3~t ~et ~i / ~ f- - - - ~ /y~-~~c - ~ _ _ _ ` . . . . : . ~ r' s.~Cra1 ~ _ ! . . ?a. CAT GF C E2a-'tft MA.102 H!~ .v S CF CFE[AT10H / J wut`rS7) ~ 4 u" ' ~ ~ -~1 ! Y~ , ~ i-r/',.,r-~~+"..~-.` v,~ ~""~I' %/t~".' _ ~ ~ yi ic:run i:,b. Fiti~=_ OF w_. c. c.m.r (llc (C.,T~i:OV:pt~~ (CO_r.n~ C R i. • _ ..~~s ~s._..p~ ~..s.oa~.e~s ~ er_~....i_sa:.. . .c~:- ~ > r.:::j-. . . . - "_`."'C ' ' _ ' ' ' . _ _ _ _ t: i•+ ~.au Le. I[iJJRY OCC~iLi9 j:IL nCW WD :,rJJiT GCC~LT : _ .c._. ~ . CF ~.=~it~r Rcrrct• S ~ •~~R ~ 01 ~ T i.c-[',: «-'r~ :F.~. I c.,...~' ' . , d ~ ca fo~_~-- %~'.~-.j. i ~ . : ..:;r . . 3 ~ _ • ~ ~ , F c_ -rI ~f - _ aa_ ;'.:n ; ~ ~ ? r_ fF , 7 , ~A7~JiZc ~ ~ . ~ ~ ~ :e~ or L::e) L.~ AC'tiS/(~ • -~3c. .A E ShED ~ ~l,~ .!"`,~,,.,1~~_ v~/~'`'-'yr' ~ ~--{//J/ i.t?r.--.,.~ ~ ~ 1~ - //',j) 1,ye, - ~ .v_ : CErlL:EQY J.Ci~y•'.~_.:f ~Cti ~r~ r. . ~ p_ / ~ f., I~' ~~~1.' 9 S~"~G~24~ O., f: . er. C_u U f r'j/Q-/ ? --~1--t- ) ..J/~ ~ - ~ J af AL~icG,S.U~T 5~~.~'iAF.[E ~2S FVhEMI CiliC~Oi~~~ r~f ~-~~t+S - 'r-(G, ~ . ~ ~ .~<<;_ ~ ~~1...1, ~ _ = i=~ ~sS' / _„G . _ Tc ~J ~ 1~."ve. ~ a (c ~ - - ~ r; - ~rr~ , f ~C'v ANU kEC~RDEO f~. lt~C1E COUNTY FLA. ~ ROCEk POITRAS _ CLERK C~RC~1~T COURT 'wr,~_` PCPP~ ~ ~ 't'z-~; ! ~ i . . • i ~ . t~ ~j, D~c 20 I`l ~a PH'I3 . ~K ~ 2'7100'7 '~:~K2`~~ ~f,~.E 1~7 - ~ J ~ ~ ~ ~ _ : - : ~ ~ : ~ . . ~ . - 3 ;tt ~__~S:X