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HomeMy WebLinkAbout0377 CE~TIFICATE OF DEATH ' • OeaN~ewl ~f Ik~1~A ~wd Re1~~6~1~~~~?» $enlee~ 1 tTAT~ ~ILR no. ~YN ~ ~RY ~h~~0 o, .nNr n, " a~~n c~ ~iFw~.rn F L O R I D 1l ~co~rr~w~•• No. ~2'I'.~C • ?itMANlNT INR ~~EAfEO-NAMI ~ft rW~~ t S!I ~t~0100~ !01 ~ SEx OAtE Oi O~AfM ~~ow~w, 1~s. r~~~ ~ ¦~n~~ , THEODORE HENRY KRONKE Male ~ Ma 22 1972 U?Ct r.wN, M~ow. ~wNtu~ ~www. l?OE-uu ~•w~ ~+1•~ rr.~w~ ~ M~ GAiE Of WM e+~orwM, ~s, COUMTY p DE/?TN IK. IMltat~ ~ M~w»a~1~W~1 rp~. Mf~ ~qy~~ ~w, NY/ ~ ~ Whfte 65 ~ w . May 26,190b Gladea OwN. OR t A ..?w cwv ~ww~ HOSMtAI O~ OiMEt Hil 11~ - ~w wa n. unu~, on~ ~~au u~ wra ~ wc~?e n~ w Mo , Lakeport No Reaidence -ROUte ~ 2 BOX 420 ~ sr~tE a wm »o~ M..s.... M.n ante, a ww?T cou~+r~r w?~uE~. ~vca ,~wbeo, su~vn srouu ~ r..~~, ,.~ox..rw ~ • New York ~ USA ,Mar'r~ed~8i~`~~ Edna Rickli ~ e~«.w. ~~~no U NAM SOC~M SE~IlafY MIM~Ef US11Al OCC1NAilON ~o~q ar~ w~On W~ ~MrN r0~i O/ KMlO Oi WSINESS O~ M~OUSiIY OCCV~qO wl ~~MO ~Mf. MM M NA?MI u 107-22-9465 A Postmaster U.S. Poetal Service ' ~7t~6fMC~ ~(Ib~ t •o.u~~~o.., tEypENCE-SfA?E COUNi~ pft.10MR1. W lOG?TWN Musr ce? wwt ST~EEI NYMfE L~~ ~~ncw n~ o~ w 1 ~w New York ~a Rockland ~k. Bardonia ,u. Yes Box 523 ?ATN[t-NAM~ 1Nli rNN~ tH~ MIO?11El~MAqEN NAME /pr ri~0?/ uN Richard Kronke Elizabeth Neins It+IORMANi-NM1E MAKMJO ADO~ESS ~sw~~r o~ ~.r.~. wo., tn o~ a~w, a~n, ~~.Mrs. Edna Kronke-Wife Route ~ 2 Box 420 Moore Haven Florida 334T1 rrut o~?~ wns G?usEO ~r. ~t~ orRr a+E c~ust rte t~ Eat h~, fr~ ~nD k11 w.~.ii. a.u...: q. . i . • . (~1 .S '~'?'wn cow~moMS, n •w., ` ` s .w~c~ o.re use q tN rrrt~~~tf CaYft iOp ~ p. « N A~~~ y 1~AtIMO tM~ rM~lM a~wo c.~u ~.u s kl ~ i ?wit r. ot~R s~c?+ritu~t cd+atqaS~ tor~nOMf tOwr~MM.q q KaM W~ NOf NN~H p WrM O~ w nw ~ N~ ~wra+sr n r[s M~~/ ~IM~IMO~ COM•~ IA~ O~ MOI MO(ef1 tw Ofq~riww~0 4YM~ ~ ~~A~M ~ Ib. Iq 1?,~~eW~1• N Itlp~M, M~,n~~~ MpW INJIMI CV~/EO IlMK~ W/W~ p M~NA IM I~„ 1 p I~N N, u~r ~~e ~ ?qMK~bE, « iNID~tERMIMEO ~ u S !N I~. • M. 7N. IN~l~Y AT WdK tIACE Of NJNRY a~ w.r. r~r., sn~. r~c+un. LpCAnpH ~?na~ os ~.r.~. wo., ~rt'I q TO~, u~ ~ ~~nn.. ns o~.roi owKa ~uo..e~. ~arrcr.? 10~ 7M. „'I - CEniM1C~TION- .~w~M w~ nu ro.rM M~ nu ~•w u~~ snw ~.iMa .u.e oM ~~elo+e wr .a.r w~ OIAT11 OCCVl~lO n.~ n.u. a. e.e . ~N~SK~~M: TO roww~ wt nu wn ua~ ~e~ex. ~Npw~ e.n..,.o, q*w wu: ~ ~nt..ote rr~ a .r .+w~.ux~.~ i~ t4 au+sre r.or !1?. tl~. 7t1. 71~. /n? ~o n~~ c~~~~a~ f*~aa.; CE~TIf1U11pN-MEOKAI E1t~MRifR O~ ORONER. p. ~re a.s~a a M iww a~[•u~ *we wceoeNi .v~s rso.~w..ce~ wN ~ e..r.uno.. a ~w we• .~.s~w me rmino•~w~.. w~.. o~~«a~, ..wrw M~ ~eu .oY~ ; a~m oavnes oM Me ww ~+a wi a nw uvun+ suwo. ' 3 o M tt~ .t ~ ~9 L S' O S M: C4~iNtf!-NAME arn o~ rnMn SIGNATURE e~on~ w nn~ OA E SK',NEO ~.a+M, w•, ~w~ ` • n A. B. Johnson MD N~D L; MAtNG 1100lESS-CERi1F1ER s~r~. a~.~.o .a. un o~ sow., s~.n i~r ~y r l11RIAl, C~EMATIOl~, REMOVAI fAAEIERY OR CREMAiO~Y-HAJNE IOCAi1pN t~n p~ p~w su~t ~ fncrr ~ ~a. Removal H.. Ger:nonds C~~e~er m. Ne York Y OATE ~rpw~w o.t swl fuNERM MOME-HAME ANp ADD#SS ~ ~tan w~.r.~. wo. cKr p w.n., u•q. n?~ „~.Ma 23, 1972~ ,~attison F.N. 438 Su arland kw . Clewiston Florida ~3440 S..9i: f K,oR- LFD 1264 ~°'sT s+c~ru o~n t~~~o...ou..~a, t.~. r, l 70 ' ~w. Z - ~ pG . a~EaK ~~~cu~r OOUA~ = REC~~O VEalE1ED t~ ~I I~ w~ PM'73 - 2'71125 I hereby oertify the above to be a true and aorreat_copy of . the Zooal Regietrar~e record on file in the Gladee County $ealth Department at Moore Iiaven, Florida. (~larning: Not valid unlees raieed seal of the Glades~County , s Health Department ie affixed.) ~ p n~ ~ ~ ' . ; ~ County Hea th Off'cer and ~ ° Zoc Regietra , _ ~t,.,V et..s• ~ +a 1 f F~r ~~y i-ig ~Y48i , Looa . . DATEt ~ X, Gr )3 ~;:'t= t~ < ~ ,~~i'~,: ; ' ~ . < f,.. . , . ~.t,- . . . ` ~ ~ ~s_., ;,~d; . • ~ ? - ;.S'. •.a~_"~.~!~'h7%''. . _ , • : i .._:~F"~: . a ` • ' 1„ a • ' ~..5~~~•~av~ . • . ' •r f - ' . aoox~22 pacE 3~ ~ . ~ ~ ~ . ~ . , , ~ _ . , ~ ~~~i _ _ " ~ - r'~ , _ ~ .ti