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Home My WebLink About2222 - - - ~ CERTIFICATE OI' DEAT:t ° ~f Departuunl eI I(e~III~ ~nd R~~~a~~Jii«ihr G~rlctf F L O R I D A gTATE FIL[ NO. ^ IM\~t~i11.\ IM~ 111 \illl 1rP(, OR ~tIN~ IN ~w~v~rmu~r.n~ers REGISTRAR'S NO. V ?fRMAN[MT INK 0(~tASfD-?a~lM[ rwo.i SEX OA(E Of GEATM .+o~.~w, t.., u•~ ~ u~si[uii~ars~t ~ GORDON MA DDOX I.~1 NGLF.Y t Me La , Februa ry 14 ~ 197 3 U1CF rw~T!l1. M~G~tl. ~Y~~K~M ~tipuM, AGyEp-t~1f vwM~ ~ rt~~ IurD1~ ~ O~• ~OME W EIRIH ~~rw, on. COUNiY OF OEAIM ,C ~ V`~li'1 be s~, I~~1t~~11 ~rOf. W~) k W~S w. ~U~ ~ ~~tar. 21,1899 „ Browerd cnr, TOM~N, O~ IO~AIIGN Of ~EAiM u.NOt C~ NOSI11Al OR OiHEt NS711U110N-NM~f ~u w0~ ~w (~iwl~, Gr! S14U ~~.D n~.Wl~ ~ /D s~ecu..~s w ~o r~ h Fort Isuderdale yes „ D O A Holy Cross hospital STAtf OF ~.RIN ~ u wot ~w v f•.. ~•+e CIl12EN OF Wr~wl GOUMTR~ AUiRiE~, NEVfR MACRiE O, SURVIVNG SPOl/SE ~~i ~~~t. Gw! r~~o~h ~+~+f 1 towm ~ ~ UrvOiCE ~ irtcu~ ~ ~.s~., , Canada , Canada .,;`~`~"~~rrie~ Ai leen .~n~ oece~s~o SOC~wI SECU[~ilf HUHtlEt USUAI OCN?~l~ ~cnt u~o o..o~¦ co.u o~nrc +os~ o~ KWO Of WSWESS OR ItrOUSiRY u.~o u ee~eM - .nra w vqawc ur e•e» ~1"~!D ~ . „o.- - - - ~y KQC~red Ra i lr~a d ~~::c~»ce uwu .c.~ssa«. RES~QE?+CE-Si~?1E CWNI~ UiT, iOMM. OR tOC/~110N w~e cm w~n SfREI( ~O NUMlER ~ ~ viar~ .u o~ .a ~ ,~,Florida ,~,Broward ,,~.Pompano Beach ,~,yes ,~200 N.E.7th S~rept f~iMER--nw~sE n~s~ .wae us~ MOTNER-A4A~OEN NUNE ~us~ ..~owe us~ „ Harry rt. Langley Bessie Maddox INfORlwtNi-N~uE MARING AOGRESS nutu o~ o..o . cn~ O~ ro~~, s~.re. ~~r~ 1~irs. Aileen L,angley ,~200 H.F. 7th Street;Poa~pano Beach, Fla. : P~~ DEA/H WAS CwUSED ~Y ~ENiff ONU' ON! C/~USF PfR tlvF f0t (o?, (b). A~rO (c~1 ~tt.~u~ o~se~ •~a oi.:~, 1/ wuo~n t.-ufi ~°~~Y~C ardial ilure ,~Np[ 10 q tl ~ CLr~1fGJ1~.Cf O~ ~ MI,CM'G• ~ fIS! O ~e~ Acute Coroilai;y I~i~ufficienc - ~ ~rr~D~~l~ 4ut! to~, pyf ~O, Ot ~S ~ CO~.1/W:l~+:f W. . ~ ~1~IING 1Mf VMOl~~ • li1NG C~YS! 1~1~ ; Coronar~, Artery Atherosclerosis . ~ ?ItRt M. OTMER SIGNUKMIT CONOIi1pN5: ~~aoo+~s car•u~un.+o ro ot•~~ ~u~ No+ ~tww ~o uuat e~•w i~ r•er ~ a~ AUtWSY IF TES .ru~ ~~w~~~ds ccy j ~ns a wo~ ~:GI~IO IN ODUa1MIM? uus p Ot~th ~ 1N n~ IN V•et.~ltil ~:ci0[~ii, Su~fmE M~D~tf W1UR~ ~..o«rr, wr, ~t•n „UiIR HOW INIURT OCCURlED ~ WT(\ WI{~Q 7/ INIY~t ~N r~n ~ o~ r.n .rer u~ NOMIGD[, OR Ur:DE1FtMU+ED tsv~M ~ 10o jp~ , !k. M !Cd INIUFY A~ VJCRK ~ KACE OF W1URV.~ .oW, s!un, ~~etot•, ;p~ATION ~snen oa e~.e. Ko., em o~ ~o~+n, s~~n ~ Isrtan nf or woi drKe ~wG..eK. ~v~Un~ 3 ~ 7G 701. ~f ` . i . - - . - 5~ CERTIfKATKXI- ~G+iw e~t ~[u ' roNM O~r •ta~ uw. u.a. n~.., es. •a..~ u. ~i vw.v.o w. rww~ ~..t~OCwiti uLG~i.w .uxe. ar~ u.e ?NiSICI/N' iO MO1~/M O~t ttu /OO~ ultt W~41. IMOV~1 OA1l~ ~ND, iD !M! HS1 ` 1~f1lNDtD 7M~ d Y) ~rqrUD4l. LJ ~ eicusro no. _ ~71~ tlc tl/. th M~o m~ uuu~~~ ar.•ic CEtTIfKwi~Otr-wEDiCAI EX~r~ir~fa pR CCRO!vER o,y r~i ~n~s a rne ,ww or oi.m M[ C[CfDlN7 M~S ~~OMOV~CfD DUD ~ .+cwT~ o., n.• wov~ _ la~r-n~~.~w. L~ n:! WO~ ~~+D/G~ tn! ~wrtit'i.~'q~+, ~w r~ Ww~Oa. E , a~~..~o u. a~ o.n ...o o,~ ~~<<., sf.t,o. DQA 0• 3 a,~:,:,~ ~ 14 _ 73 10: 30 ~ ~r. - - ~ CERiIIiER-H~nf ~nre oa nu.+r SS~. n/je~,~ S~.r«Akl+tf ~ ~it rt~ OwtE S~GtvfD o•• e•~: ~ ~~•VYa1teLI2._G~b a~ inei_::~ ~~C~~~;~~G' l~~. Feb. 14, 197~ ~ • M/.LLMG ADCiRESS-C[Itllfa(R sni~T o~ i..o ..o. ci~r or ro+.+ s~•n' yynOn~ 6 S W l st At~eiiue,, Dania, Floi•ida ~.s u ~ tURiAt, C4(NtI1ilON, Ri~.~OYAI CFMk1ERY OR CRE~.UIORT-N~~!E lOCwiION c~n o~ ro~n suq ~ ~ ~ sncr.. Crema tion ,~~to a L Pa Lm Cremator Pom ano Beach FZorida ~ rrl~~i ~a - ~ -p-------~ - - ~ D~TE o.r. +ur~ IUe~ERwl „Oro~E-NUV.F ~r+D f~JaFSS ~ su~~t o~ ~ r.o. o., e~r~ o~ ~owH, tue~, tv ~ ' F ~ eb.~ ~,1y73_, ,,.P.. ,Ja Y•raeer:20U N. Federal Hwv;Po:n~~no B~ach.Fla L_~ ~ Y. 5.~612 fUr~EiiJxr on-s~:•r.-J~°*~,/ ,~,~f ctG~S:-r,r-- ::<rur~i.? , io.rc ~ra~.[o r i;,t.~ ~tairr.e ~ F. e v. 1970 ?k ~ r~'/f J/-~^+-. T?:' oS.fA~ ~).C 7u ; . ~ ~ ~ 7 ` r ~ ~ ! :z a.--. `3 . CERTIFIED COPY ~ ~ I hereby certify the ubove to be a truc ~.nd correct copy of the Local - Registrar's record on file in the Broward County.Health Departc~ent at Fort I.auderdale, Florida. , , • - _ . . - _ ` ~ . (Narning: Not valid unless raided seal of thc Broward County Fiealth `D'" ~ • • ~ ~ j~ ~partment is affixed.) ~ - rrno T v' ~ c t~ - ~ lj ~ '_''ca~~r _ ~y,` ~ , O ~ ~ ~ ~ ~ 4J -,~.~,~C - - . . - ; . . - i~~ . C/~~7./1 " ~'?"U'~;% ~c- ~ ? ~ r-, G v ~ - • * r ~ j :t : s~G . ( i ~ ~ ~ ~ ~ ~ + County Hcalth Officc:`" and ~Local 2e~istrar oc~~ . : ~~rs~ ti' :Fr.~,..t~~%.~n~,i~. _ ~ GZ - - . - . _~3 ~ t u~1 i C f_` _ l ~,~i~~j ~,p R ~ , - - Q =.7 ~ v . . • ~ _ ' ~ • . , . , ~ . - l101)!! fIl1,C~r~~~~ y _ ~ , _ - ~~!;~9=~7~ L ~ Deputy Local i{c~;is;:rar - x~i ~ • _ . ' - : - : . . .