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Home My WebLink About0732 ~ ~IILLSE.3Uf?UUGN G.vUNTY HEALTH DEPARTMENT ~~~y~7 t105 f. k(NNEOr e~ro. P.O. BOX t731 TEIEPHONE 223-~311 TAnnF~n. Fi c~~ti[~n ,~_~F,Ut ~ 2'79633 ~TA~[ ~OARD o? Mu~rn ` CERTIFICATE OF DEATH .~a~~~ OF YITAL /TATIfTiC. F L O A I D A ~*wT~ Na nIRfN NO 11[OItT11AR•• NO. ' `~F 1?t~Ct 0/ O~~TN GOO[ NO. 2. Y~YAI ~IttlOtrlC[l~?M~MwrrMr. 1lWbr.~• R~dwrN~Jwwb+) • t°~"~' Hillsborough ^LA ~ sTATE Florida 001M~'Hillsborou~h ~~~x e. unr. irnrr. o~ ~a~Ta~ s. e rua os astw e. nr. Tow~. ae wuTwN . a ~~s~aNCc ~ T3mp8 ~~jTM Tampa-Rural ~O~TM~~~ I I. N~~t OI (Ij yt M ~N'i[d, /IK ~bM NheM) L[NOM OF f. STRE[T AOO~ES! ON A/ARNt "~:;;~T,~ 316 E.Clifton St. 2 w~s'; Rt.4 Box 463 ~O ~p ' i==N~?Mt o. !1?~t M1/w Lrt wn xwt~ Dq Yar °iia«s•+•r~ JESjE ~ A. BOND ° "TM Feb ~ ~ S SE 1f ~ OOIOR OII RACt MAllRRO IIEY[~ MARtI[O • OAtE 0~ NRTN ~ A6[ (l~ ~t~r1 • IMOtl11 Wt YMO(II H MS. f~lt Kt~fq) J/«Y~ O~w Nwr~ 1f(~. ' i: a 1 e Whi t e .wo.RO aw~cco Jul 1 18 - 66 I W usu~l OCCU?~TqM (Ofk !t~/ ~JrM~ I~ 1~. KMW OF NiSMESSO~ MOUSM~ 11. ~M1iNILAR (Sld~ w~rreM~ a~at?~) Cn~ ~e ~Nt OOt~lft~ I fywwtyrM ~ nt~y• U$A J'1~esm;xn `~e~ire~ Insurance Indiana ~ 1]. tATINR S 11AM[ 1. MOT1~A"S MAIO[11 MAME ~ John J.Bond Mary E.Bon is ras acc.sco cv~~ w u. s. ~rco ro~cc:~ . eocu~ sctu~rtr ~a. ~.~~R s s~o e1 r, u,.~ ..:.....~.r...~..,:..~ 67-10-510 w~.« Rt .4 ~ox am a ~ ~ nri d YeS J.W. 1 ~a. si?w[ N~snrN (~.ro ~.h ~•e eswe ll.r/r. l1)...1(d. e~wu ~cTweeN r~~T ou~ wns uusco ~r~ _ a~sa ruw ourn ~rcoun c~wsc cd d~~ l' i. ~ . ~s d s~ j ~t~is. G1M~4t~wr.i/n/. p~ TO • e~k~ ntt ru't H . ~Do~t cwsr lil. ' • rl~Ny t4 •~ftr- 011E TO (d •,ic-.'' f~fy qr~r IW. ,f ~ ?AIIT N. OT~ SKAfKAM~ C01101110i6 OOMN~tR~li f0 OUM QR 1qf RLAIEO /0 M 1t~YMMI DqGf[ Q11OIt1011 GN01 M ~MT 1(~) . w~S AIROKY /fI1F011MED1 . ~ < ra0 ~o~l U ` 20. ~ • ~De. oeseRnc ~ r~n~r oeevReco. «re. w.rw~ yMys.~ i. Prt I w Pat 11 yM~. u.) ~ ~cuaNt wKwc ~Kwc v ? ? ? ~ 20c T~wE Oi Hwr X«~t~. D~I. Y~e uuu~r o P. - 2 20d. ~Mlullr OCCU~~EO me. ~1.ACE OF NWRr (r. I.. 1~ r~w1 Mwr. m/. CITr.10~M."d1 IOCATIOM 001lNTY ~ STAT[ wwrU AT ~ NOT NMKE ~ Ip~. /~MI. ~btef. ~~t O?y.. dt.I • . w011K AT nWIK ~ 21. I~tt~ndd tM d~cN~~d /wm ~ ~L~ . to f' ~nd /ut w~a,'Na~ lfi~~ on ~ f- :~l_ I W~th «curnd ~r t e~ en tM t~ ••t~J w~: ~nd te tM bNf e/ m~ Rnowl~d/~. /ro t8~ u w~ ~btst. . 22g, f10NAtYR[ ~ ~ (DMa M fYk) ?m. AOO1lE3S t7t. OAT ' ~~r ~ ' ' t `~d. a 6 Y 2Ja lumilt. CREM1110N. 2Y1 ~OAT~~ ZIt. [ Oi CEM[TEIIr 011 CREMA?ORI/ 2~/. LOCAT1pM (CY/: fM~R. M lMUI!/I (8 1 3ur `~~S°"'~`' 2~r;/~2 ~ Garden of Mem. Cem. ~ Tampa, Florida 21 ~ ~ l d11EC S T~ ~ ZS. OATE ~E ~ REG. . RECKTIIAII'3 iKM~TIi . i . ~ 1 ~ ~ ~ Feb. 1~ ~ I NEREBY CERTIFY Tl[E ABOVE TO BF. A TRUE AND CORRECT COPY~ '"`Ol' THF. LOCAL REGISTRIIR' S RECORD ON FILE IN THE HII.LSBOROUGH ~ ,,',`;,~{:~T~-; COlH11'Y NEALTH DEPARTMCNT AT TAMPA, FLORIDA (WARNING: NOT ~ ~ - _ ~ ~ ' VALID UNLESS RAISED 5~AL OF THE HILLSBOROUGH CO1JNTrY HEALTH " . ~ ~T DCPARTMENT IS AFFI~,F, f ~ = ~ • ` - ? : ~ ~ „ < ` i _ ` " `Ic ,~i:~ - .,,5 , Jul~h S. Neill, M.D., .P.H., irector ~nunt Health Officer & Local Re istrar 4 = . • ~ Y S , . • pPR 9 19T4 ' C ° ~ %~~fAl... r ~t 1 " ate UF.PiTfY REG RAR ~i'~~ - 2'79633 ~ FILEO AND OUNTY FU. st. wC E C L ROCEA P0~1RAS CIERK Ct~CUIt COURt ' RFC4°•~ yERIFIEO ~ p~R 16 t z~ PN'?~I o~ t~~ B0~(~~V ~'~fr 7t~ ~ - - ~ _ ~ x _ :dk _ ~w _ - . _ . . : . - ; . . .