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Home My WebLink About1148 1 . Q ~ ~ ~ ? 2 ~ ' Li ~ ~ . . Vi'r~l~If IVM~ G V~ ?.•a_... . . fTATt F'1~.~ NO. .r i~,a~. ..a K~.i,~i~~.u.~ ~..rn. * F L O R I D A ~~~~J11IU 1 RE~tISTRAR'B NO. mo ~ , i r i E. OI1 ~NHi IN ~~fl ~x OATE Of OEAiN ~ rOMtM, ~~b ~ r[ItMAN[NT INK ~a_N~ rai~ • ~O°~~ ' SEE MAMDI00~ F01 wsr~uaars Frederick K! Adaws Male Februa 22 197 RACE .rwn. »eow. wre~ww wwN. wGE-ua ~w~a~ ~ nu uwe~ ~ w D~ ~ Of ~MtM ~ro~+~~. ~•6 COINJi~ OF OEw „ ~ n~/ M.~... .a~. g _1901 Seminole ~ ~ 72 k. Jan. , White ~ .+f+w un w.ws NOS?1iAl OR OIH~ NSTIiUT ~w w~ w unw~. om sirt~ rur ~wweu ~ V~ ~ ~ CIIY. TOM~M. O~ tOCAT10N DEATM y~vr ns w Mo n Sanford Yes 8eminole ~ie~ari~ HG ss~ a.M.. oM ..q.~..~.~., STATE OF MtiH ~ r Mo~ r~ ~.f.~.. wuu TIZEN Of W1fAT COtIWT~Y O~IVORCE~O ~vDicn~ ~ ~ Mar aret Shea USA Married n. 8 „~a~« Connecticut ,p,i « ,~,,,n ~ ~ss oa wousn~r w ~f DIClASIO • ~~E,e uwn? oaur~rar+ ~o~ o' °O"' °Y'"'O General Slectric Co. ocwuto ~ ~ S"~~~~°~, 146-10-9236 A Retired Sales En neer .tS~DfNtt ~l10~! uTM. TO~~. ~~«AT~~ MSIO! CM' lWq S~~i A~'p ~~R a..nsw«. ~ES~DENCE-SIATE COUNTY ~sncu~ ns o~ wo . ~~lorida ~NVolusia• Deltona ~aYes ,w. 1639 Hastings Drive ,,,e«a w~ fAiMER-HAME nW rwxe ust MOTNER-MAIDEN NAMf ~rst Katie . Kenned H nr B. Adams INFORMANT-NAME MAIING AOOlESS ' ~srnn w ~r.~. No.. an o~ w~n+. ar~n. :r~ Mr a aret Adams ~n 1639 Hastin s Dr. Deltona Fla. 32763 ~~w v.. ~r+c tat un...N onu, .~.n «.u. rnet oEwm w~s uusEU ~r: ~Ern[i orar o+~+f uusf rtR unE to~ (o~, fbi 1~. ..~rwr wrse ~ ' / 1 • i ~ 7 ~ C-n2 o n 2~S i~c 2 ~~`1 Q ?s ~ , . ~ ' c,.~ o TNC ~ L ? ~c n• ~'1, Mo~7fls co.+anows, •M, wwKw O~~! ~~5~ /0 n~ ~ ~rrlWwl! C~YS! ~01, ~ p~ a y~~y~putK~ O~s 1T/~11N0 tM! YNCl~- ~ ~ ~~IMO C~Yi! L/~!~ ~ kl /Wlp/sr ~ YES r+e~e ~IMOIMGf COM• fART M. OTMfR SICsNIFK/Wi CONDR10MSt CO~M~AONI CO~M11hM0 q Of~AI NII MOt YMRO 10 CI~Yf! 6~11lM W~Yt 1 101 ~~es o~ ~•o~ w oei~w °truwwwo c~~ H~. NO H~ ~ ~r,~p~p1~~ p~ ~ra+rw, o.~, ~tu ~ MOW INJUt~ OCCURREO ~ t~re~ w~~we a~wun ~u? ~ w~~n n, mr ~ hOriGOFs 0~1M~D~tE~MwED I ~M ~ 71c M. 7M. i INJURY AT VYOM( KwCE Of N1tIRtl Mo..t.•ur, s~~an. ~.cro~+. LOCJ?iION i sneet p~.~.~. Mo.. an oe iorn.. W ~ ~ srtan ~ts w.w ~ oaKe ~uo.. at. ~ sncw? ~ . !w_ . n.. ..o~.w~ w. ~u. w+s usr s•• ~/¦n ~?ne a. ~ qY/MO MO~ v~[M 111t DEAiH OCCUttEO u~e n~ce. a. w~e cc~wuna+- -a..» e. ^ _ ..a. e.. .a. .o....n. ~.ew. : OOP . ~ o.n. ..a, a ,K ws~ .mrsrcuu+: ~ li' O T° 3 a r, ~wvnEOU. oue z ~ L(~ 3 1~ / l11. ~o nu cwrxui suao. ~ ~newo[o mt ~ ~ r 21i. t~~ acE•seo rwr r~~ acEOe.n a~s r~oNOU.~teo oewe CERTIF1UT10N-MEQ1W Ex~MwER O~ CORONER: a+ sws a nrt Mow oe• rr.~ Mow ~ur.uTwn a me wn. ~++o/a nR w.~ua.rcM. s. rr w~a+. oe~m otcunlo oM ~t wu wa We to n~t Uustn~ it~no. ~ rn M' ~ S~A ~ DATE O~ra.m,w~,nu~ CERT~f~ER-N~ME ~rne o~ .nwn ~ ~ tk. ' ~ • Dr. Frederick J. Wei and M.D. r~.. ~~,~,«,o,,,,, s~.~~ ~?~?~~u-~'""~' Medical Arts't~`~~g..~ ~.S o Blvd. Deltona Fla. 32 »1 lounOM an u..o.w s,.~~ ~IWM. CREMATION. REMOVAI ERY OR C~E?AATOR7-WAN1E • ~ Daytona Beach, Florida ""`"~~urial ,~,Bellewe Me~norial P' rk ,k_ Ia ~ s~ao o~ ~.~.o. wo., cm o~ ~o.N. s~.n, nr ~ DATE a+. HO""E-`''"""E "''1° AD°REU p Box 3~1 DeBary, Fla. 32713 N, Fe 26, 973 David Lan Funera flome P• • o. ~t K~~s~u~ 5. ~612 fIM O~ !RAlt- f tN. Rav.1970 t . CERT IF IED COPY ~ ~s~~~~ r This is a Certified Copy,~filed in the office of the Local Registrar, Sanford,~.,~~; Seminole, Florida. n 2' 4 0 ~ ~~7Owo N ~+='o ~aa~e ,.~c o~sw This copy~ ie NOrT VALID, unless raised seal is affixed. ~ OO='~p~ o ` ~3 c~~s ? ~ se~ ~ ~v.i S ~ . a ~ ~ ul n . ri d, M.D., ~irector ~ ,,,.gs? ~:..~~*~.ti,"„ . • ' /~/e :~<e~.i:~ = ~ •'s'~. • /J~(G~ _ _ M~r I 9 iz ~M ~ , ~ ~ . .r . . ~ ' Bessie Lou Field, Deputy Regietrar ~ ~ H~EO fofl at: ati:n : _ ~011 VEP'•F:f'~ f ~ ~ .r o R ~7 ~ ~ . - t~; ~ ~j' E OF f.IP ~ ~ ~ ~ ~ f• iiA. ~ ~i~r~ ~ t yx~cy:~y ~..~x~~ Y~:.~~ - - - - t` " !'t_-,:~ _ ' . . ~•.':-s%:E`s'._. .