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HomeMy WebLinkAbout1486 ~ _ , - - - - - _ _ - - . . ` 'I 1 ~1 - DADF. COUNTY ~ , ~ : DN.~'AI~~MENT OF PUBLIC HEALTH ~1 . , ~ 18d0 N. W. f0~1RTt[NTN fTRtrT M~LTOH S. SA31.AM1, t-y~_ ~i D111ECTOR ' DiIAMI~ FLORIDA 93125 ~ ~ ~ y : ! :~y.~0•\~~l.~ s . : ! ~ ~:-Z~'~~~~t~~S TO 88 A TRUE COPY OF 14i8 IAC'.AL ~GISTR7hR'S RECORD 0~ DEAZ4i. " i fj~~•~~~~w~~~~~ . i=~ ~i k ! V V y~. ~ -r,~.~~: ° G • ~ , i ~ O:: sip .!f 7A ~ : . . ~ i~ ' • r. t : r~~ .~n ~ '~Alid unless the raised seal DEPUl'Y REGISTRAR i ' u'" U+'' c ' ` - - . ~ ~ - $ _ ~ ~~,.Bureau of ViLal Statistica VITAL RECORDS UNIT : , ; : ~ -L~ `f~s.~ -~ixed. ) D~ADS C04JNTv !~ZAL14i L'EI'AIlT2L'ti: ` ~ . .-.~'tc•~• '>s~ _ . - - . - !lIAMI FLORIOA ~ K. f~,~', . = r ~ . - 4, . . # '3;.:jj CERTIFICATE OF CEATH p _ * ~~ryrA.n.wt ol.~~~.~ f`tfYMH fTAT[ /IL[ MO.__ ~ :H~~ ~ " FLORIDA ~ • S wu.r~w.ra~taas RfG16TPwR 5•+O 6~•• sIN ~x LtCE~~tD--nM.t • •sr -oa.~ ..e• St~ O~:E Gr Di~... _ . _ - y~_ , z ; . r . ` . . ~ . i ~ John ~d:•rard Pi ec~o.~s~--- e ~ t;~r:;_ 2~^. - ' Z ~ = i~Cf ~~1. ..n ~ ~Gf .t. ~ •e.• .~.u~-~~ ~~Tt Gf 4iin c•. Ci:. ~ . ni ~rltn. '~~•.o.. q.~fjtrLf ''G..1•~O_~~ r..~ •t.~. -..E ` . ++Thit e 66 • . ovi . _L~~e - - - - 4 f l ~v iCNM. G~ ibCw1~+"'.•~ Cf ?f~in ~ ' ..f:o~ ! n ..raf+ ~~OSh1~t C~ CT.~Q~ hSTii~TlC~--ruo! ~ ~ . . . • ; ?r~~.,~. .1f L1 rC• 1 , , '~3.^~i P~ ::ercr- ~ios tal _ = . ;t~tF U Y~M . . „ s . ~..:~G'~ltn C? fck,rrnr .nwR~tE^ HE+H ~+w~tt~ ~S~ivc~r~;, Sr'O~SE • ~ . . N~CO+~ED OnCftEO +.e' ~ :.'iscor.s?n • :~•arried '/a2eria "azer 5:.~,wl :lCW.•• r.~,~!E. ~~SV~~ OCL'u~~t~l,Y+ . ~•r. : v w~ r..t• . ~ ~JNC O~ eIJSIN~SS CJ~ .hD:S':• .O~~~w .~rl t.••. ~e•~~1G • • - , j71-J1-~5~1~ ~ ^ffice "a^.arer ~xift ~:d Cor.~ ~ .::,~tr+fE --tra7e ~i'vur~l. - - - .Ut~. 'Ow?+ G~ ~vC~nG~. ~ ..~~w c.n ~S'~[Fr ~ti^ r..M6F• , s•~t... .n o~ .o - ' ~?cric3a SL. Lucie ' M R~:ral '.So •~•23?!~ ti_ 1? ~treet ~ {~'M{¦ ^~tY~ •~~1r r.ih~ .~l• MvTM[f A'~:UIN 4AM~ ••t1' ~ Joh^. ?iecrars ' • ~ ~•x]~NUNT - -.~.~F ' MAM~?! wDGfESS ,~.nu• u~ ~ • n .c • ~ • ~ . - ::r~. '131eria :'iectioxskv 2 1 StreeL ?t .'ierce -r ~ d . °•a- ~ w~t Cwu1!~J h "h.•tc ~:r~~r •.r~! '~uSf ~l~ ::af ~ t.. •rs~ . . ..~s ~ + ~ .u•.~.. ..s~• .»n w... _ . . ..ec - r ~yp L _ / i ~ .;:~qt~~~l~r~yf~i~vt~~E~~~~~%~~~t~ ~=l '---~~~f~~'---- i 1 ~ _ ~ .c ~'vp~~.. c~~~- ' . i~ y~ n . - . , . ~ ~,~:osN/C-~'o~c.- l'~~v,!/~~ //~j~~-~~~ . ~ , . G:..f~'. -.•.~r . ~e.p' _r~S . . . . ~~U~~:~y' ;f I~a ~ ~ . . j ~~en~~ :~•y.: c.~st ~oc ^ ;e. ~ N~_ . - r .o,e~ •.r Sc. Ct Ly 'La•[ Qt «~:v~. ~ ~ ~ ~ . . +4V._:~•~ Ct I...F~fIV ~ nLil~ :f~:~.i1 :JC.~~..~/~:• •.'1 ' ~ r~1• •:tM til ~ ~ ' T M ;~I ' ' . ' ~MN~~ ~T rvG~• ?twCf C~J r.•~_0~ . _e IOC~`~ :r~ •.~ne• ~ ~ r r : . . • s , {ry: •11 G~ ~ r~ ~ .r < A1 CEti:fK~TK3?+ . _ .e.. ..v - .n . o,c . . pt.rw Cri~HIL r...~ _ ?~•f~<-• . ~U .u~ ~ ~~c• .~+~~~ct.•~ c • •~.C K. ?I Nl• •'1..~~: ~ •~~0~~~~GI G~~ t. _ ~ 3-2 73 ~ ~'3 73 -3- r~ _?3 _.:~l.,t: ,o :,~.~w, ...,,o CtUtlir~ir:~r+ .rf~<wc l~~r:..t~:~~lfi~0~.l~ . ~..s ~ • ~~r ~ ~ •-e..~Ra.•..f::cr> r - 1~•~ . ~r ^ '+I . . , . ~G...w . .1 • • Of~ w •:t~H1i . ,~~•I •.~L :'A . 'N •~1~ • 5'~•I:. - ~ ~T .Z r3 7~- F ~ ~J4~.. Ct~IN uwf r ~ Sd ~~t~ : r.~n u• ~~T! St 0.n.. w ~r~ ~~'1~- ~ ~c~ ~ir~s ~~5~ _ --.1~~'_ _ 1- L M~R~Ki ~DOfI 3 ( [I..~M• '.~~n• i . ~ ~.a. • t.~ 1M - ~ ~ ~NM~~ Cit W?tK~H ftaOvw~ ~tfwF'ttr Ot C~t+k~tp~. r~a~.! ~O'. c~. c• •o... v,n " sn c ~a 'r^.o~:.i.i. ~=1CZASt•~B:.GZ'j3~ ..7.Lr~+,..~ L Y• =in~GC~ :~ZCT~S~- O~tE 1~r.rt~~ r-, rt ~.~a~l •v~ ~DO~H1 nnu o~ ~ r o w~ . cn. c~ .o... ~r•.~_ Pr~ . 1M •'P~j- ~~~a~--~r7-~ ;~~-1_:~t.r •1~ ~j'~'~ i ~~77 -:TnC ~"r~^~ 'l~lC~~ ~ !"IL ~Z}:C~ ~Z3 . IiM1lA/O~fTOf=L'WiA~I~ ttG~ •-SrGti~ryJ( ~ r • a' n . . l ~ ~ ~ ' ;s' ~ / 1M ~ i aI. ' a- ~ ~ ~ K: . l ' ~ . _ _ . . ~ . . . - - ` it~cao~~ ~o F ~o ,~a~E : of writinB' tYPin6 f~. LtiC1E COl1~ ~ Legibility ~Satigfacto~ i~ R06EA POttRAi ~Q~ ~ or printinS oiilmin~• CLER1c CIRCdn COUIIT l1 ~oY micr RECQRO YER~f1E0 ~ {,~is docuanent , ~ I~ " =1 IL e ° ~ ~2~ r~~~ ~~'11 _ R`J-~ ~ _ ;.G: y~~~ - . ' ' - ~