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Home My WebLink About1805 ;~t~~43~ • . : k, . ~ f , ~ ~DADE COUNTY, • r, , • ~ , . ~ = DEPARTMENT OF PUBLIC HP~ALTH ~ ~ ~ ` 1~d0 N. W. FO - MILTON 8. SAS~Aw, MO MPN ' I r.,. URT[ENTM sTR~6T . . • • ~ • MIAMI~ FLORIDA 33125 OIRECTOR ~ M6i?.?l~' . • +y ~ • . I H$REBY CBRTIFY ~HIS TO 8g A TRUE COPY OF 1NE I.OCAL REGISTRAR'S RECORD OF D$ATN. ~ ~ _ ~'~O (1Y .i b ~ ' . . ^ s _ • ~ ~:~`r,.• • w,~,~,. • . ti~~~~,,.~~d unless the raised seal DEPUTY RECIS'~RA o~6i~C ~uire,~u of Vital Statistics VITAL RLCORDS UNIT ~ ~ ~ ~ UT?DE COUNTY HfiALTR DEPARTN~NT ~..-r: ~ ;~t d,.~~ ;'r~'y~e~~~:,u±~,~r,. MIAMI, FLORIUA . ~ ~ ~ •~,4 ~:r.. 'i~' ERTIFICATE OF DEATH ~k,.,..~~~,~~ ~1 ~~~e.W~ri~:e;S~~+re;. - . _ - L ~ F L O R I D A ~TATE F~~e No.`T_ _Y , .Y.......R~a~ Q . t' ?~~a a.r~ J REGI6TRAR•8 NO. DECE~SEO-NAM( ' ~ f' r~ p M e u s t ~x OATE Of OfA1M ~ ~oNtw, o~r, rt~~ ~ ~ JOE::PH 3. I~~. RIiir_r~D , t~iale , JunF 6, 1973 ?wCE .ti~~e. ~t6w. w~u~Ku. ~NOU... wGE-~•s~ uMOe~ i ~e•~ u.q~ e o•r OATE Of tiRiH ~rw.n~. o~r, COUNTY Oi 0(wT~~ n~ . sr~c~n ~ N~MDAt 1~lMSI ro~ w~s ~n ..r~. ~a~ ~ - ~ ~ ;•lhite ~ 6 ~ A . 18 1904 D:~de U7v, TOWN, OR IOCATION QF pEl?TH rn~oe un ~r~n MpS~ITAI OR OiHER NS~ITUiqN-NAMt IY N(~f IN ~11M1f ai.r S~r~~ u.p ~ - s.ecu, .es o~ ..o 2Fi~ ~ch yES St. Francis F.ospital S~~tF Of SiliH ~ u MO~ 1M Y{.~.. N~Y! CITIZEN OF WMAI ~p~NTRY ~ MnRRifD, NEvER M~RbED, ~ SURVwWG SrOUSE 1~I wNl, f.M IYIOfN NW( ~ - '~i~@ I$~ eWw~m~' U• C• f~? WIOOWtD.DMOKfO~s.ecrr~ ~ i~ ~1ClOS•JC(~ n jtOri@ 5~~~ il SECURIT1f NUM6ER USUAI O[(l1PAT10N ~a.[ cr.o or rroec oo«e ow~..e rosT w - - _ i wwaew ure. lYtw V~fh~t0 ~ K~ ~ WSINESS pR 1N6115TRr , G~~ ol 5?35 5heet t~ietal tiyorker rlirconditionin~,_ _ ~ES~PEr~CE-5/ATE COUNfr CRT, TOWN, OR LOCAi1pN wSWf (T ~w~q STtFEI AND NUM~ER ~:t~ I~~lorida ~YtC~h ~!1 M rq~ . ~N Dade ~M i~orth t~:iami Yes ,..13?GO N. E. 6th Avenue rpr..E~ -NAME Ilpl '~~~F l~St MOIMfR-MAIDfN N41NF •wr ~•i: Hormisdas Rivard l~iarie Louiae Milotte . i r;rv~,~nwNi-NAINE Mw4WG ADGRESS ~i~ner oe ~ r.n ..o . ur. p~ ~o..., a~.re. tr~ '-r• N ~n Sladp Avenue Soiith Attleboir Mass~ Q2'jp3 F~~~ ~ OEAM WAS GUSEO 6C: ~FNf[R ONIY ONE C~USE IER llf~ !Of fu). (b). U+O (c~j ~rrWur~ ~wt~r~~ ' ~MWDUT~ • s( - - - _ . /ltwffM VN3l~ ~w0 Dl~IM ~ ' : J'~-~-. ~ - - - ~o~ y-L• r,, =,-v ~u~: k; ~=%!f s . • t NSlOW.K! Of. . 'G•~D„I~OM~. 1~ ~M ~ ,..ve ose rd ~ le1 ~7/~1`C , f~"'•.ee C'.r/Lf/.n-.--?~s~ ~ ~ ~s ~i~n5 ..rlGi~l! C~Vff 101, S+~r~r~G ~M! YNOl~. ~ O~l~O.O~•s.eo~van..cew. L~uSf l~{/ ~ t"^' OiMER 51~NIfICANT COleOIT10N5: ea+ano.~s can~~unr~, q p~~tw ~y~ Hp~ ~f~~T~O r0 C~Vlt GMN u. r~ur ~ ro ~WTO~S11 rt rE5 v.t~r nMOiMos eo«- t'.? ~I~ ~ • ~~It q ti01 ~DI~~D n~ Otlter~w~NG G1u3! I i!~v L 4~ O N:!1 ~'r vNC~/~~~ ` Yes Or Oe~rw_-. i - - 1~ _ f ,c.;t,•.~ f i~CCiOEM. SU1~16~0! ~ W! 11 ~..or~rw, i ~+~•'~~.~3E. O~ U?qE1fWINED ~~M HOW IN1VRr OCCURRFO ~~Nr[~ w~eun o~ ~~~un ~N r.er ~ o~ r.a n_ nw u~ ~r~: `ll 7 ~ ~ I - - - M 7~/ . ~ I ;H~~er AT WORK ?LACE Oi WNJRI/.r uort...~... srntr, rwcrw~, tOCwTI e c~. .e s o~ .w ~ wnte uoc. , ere. ~ sreeun ~ ON ~ sneu w~~ o. r.o . un o~ ro~N, s~.re ~ X. ~ ~ ~ Cf RTIf If~T!pN- w~pr~rw p~r ~IN a.pap~ p~t ft~t •~+O u3t fur hwfN[~ ~ ~ qp/O~O ?/0r v~lr rw OtATN OCCU~lED ~t n~! ru[t, pr~ nq IMlS~C'AN: tO YOMIM OA~ 1fY ~001 ~{t!~ W~M ~~rttw0/0 TN! ~ ry / INOyf1 D~~l, nqO. tQ Ay kSt i~e cECe.s~o rror ~ iJl~ l! ~ 7-~ 71t 1~ W rt [xO~+lt6 oue ~rp~ici - L ?I~ 11e~~5~+~ M. ~O ~nt CwfE~f~ it~q0 UT~ON-~DICAI El(AMWER OR ~pRONER p. i~t s~s~t w n.e .~p,~~ or oe.n. N! OKIDINI MAS I tia.. O.~ Or tK ~00~ ~MO/O~ ME wrEfl~G~~OM, ri W+w~O.a, ~OtI~KlD OI~D :t.'~ GC'.uut0 On Mt O~T! u~0 OYI f0 tnE CwyyE~U S~~~FD. ti0u~ it~ CFViiFIEF-NMtE~n?t ry~--___ " M. 7A _ M 7,~ _ ~.1 i f j /~i ~ /-r7 l'N ~ . ~ t e O~ ~ntr DATE ~~GNEO~trnr.n~ w?. ~t~Ri r r,~;~ iNG ~~DRESS-~fRfIfIER , s~~en w ~r.o _~.o ~L?~?~C~i~~//1.~~ ~ ~ / ~ }7~ i~ C~i? O~ rOww s4q /~~r I/(vt' Nc~ ~ tTiVi c.cl1Sr~ " - ii ).la.r~c /.j1~~C/~ i ~ ~?'~~~~t. CREMATION, REMQVAI CFMEiER1~ OR CREMATORT-NM~E IOC~IION s.~..~., cm o~ w,... s~. [ ~r~l Miami Cit Cemeter* ~ri~ r~~ Florida ~ ~.~ow~N, aa. +tu~ fUNErAI HpµE-HAME ANO AppRESS ~ sneer o~ ~ r o ~o em ~orN, sr•~e, nr ~ ~ - June 12 19?3 Lithr;OY! FLneral Center 1501? ~~J. ~i::ie Ftw3•., tlorth t~ifami, F1a, -'~FO~yD.REQ URF ~ R~~,IS R-51~NA~UqE Dwtr t[C rvto ~p~y G~SiewR .1~ is.~'/ ~~~rNt ~973 - - - - - . . 3 ~Ep ~,Np hEC~RDED LUC« COUN Y iLA. IIOG~? Wu11R~S ~~EaK 4~ ~Cu~~ COURT R[GGRR YE ~ IED...~^~ Il I s~ PM'Z~1 E~~ 1 ,r P~GE~~t 2~32432 ' rF ~}'e . H- r _ - - - .ffi~^ ~'s~"' .