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HomeMy WebLinkAbout1146 i . . ~ , . _ . _ _ _ - . _ _ _ • . - • : .4 . _ . ~ 4 v ~ - a ' ~DADE L~LF~T`Ys,- , sT-28,267 . . ;F.,; . . - . - - ' , . - i t% DEPARTMENT OF ~UBLIC HEALTH ~ 3 ! ~ ~ MII.TON S. SASLAW, MO. MPH, 19d0 N. W. FOURTEENTH STREET Y ~ _ ~IRECTOR a ; ~ , ~ ~ ~ 1ViIAMI~ FLORIDA 5312.5 fi'~ - ~ " _ ~ ~ ~ Ii+V`~~5 ~ . ~ . • - I ggl~gy-CgR'!`IFY ~iIS TO BE A TRUE COPY OF 44IE LOCAL REGISTRAR'S RSCd~tD OF DEATH. , . . , ~ ~ _ , ~ . i~., . ,'S ` ~vii=!.~,c~~RNING: : ~ • - • . `:Osy Zlo~t valid unless the raised seal DEPttTY REGI5TRA ~ d~f the Bureau of Vital Statistics VITAL RECORDS UNIT ~ r~. : a A ` a.~- 1~ DADF. COUNTY HEALTH DLPARTNQ'sNT . . n . "T~'r!~ affixed.) , ~ ~ : - c , MIAMI, FI~RIDA ' a.•~'~ ~ 1j!~~ .i~~/ _ ~ ? ~ " DEATH _ ~•:~w,.: ~j~'_-,~'-.` = ` CERTIFICATE OF r . - . - ~ - > > ' ~itali~~ `rrvirt~ STATE FIL6 NO._----- ~ - FLORIDA ~•~:~9'i t x ~'~r` REf.16TRAR•9 NO i+~ •~y-~ - ~.~St rww! l~st ~k DATE'OF OEA?H ~ rOr~rh, o~~, ~e~~ ~ '=::w5F7-NAM[ - - . GEORCE JOSEPN ROSOFF : M~~Q , October 31,1973 :s~E ..-~~e. ~ewo. ~.•t~<.w wo~~. ! AGf-t~sr vr.aee ~~e~~_ u~!w~ ~ o~• _ DAiE Of NRiM ~rD1~TM. W~. COUNIY OF OEATM ~.~1w0 ? 1 \l~~S~ r01 ~ M15 NOV~S ~ rM. ~Il~~ : 5.~:,... ~ 63 ~ ~ ~ ~ liay 8,1910 Dade h i t e s.- spvrr,+ O~ IOCAiION OF DEAM ~.vw c~n :~..ns MOSt1iAl OR OTMER NSiRUiION-N.tME in ..or ~w ~~rne~, c~re srn~~ .w ~u+n~ ° ~ FILEt7 ~~1! ~:EGV~OEO _ S~tCU. .1s o~ r~0 . ~orth Hiar?i Yes „ NoTth Miami General Hospital ST.~U~~~ ~-~UNTY F~e. ~ ! l~ " SURYNNG SPOUSE ~~r wue, orvt r~~otn wr~ ~ RL~i;•z, 1 J•+' AS ~ .-.r Mti~i ~ N.o. ~w u s.. •••~e GTIZEN Of NnfAt GOUNTRr MA[RIEO. NEVfR MARRlED. C7 FF~ ~•rr u, T C~CURT LQ~+~n ~ Wi00WE~. DIVO~KED ~ Ytut~ ~ • ^ - - - - - f ~1 j ~ ^ ' ~ i . U.S.A. N Married Elt~inc I.p:~ - RF ~ Fo _ and _ - - - - - - - ~ SfCtio~iY IVIWlER USUAI OCCLPwT~ON ~c~+< <wo o~ .ro~c oo.+f ow~.+c ros~ or KIND OF WSINESS OR INOUSTRr .o..~,~n. _Z ___,~__i3 PM'7w ~ ~ 84-^1-135G ~~L Gsm~r _~~x D~leaning--- O T~, TOWN. OR LOCATION } µs~w cm ~r.~n ~S1RfET ANO NUM~ER ~=S.~Er+CE-SMTE C~llNTr ~srturr •et w ao~ ~ Dade Horth Miami ,u Yes 1t.70 N.E. 125 Terr~ce F i or ida ~~0 1 ~ ° ~I~~~~~ us~ MOif1ER-MAiDEN NMtE n~u ••wa~ ~•s• ruvE n~s~ .wo~e ' . Da~i~~i Rnsoff Sarah (UNOST} ~ :`:~jEµANT-~~AM~ µA~M('~ A~ESS ISlqtl pt ~.1 D NO.. C~tt W TOMn, Sf~I1, jM~ . Marvin Rosoff ,n E390 N.W. ?4 Ct.Ft. i.auderdalc.F?orida ; ~?~lO~IW1Tl IN I~V~I = ~ o[wm wws CwsEO sr ~fNifR ONIY ONf UUSf PER lWE FOR (ol. (b1. aN0 fc 1~ ~~iwtM O~+Li ~rq ~tn ! . 1rrfOuII Uulf f ~ : • ' (e~ Gt~L CC ~ ~l~/ ./•.%j~ ~ . ~ --t-~-=-- - : Out~'~xwa.w. . J ~ . . . . ; _..7.-.-.s. u .w~. ~ ~~L~ ! ~/~[LL ~1 __~!-~~c.i_:C t'-- - - . . - ase ~n I ~°'_fe~~''s~~-t'.~t-- - - - i .e'^~ •~E :~us! ~o-• ~ pyt rU. O~ ~1 a CJ.~uOtAH(~ M ' ~n1 =wDf~~ ~ j _ •-.Sf i 1' _ . AUTOfSY If YES riMO~wGS ~oN- ~ - W ~ O1NER 1Ks~~KKANT CONOIilONS ca.anws co.ar,~vn..e ro a•T+ ~~r ..o~ ~a..~o ro uvse ~.no. ~r+..~~ ~~o~ ~~t q5 W I.Jt~ ODOf~ n~ DETUr~wwG C~VSF i ~~a N.~ , i ----TT --rw ~N~ ~ 1KN1R MOW IN)UR~ OCCUR~ED •~~*n ~•rwi or n~w~~ na r~~t ~ M r~n n. o~r ~ ~ i=C~LENi. SuK~OE Gt ~D~TE OF INJUiR11 ~..o.. o. j ' .F ~i I7~DEfF~Yl~tEO ~ ~ j - ' `r % ~ ~ ~ M ~ 70i ``*~J: o~ wT 'wt0~ ~ YIwCE OF NnJRr .i ..~.•e. i~~f~. ~•c.w•. ~ IOC~T~~I ~ sn~t~ o~ r r o. ..o . on o~ ~cwN, su.r ~ ~r, ee; ~1•.0~ ~'J~~Kf YDG.~~~ '.YlCr~rl ' { i~ •.q usr s.r wwi~+u.t o« ~ omLo~o wt v~r.+ ~«liDEAIH OCCU~tfD .T me r..• i, v~ nu 'ri' ~'~CAT10N-. +O1+TM Q~f rfN +.C~+tw D~~ •t•~ ~p,~rn n~? rl~~ •OOr ~(tt~ M~!H I~w~.~.~~~ D~eE~ ~n4, r0 AR ~ES~ p_,.,~,.a•. i- jO ;s ~ ~:?~P ~~rraMr~twl,DV~ ~ - .~f•.-eo w / n ~ f G/ - ~ '7 ~711 _ 111~ - ------M. ro rne c•~ a~,s~ sur~n- . ( ' • - t.1~D q0~ ~ 4 L ~ ' 1h •~r~' r x _ -1/-- r~t oecew..r r.s r~o..an.cea ae•o ~'o ~ - ~t+p+- rEOKwt EXAA~Wf! Ot CORONER ow re~ nvs o• r»t wov~ n~ of.n~ ~ YO~~TM n.r •e.r nou~ ' e _ r r ~vvfs~r,.: r• v -.~n... ~ . • ~ ~e q7• ...c O~ .e rJ.., ~ 1 ( ' .11lv -n M :NT Y~O OY! f0 -~f C~~~S!'Sr S~~TfD ~ ' " ' tM 1~~1 ~ . t» ~ tlTl! ~ . ----r------ r;~ w ~DATE SIGNED,w+• • c:ER ~14Mf C~ ?~wn ~ SIGt~ATUR[ ~ J . (~'1..: / ~S~~y~ y ~711~~~~?3 _ ~,~:or e Venis N.D. n• 14 _~-.1. s.:T, i cincv~o.v.. ~ , s cr Fluride ~ ' ~?'~~~ora~~a . Cora] Gables : , . CEMETER~ OR CREMATORr-N~A~E LIX/~TiON t~.. o~ r~,..; ~~•~t ; ~ ~ : a~, '_PfMAT~Of~ ~fwOVAI ~ ~ ~ 1 ~Suriat i,N Mt. Sinai Cemetery_ __1,~ Miami, _ F.orida _ 3 ~~,-c .p.p,., o.s. a.~~ ifUNERAI HOME ~NAa•f aNp ~DDRfSS s•~en o~ o. ~o., ur~ o~ ~owh, sure. :~r. , j_~;~~Ember 2,1,973. ~;~.Riverside Memorial ChA ~t1.1920 Alton Rd.Miami Beach Florida. ~ ~ D~fE /tCflv(O l[Y+_(~~t7~ G~SI~~~ 1 ~ ~ ai~l~.l ~!iE~(X~--S?G~a~U4f ~ URE • ~r 1.77~ a, t R ~ {ry/ ` tM ~ . c~.,~, ; - • - _--L~-_--~~.__ _ - - ~ a ~ . ~ ~ . _ ..._..r...'~~ _ .,3.m^~'~ . ~....~.,c~: , . ~s `~'.°~*~r~