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HomeMy WebLinkAbout0326 . s' 3~ ~y = : : ;`=1C7RANGE COUNTY HEALTH DEPARTMENT ~ ~ * Phone 849-3326, ext. 134, 135 ' i: F. 0. $ox 3187, Orlanda, Florida 32802 ~~~~n8 ' - CERTIFICATE OF DEATH ~ t'TAT[ i1L[ NO. ~ - ,o~..~.M~ ~r i ~~.i~~ ~~a R~~.~Ni;~.~,.~ ~..k~ F L O R I D A ~j t c~ ~ IN\'1~~\ (1F Ilt~l.ill REGI6TRAR'S NO. 1 ~ Rrr~~~rR~R~tlA1 ~.oMrw, ~•r, ~t•~~ ~ IN .y~~ ut~ ~E1t OAiE OF OEAiM ~ IK OfCEASEO-rv~ME nn~ t J peLor~e t;a2e ~ Septer.?ber 11 19T3 ~ , Marvin • ~ ~O..rw. 0~~. COIRIiY Of ~fATH ' ..~~K.w ...ou,.. ~Gt -~•s~ w.e~~ ~ .eu u.o~~ ~ o.e ~.iE OF ~tRTM ' lA~E ~•+n. nec.a. p.rwD.s~.~.~f~ ..oa i o.•s •w~s r•• ~ u~`ii1~ i t e ~ ~ k ~ 0 t ~ O r a n~ e ~ , ~ ~V~~ I1~ ~IDI W Il~w?. GI~~ ~~M~t ~b MiWi~~~ 1 Gn, TOWN. O! IOC~i~Ot~ O~ OEATM wswr c•~ „OSMAI OR OTNER l~STRUTION- YICN~ ~f1 O~ ~+O . Yes j~ ~~Ow~~a P.OS*:~tal _ ~ Or2ando u ~vlYN~`~ Ib vnl~.4ryl WOIM NYNI _ r.ri CIt12iN OF Weut COUNiRY MASf1ED. NEYEt•~wse~f0. STAiE Oi W711 ~ u »o~ u s . , - - - W1ppwED. ONORCEO ~ artcr~ ~ . ~~m~ „ Helen FJi~:~ell ~ IJeW Yor~: , U.S.A. N irarried___ - ~ - - SpCl~l SE~U41i~f NVraSfR Uo ~~oC,fU e~` t1a~••a a~•wa oa.e wn..e ws~ w Ro+D Of WSwEii O~ It~WStlY i ~$k_2$_15Sb A Sales~an tdholesale ~ood ~t wwt c~n u.u+s SS~Ef~ ANO NIWDEt a dir. TOwt~. OR IOCwT~Or+ ~ veu•• •~s o• .w. t~~pENCE-SiwlE CW~+~Y Orant~e ~aAlta~onte S rs. Yes ~~..5~9 S~osl Fal~: Cir• Florida iq '•u ' ..oae ~.s. .•~O1nER-~u~GEN r+~.vE •uar iwinfR-N.~.af •'n' . Bosley Sev~oure De:.or~.e Sarah 11 w?ln~K, ~OGtFSS :s~~e** o.. ~ o~a . c~s. w~a..•, a•.n. z~~ ~:~c~w+i- S F 1 a. 3 2 7 01 ' S0~ ~qbal Pu,~, rir. ,Alt > ~~s. ;~rs. tie3en De~or~e ~n - ...w..~.,.,..:~,.., ' [fNiER ONtY ONF CaVSf ~ER lwE i0i i~! lbl. ~`b k/~ ~tr~ree~+ o+se~ •~+O a•rM ~AR( 1. OEATH WAS GUSEO 6T ~ t' r.es..n c st~ ~ `c ~a~ , • .s c~•.u.. ~ r. ~ ~IiR.<f/ ~ COMYItIOMf. ~M. I 1f ~ _ . ~'MICM G~rF ~~iR f.~ (0~ w - . - ~r~l6tl11f C~YSf ~OI, ' O. ~~S w CG~+f~O+~'~~t M. ~i Sl~IIwG fM! YMOlt- . ~~~~tG C~VS! l~l~ I (~I - AUTO~SY 1f YES ~ue ~~MDINGS GOM' ( pv' r s tOM~~~uawG ~i~m T ~~rt0 s0 UVS[ Gr.!'a w r~u ~ xo~ L~tt O~ wO~ f~0lK7 ~n Ql~•~rwaMG Cleu . i MR . OT R S~v "iKw. T CJtipfilOtlS ~,~~~j ~,iO O~ outw E ~~/~r ` ~~~~~i lCzIN- L ~a " ~w _ t , i,.,ee ....~~e or IralJtt IM I~f.• . or r.u ~.a. n~ y ~a.r ~_:,1 ? ~t~~~ S~.:t.OE C~ T~~1f Of Iv:J:Y~..o~~~, w., •e•~ ~ t+0U2 i MOW IHfU~Y OCCURRED ~ 1.pVK+DE: Ot 4 !k1EYM:tF7 1 ~ ~ 7Cl M 7J1 ~ ?OCwT10N ~ s-¦eer o~ ~ ~-o .+o , e~.. o~ ro~.., s*.n ~ INRJ[Y AT WO~+~ ?uCE « Ww~Y ••ar, a'ntt. r~nd.. IlItC~~~ rtl O~ ~O~ W~Kt N:.4..1K +YtC•r•~ ~W il0i ? re•~ r~'•m D.r et~~ ~-'~D t~sr y.r w~..; wt~ ~u.t w+ o:0/ow wof .~Cr tw GF~M OCCUt[f9 ~r twt rUr~. C~ CERTIf1UT~- 'b"T~ w ..o..n~ on _~u~ ~oo. oe.s. .w~u~~ P o•~e. u~+~. fo .M[ ~esr p1 r~ ~~"vr~fDGt, D~! .~.s«~.~: to 9-i1-73 n~ • 5: 25 .o iwt U~it si S'~rtD. ~ ~-31-73 9-i1-73 _ z~~ }ta o~c~.sro h1t OKew•., .ws r~w~.T:•.:to ~la9 r ~~w: EX~r~.~i~Ei O~ CO;Ovti o~ M: ~,t.s w r~n~ ..w~ o. u.f~ ,.,y.:w o.. .i.~ woo~ CERTIf:UTlvf:- J r~f ,~e ~.ar~s:.o.~~,••, o~•••:o••~ 1 la~~w r.0~- N rH! ?_L• .~y A;~ M v:~lw KCY~~l~ O'+ n.~ ~rD Ot1! ~O TrE C~~St~t~ 1'~*!D. 'J 7i~_ ~ - SeGNw:Ui~~-/ iOATE ~ ED CE:T~f~ER-rtx~.F ~T~~f O~ r.,vc. iC ~ ~(l L%%I i?7: _v . z~b c. ~urto:~ ~r~ M.n. - • ~~r~,_ . _ - !la _ ~ L_-_-'.- cm - ~ fu~t t'~ . s`.'~"_•`° 3Z803 w~~,K:G~i:L~RfSi-if~7+F.:~ 500 Colon~~t_ 17r Or1~~=~do -~la. tl~ ~lUlAl Un o~ ro.... it~it ~[AM)Y.AI CW.t'~~iY G~CNtMAIJ{~- N4ML ~ - ev'r~+~t CRE.w~ir:iv. a^. ^ :I 4 =~Y - k Co. ~s.~o - 'r.':l~te 2:~ J~n :r_.?' . 1,~~ 1-:onroe Fe_r..ove.] -Bar_al r•, _ - - - : _ - .;:s~t ~~G~c-nravt :.•1:; ?:~ui~s ~ s..ee~ oe o~e . c,~. e i+~ 3?80 3 DAtE-- ~..:r.•..,o...,F_.~ :1 rc-OSl ~'_'i!i:1C~0~ _ ~3• . Gerden C;•F ~e; .i_ , , tae:' E''• t~ Z i ~ 19? 3 ~1;--- ~ awrc ¦tc e•.r:• s iec~~ :tc~s+..! . t_ ~ r~c+;rR,;-s.,-_~:-~; ~4%% ~ Fv~+tni.?oufcr~•=- s'~:~:i;s~~ P1 y tK SFP 1 7 l97„ ~ ,i,~ ~ • .i . . ~ '~L ~ - - - • ~ ~ ~ - - . CF.RTIFI~.D C.OPY ~ ~ ? h+~reb~T certify the abo~e: to be a true and COaltr,~nt pUrlandc~e Floridae~~strar's filc in the Qr~~t:~:~e County Health ~p ~ e~ rc:cord on ' f . i ~~5 - - ;t~. ~ i ~~;s ~ ~ - ~!18., . -~-v- ~ ~ ~a=_ " . Cou;~ty flcaiti-~ O.: icer ~ii:.~ [.o~ttl RP~Ept~*~~~~GDY flA. J ' f 11~~~ ~~j~Ni `'~T.-':'' ~ ST.t z~'~a5 ~ ~ . , aa~ : ~ _ Rf ~ , _ c~y - ~ . ~P 1 1 1Q?3 c~F?`f.~., .',c~~ ~ __---~-.~1,~r~-~---- _ ~ r ---J F.T c~ • Uci~,~,w~ ~etiLstrar,_ ~ , 1!c:t c issced 12 Q7 ~ . ~ , tif . l" V::11~ ll;?~$S 1'%tjSf:t~ CC•~1~ O: ~~1!' n~d!ll;P ~~•,..i~r~' " , . . . ~.Ci , . ('.,~~i::~: i;e~~}th t~..~~;_~rtne~nt is rsCtixF.d• . _ _ ~ ;k.~ - - , q 3 .:~'~z~ ; j _ - 'g -=~:T' - ~'~vXa~~ i. . ~ . _ ~ a~ l.3 . ~ -TA'~+`~ . _ . T,. Y4en~i'i~"a