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HomeMy WebLinkAbout1875 ~ ~ • 4 ~~.4~,,, _ • . . --+Y • ~ -.r_.~.i.. ' t - ~ ' . _ ~.r( _ ~ __y. .~:r - . 3 ~ 4~9 E710~ ~ DADID COUNTY ~ . ' ~ p~ ~ICIAL. R~Z1R~ - DEPARTM~NT OF PUBLIO HEA711~ ~ MI~.TQN S. SASLAY~, MO, MPN. ( ~Z~. 1~d0 N. W. FOtJRTtENTM sTR[[T ( - r _ DIRECTOR ! ~ . ~ ~ ~ MIAMI~ FLORIDA 93183 . # ~5~3 , , ~ f _.~~~~~NER$BY ~SBTIFY '14iIS TO BE 11 TRUE COPY OF '1H8 IACAL R'EGISTRAR'S RBCORD UP O~TH. -S ~ .-~-~ri11RNING: ~ . - : ` g •i.'- (Not valid unless the raised seal DEPU'1'Y I~GIST A: of the Bureau of Vital Statistics VIT~1L R'~CORU6 UNIT - ia affixed.) UADB COtlITY NF~?LTH DBPARTl~NT _ ' - ~ ~ MIANI, FI~RID~A ' _ _ _ . i• ' J _ . . ~ : ~ CERTIFIf:ATE OF DEATH ; RAT[ FILt NO. ; (kyar~oKw~ d Ikah6 awd ReL611+ta~ire Senrices } ~M~~y` ~~w~~H F L O R I D A R[GIiTRA11•! NO. ~a~a.~ a..n.i n.wnc~ ~ . ~ :h .o..~M. o~r. .t.~ ~ • ,•INK l~i~ ~A DATE OF OFAM ' C N ~~~s~ "'°°`t : ~ ~F!E~SfD--N,wE ~"~T - DAUGi~:RTY ; r :'e: ~ le Fet~rurlr,T 13, 1°73 ~ . ~ m ~ . DAI3'I ~ : vwt~ ~.eu v.~w~ ~ w. CATE Of ~1lTM ~.w+•». o•._ iCAMiY Of Ut~iH _ :~_E wM:q. wlG~O. ~rf~K~w ~wOUa. 1 AGE-a~st T- T- ~ tt~~ ~ ~ ~ : - . S~ECp~ ~ ~ ~~nwo.r e.e.~s. ..os. ; wn ~ wa.~s I ` ~~6 D3de - . 1 , i~~-~ite 1,. 86 D~ • + _ - • ...swe c~n swas MOSMTwI OR OiHER NSiRUT~ON-M~~•f n w~ [rt..e~. c+.e ti~~~~ •~+o .+u.u~ ~ C ~ ~-r rOrYN. O~ tOCA110N Of DEATH ~ vicu. ,~s o...o r L,t~d i337o I1 T ktr. court N ~ i • J• pp il~~lt 1•lic~i~ . Yes ?SU~vIVNG SP01.KE •+re. c~•e .u.oe~ ..we ~ ~V c N To R~ ~ ~ ~ :*a-E Of L'RM . v ~o~ v s • , ~•re C~TZEN OF wHwT CG1NiRY w~RR1ED. NEvFR wt~RR~FO. . - - rrn yI cow.n. ~ W WUwED. OIYORCED ~ sr~c ~n ~ 1 D s o ~ ~ 5~ p~ ;~•liever i:arried :.one " ~ ~ ~ .};110 - - KWD Of ~USINfSS O~ Ir~W1SiRt i_.-~_ S='_~+L SECURi•11 Nl1M6ER- /USUAI OCCUtAT10r~ .an a«.o e. .+w. ow~e ow;..~ +~sT o~ ~ Tool 2:anufacturing Ca-aP3t~Y r' ~ ~ .o~we u.i. n[~ .enno ~ . ; : j62 Ol 9136 '~y :iecretary - _ i ».uq !~n .~..m STREE~ M+O NU~f1t ~ UTY. TOwN. OR tOCwTION - i t-- .,5 DEr~CE-StaiE COUnt~ ~•vfcn. •u w wo~l ~ Ilorth Miami 1~.. Yes ~,w 13~`!0 ti. E. l~th ~t. :'lorida ,y Dade . ~~si MOiMf!-MAIDFN NAMf fut~ r~oott ~a'NtR -W~Mf r~nr Dau~hert t•:agbell I:ont~or~ery ; '~iilliam ~ y r.rORM~Ni-'+M+E ~+u4WG ~DGRESS ~uu~r o~ ~ ~ o..o . cm o~ s•• . ~ ;.;r;,~ Leah Bissantz ,n I2G01 Bisca;;-ne P~lvc3., ?Liu-*-2i-, 'rlorida . •?r n.u ~w u ~ pEATN WAS U~USfD ~r- [ENffR Otvlt O~~E C~USf ~E! lY~ fOR lo). ib!. ~HD ~c!' ur.e~r, o+ut ~r.o oe~tM n - ~ i . _ a..eeunt.~se , O~ ! ~ /~lJI(/~114~~_, _ _ ~~`L ~~C~.v~ ~~r c T u,K c1~ c•~ a~r-ra- . . ..s.«,. e v. cn..o~nors. ~r ..n. - ' ,..~c.. w.e ~~se io Ibl - ...eo~.~e c.use ;m. I q,e ro. oa .s ~ u.«s•z:e+ce w s~.vNC ,~e ~woer . ~c c.~n~ us+ {c; MltOKY ' a~iw~to ~~cin.~ + ~c uv~ie ~~i; OiMER S1GN~iKAN! CONW110N5: Ca~anOi+s co.wMUn~w ~o ot~tw wt wo~ tl~~'to +o c•~~e an~N ~M /~~i ~ w~ e.u oi •w' ~s oe.•+ ~ti 1.0 ~IR ~~MfF~ M~i~e~7 ~~:'J~~ IN I~\T i O~ ~~~1 13. iTlr t~ • . c-b:r• ~CC~DF'~T,3t7~CWE Ot OA WJURY ~.a.rw. ~+r,~e~u ?IONR HOw Iw1UR~ OCCU!!EO »;v C;Of. Ot UvDftEIM~HED ; . ~ iu< h~1 ~ M ` 701 ~ ' f~a lA M ~t wG+f. r.~r, St~ti. IK1.'.f!, l«ATICN ~ f:~!!7 G~ ~.i O NO . C~n Ot rp..~. tr~R • ~ I:r~JURY Ai wORR MACE Of e~ ~YK~n~ ~ irrc~n es W~•o~ or.~ee nnG.. i"v~ ~ ~ • . +O~~w D~~ ~t.l ~rM uSt w~/«t~ ur~! ~ ~ WD/O~O ..Ol r~tw rn! OEAM OCCURfED ~r ~f ?uCf. tr. n4 CfIT1i1CAT10fJ- ro..Tw O~ ~ rO~tw Wt ~tu ~00~ /~1j*~¦ Ma~w j wo~~~ O~~l. ~~+0. ~O NSs ~ •M~SrC~~.a: ~g~0 ~J ~'~~TO ~7 ~~~iti~ ~G~ fr l~3 ~71~ t,i-il /L~•9 I..,~.~SSP ^ OrweC~uswes~i.ren ~ . •'TtwOfC rnf ~ I"'~ . ~ . _ . l~~ '•f _F~SlD ~~Or f1w/ t" 1M~ YKfO~NI ..s r~o~.a,+-eo o~.c ~_EeTiFKAiION--MEDKAI ExAMwE1 OR COIIONER_ a+ r.f us•s w rw ~a ~ o~ et. ~ „p,.rw o•. •e•~ O~ ...rvti or '?e w~. wwo/o~ r~t vr.IS~~*~. 'N rr Orw.OM. uc~~~eo o+ a•:t u.o oYe ~o *w u~.s. s••no _ M.~tt! M ~ - SK',wwTURE w~ue~q . ow~ s~e.~,EO ~+o»m. o.• .iu~ ~E~tiiiEa-NM~F ~n?e o~ re~..~ /`Z~( ; lj ( IAtirell S. Stune, 2~I. D. - - Feb. 14. t). ~~n d ioy.. sun nr u~~;rNG ADORFSS-~ERMIfR r r w 9~9 ~n~erar~a islvd. i:~rth Iii~~i 3csch Florida 'Y LOCATION c~r. e~ ro~+. s*.n -C 3~JRt,?l. CREMAf10N. REMOVAI EMETERY OR C~FMAtOlY--NA~Mf Cj S.~_.,•, ;,l~.~i Florida ^ Cr~aation LithRoyr Crer.~~ato_ ~w ~ - -SZ ~y~ D~T( ~ ~w:w«w, o~T. ~e.~~ fUNEtwI NOMf-raM+F ~t+0 ~GOItESS ~ snu~ o~ ~.r.o Mo., c.n o~ ro..., s~~n. t~r ~ W`/ Febru~r~f 19, 1973 u. ~i.th?a~: rLncr-~ Center 1 Oll v~%1e ~ ,E:lrvEO «..t.~~~, ~ •,13~ ~.j ~ ~ ~ f~C.`tl ii~ fl~+'fi%:i.~,~ rw ~~sP-~~.. ~ --4 , • ~ . . . - - - - - - - - - -yvT~ ~ ti _ _ " _ _ _ _ _ ' ~ ~ ~ti il ~ ~ ' ~ ~'~~3t,~'" ~,-~c`:~~ - - _ _ - _z ~ _