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HomeMy WebLinkAbout1905 DAI~F. COUNTY ~D,~~s 8 DEPARTMFNT OF PUi3I.IC HP~ALTI3 1350 N. W. I~O~IRTEEN STRCET riIAMI, FLORIDA 33126 ' ' ~ ~ DEPARTMENT OF HEALTH d~c RCtlABIL1TATIVE SI:RVtCES ~~l • DlV1SlON OF HEALTN MILTON S. SASLAW. M[f. MrM, DIR`CTOR _ I HEREBY TO BS A TRUE COP'Y OF TIiE IAG11L ltEGIS9'RAR'S RECORD UF DEl? : ~ e f'~ ^ . J,~V.'~~;~ t t ii+ ~ / ~ . S ~~~.vK• s „ ess the raised seal EMl'1'Y REGISTRAR A.-;. S> of the ~u of Vital Statistics V7TAL RF.CORUS Ut1IT MIAMI , FId1RIQA L : ~ o ; is~.~a ; ~ ' i~ `t' ~ S!~ d'„i~`. , • ~ ~ _ ~ - , iL~}~ - • . - ~ ~ ~j~~ CERTlFICATE OF DEATH 4• ~Ta1 r~j~~- SlATE F~~e wo. ~ J ~ (kpulseal of 1ka~lb and ~~a~i~~lalire G..~~~ F L O R I D A rn~w~r ru REf.16TRAR~S ~+o. ~ k0~00 ~4 /~~~0 . . iN ~~s~ ~i DwIE Oi OEwin ~~uwtw. n~r. .~~tl. y ~ O[CfwSED-~F ~~~f~ _~e ~ • Glad s Emmons :.Female ~ Ma 25 1974 ~ ' RA:~ ,.~~w...sae•w ~..aw. wGE-..s~ ~•eu uw~~ • D•• _ O~iE Of M~'11~ ~.M•n~, Ow~. ;COUN~Y Of OfAiM ~ ~ ~rc , vrarr: a ~ n. e.• ~n~as, rus. . wn # wo~n l--..r. . Vhite 76 i 1• Fe b. 2 5, 1 8 9 8 D a d e ~ w?+oe c~n .~...+s nOSnTI?t OR O'MEt etii1TU110H-nM~E ~u .o+ w t~~Mt~. Gn~ 17M~T ~MO ..u..u~ . ~ uTr. tOv.r. On i~CwntN+ O~ DE~~N s.~c~• .ES w~o ~ . North Miami Yes _ Ncrth Miam! _General ~;osp! tel_ ~j ~ jSUev,vr+G SR7uSE . u .rn~. o~.f ...~a~ .....r ~ STwiE Of 4tTH ~+ot w v 5~~.. ~+•r~IGT:2EN Of WMAi CCW1C! ~ ~R~ OI+~R41E~r., I COY"""~ Merried n Tom L. Emmons ~ Meine • l1.S.A• - --1------ - _ _ soo~i secuen nuwFR ~ uwwi aew~Tio.+ ~w~* •«o w~o.~ o:.~ ••o~, o~ ~KIN~ W M15lESS'~ tNOVSTlY ~ ~pn~~.G W!. tvf r. ~I Nt~~lD ~ t 0{~1 [i~~e 0~4-12•2446 A Nousewife _ `~w~ee c.n arrts S~RtEt ~r:D ?~UWEt CiTY. tO~My. OR LOCwiION • ~ RES~DEN:f-Si4fE COUNN ~s~etu..~s oe ..o~~ F10Tide ~ Dade MleIDt ~~e No ~u. 261 N.1~1. 110 Street M 41* ~ FaTMiR-N4Ni r~fft r~:.tn1 tai' ~MOiM'R-11M~DfN NAME L'no~t . Unobt . ~ S ~ ~ NiG~MANT-NitMf iMAR1!JG ADGtf SS ~x~nr o~ ~~.o. ~+o.. crt• G\ ~Or.., lf~if. IV / Tom L. ~~ons !,n 2b1 N.~i. 110 Stre~t Hiaml. Flor~dn ,a W,: . aw~i ~ pEAi/1 WAS CAUSEO !Y. ~iN?FR OW ? G+~E it+!Sf HR tWE ~GR 'oi. 161. ~••U f~'~ 'tllwl~N OM)ti ~ND [r~~*M . , ~ +...~o..n c.us~ . ( , • ~ . / > (fs i~ ~ (el t ..-1 iriN ~S~•'j~/_ • - - ~ . ~ . [o.+,t~.e~i~ ~ 1 / ~ ' , ~ 1 / t f ~y:_,,s cowoenows........ J ~ ;lK,~?'f ~r/ %~lltr•,~~~ / % l~/!S• 6 i j ~~r.~./~',' ia..;' _ • . wMICM G~q ui~ to ~ l0) C' . _ - rrlOl~f~ C~YS! :0+, ~ OY~ 10. G~S ~ iG~.SfCLl~.C1 G ~ ~ ~ Sl~t1M0 fM! uNOlf• - - f - l1~NG C~Yl! l~S~ 6 - l~l - _ ~ AU/O?St ~ ~ES rt.[ ••~w•aee eo-.- ~ vwv' n OiMEt SK.?~uKwnT COtrWi~Ot+S c:...u.nc-.s :u.~~•sun..s •u a•n. w~ •.oi n..no •o u,t~ e~a.. ..r ..o~ I ~ n~ w~q s~u~to otru.~«..w cuse K• ~ / ~ p oe••~ ~~t~ N ~b _ ~w. a?r, tf~n MOIR MOW IN)UR1 OCfURRfD ~~~+r~~ wrutt ~~r ~aiub n+ ?.~r ~ Ct r~tr u, rnr ~ ~ - - y iv.oC~ni> 7 ~~CC~~Er~t. SJtt10E OR Dw E Of ODURY ~ro.. ! i.nw~iC~.~f: Ot U~9fTElMINED f i ~ ~ti~ „ M ~ . I~~r, S~~l~T. r~CiO~~. ~~~ATI~~ I~i~Ifi Ot ~ ~ O MV.. l~f~ Ji 7~wii. S:I.:f : ~ " ~N~uar wr w~c PuCE GF v+n~ar ~ srec~n ~ti o~ ~+0~ W~KI MDG.,!'C ~S~K~nr ~ t01 ~ t o.r ~w .e.TM o.. .e.~ us* ti?~. rr~e~ .i~e o» ~ M~D'D K'f v~lr Mt DE~~M OCCYttFD ~r TMr rucr. o~ nQ CER/~FtUf~ON- '•~•r*n ~ ra.~~ w. ~~u ~oo. •rn~ w~n~ ~wot~• o.te. .•a. a n.t usr . rM~siu.mwoEO ae / q 6 g o~/ - w~• e.~o`.~eou. a,e ' TO ~y ~ ~ i r7.'~' ~i1 i S1 'r1iC tt~ !~•/~ie;' ttr M~u :..r nuse•sr su.~o ~ 71~ - - }l~ D!Cl~SlD ~~0+ ~ ~ / ~ tw! ~~S~S W ME +~OY~ O~ Dl~fw 1 Iwt UlCtGtr~ w~S ~~OMOYwClD [~t~0 CERTisIUilOrl--w~ED1CAL E1tAMR:ER O! ~ORONER o~. ..~,..tw n~. .e.~ e..,.~.•,o~. w n,e ~co....o/w ~..,ts~.~..o», o.»,,o... I p(•'w :,CCVn~D Or ~•t D~tt u~~ Du~ t0 •wt G~VSt S~ S~~ttO. M~7~f c M.. 7h - . SHSNA(Utf~-y 4 M~aet o• •.n[---rAiE SGNEI` ~.•~`*•n.. u.t. qm ~ CEFTIftER-~UM rn[ o~ ~~~~r. ~ ~j (L ! J ~ .r:~ .r_~t u: ~~r i:k ~l~•r~T/f;_i-- 77a /iGi.,35 ~T iZ~ly~e'~.`I G~ ~7~ ~~__'.~--~~nM*~7.n+ ~ ! ~~~r! t.r ,.r,anirK; ~DORESS-CERrY~fr a~ne. o~ ~.r o ~o ~ 7 ~ o / , ~C Sf N. ~ • 6~` ,1~.,t /-:':.t:, , ~ t(KAitON C~tr o~ iOw.. S~•!~ BUR~AI, CR~MATION, ~TEM~OVAI CFMEtERY OR CtEMATO!`f-N~uNE ~ viun. ~ Mi$(pi Florlda Cremetion ~a Grove Perk Cre~atory_ _ _ + - - pwiE ~~o~*w. u~r,'E'~' FUNERwt ?tOlrf-:~~+wE wrt0 ~+.WESS ~ sute~ ot ~.r o. ..o., on o~ ro~w, s~•n. ta. . - Philbeick & • 1 4 S N 2 Ave rt~ I~ d~~ Me~ f i;n:ER~t D Ot-3K'~NA ~ ~ _?,.._..._..~~..~~.~-~~-s~.~...w.+~ s.~. 1ti.--as-+~-~ r~w7•~r.~ .~3 r-: r• ~.s~s~sc.ssi ..t~.•'.•TS~',:-.T-7 .~.'~,.I s;~'~-._ .__'.'!'^"7 ' M7~~~V Microf i lm Memo FII.ED ?Mt~ RECOROEO 51.1~:~'~ ~7,~yT;s~4. ! The quality of this , _ v;~~qt copy is unsatisfactory ` - , for microf i Lming. ! N~~~ 0 k`,`~(~ ~i ,n" J~,t1 3 04 P aooK ~r ~ YA6f Jvc~ ~ _ _ - - ~w- - ~ ~ - ~-,ti ~ - _ .