The URL can be used to link to this page

Home My WebLink About0974 ' GER7IRICATE OF OEA7N ~ i RA~• /llt NO - - - . ~ FL41l1DA ?~p~Aw~¦~ ~1 Il~l~ ~ K~~;IN~a.e Se~tcw P~GI{~AAA ! ?+C ~ 1.L~1lW Il? IRwI~ p~tt Q~ OtatN .u... o.. ~ wru w•w~~ ~ i ..o.. ~ 1)'T 2 , w,~~l~ ~ Jarn~ai',y 3' 4 JlCfA~O-NNM! y • h~M ~ • 1,E~''' ~ c-r-~n a a..~.~-. ca».~. a a ; . , . ~ ~ -1 1 ~9~ , • , 11 ~rMfN~r ~«w~ ~~Gt +o~ ~i.•~ ~ +ows { .Jtll l~ ~lf.l. ZS ¦~Cf ~./w. .~~w ~.a.~~• y ~ ^ ..o .wr~~ ~ ~ „ wc~. 't~ 1 L~ ( t~ * M M!~ t ~o~ ~.~+e~ a•+~ ~ _ 1i -T ,,.yM c~r .r~w MOSM~wt d O - :.)c:, iri ffi~iM ^ l... nf w MO a~_ ~ S.... 1(~nnt_OT~ - - Wwn L~.:::.:--_- v ~a j'U3~1. ~w... . ..a~....~. ~ IE~S i~ - - Stj~YfvNG S~O~i3t a~~+ ~ ..L.. - - " ~ ~ 1 Pe t e r sbur a -,~,,,,..,ec, w~ ^ J - - - - - - (U~nttH Or wnAl COW q pNp~clp , wc., : , g,..-f a w~ _c~ v . • ~ { ""°11 - - " _ ~w~,s cow`~, OH'C.~ nr ~ Z,iPyJ Y01'~: _ - I i ~ OCC11~~i+0i+ aVi .«i a.oi. w•w e~~.w "'s~ o~ t ar+D W M?S~+ESS O~ lnsurance Co: ~~3n ~ socw Slcwm r+u,.~t. :o ..a ,~w....« » «n.» , 1 - ; ~ti ~ales ~tC resentatiV6 _ c~ ~~,n Tst~tll ii+C ~ 1~11~~~~lj~71 .~s w ~ ~ . ,f _ cm. Towa. o~ ~oUtp'' ~~N 1819 ~9th. St . S. KSWEiKt ~ s?~te t~i~ , ~ ~u YeS ..oae ~M Pine t la~~ ~~ul rt ,,,o~wet-M.oeN H.Mr ~N•• . ~w Florida Jd:CATAI?:f1~?LE ~.~Mee -?+.,Me UN.~3T{t P~AF~ LE ~ f~.n. tr • : ~ ~*re~ o~ o..o . cn. w~o , w~.wc+~co.ess S .~2f oI•t Florida ?:;'i'J ; ~ ,-«""~e 1819 59'-h• st. . , . SLen.:e 1 .w ~.p o...~, a... ~ : Mrs. Mar i lee ~tMTN OM~ ~ ~~uSf /U ~rlM ~ik .~i ~e - - • ~ A ~ - ~ ` ` . s rrur ~ pt~n~ w~s Uwsto ~r ~~7 ' -w.io`.~~ • :~l d~~4~~•(/~v~~ . ~ i~ l, ~ . 1 ~ ~1 - ' . ~ a • - - - - - - - , - - - _ , COMM\tOw1. •~R. (?1 . ' . ~M CM ~i~~~ 10 ~ CO`~1~011~wC! d _ i ' r~~~~~q (~~f~ Mf. ~J~ q. ae f~~~~w0 Iw\ vw~N ' -_~__.'.__TA~1aS1 i r~f~S ~f~t nwO~rGt cOr ~~~r0 C~VN _ Y01~~0 ~M D~If~~.w~M:. (~uY V!~ GMM 'w ~~\I ~ . H) d ; a Y\~~¦ sK~wt CO?A~t~O~+S :ow'*o.~~ <a~wMdw~G q M~M ~J~ ti0~ Mai1l4 *o.. r:0 1~*__~_-- , rw~1 ~ OTNEt S~G?+ . : c~ ~~r+ f. ~ ~W~ wrv„ .y ~rwn ~ ----T~M, ~N~r OCCUnto - w. 1 . ~,y~y~~ wcc~i"Mt ~ ~ (6~ff bTTi+~~ - ~ - ~qYK1q W IJ~OI?fWMAD t ~ M ' )Y cka,y~ , iw~a w.. e.w c,~. o~ .o... s+.N io. ----r ~r+,w:...~o._'- ~ ,.~c.w•. ioc.na. iHAl~r wt wOMt ??wCE 01 ~s , ~ , MK~n r~l W w0 ~oMK~ Mo~ . ~ ~..M nM Ofatw OCC~MfO r.~ w.~ `t+' ~~~.w .+~./a~ a~~v~ ~w ~~m :nt~a.~. •~.cvs, / o;`~..~~ ~oos o--° 'F : ~ rfY rW~F G~ •1~~ y7 tiM i 1 1 .~r~ ~~-O M c~VS!_f )~.~10 ..ry~~w o'. J =1f ~ li _ _ CE~frKAllb?+-- t0 n n~ 3I rwrfKC-M .•s ~w~.W'K~0 ~O .~n»neo / 1N St---~ tw Me~wM M~ t+, au.uo ~w~ L~ •,a.. ~w ~.s~. a~~ wow w N.w. ~,c.n,. M- CtfiMKAiION-MEOKAi i.~~ dw~~. x ~ ..~wn. •e~~~ n~r,o., p w~ ww -,or+ia TOAiE S D ~u+. "'~y~ aon~ ~ 7 : p~rw OC[VM~Y a M M~~`_,Yt,t_ 'l 1~ • _ I,~ i ~ ~r^~_ A ~~i y-'.~~ ~ t y:j/"~ ; M~~~ - s,.n ~r CN1~f~El--H~ : 4',~ ~x,~ ` . t~ c.~r w - ~ _ tA _ ~ ~ - . wf~ W ~ ~ o . ~ „ ~ ~i. ~ ~~n w w.~ s~.n ~ ~;~.f~ i..~ s~'i P : , M~~c~oo.~ ~e~^•~c~t . _wur ~ ~ St. Ye±ersb•-u~~_F'-ori::a _ - ~ ~ ~ ,~v~cA?~.~~ ~ ~jy_~' F~st Crer.iator~~n W ~r e cn o~ ~o~». i~.n [.r- ii 'rt FZ.3• 7~r7 3: r~ ! Cr¢.,''~~~~-~s~,~:_ , „w.oo~rss ~9Lh. St. ~.ic~ p'- ~ i a---~: - t_~~ Q~3 e I 2~9 , n ~nt0 R~OC~~ ~[G~~~i.. lonial ~ o• ~ ; o~n r ~ - ~ - W ' e~l ! lEGis~RA!- ~ a« . / fY ~ ~ - - .i • ~ , ' ~ ~ ~ ~ . .~'y~ ~ ~ ~~:~G~'~ ~1t • t p of a certificate ~ t ~ ~ 4 ~t~ify that this is a true and correct co y ~ the Office of [he Local Itegietrar of Vital Statistica of the ` R j•I~ ~ °ri ~Z~ rta~ent~ St, Petersburg, Florid~. ~ Pinellas County Hea2th Depa , '~1/ r~;e ~Puty I.ocal aegistrar ~ - - - / r J~. 31 ~ 1972 ~ - ~ ' ~-~~~~FIA- S~ ~ F1L~`1'~ Hi{ LVV~b VVV ~S - itOGER P~17RA5 ~ CIf~K Cl4Ctltt COURT aECOgo +E~;=~Eo ~ ~ 1 2~ P~'?'~a ~ R: t ~ Ju~ 31 C.~) ~ ~ ~~x7 ~ ~ ~Y- ~ ~ ~'.I ~ ~M~ ~t"L' ~*S ~ BOOK 2`30 rA~t 974 ~ ~ ` ~ _ - - = _ ~ . _ . _ .