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HomeMy WebLinkAbout1166 t # ~ :4~~QEq~ t~ ~ 1 :ED„av . ROG~-.AJ!i4f?S` . cl CR~ ~ .:~?n COURT Rf~~^C v' ' at~ 1 2 oi PN'~a 2i~B 363 ~8 3~ 3 - ~ ; ~ . CERTIFICATE OF DEATH - i BTATE FIL[ NO._ ~ pep.d.~ea~ ol I lr.hb ..J RrL.Mli1.~n~ ~r.vkr. ~ a ~ . F L O R I D A pE61tTpAR f?+o. s ' q1Y1 ~ ~f14 R~11wM1 /~iE O~ ?RINI IN ~ row~w, o•., u.~~ ?t~MAlNNT~NI~ ?;pi .~oo.e ~•f~ SEx DAit Of OEAM ` SE: IIAi~100[ (!f ~~ASEO-?u~Mt ' ~ I~SIlY(110~! ~ _ _ ( ~ - ~•---,---1 t~CE vn«n. •••aw. .••~~K•~ ••~e~..., •GE - v~+0e~ ~ ~ e~~ ~u~q_~ ~ p~• Oi ~ ~1M ~ rd~n.. Wt. ~OIMITY Of DEAT NC 1 YfCM~ ~ 4~M0~~ • rl~N~ rpf ~ M~i 1~~S 1 rw. t ~ . N 0 B - n~f~Cf C~niwaf MOSn/Al ~ OT11E~ 1Qt1~ -N ~u Mo~ ~w ~~rM¦. :.M ftrlr ~H6 NY+Q~ 1 ~ C11r. TOWN, OR IOCAiION OF DEAiM ~~~c~~. r~s o~ ro / F ~lG - _ Me 1 bourne Yss. - - - i @revar_d s L~,,,~c srousE , o~• ~~N ~ ~ STwTE Of W1M ~a «o~ o+ u.s •,«are UTIIEN Oi MMA~ COUNt~r tMAttlfO. NEVFR MIIMIED. C WM~Nt . ~ WbOWf~. ~NORCf~ / HlC1n ~ •••r • . I 11 i not s + USA i~• Marr i ed QorothY Natche r ..d~~ a~ ~~ve ~U1! 54CUM1Y NIIMY~ i uw.~ «cw~tay+ ~a.~ •••r ocru w.~.«. w.+~ iH I ItWD M M1S1?.~S] OI~ IND~Kt/~ ,..~o c~.i.. .nrawo ~~si. ~:ti :s s: :r.; : ~~:,..<<: W Shoe y~. ,:uw• y., e_Q+~ner - - - - - ~n .:..c~ .eror I~v ~-IWL~CI- Clf~. IOMM. O~ IOCATtON ~M~a cri.. ~r.ns SiRtE1 MM N1MiN[! .~.~fa~o~ RES1o[NCE -sr~it COUNTY ~ sncu~ .~s w ~o~ - - ,..Florida ~Mtndian River Vero Beach Yes l~~• 1 I~dian R ~ ~.s~ IMOINf~-MIUDfNN~MF ~~s~ ..ww~ ua~ fAiME!-NA~ME ~Nft YiOa~ ~s Eu ene J. Nindert N i d IWOR~IA?JI-HAIME wuKwG wOGRESS ~s~an w~ ~ e wo . c~n cv ~o~.... s~.n. :r~ Mrs. Doroth H. Htndert ` ~n 1 Indlan River Drtv V B , •Ati 1. DEAM wA5 fAUSE0/r. {fNiEr ~N)!r JNf C~USE ?Er IINE Fl?R {ol_(p:. ANO l~li Mf1~[eN M+Ht ~w Ol~1M ~ „ ~ ---irrEWp UYSt . ~ ^ ~ - (OI ~ ~ TL~ t~~7/° ~1~ ~ ~ COMN~~OM3, w~~, y~ •%r=. . _ - `L ~ ww~cw o~rt ~~7~ ~0 (01 ~ / _/'r t' -_,~l_ ~_'!j • j ~ - ~rr~W~1f Uuft io~. ~ py~ ro, M~S ~ fOtiSfWww[f o~ ~ lt~~IN4 1M~ UMCI~~ :I Lr 111MO CAYfI \~~t - 1 C ~ ~~~~(~-~I_~~ ~ _ 1-~ ~r~1 - ~~Tt ~utonr M IfES ~ue nMO~wot COM- ?Afl N OillEt SICsNYKANT CONWi101~S ~~no..s c.»~. u.~.K. • w.n. w~ •.o~ uureo `~YS~ 4bfM ~M ~~m ~rq o~ •ioi f~wHO IN 0l~IWIMIMO C~YM a s~~~¦ ~b ~II u~..eo!1r ~Nu~ MOW ~rllU~Y OCCU~RED ~~rm~ wnn~ a IN~Yn IN ~?~1 / O~ 11, ~nr i~ / , ~ -A~CWEN ~IEf~i~ED ~Aff~ W1U~ ~••oMtn. w . I 1 iw ~ ~ ~ tM i ~ s~rn~ w~• e. ..o . ar, o~ ro~n., s~.re ~ f IPUIIt~ Ai WORK MACE OF N1lR~ ¦Orf. r.u. s~~ln, .~[ro~.. IOCAT10N I ~ swcm ns w r~o ~ onxe woe .~~c ~ snun ~ i ~ ~ ~ ` • ~~u : rtri1M o~~ ~"O ~ft 1~wi 1Ma/wH uM ON ~ OO/O~o NOt n[r 1M! OtATN OCCUltLD ~1 Mf KKlA ~M! ~lf~ f CEtT1FKwi~ON- ~a+,M w .~..~w w. nu wo• ~.ne~ a. ~»o~n~ wn, u~e. ~It~iK~ua: TO - n W r~ u'OwtoW. O~M ~ ~m~.ao ~ , j _ ~ - ~t~~ ~ " / i ` ~ •7 ru ~ ~ 9 : ~is~ ro ~we ewx~s~ ian~. Mcl~3fY ~Wr ~TI~ . M! OlCM~NI w~f M~OU~KlO Ol~O f!•, MOY~ CElTIfKwT10N--MEOKwt ExA~M+ER OR CORd+ER OM tw! 4s~i p tN wcx,~ W Of~n. ~n~ wr t4rM~~lOM d m! WOt rrW~O~ tM r~vfSrr~tWw. :w r~ O~w~. _ ~y. Ola1M OCC\IMlC OM M! Dw1f ~MO O{R t0 C?'il~~f~ S1~*!D M. m SKsN " ofGatt p r•t~~! ATE S1GNE0 ~rO~M. W~. ~W~ EtiIFIER-NAMf n»r o~ r~..m - T ATUIE ' - l~ ~F... /h-`/ ~lk ~ ~ ~3- ~ R. C. Seelman. ~~L___'-~~ ~Ifi O~ ~N sua :u ~ ~~~,7~~~mf~E CflT~flf~ ~ s~nn o~ ~ r o ~+o tlr i J ~ IOC~T~ON un w?o.+.. s~•~~ ~i~Oro. tEnrOV~?l EMETERr OR CRf~tAlOlr - Niu+t 1 f~lCM ~ ~ ' _ ' _ H. Byrial ~?Nillcrest Memorial Garden~« Ft Pierc¢ S~~usi~__EIQtI~~- fUNtW NOME-N~iME ~ND ~~lN~u s~~trr ? No . cm o~ rN. s~• =.r' o~r~ 1~ero ~each F 1 a. 32960 - ~ Janua~l3 1 2 n.F1o d Funeral lic~ne 2405 ~4c~ Ave.. ~~E~vED~Tyow.~~:,w v. S. s612 fu+NAl O~ i REG~ tw-S~G?v~rueE v,. - 7 t ':j,~ R e v. 1910 ~ ( ~ ? s-' 7N % r f lL" I HEREBY CERTIFY THE ABOVE TO BE A TRUE APiD CORRECT COPY OF THE RECORD ON FILE IN THE LOCAL REGISTRAR'S OFFICE 1N THE BREVARD COUNTY HEALTH DEPARTMEN'f. ~ (_~I~1~=~~1~te~.~' ,~~l~less the seal of the Brevard County Health Department is affixed) 4i7 - . YG ~ ~ ~ / ~ . ! ~ I~ i.-i~ ` . • / ~ ~ ' / i • r' . ~ j ~ n .:;~~N ~,'~~~i ~ - ~ - .,,r„ . ~ ~ ' ~ - ~ ' ~ ~5~1: ~ Deputy Regi strar ~ ~ ~ ~ J . « j~, ~ ~ , ~,Y ; . ~ ,.''1'j='- ~ ~+•`~s'~~k~i~ 'i<'~,'' ~r • . ' • i. , e ~ . ~ ~ BODKIrrVV T1W[ii~ `r~ u~ ~ ~ - - - - - - - I - ` ~ - - ~ - ~1 _ _ y