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HomeMy WebLinkAbout2295 . _ -~8~ss . ~ . _ - . - _ . - _ . _ - CERT1FlCATE OF DEATH ~AYE fILB ~O. F L O R ID A pEG~BTRAR'~ Ho 'i7'•- QeW'~wrNl u( I lrr~tl. an3 R~l~+b~lilrlire $ervices ~.o..~~, o.~. ~t.t i (M~'lV(~~ lIF IiF.\l.lil ,.s' ~Y OATE pi pEAiM _ MrN ~ R!Y R~TY~~O .7uly 21, 1~~73 TY?E. O~ .x~?+~ i~:ale I, ?taW~?uN1 ~NK pE~,,sEp_nM"[ L~~te~ ~]indexs ~i . stf wu~sooc rw (',ilbert m~.o..••~. o••. ~cow+tr a oEwT„ , ~ o.. ~ c~TC a.~n Lucie •snuna.s ~ 1896 i~. St e LACE ~/w:tf. wIGN. ~~K~w ~wOUw, wGE-..s~ „c„~a , ..r.. L8 ~~~uu~7.. ~.u~s~ .ws ~ { i ~ !~l^~j ° ~E ~a ww tu,.~~. cro ss~~t .~.o .w.u~ ~ ~*c. ~~qcu~ ~ ! 6 S~ ~ ilc tilUT10N~ . t:r.i*e „,,w,;,,.~~.,n MOShTAIOROTMER~s wood Park • oE~m d I.alce CIPf. TO~• ~R \OCASION Of vu~n .~s o~ Ar trur s ~ o ~ o'.n,? - - SWVrvr1G 510USE ~n .ru~. a~t ...u~~` n..r t . Pierc e ~~µwAI~EO. ~vEO ~4'~EJ. 1? (,1T12EN Of MR1Ai COiR~TtY ;w~oovrco. avart.:.c~ ~vec+~ ~ I{atl-ir n Youn rS wTE OF Wtn, , w..o. u. ~ s... ,u _ SS a~~~Y ~a,,..,..~ LSA !u :•:arxie ~Ort:= Carolina • ,n ~...o o. .ro~. oo..~ a.¦~.w +oa~ a Kw~ Of WSwE USJM OCCIiPAT1O~~ V e t e x an s Adn o .atu aeu.uo ~u`~? S[CUUTf M1M~Ea ,~a~.., un. ~~c.. ~^ae:,aeo ~ O t I~ C@ T L IM. l u.ts oa?u~ Tra~.n--r_g wswt cm wKS STIEfi MaD t+UM~ xcu.uo vrr~. O+t tocrTtori vtc n.es w.•o ~ Rc3. z=,t~..~... ~ry. „ un. To . „Ar ~~u r s on aerw..:t ~e~on QfStOEwCE-STAtE COUNTf ~ ~a~ ~O us* . .w.~ss~o~_ r t a ?icrce ..~oa~ ~loxida 34 St • LuC].P ~k ~s~ ~T~R-MAIpfN NAA~f ki~~ia~s ~ ~ Sarar. iw7nEi-N~MF r..sr ~.~.0. w0.. C.n W Wr~., ft~n. 1~I~ ;ilbert A. ~~7ir. ers ,,,,u..wc ~nouss ~ C 27330 IS Sanforci' o s ~r:ro~t~w.r+t-r+~""f R~ a 5 3ox 574 ,..T~~..~ Winc3ers .11" o itR b/u+0 !~)i ~~~•~e~ o«sn ••:o u•r" Gilhert L. (EnTfi ONIY ONE UIKE IEt lWE fOt fol ( L tIS ' MRT 1- pfAM M~AS CAUSED {Y: ~.+[orn u~f~ iseasP, i Severe coronary d' .s . c xa.u~a o•. m ocardial failure. ~ ~ ~o.o,no..s. ~ i (s) W1~1 ~ .o . treated . tDUlf C~Yf~ ~el• ~ ~,..o• « [ ocardial infarction- ,,,,Tws. ~f .ES •~~~,~~s ',I ~a~.~~rc ~~oen 01 I11Y ya:aaeo oe+tw»:••c uw3e i ~ONG C61r1~ \~!1 (c) Hl$t0~7 r.at ~ a~ ~rtf TTO ~ pr ot.~• ' [pNqnP) CGwt~iWwG p OI~M ~~t-w01 ~(u~lD i0 C~rl! GwlM 1~~ t~? E ti~CAMi COt+aT~O?+s~ 7~ ` DA~T 4. OTMEI S~GN n.un u. r.~+ ~ G~ ?.~t u, a~• ~ YY OCCURtEO ~ ~••tt~ •••~ua u ~ ~ ~f~~~ 't10UR ~NOW INJU ; yy} : rOwtw. w~. E ,i.,as~e+~l wCG~~f~ti"TEIEU~u+ED DA E jGlAKJJE. OZ M ~ ~ SnFlt W 1.~.~. rW-. C~n M~O+.m. f7~1~ ~ ~ ~ '"Natural ~K~O~t, IOCATION wqy .f wo+~. r~ar. fr~[t~. ~ ~ KwCE OF ~x. ~ sncu~ ~ ua 1lilURY AT W~MO1 OH.Cf wDG.. ~•]py e.l DEAir~ OCCYtIfD iwe ?uGi? Me us~ 1 S~W~ ~!S M ~ O~D/DW wOt vN~ 1 p~rl. ~e~0. ~1A MSI YYf w/Ml~ YIV! OM ~111~ Ot~M. 1 twOY~~ u y,~ [w0++.!`/~rt. O~:t ~ ~OwiM p~~ •[Y ' ~OwiM M~ nu N, t0 m~ [.~u~a; ST~TEO- rcjn~ 1O 7i~ CfRTIF:UT~- ~;2tc ..uo o~•o u~t c m ?MtSIC1~N: 121l. ~ fw! CKf~aM vrns rq~+a ~ 7 ~1~~ ~ YJ ' Al ~ .rteroeo r..e nc.. a u.s.. ~ / +o"TM ~Z~ 19 / .3 p . n. oiu.,to ,.c.. p,~iR. c« c~~ a.s~s a rwe j~~Y - ~ y •W ' 't• - MfD~A? EXA.wNEt OQ COR ~ yr.:w. 7:45 p•~ M 7Tti :DATE SIGNEO ~rG"'rw. c.~.r[.~~ Cf1tUKl~t~GN- ~a~ r.~ .^^',»~~,o». ~e o~auy,t. \1 , ] ot.+. 'c~an p^ ""~°m nc~r`ne's~ s~.nc. J~ ~ ~ ~ ~ ~ { . 7-Z~J~7J ~ °~L' i S~C,e+~ ~ ~ , .'li / i ~ :3~ ,Z~ / w,n :u ~d,ic~M Lo .~xa.,,.+-,~--- ` , : ~ ~ . 29 60 . Cfilt~i~EA-N~f . ~ ~'joric~'a Schofield r. ~S • D• o... o. o H L ~e~o Beach , ?N~4. . ESS Cf~T.f~E IOCj~TtpN ~u ~'O~,-~Ox i196,184~-25th Stree , CfMEiERY O~ GRCMAfORY-NwMf ;~ort : Caroi~r.a y~? : r ersont .~w"'. u~E"'"T~°". ~~~rooa Ce~netex ~ Fla o ~snu..~ m o~ ~o.rr. ~.~7•'F'''~ o PieXC~ ) N? Ly.Ti. NAMF wND FSS ~uui~ o~ ~.~.e. ~.o~ ~X Re?aoval fUNEiM HOME- t"lO~:ae Iric ~ tSTW p~tE w• e.e~ 1 e,~'~~S T'U:2C'1"~~, ~ f y owrt aECC~vco sr ?ouu a~e , ~ 2S 1973 ~~s. sw,.nru~ , .iw ,T+;~., ~ii. 1'~? " Z.~ Ju ly s ~ ~c~s~ , /J ~ r ~_~yw?rws ~ ~ ~ i Y.S..6~z f~ _ ~ ~w ~89Q96 a.~. ie~o n? fIIEC r.~iU ?:ECOROED / . r ST_ W~~L C~UNTY FU. ~ ~p~,i CopY ~ ~ (~1 P,OG~ic ?)ITRAS ~i ~t e true 8~ `e H~ rt- CLEnK Ci= ;~Jif CBURT ~ 1 herebY ° ~rt~ d on {~te U tfie St. luc~ n ~ RECORU ~ =e 'v.:?' -i ment atrs Pie~co• ~al of the St. Luc'so H'~ ' ~ R~ F~°`~`~. Auc 13 12 is P' ~ . , ~ arning: t~ot valid unless a f'~ t is affixed-) _ ~ ~ Gounty ~Health OeP . _ . . _ ~ ~ - ; MIIIER, N?- D• ~r' i " N. local Regisirar ~ ~ r ~ Health Off~cer . - yr : ~ Gounty ` / ~ ~ f, ~ x : S ~ C' ~ ~rr t ; ~ ~ ~ " ' } / ~p~y ~,pCA~ Rt~(fidMf Oeit~ ~ j - - ~ 8001t ~ PA6~ T.G~ _ ' ~ ~ y.'.~ : ~ e _ . . . r $ ~ . ~~,t~~~.~~