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HomeMy WebLinkAbout1134 - CERTIFICATE OF DEATH T 2~3~.`7 - . pe~~twewt d liealt{~ ~ud P•' ,L~liw~~.e Sn.~ces • tT~TE FIL1[ NO. ~ i„~~toaaec~r u FLORIDA ~ IT?E. OR ?t~M~ IR • ~~w"~'a• u R~'Gl~RAR•S NO. - ~i[MATi[Ni INK OECEI?S[D-NAME ~us~ ~~oou a.s~ g(lt OAiQ Of OE4M ~~o••~w, e.., u•a~ uc r~~oo~ wt 1 1} nsnoawrs 7-~ ~ f? ~ 8 Umberto A. Berte Male ~ 2+i~: • 2 t/?CE .rwn. Mecw, ~.~euc.w wwM. wGE-w~ wx~ ~ au w~ae ~ w• OwTE OF Ncl~ ~row,.. COUNT~ Of OfJ?1N - pC. ~iNCY~~ 4lW~t Ill~~fl rOf_ MT3 ~G+M~ ~a~- ~N~1 White 66 A. s,. ~ Jr.n. 9 1908 Brnxard q1Y. TOWN. OR IOGUION q OEATH ~s~w cwr ~wa NOSHiAI OR Oi/,ER liSillUilON-tuME ~u wW w urw~, ~~~n s~ui~ uo Mr++~~ ~ sncr. .~s a .w ~ A~ga~ Yes H. Margate Ge~eral Hos ital ~ ~ STAIE OF ~IM ~u Mo~ ew ~.s.~.. wu+e CIi12EN Of WNAi CO~N~itY MAtR~ED. l1Ev[R MARdED. SIJRHIVNG 1r01lSE ~r wrt. oM w?dN ~a.u ~ o, o ~ ~..c+. ~ °0Y"u" Adaline Ciervo ' ~w.. ~,,,~.K. , New York O.S.A. w~arrze - .n.e~i e~n.uo ~ SECwtn NtwuEe usuwl OCCWwT~O~+ ~u.e c.+s a.rwa wu w.uw ros. a icWD Ot luSNESS OR wWSTltr _ u.to. r cc~r vp~rip un, on~ r uu~~s t ~ 084 07 6642 A Beau Salon ~~s~,t„+~.. Beautician ~ . ae yoe.+u uaa~ ~t Ms~w cM+r ?r~s SitEEi ANO NU+~ER : wo.uss~ow. tfSIDENCE-Sf4fE COtJ~lflf Cm. 10vVM. Ot tOUitON iuec.n ~ES oa w ~ SN.i'1O1~.dA ~w. B1*o~ta~rd ~4. Alar`gaf.e ~a Yea ~~..6955 N.W. 12th. StY`eet /AIME!-N4A~f I~t3f ~upp~ Wi MOil1[R-MAbEH N~ME ~ • - Anna Manfre ~ ,s. Frar_ciaco Be~ INtOtMANi-WtIwE w?awG ADDRESS ~s.uu oa t_~.o. w~ ar. o. w.M. s~.n, Mrs. ihnberto Berte ~ 6955 N.w• 12th. Street, MarBate, Fla. 33~~ ..:~r. ?ARi L oewn+ wns ut~o „r. (~ES ONtr ONE UUSE IE~ tWf fOt ML RL w~ kA atrr.i~.a o~sn ~•o ~ ~ wrtwe cws~ - ' N) ~1,.~ 6 QW/- L.~ w..~ .:~c_ Cv~/l.~-~ ~ ~--~-wty • • ~a : ' - V / ~ /Q yJctrL! :w~Kr o: e i se w (N ~i ~t G-~--- ^^''R 7°t"s'" C~L.P t_q L ~ ~ c ~c•o+.n uvse a~, st.uwe t¦~ •.~u- w~ w. w.s . ecwsewe.~ee a: ~nwe c~~u ust (1 t yQ~~it -~n~--js.~ir~ ~ 1Ll~v~~~ kf r AVfOtSY ~ YfS w[~[ ~~Na+Mos M!T OTMER S~GH/ICANT CO~b1i1ONS: W~O~LOW CpoWYi~wO ~D ~taM M MOt ~tuTt~ t0 4W3t GMw r?Yt ~ b1 ~as w•a~ voa~u n. w~e~.~~u.a e u owr ~ ~ xe ~ R 1 wCCKEHt. w E IHIURY ~.o..ne. ws, ns~~ F~OUt MOW 1lWRY OCN~E~ eaen~ wn~ w uuun a. r.n ~ a rwn o. oi. ~ N{~pM~y~Ey pR {plnEi[WMtO 'J6s - !N ]k. M. 70l ~ IIWtY wi wO~.fC KwCE Of NA1Rr.~ ro.e, ~.en, stwt, r.t~o~r. IOCATION ~sn[n oe u,. wo., un o~ wwn+. u.n~ - ~vwn ~es w wo~ oa~ce wee..lK. IfrK~il 70~. 1M- f0~' CEt1MKwTlOi~- no.or ew~ n.a .a~w e+~ ~ua .,o uu s... ¦.?~.n um w. ~ s~/ao NOT rNr wl DEwtN OCCU~atO n.e rw, r. • rQ~IM MT ~[A! ~OOf wltlt Ct~DI ~w011~1 W1Tl. V+9, 70 ~NTSICIAN' 70 a~ M r~ ~y7.~1lDG! , .n~..~ ~ z - 75/ ~ y 5 t 4 -,ry - 7~ : ~ 6:3o K .o.~ s= ~ Na Na.seo ~ew TA 2 ~ ~ CE[Tf1U?TqN-MEWGI E%ww?1NtR OR COtONER: ow n.a a+s~s w ut wow w oeww TM! OfClD~M ~14f NQMOYMClP Cl~Y ~ _ [iu~wu0~+ p w4 WOr u~0/O~ M w.ISr.:.at~OM. u. w W~aO~+. ~ ~ ~ ~l~M OCCW~[O Or~ M! M~! ~WO W[ ~O W 4YfIW fLRO. K}~ ~ S- C~ Tb OATE S~GNEG 1 0~~, ~•J CERiIf1ER-hAMf imt o~ rer~n SIGNARtF[ _ otut[ o~ mu n.G? / f~'!~r A~/ ri` c.CL«r 11'1. ~o ~ s- = c MAIIWG w00tfS1-CEe~1fE~ ~snen o~ u.o. w. cm ~o+~M s~+~ t" - ~J { .1~+t / IQ ~ e:..7_: . J•'., 3 ~ lli. !i 7 SL~ is~] ~:.t Cn t:r c. t- i ~ tUR1Al. CREJNATIOM. ffMOVAI CEAtfTERY Ot CREw?IORT-MAME lOC>T10N un oa ro.iM . suu - ~ pompano 13each, 'r'Zorids ~ ~ x, Queenof Heaven Cem~tery N, ~ . . OATE r.~w~?, w~. ~eu~ WNfRwI MOrrE-?~~urE ~ a00~fS5 ~ srner o~ a.~ o. .ro. n~ o~ w,rn, s*•r~, t~r ~ x+ tsa 28 197~ Baird-Case ~70'1 N. State Rd. ~ 7, Tzmarae, Florida 333~3 ; Dw:E ~EttnE9 IOC~~ tl+~STEe.t J V. S. f612 FiIMEtAI DptEC?OR-11GNAiWE/ 7 _ ~ REGISTRAR-S1G'~~TyRf, ~i~~` '_I- Y ~~l ~i • Rev.1970 tH ~ %.J~G" SG• - t~. ~~~s--t.• ~ ~ i~ ~l~ ry~.. ~,~ORDEO IN TtfE GfFI~?At RE!,`CR~S 6CR~ - ~f 8R3ir:ARD C•Jt;•`iTY. f'.i;+7ii~A ~ i _ CERTIFIED COPY - E, ;di, STROBEL - : ~r - COiiM11( C'Jblr:Rt?L1Ej I hereby cer3~~`fy tli;e~a~ove to be a true and correct copy of the Local n~ . RegistraY~~s recor_d,-oii•~ile in the Bro~.ard County Health Department ' Fort Lauderdale, ;~~ri~a. o~ ~ ~ ~ <a~enn~ t0 --(Harning: Not v~iid un~ess raised seal of the Broward County Healt ~ ' L~eg~rt~e~itt'-is affixed.) pp =~~~~o ~ - ~cv~T D. : ':~;~i:' ~ ~s~o m Return to: . . . ,-0Y:'. ' ~ °e~. o }.a Robert S. McCormiCk - County Health Off'cer and Local Registrar ~ P. O. Box 1502. . Ft. Lauderdale, FL 33302 t ' -5-29-7~+ ~~~9~, ~ QrR~ ~S 1~34 Deputy cal Registrar . 5:~ - _ _ _ r-.~-~, s