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HomeMy WebLinkAbout1559 29Q692 ~ ~ ' ~y ,k; . ..`,r.y~a~r~~ . ~ . • - • ~ . . • ~ _ ' . . ~ 4~ - ~ .i/'!"~ ~ ~ ~ ' • DAAI~ COUNTY I~EPART~~NT Q~' PUBLIO H~A~S . i3so N..w. FouR~r~rt sr~e'r. - MIAMI~ ~'LORIDA' 8818a ' ' ~ - DEPARTMF.NT OF HBALTH dc REHADIL!'~l~T1VE SERVICES _ - DIVISION OF HBALIH t ~ " ~ ~ '~Y .r MILTON f.lASlAw. MO. M?N. OIRtCTOq ' . J _ . ^ . '~-a.-~....-•,w.~-.. . - - - ` ' TO BS l~ TI~iJS COPY QF TfiB IACAL RSGISTRAR'S 1i~C.`OI~ OF Dd~~ ' ' I~ i~':s:~' . _ • S i~'~it~, g•;~~°~ :v~ anlegs the raised sea~l PZTPY lt'BGISTIt~1R A'; of Vital Statistics ` VZTAL R'~COIt~6 0'NIT ~ t,:.,.,s ~ . ~;T ~ _ MIAMI , FIARIDA ~d r . ~ ' • ' _ - ~ ~ ~y • ~ ~ . : . ; - _ ~ ',CERTIFICATE ~OF DEATH ~ , Dry.a~twewl ol Ik.~l . BTATE RIL6 NO. ~l.. t. ~ F L Q~R I D A - - ~O r~~ ` ~ ~ REGI6TRAR'S NO. ' DFCfwSED-NMtf ir}, - ~'s~ SER DATE Of OEAT?1-~ roMtr, oar, ~e~~~ _ ~ , i~URBG T~iYLOR ~ Female ~ August 23, 1974 ~ QACf ~.~wrt. w?cn. •wuC... ws+.N. AGE-~•s~ wwet ~~t~~ ~ot~ ~ w~ DA~EOf 6~RiH r.o~uw, wi. COIINTr Of OfATM ett ~ 1?~t~~l • . •'~•~t tt~a\fl ~?pS [~~f MOVtS rN . ~ ~ite ~L,~ 'bY ~ J~e 13,1913 Dade . ~ ~ CITY, TpMRl. C~ tOCAT10N flf ATM ~ Ms~w cm ~wrts Npsp/Al OR OTHER NSTITUi10N- NM~f e N~ u. ~~n.te. c~H snt[r uo .w..u~ ~ M3ami ~'"`.~Y.e`s ~ Parktaay Cyer~sal HospYtal j S~~TE Of !?TH . a..or w u.a N~r.eTCliIIEN Of WlUi GOUN1tY ~M~RME~. PJEvER WtllfO.--- -TSUtvIVNG Si'OUSE ~ u..re. cne .e.oe.. ..•+e ~ ~ coY.~~te I W O. D~ vrc ~n ; I , New Jer , OSA ~ ~a ~.7`~ Wi11i~R~ A. lor ~ ~ - - - - - - - - - - - - - SUC~~t SEGUMTY tllW~eER USUwI OCCU?AT10N ~c~ crso w..~n ocne cw.w ..oN n~ ~KINO O° MJStt~ESS OR ROlJSiRY = ~a F~1S~'~ rTl~9e MBd1C]slE , 26?-50 3197 ' ~ RES~DENCE-StAiE COUHiII _ pTY, TOWN. OR tOCA!b!1 --•{--~s~ot c.n ~wws TStREEI wNt1 NUM~Et 11 Yf[.~~ ~~f W MD - F'lorida St. IuCie ,w FE. Pierce f~... Yes 302 N. 14th St. fATMfR-~f~4M( ~~t r~t! . t~11 M~JTHE!-AM91tNNAf.1E ~ai`. riOqt ~41• - . ,S HaroLd W. Ryle lµ Graoe Veile ! i NfORMnNr _.waE a~twlli . wDGtESS ~s~.nr o• ~ ~.a. ~+o . c~n w m«.., s~.w. 1+, ~ ,~e Willia~t A. Taylbr - {~n302 N. 14th St. ~ Ft. Pi~e.1'oei Flo~ic~1 33450- , PA4; 1 pE~M W/~,j GUSED ~Y: (ENiFR iXA1/ CXE iA!!St PEt lO~f 101 !e„ (D). AND (tl' ~r?Wu.ut~ .r~it ~t _ - _ _ 1 _~NTV([N ONSl~ 1M0 MAIN ~ tl r~lD..RCwfE . ~ ~ Arte~iosclerotic heart disease ~ . . .s . .o,.ua,...r~ o. - - y0~+0~1:ONl. ~N~ ~ i . fo I ~ ~ `...eo~.q c.ust ~w. wt s0. c+f :s . ~o-.uoua..:t a. - - - • SI~TING tM~ VND(~- ~ y •~wG '_wYlf t~fr ~ {t~ y . P~cr i: GTNEt SK',w!i~CwNt ~O?rfilt~O~+S. 'a..una.s c:x~~wn:w, ro:.~.n. ..or .r..-eo ~o wn~ r..ue . w, _ ~Al1fOISr IF 7E5 rut •~~r~es eo«- i ~lilS MU~ OMD : ^ Mtt~rtw~NC SWSE Dia~gt~ mellifi+~s r~ ~O - ~v.~.c-Wr7 ~CCK~EVi. SLK~OE ~ DA~E OFl~JUlY ~ ronrr. wr, v~.~~-NOINt--~t10W INIURY OCtUttFD ~ f.m~ .u:wt cu ~N~v~• r.~r ~ w•.n rt[.. r rYM:C~DE. pR uVOE"_~MWED ~ ( 1 _ + 1`9~=,lr1 " x~ IZw 11a M~ia ~ I NNRY Ai WORR RACf OF IMAJRr ~?y.e. r~r.. u~[n. r.~~a~. ' IOCATIpi . i snet~ o~ t.r.o .r~ , e~n o~ ro.m. sr~n ~ ~ . ~ SrE.~~r •tS O~ MO~ O~f1~( M~..lK tSrlC111. . . , 70~ 7~ ~ CCQ7IFICAi1~11- +OnM O~~ r!u +w~M D~. . rf~r uit L~ ~/~t~ ~lM ON ~ DO/OU ~Ot n(~ M p[AM OCCUlfEO ~f s4 h~(f. 0+ m! IMVS~CII~N: ~~M W~ ~l~~ wo• ue~ a.m. - .,p~~. o.n. uo. ~o nt ~tsr ~~n[~AlD t•~! T~ 1 M~~ [Ip1tOGl. DUt ~'Y t~e c[<r.s[o rw.. ~71~ ;A~ )il Ik M ro n.t c.ux~s~ s*~tto ~ CERti~ iUTrON-h~EDICAI E7tAMMf~ Ot CORONER. o.. rwt a.s:s c~ :s~t ~ove w u.~.. Tm oeceoe..~ rw..ar.ceo w.n - Fl~~.ti~'~'Y~ W M MO~ ~IA/M M M lShGS•qN. wl rt G?~ =1'.. ! rOM~M O~A • af : . o~.•_ c~:~~no o~ we wa ..ro oue ro r~.e c.uu~s+ u.no ' ~'lu~uSC 23 ~ 1g7ji ~7 M I-~ - ~ CERT~f~Ei-NAME o~ nwn ~----TS i i Ct ! oa rm[ ~ATf SK,rED ~•~+rw. n.•, rf•~• Peter L.LardizaLal,i~i.n, ~~~~c~"--~~~ - ~ r~~ ~-T 8/23174 _ ~ •a?iUr:G ~OO~ESS-CERTBKR uarr o~ ~ r.o Dade Flar'Tfla r.r ly aminers Office 170(1 N,~. 1 .Ave., i, , ~ ~ 6UR~al. CREM4I~ON. /EMOVAI ~tErr oR t~w~roRr-r+u~ ~ocw c.,. o..o.... u.., ;n•: . ~ ~n~tion Necx~on Creaato~iun W~est PaLa Beach Florida . ~ CATE wp.nw, D~~, ffY~ FUNERAI NOME-NA ~tiD ApORESS ~ s~nfr w~.r •..o., cm w ro.n., s~•tt, n?~ `~;~y7~ . 23 74 HQ~: 901 N. 7th St. , Ft. Pi,erce; Flari,da 33450 f F~,;r~E~• wtE f[fE~rE4 ~T ~Otw~ ~[6K~w ~ ~ i ~ • EO AMD OIE)11~~~ 2~92 i~IOCtE C ~tOCER PO~tR# CIERR Ct~2CU~t ~1 ftECGRO YfR4Fif0 _ S~ +t 11 ~l ~il'7~i g~oK 231 ~~E 1557 _ _ _ ~ 4- - _ tl _ _