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HomeMy WebLinkAbout2430 -~-`~°wrr~ : - r~~l.s~~ptt , . , . . r.:~~-•A^~~ : ~ DADE COUNTY ~ DEPARTMENT OF PUBLI(7 $EAIll`S 1350 N. w. FovR~v srREE'r MIAMI~ FLORIDA SS1S6 ' ' ~ - . z ~ ~ DEPARTMENT OF HEALTN dc REHABILITATIVfi SERV(CES • ~ . DIVISION OF HEALTH " .,,.r w i~t .~i'i r~~- ~1'0 ~ A~s cor~r aF ~s ~L ~c=sr~t~ s RscoRU aF n~ s.-~ . . ' . ; ` - - $ wAlillIi~Cs t . ~ S - ~ ' , ~ g'' e raised aeal RSGIST g . : - ~tNb~ eVa d ~ e4: ~ Y~h . ~ t,r , tp€1~ g~ltu• 't~f~~tal Statistice VITAL RBCORU6 Ol~iIT , L~~;; ~~i~".~~,i. MIl?lrll, FLORIIaA rt` . ~ - - :s~~.•t~t: ~ . . • . . r . _ ,~R~~~ ~V f.-, • { ~ ` ~ T . ~ ~ • ~ ~ -~CERT1~lCATE OF DEATH - ir t o~ IIeiI1~ a~ . : fTAT[ ElLt NO. ~,~,,,~„Fr~~""`'~~'= FLORIDA REGIS'fRAR'A ~o. ~ t w..•na..a+.ee us~ SEII , owTE Of OEAM ~•aar, o~•, °E~°-?'""'~ . ~ ' ~ _ MAI.S ST~TSyB~t 19, 1974 _ - - gg~T ~ N.YIN P~II~IER ~ - couan cr otwtH R~.CE w~an, Neow.••n+c~ AGE-usr w~ea ~ nu woe~ ~ ew~ DATE Of ~It1N ~.o.n~. - . ~.a... ari ~ ~ J9N.18, 1898 DA~S ~ - '(~lilT~ 76 s• k ~ r.sbe cas awns NOSM~nt OR O:M6t ~tS11M~ON- ~v na w ua~n. a+e saeo ..e w.~e~ ~ CtiT. TO~MN. OR IOCATION OF OEATM y~ve ~es oe »o ' ' MI~Q YF5 QBTFRANS AI~III~ISTRATIO~ HOSPITAI. i ~ nvu~acc. t+E~E~ M~EO. suRVnNG srousE ~.,.e. or....ocN n..e ~ • ; Si~iE Of N~M ~u wor w us..., wwre C1TtZfN II TMr N~r~~p ~snce,r~ tt RUl`H G. SMITH Rt ~ 1 k WISCOI~13iN • • i ~ rou a KINO OF Nl5~1ESS OR ~l1DUS1Rtl ~ SOUAI SECUlRY MW~Et r~ou~i «iw~evi~ ~ ~i«o a raa oor.e ownw ~~O . ~ ~Q ~ 26~v!"~2~ ~s. IC ~,,,~et cm wurs STtEEt ~NU wuwER I ~t Cmr. tOwN. OR iOtwnOw RESIOSNCE-S~ATE • COtAm isrecr~ res a wo~ - . ia FL~IDA ~p Ba~ H~~ W~~ p~~ B'~~ 11~ Y~ 1853 LAKFSHQtE AVE~iUE usr MOTMER-MADfN NAME hra~ rwat ~ ~ fATlrtR-NAME ~1MT ~ ! - - - ~ ~OHN FRNFST - PN~R . u ' LIDIE SCHNOOVIIt ~r~t[ORM~N~-NAME ~snta oa u.o. ~+o.. cmr w wvn, suw. iw , ~s - w?awa ~oo~Eu VAH 1201 N.u. 16th ST. MIAMI FI.O~tID~ ~ I2~0. TIIKBN FROM VA RECO~tI~ r,?~ ~ ofwm wns G?usEO ~r: (Ewrte or+ir a+E uusE rER ~a~ ioe lo~ 16f. ~?r+~ k)1 nn.°`eep o~nn ~i.w~ l ~ f LED AHt' R ~ROED ' Carcinoma of pTOState With metastasie - ~~•~uCi~ C~u tr v1.~_~ - t~~ R~rf iti! . ' M e. CLC~~• i:•-+~1 COURT ~ " C?kC v£~'f'E ~ ' coM~~nows, ~MKw O~r! ~~Sf t0 n ~rrtM~~~ G~YSt /C~. ~ ~O. 9~ ~.l ~ CW~StOUerK! W+ O~~ ' ~ 'i. ~ ~Y tt~t~NG 1M! YMOl~' I I IfIMG C~11u 1~11 ~ ~ - AUtOKr s rES w~a nMe~was co.? - ?A!T OTHE! SIGI~i1CJ?NT C~~'?s: to«ana.s cdnwKiNO q et~m Mn ~+or uawrto w uuse a~ w rur ~ w+ ~~t w.a~ ~~t~es ~N w~tu~MUw cwus~ ~ _ a oea~¦ N~. 2 ? B onc o neumo a ri h ~ 1 ~ ..m. W,r,. „ , ~ , jr,~i~ KG~T~p ~~n'. ar, ~a~~ NOW INIURt OCCUR~EO r ~'t MOMKJOf:Ot M - 7w. 71`. ' M ~ ; - ~ ~N1U~1~ AT w0lK 1tACE OF w1UtY.r wo.e. ~•u., s~rn. ~.non. IOGnOt~ ~ s~ua o~ ~.r.~. No., cm. oa rovu, u.n, ~ ~nun ns a Mo ~ o~ce ~wc., ~x. ~ snar. ~ ~ ~ ~M _ ' ~ , rp+M 04~ - ~tY uO uSr f~r wr/wH YM ON ~ b0/oq MDt rilw Me OtI~TN OCCIMEp U~ aN ru[f. Or~ M _ ~ {C~E~~If1GIG1TqN- woM+M w~ •w TO ra.m wi nw~ ww wrm a~~~!- r_ ~wovr~f~ o~n..+o, ro wr ies~ t Y? ~ wn[~e[o nn tl/ -h?~~6+ 2U 1~~M to ~we cwse.i suwo • 7t? t tk S tta xce•ste ~ro. ' , rne ea.o w•s no»wwceo a•e CERi/1CATION-MEDIGI ¦ CORONER: ON rw[ us~S d twe ~o~t~ W oum ~N O?~ ~w • t ~~u.w.r~w a me ws..ro/a ne .r.es~w.io.~, n... or.wo~., i cL oe.a ouw~eo a+ ~e w+e ~we we w rwe cruM~~ sano. M m . ~ ~tue~ ~ awee o~ mu DA1E SIGt~EO,GV~ fy•.teiu' `~~L CERi1NER-NAMf ~~T~o Reboredo, M. D. 1~.~-- c~ '~°~v • n~ ~ '~a«c ~oo~u-cE.r.rt. VAH 1201'il~':E!':'16'th ST FL(IIt~ITA 3317~ lOUT10N ' un w w+~+ - sun .~~c0 •Utul. QEMATION. ~/+qv~l E!n O~t CuErMnTOR1r-wu+E . ~s~a• West Pals Beach, Fi: o.°o ,w ~temovel ,.~to al Palm Memorial Gard. _ ~ o.'E Ty~'°'Zd"''' ~74 F0 I~ort ?WOO~uner~a S}iom`e"; Sbb~ ~~oac~~`';"'{~'~~'E' Palm Beach, Fl. 334~ . y ~ er y ~ ~ Ot u~ « IOC~~ ~St~~R . - . ~ CC f~ f1 1 A ~4 f: Ecti D'PFC'rOf S. ~ OE ~ ' vL~ IG V 1 7 ; -I/,~' '~i / ~ ; 'l,i ~r ~ ' , - ~ . . : ~,y~~~-, .ya ~ '~z.~y,..-_?"''F=d . . r . _ ~3'~~~~ . ' _ _ ~ _ ~.$'z.- .