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HomeMy WebLinkAbout0554 ' . . ~ i r ~ . , ; : ; ~ ~ ~ . • ~oo~ PAG€ . , . . , , , . , . . . _ ~ CERTIFICATE OF DEATH DyMIweM r He~ld W ReVblllf+lhr Se~ke~ RAT~ /Itt N0. ~~~?~.n+ F L O 8 I D A . trn. oe ?~Nt n+ R[dISTRAR•s No. MlYAMMf IMR ~NSr .rw . ~~f t OAfE OEw ~ ro~tw, •w ~ !H i1r100i IO! ~ars ~ RALPH S. PAGAN[fCCI Male ~ August 6, 1974 u~a .~.w. ~w. ..w~. wcf-w. w••• ~ w... o~~ a uRn+ ~.~o..~. ccu~rtY or ou?rn ac. ~ Nil ~ t 8 wew., ~ +wa ~ .o~. ~.n ¦ows w~ar •w ~ . b7 A k' . Au . 31 1906 Broward , ~`1 . OM~M. . l i~ON Of~ r~w cr+r urra M~OSIRAI OR O~f~ER rVS - ~ M aa w nur~. c~ saH~ .ro ~wwe~ ~ fflC~II tt{ O~ !~O . ~ ~ H Plantation General Elos ital S1ATE Of NRM ~ r wpt r~ ~.s N...~ GT12EN d MRMT COIRiTRII MAtR1E0. NEvER MAWE~. SrOUSE ~ r~nw. on~ aw~w w~rr ~ Pennsylvania cOM""' USA 'N°O"R°. °"'°"G~o n+w?~ Married Grace A. S ie el ' socuu sca~~lr Nuru~e us~w accw~na+ ~o~...... o..o.~ .o.~. ~..w. o+ ~ar~w of ws~+ESS oR a,ouanr octurw .wuw ure. M. r nn~s ~ . 194-14-6313A ~a. Cost Accountant Su erior Va ve om ...n.aN. RESwetKE-srwrE cow+tv otr. TowrJ, o~ ~otwnw+ •aa c.. u.w. stltEtt ~no t~N~Ee ~vaw • w Mo ~y Florida ~w Broward Suarise ,y ~es 8671 N. W. 29th Street rwnEa-?+A~wE .~p ..w. w. won~Ee-.woEM t~E .+N .ro«. ~s: Frank Paganucci Theresa - - 11~1'O~MM~t-NAME - ruUlN~i n001IES5 ~unn os ~~a. w., cw. w a,r.~. s~.+e. :r~ • Grace Paganucci ~TM 8671 N. ~1. 29th St., Sunrise, Florida - r~ ~m wws twusEO ~r, ~~+rt* artr a+[ uus[ r[~ ir+E rar p~ t~l ~w kN .e~ee. o aR N. W+•~ _ ' NI . • cor~.no.i, u •rr. rnncr o•r: ~~sa a 1?1 r Atherosc2erosis dria T~iZ'OlltbOS1S uwwn c•ns~ ~a. w~ w. a.s • co.neaie.~n a: s~.nMO *w~ vMeea mKO t~~s~ ua ~ " (c~ ~ MRT II. OTNE! S~Gai~GwT CONDITIONk GO~~aw~ cO~M~wO q OYr wt rOt lu.R~ t0 twM aMw we rwt ~WtOKt? i 1rEf .nn. nro~res caa lw! Ot MO` YNtl~ ~w N1l~MM16 N11q! O~ OUiM - w Yes •w Yes ~s oe u~DftEwrEO . ~••ornw. o~•, nu ~ Mpw ~Nltltr OCNtRED ~ e.w~ .unwe o~ uurer ..n ~ o~ r.a N, ~r a~ ~ 7h M. IM. I INJlity Ai WOfR ~ 1lKE Of I~UUR~ wo.~. ~.r.. sAe+. r.c~w+. lOCw110N ~ sw~e~ o~ ~ r~. .a., bn w w.u, su+e ~ ~ • ~ s~uw ss o~ Mo ~ ~ow~ce ~uc , ac Uwcr.. ~ ~ 1N 7~! i ~ CtB1iKwT10N- .w~w w~ re.~ .a.~ .w u.u s~. wriau .uw o.. • wiw .r. Mr oe~rw otcaute •r e~[ w~a. a. ~ I IM/fK1AM: ro ~~11 Mt ~fY ' ~p~ YRf M~~. i rOM r N1l. ~ry. p Y! M!t 1~rtlwW~ nM - p r~ [wOw~l00t. OY! ~ tla Oea~st0 ~w~ ~tlt llt. !N. fM M. r0 w~! trr7en~ tuRS. ; Cfi11FKATtON-~+EDKAI Eltw~ER Ot COROwER: a+ ~we w+s w ee ra~ a. wr ~we wceee.n, .u wa.aa~cee ew ~ ~L1r~u/qM d w1! q0~ +,.0.'M fw! .+~lShWnOw. w. w 0~~. ~ ~~1 M1 ~l~f ~OM . ee~tw o0d+wo O.~ re wn ~+e out q Me t~~ntW sr.wo. ~ - ~ u st 6 Z974 10:55 a.,~ ; ~"-w""E lYedicaZ . / °ec'ee,~"'u ~rE ~.o.~.~. o....w~ ~ ~ ~ / l~. ~ . ~ ~ MA~fNG ADORESS-CE~nsrt~ srrer a~ r.o. .~o. u w w~... ~ 5 D S.W. 32st Avenue Fort Lauderdale, Florida 333~2 j GfMAT10H. ~EMOVAL TEiY OR C~EMATOR1f-NNwE IOCAiION c~n o~ ro.~. i+.tt ~ •,M Removal ,p St. Georges Cemetery Pittsburgh, Pennsylvania ~ ~G OATE ~.oww. e.•. wu~ FIlnERnl MOnE-HM~E ~t?r0 ~OOtESS ~ smn w~.r wo.. tm p ww, sr•a. [~r ~ ~ Au ~ 8 19 74 n. FRED HiJNTER FUNERAL HOME INC . 6 301 TAFP ST . AOLLYI~'QOD FL Y. S. f612 iUrtdtn{,OIIlK~OR-StG~t~iWE ItEG1S1tAR-SIGrvAIW~ \ W?~E tKt~rtO ~OCµ HG~}teu ~ a • v.19 70 ` m ~...~-e.~ ~.u..~,~~-~c.~ u.`'I`~ c~~w_ ( \ . '-~Q,r~~ ? _ r . ~ ~1.~-t.lti . ~ I ~ ~ t-~ i ' y -2+--- t - - - . ~ ~ _~~:•~:•i. ~ - - CERTIFIED COPY ~ _ . ~.0~'.ilYy ~ ~ I hereby. c,~,~rt~i•iq"Che: v~jrto be a true and correct copy of the Local ~ij ; Registra~~`s.~i~~~~~f. ~~z~,the Broward County Health Departmen[ at Fort Lau~e~~}6,{ ~p~~d~..~ r~# CTl. t Lf9.r ~~w+f.~' ' ~ ~i . • ~ (Warnirig~.~°~b~ valid un1~~sE ,xaised seal of the Broward County tiealth ~ k ~ :~ep~.~ct~b~ .~f€ixed. ) O'~ . ~ w £ . ~ 3i'ORi ~1n,: •ti . n € -'n~• ~`i?''*"~!. ~`7 ' . ~ ~ c ~.u1' ~ t i r ~ • - m , . ~,u ' a~ s ~ ~ 0 R Count icalth Officer~fid Local Registrar ~p ° ~ 00 q EaoK ~cE 55~ . ~ pM ~ c o-v / _7t{ . ~ r ~ Deputy Loc Registrar . £ , - ~ - - - ~ - -w^- ~ k . ~ Page 7~0 of 3 Pages ~ ~ ~ . .~j _ - ~ s ~ ` ~ .T=~~, ~ ~ yY~ ~~~~._.~,~.y: