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Home My WebLink About0988 ~:~~Ol ~ ' ]~ADPD COUNTY • ~j ° , , . ' ~ DEFARTMENT OF PUBLIC~ HEALTS ' - • 1350 N. W. FOURTEEN STREET . . MIAMI~ FLORIDA 851~l5 _ ~ w . . l ~ DEPARTMENT OF HEALTH dt REHABILITATIVE SERVICES •~,ti ' DIVlS10N OF HEALTH _ _ - . . . ` ~F.. ~ : . , _ TO ~ A TR[JS COPY ~ IACAL RSG STRAR' S RBCORD ~A . ;.x I F ~ . ~ N' ~~~'3y~. H~ ~ ~ ~ ; . 'aE` S ? _ ~ f . ~ . 't~~ ~ ess the raised seal Y REGIST B .;d:'.,,. ~ ~.3 , . ~ ,pf. ~ of Vital Statistics VITAL IiSCORD6 UNIT y ' . • ft ~ MI]11~lI, FLORIDA '.r~'-M`~.•'~ f~~" •E- _'~~t:"Y•s~.w6" `~:~t ; ,:?i~i~ ..,t. ~ .-w: ~ ~„~f R ~ t~~' ~ d ? ~r;,~~,.~i '.Y. ~ ~r~~ ' r..,~ •~:.a.~~`~~f?3 • a.~~.~~_ s~ . ~u~- ~ . . ~~k ~i~i:di 't~._ . -../s- Z~~ ._''~e. ~rr•1L:~-+_ :'TZ.i •..G~ r'~~~7i~~C. • ~ y-~'~~~''~~ CERTIFICATE OF DEATH ~ . . . . . - ~ . t ~ _ ~ tr ~t~ - ' • r. ~ t - ~et.[: . v r ~ ~ ; s~rwr~ n~ rw. . _-J ~ _ ' ~ . . . wtG1iTRAd•• NO. • • s OIC~ASiD-NAME ~w~ ~wt ~~s~ ~ WTE Oi OEATH ~ ro«~~, w~, au ~ . . ~ ' - ~ ~ JULIA x Qctober 25 1974 - ~ ~ ~ RwCE .rn. wsw. ~e~cw www. AGE-uu ~ nu w~w~ ~ o.• OwtE OF NR~11 ~.~o~. w; C~OINii1~Of ObNY • - (tC 1 WGR 1 Y~~~ ~ ~W f 1 r01. O~q MOM1 rM. 1 ~ White 73 A ~ Nov 24 1900 oade f. , cm, r o~ ~ tia+ ar AiN wf~M CTr urw~ ~+osrrt~u ot o:~ ~+smuna+- ~..o* ...nw.. u.. ~..ee..~e ~«~..eu _ . ! S?lCM~ R1 O~ MO - ~ ~ • . n I~iami Beach Yes r~ Miami Heart Inatitute Si~TE OF Mt1M ~ r.ar w ~.s-•.. ~•re dT2EN Of WMAT COUNTttI rw~lRIED. NEVER MA~tlED. SUtvIVNG SrO1JSE ~ w.we. o~.e .uw.. wu.e ~ couan ~ WIOOWED. WMOlC~O ~ ~ncvr ~ . ~ • . . ~ ~~eTal ter Berg.er.._- ~ ~ - soa~u ucwrtr wwE* uw~u occwwTa~ ~.•e w.b.~ oo~.. ~.o~. o. ~cr+o or wsr~ss oe ~wusr.r ~ ~rouww ~n~ !r!N Y ~(M!D 1 _ ~t Un b ' ' ~swE~-sur~ cou~rtr arr. TOMM. Ot IOCATION - ws~N ca~ ~r~ sre~T ~no Nur~~i , ~s.ecN..tf o...o~ ~ IM ~ IA Ik ~ IY IN ~ ~ f~rHK-a~ME.. ~up rme us~ MOTMER-~M~OENNAJNE tisr wae u?s~ If. ~ ~ , IS. ~ • ~ 1 WORMAM-lIAME , MAIWG AODRESS ~w~ea a e.r.~. wo., tm oe a.n~, s~.a. tr~ • . f ' • . • ; t~~. Wa Be oe ~n. - 9 ~ Y ~ ~ r~In 1. OEwiM wws CAUSED str: ~ENtER oNtr W~E uuSE ?Et tr~E FOR (al fe~ ~(~)1 w~ne.. o.nt~ .w~ a.~r i ~ ~ a.esuw uuae ft di~'s~~ ~ . ~ i wl t'f ~l ~~is!/~1u ~k. S'G~ -r,~~r~-~ • .r ~ ~ . ~ i . . .~ce . ' ° ~ COMOrt1OMf. 1/ Y11. I,/ ~G ~7-Yf ) / ' ~ • ~ ~ . ~~~[M Owv! ~~t! M ~ (6) N~G~/~'~i~/ w. ~ ~ulW.?~! C~Yf! W. , ~ i v~...~~ ~ M W. Of ~f~ CO ! d~ • . ~.~wo c.cii u~i ~ Id L~j/~ L~%L~/~/L`~k,~_ J~LY/w ~ ?~U'T ¦ OiMER S1fiw/K~Ni :~o~w~ ~aRMNIMO W Ol~IM NI~ M01 f[47IO W UYf! G111!'~ W/Yt 1 NI ~~r 1f rEi ~+in nwo~rc~ cow- ~~~'~r c~eso~.a~ M~en~ ~w w~eW~+~w cw~e w omw ~ t~. YAS ~w p~1~ A OA ~.•or.rw. wr, ~iu ~ MOUR HOw INJUl1f OCCU[RED ~ ~~n~ wruu w~.u~n ~w r.at ~ o~ r~n r. mr ~i ~ ?~1~pr1~OCE: Ot {A~OEifY1l1~ED . '1S~ ~ At. M. IM 2N t I?W!Y Ai M~O~IC RACE Of W11~1? wr row. rur. uwn, s~crw~. ~ATION ~ annT w e.r~. NO.. an w~o~. o~w ~ . ~ ~ tNUn ~tl O~ NOI Ornt! UOG.. tK. ~ MK/n r ' 2~e ° ~M ~ CElTiFICATI~l~~ : Yr ~~Y rp.M O~r A'O Wt ~M MM/MA ~~1~! ON ~ Od/A nOt rM! plAM OCCYtlfO ~r af ~1K~. p~ qK rO~~M O~t ~[V MO~ 1~. ~MOU~~ ~~1l. ~NO. IO 1! rft tnrSKlwM: ~.naw.o n~e , 1On /l! , r~~ /p ~ 7f~ ~h6 :05P H o w c~ ai i~+'eo~. na otcuseo rw~ CEtTIfIGTI~-MEDICAI R O!'CORONER w ae s.s~ a ne .au~ a a.n~ rwe oecroe.n .r.s noNOU~cee o~.e Rurw~Iqr O~ 1! IOO~ ~MO/W ne ~nItSM.~tqr. ~w r~ W~nO~+, wp+m Wt/ ~~yf~~/~ ~DW . ol.d oUUU10 Or R M~! uM pR ~O twt UVf[~9 Sr~qo - M. I,O ~S /7 M 7b _ CE ~-?rM~E o~ n • w uwe~ o~ mu OwtF D~ . wr,rw~ ( ~il,~ ~dNs~i /Ir~ _ - ~ .~'~s ,,,~o M.~.IIWG , CEtTIi u ~ o~ n un qr.. sr~w eM 7L ~ a •uRfAl. CREMAt10M. NEmOYAI • CEMEtE[If OR C~T0~11-N~E , IOGOON an w w... se.n y 7~,N Burial ~~Lakeside rtemorial Pk Miami - Florida ~ ~ a~.TE irOrKw.O+~. ~ RN'1ERAl NOME-NAME AHO AOORESS ~ ftNft M~.~ r0.. M~ W ~OrN, tt~tt. tN~ ,4 ~27~~g74 n, Riverside Meworial Chap~1.1920 Alton Rd.l~iaa+i Bsach,Florida ; 3 FUNER f:/iA~U~ • ~EG~SI ~ ~[CEnEO N ~OCaI fIWSn~! _ ~ rH G~~ . ~K~ b. Cc T~ G,1~ 7_~f__ i ~ ~ ~ ~RDED ~ f ~~rr A- sT~ivc. _ . , F~ k C• , • • : a,5 P T ~ ~ ~L' C l E ~ • _ ~T P:f~ ~'S ~ , ~ 3 23 ~K ~aN 298301 ; y~= do~K~5 ~ncf ~ _t : . ~ ~ - ~ _ _ . ~