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HomeMy WebLinkAbout1038 w :3~4~7 rc ~7f (l ~ ~ . . fjri . J~ ..r.: . . ~ CERTlFICATE OF DEATH 0~1wew1 d HhNb a~i ReL~L11N~e Se~.4e~ - r RAt~ I1L~ IM. ~ • av~w~ ~~sw~.ni F L O A Z D A rr?!. Ot ~MMT IN ~"~w'~"~'~O IltdfsTRA11•S t10. ~lRMAiANf INK ~~A~~NMI! ~Nf~ ~i00u u SIII OAf[ ~ . ~f~~! ~ . ~ . ~n~ic~~`~ , GERTRUDE CH I CON I E GRAD I CK i F~le ~ DECEMBER 2S, 1974 fnCt •+n. •~ww. .•~~•cw wu¦. AOE-uu w~[. ~~w rwe~ ~ M, oAl! p M~111 ~.aw~. w.. COUMII d OEAn~ ~K ~ tMt~ ~ MM~t If~Y1~ r01 M~f aO1Mf rM. 1M~ ~ ~ White 96 pct 27, 1878 Brevard C. Ow1~1. l • ..~re cwr ?~.w MOSNTnI Ot 0:1~ - ~ r.o~ en~~, aw fnn. .r+w ~ ~~O ~p sncr. ns w .a ~ Melbourne Yes M Medic Home Health Center S1ATE Of Nf~N ~ r»or r wae Oi w1Y11 C01MItT MAtfEO. ~ErEt MAwED. SUfVNNf. SlOUSE ~ r~rt. owe r?~+ wur ~ ' cow~+~ wDOM/ED. ONOlQO ~ wtn ~ .,.,,,.K, , Jacksonville, Fla. , USA Widoved n. None _ ..~w eece.~e~ SOCUI SKY~IT1r MJWE! USUAI OCMA110N ~ent iM a ww eo~e w~.a .oa a RW Of M!SlIESS d M~DIJSRV ~ir~e r N•w~ xcwM~ ~w ~MO t~. N!M ~ MwN~ 1 6^+ „ 266 76 8500 u, Housewife ~s. O~m Home NYCtrt~ ~fipy aw~?.w. ~ESIDENCE-SiATE C01M1t CR~. TOMM.O! IOCAiION ~IM tll~ ~r~f SMfT ~ ~ ~t ~ef o~ ro Florida + Duval 14 Jacksonvi i,le es ,M_557 Col lege Street iAi11Ef-NAME rrp uf~ MOnE~-M~DEN NAME rMf "~M~~ u~ „ Louis C82CONIE u_ Geor ianna Elizabeth DYE ItrlO~MAMT-NAME MAIN[i AOf~ii ~fww~ w ~.~i. w., aR a w.w. a.w. e+~ Geraldine G. Radencic " -„~Rt 1sl ~bx 156, Helbourne, Fla. 32901 aur awn~ wns cwsEC w: ~eMn aw. a+r c~usc.u u+~ rw al~ A? ~?+o k~ o«w. n M ~ ` ~ G~ ' ~ ST_IUCI~ ~OUNTY F~A. COM«t1OM~, N ~ RO~,== Pz1jRAS ~ ~rKw O~o! ~~H ~O ~rrlM~q C~~1~ N1, hl! q. O~ U~ CMrYOrMt~ O~. . lt~NO C~rM l~~t RfC~yi~ ~i~~ •'~:FG....~.~~ .,..,.o 298943 ~ i l~l S ~ ~ a?Rr ¦ orntR s~nriuurr ca+ort~s: ~o~.~~ ~o..wM.» w~ w~.~e~ ~.w~ a ~ e6~ ~o.s. s rES .~a „»N.~~ ca. ~ _ ~~s o~ ro~ oK~~iw ~M~r«ra c~wt = ~ Sa+~-lo- io'~6 No R i ~KC A ~.a.~«. s~•, .eu ~ now n+iwtr occtNat~ ~ e.se~ ~..iwe a~«wn. n. r.n ~ o~ rur w, we. ~ t~ ~ ~qr ~ oe un0[tEM?a~ 1W ~q ~ • 1M f[. ~y 1Y • . { IMAMY AT wdR RACE Oi NllJtlf ~or[. r•u, snm. r~c.on. lOCw110N ~ ~mn w~.r.~_ Mo.. cm w~n.. u.w ~ ~ ~ u~un ns o~ »o ~ ow~ w~c.. uc e wan ~ ' ~ 7w 111 MI ' • y CE~TiiUtiOa- .w.w nu .w~ w. .eu wr L. w..iwa .u+e o.. ~ w/er+w r~. w~e. rt~tw otcuu[o w~e n~c~. w w ~ 1MrfK~~M- t0 ro..~w w~ nu ~w+ ua~ ~e.m. ~ o.n. ~w, a we Ms+ f v Dec 25 1974 c i~: 37a p-~ ~ ~ tN wce•uo •w.~Z~20 ~ tl~ ~ t~~NOV . 27 1974 t11, f M? w w~t cws~n~ suw~. ~ ~ CERTr1Gt1ON-MEOKAI E~AMf~t Of CO~~R: OM I! MS~f p M wow a a.w~ iN OKtpM rr~f wo ~~......na. a wM ws~ ..oio~ me ...tsnw~o... r. w..w... ..o.nw .e.r rov~ ~a~•ro occwwo ~ w ww ..w oa a n.~ u~n~ s~~ns rt ~t1 1~r ' 3 ~ i CEMf1f _ ~~nf ~i~w.n~--/- - S1GNA owu~ p nn~ ~DA~1Cs~0 ~.~a+w~,~ lh c • Q . l ~ S ~ I ~ v TA ~ [j% ~ ~ ~'b Jk ~-~~i~ ' . ~ ~u?IIINC, ~OO~ESS-fE~ ~~F sn~~~ w~. cm u,w ir 1~ )l1 ~ F u h. ~ e/ • MJRU?l. CREMA . MOVwI ERY OR C~EMAi0~11-N.?ME lOCA/~ON an w io... sun ~ WC~/?r ~ Remo al b Bur 1~. Ever reen Cemetery r«Jacksonville, Duval, Florida DATE r..w~¦. ~ ~At M nwp SS ~ sr~en p~ ~ r.• .a . crt. o~ +o.n~, sun. tN i ~ Oec ~ 974 ~rown~e~unera~Home 1 10 E Palmetto Ave Melbourne Fla 32901 . ' r. S. ~6l? ?u+tu? rue-srGruru~E A E1rlO ~I tOtwl ~lO~1T~af ' ~7~r.1910 ~ ~ ~ ~ . - ~ . - - - ` ~ I HEREBY CERTIFY THS ABOVB TO B8 A TRUS AND CORRFCT COPY OF THE RECORD ON FILE IN ~ ~ THB LOCAL REGISTRAR'S OFFICB IN THB BRByA[tD COUNTY HEALTH DEPARTI~@TT~ ~ ~ (Not vetlid unleas the seal of tha Brevard County Health Department ie affixed.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ` ~ . . ~ s i~ f i-i•: . ~ s 0 ~ ~ : .(izD `_i`<. ~K ~ -A,`" ~ " t . ? J ~ , ) . ~ „ ~ - Local Re istr r - o. - ' '75-- 208 g ~ - f ~s ' 1 ~ J ~ . + eplf.a 1 ~ ~ ~ - . 325 . AN Z PN"~~ ~ ~ ~ - - - - ~ r~e ~oo~o, c ~ nsar . , Deputy R~gis ar ; ~ ~oods ~ ow~ ~ ru ~ _ " ~~'~r~; . U ~ . ~ a G~ - E 235 ~43? . ~ ~ ~ _ : ~~_s _ -f - _