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HomeMy WebLinkAbout1029 - - DA1~3s1'~O~LLNTY .(f.S.= . ' . a~ D~F'ARTDdIDNT OF PUBLIO HuAI1~8 "i ' ti60 N. W. ~OURTttNTM fTR[[T M~ITON S. SA{LAM, wa, ~.=:s - E , D~~tCroR ~ ~iIAaiI~ FLORZDA 831533 ~y ~ tILEQ AM~ II~tl~RQ . ~ ~ - ~ ~ 30~499 sr , ~ ~ - ~03499 ~~~d-Jr~T ~ ~ n P i ~ I E~~Z.,~Y ~~1f Z'e~2~ TO BE R TFt~1E COPY flF TF~ LOCJ~?L RE~ S ~ - ~.~......E~'CG~~~ . " .•...y~,, . _ e: o = , . e~"~ ...A~~~~11~I unless the raised DEP R~ISTRAR ~ .,ae X~ aa1 ~~hs Bureau o! Vital VITAL R£CORD6 UNIT "s ' 3? ~;~~a~~t~Ca i• attixed.) Lllt~ COIJNTY t~AL'M DEP1~R'MEN'T . , , ~ ~ ~ ~ . y - - . ..~y~ 70 ~ : ~ CERTIFICATEOF DEATH ~ ~ ~eAs~1 ~1 ~ Sn~Iew lTAT[ /ILt IW. ~ ~ - FLOAIDA • ' ecolsr~~e•f Mo. i ~ _ ~ .+w u i D~i~ ~ wm, ..u ~ ~ Hvsiard H Burkert , male ~ Hay 22 1974 . ~ j iAti wir. ~.rwuw w~.~w. •W-ut+ w.a~ ~ et. wc~~ + Mr O~lE OI MlM,.o.~w. CONM1r p 0lwM - "a"` ""''l~ov 26 1698 , white * w ~ Dade ~ , , ..w~ cn? .wn MOSMint W O:MI -n ~ r.o~ H. ~m~n. on. ~vn w rr.aM ~ wcN. n~ o~ ..o ~ South Hiami yes „ South Hiaa~L Hoapital j liA1! WtM ~r r0~ w wu1 TIIlN OI M~KAi COWTI~ MAIIltlO. MfrlR MAR~lD. SN~YrvHG SK)VSE ~r t~w ~~aw w~r ~ F Nev Jerse USA ""°°'~e°. ° ° ~ y . M marr~e~ „ Dorothy Tyler_ ~ ~OCW~Mtwltt ufu~i OCttr+~tid+.a~w e..~ a.ua wn w..+o .w~ w iW p MiS~+tu q ~t0'vSnr . .u~w m. ~ n 261-60-3343 "'~'ientf`sC" Self Employed ~ eti~trK1-3r~4 COu~At Cm. Towa. Of loutrOw ~~w c~. ~..m sraET I ~ ',y PloYida Dada ~w Key Biscayne ~""~@~' ~w 177 Ocean Lane Drive fAiMfi_NAw! ~aN .~u u~~ tnOrN[~-+~urDtNi+anM .r~. .oaa~ wr ~ ' y Joseph Burkart Annabelle Clover ~ - au?wG wOG~lSS ~vae. w~ r• w. cm o~ ro.+, ~+.n. ir~ ~ ~ urknrt ~n177 Ocean Lane Drive Ke Biscayne, Florida 33149 ; ~ 6un~ w,.~ uunto ~r te~rt~ orur o?x e.usr rta u+t roa h~ p~. .w r•~i • ~ «~.o.. a.w+.~. o~c a o i o~ ? UtiiiPJfD IN 6iF1;,l~1 IIEi.~ADS SU~ ~ a N) 0 Y~'f"~nP ~ l ci,., fAic 1~+.,. ;•.Tr. FioR~o~. 2 a~4hf. ?~w ~ Il[CON~ rE~l~F1ED ~v fQr4I~Ow~. aw. A t . / ~ ~ ~ ~..t~ i~v! ~~~i W 1~) L~' I~'I.' S(~1~ Ri .HaRD!'.BRI\IiER, i• e•::. •'l~. M q. O~ y~ CG+H~..:'.---.C i r--~r _ ' ~fwf~MO ~M Y+i~P ~fW~ C~~M uu I.LCRn I.IItI.Ui~ q i-r.f.Y Q ; ~-Gti.~ ~ - _ _ ~ ~ ~l~i? Ohfll liC.ayK~?t1 CO?~Otiq~~l cawna.~ ca.~w~v~~~ q N.w hn +M ~~u~H ro Uvfr c~n« r.a. wUT01'Sr / tES .~n ~,.s:.o~ co~ T r~ ~~If d W~ MNNO ~r Mt~{~er:~p ~,~yM y?1(l~+~l~~M/~~[.? /L /l.~ ~ f , a, iw fl~ ~A~~a~w O rs.... ' Ai.~~ /rs S ~ - ~J:~ ±.~~i Z.:.S~i-'~,-.1 t~ ~Q-'J'~A~~.a.rw. rr, HOVI 4rr1Lt• OCCU~~fO ~ t.m~ ...i~+r o~ ~wNn IM 1~~1 ~ o~ rut w, ea~ j\1 a ~.~(~~w~so 7N 1M r UY ~ tRUS4t ~t rrtA[ . Oi wRJYf ~w. ~.ar. ~~~n, ~.na., tOC~!10?~ ~ ~nen u ~ . • •o . c~n w ~o~., u.w ~ ~~wu++w~w.o~ ow~aww.~c ~wcr.~ ~ s~ ~ r~ ~ (r-~:i'YATa'~N-- .e.n+. ~.r nu .o~.r .+o ute a..!+n ~inr ow . Mio~o w~ .w. nn Matw IX[uut0 wM h.[.e. o-. w ~ - inrit~:W: .p~.e~ Nr 1~ ~7V •GO~ ~~R~ M~M ~~n. W. q~! M{~ ~ ^r ~ q r~ Z,a 22 1974 20a a... ~..a.u~.. ~ T. e;::.us e..~. Iw 1 f !o j=_ y u. jY'IA Z( ~ tu tw n~o w.~ e.uti..~ ~..ns ~ C;~tv:Ut+~y~-+~J~ l~w+l~ Gt C~Or~it Ow nM 41,f p M .o„~ a w.y oec'~r+~ ~.?.+w~.»c~s a.~ ~~t~sNMlr O~ ~f !OM Y9/O~ 1N Milry~:br. ,w ~f O~~,i/~. W\ 11~~ wOH~ iF~eer MCVYr~ Or M t+4 W YM ~O ~M C~vNct~ ?e~n• I ` j= M - ~t~t:+iK1-?NM/ ~wh O~ rbrtr _ ' ~ - ~y , p:M~ C/ ~~ryl A~SI~itE~ 1-0~~1r O~t, ~tYl ~ - t~± ,,7~ha B. Liebler S ~11~,~__~?+,?~' ~%},ne#- 11 r14 _ a-~a.s+G wLGiiS1-qa~11t a~~ ~ r~- n s ~ 401 ~ora~ y C a~G's~`Ies Flori.da r~r- ' ?t~S t;: :t. C:i:s~r¢i++. ia~:Uvnt Exttm , r_r+~,vt ~OGtrKr+ un w a... ~ t~scsr, :;g Cr~ atioct Hoodlawn Cre~atory_ Hfami Florida _ ~''i ' 7~V~ nMOra~el C~~Mvrtuury,4°bbb~ `~t~i'~E',~o~al Gabl~s, Fla. 33134 : • ~:~v ?S 19 ~~f i ~ - ~ ~w~taA 1 y Y . . } ~ 4 ~~S`~~A7~~ ~ 1~~~ ~ L •~t flth~lO tCif~l itG~)FW ~ _ S'~ j ~ ~.a~--i r/ j~.a._GS-~ ~ s~ ~ ~ . , . ~ . . . . , : . . . _ . . . . ' ~ . ~ 'y. ' _ yr . . ~ ~ . ' . . . Ck ~ . . . . ~ ~ ~ ~ S„,3.k F:~., fi~4 _"~a~rs`~ r ,.M .._..r?~"' , " - 'T ,.Y~