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Home My WebLink About1173 ~ ~ ~.i~ c• ~tJ. • ~ ~ • ~.r ~ ~DADE COUNTY, T~` . ' . • . , . - ; ~ DEPARTMENT OF PUBLIC HFALTH ~~~4 . , i ~ ~ MiI.TON 5. SASLAW, MO. MPM, ' ~ ' 1950 N. W. FOURTEENTM STREET ~IRECtbA _ - ~ ~ . . . • MIA'•V1I~ FLORIDA 33125 , • • ~ ~ ~ . ' • - - • I H$ CSRTIFY 'It-i IS TO BE A TRUE COPY OF TEiE LUCAL REGISTRAR' S RECORD OF DEATH . l,Y ~ `y4 ~ r I+ti-~ ` e~ ~ ~ ~ ~ ~.LS:' ;~a `',s' 'f~y1~lRNING: ~1 `1ti,,,, ~y '~g't'~ot valid unless the raised seal DEPUTY REGISTRA 4~~bf the Bureau of V~~~~ .$~dt~;S~l~¢ VITAL RECORDS UNIT ~F` ,:jUH~Y FLA. DADE C0IJNTY HEALTH DEPARTMENT ~a r, 1-3i;~~< .-ia affixed.) S7 lU` „Ras .,~t'~:` Q ; • . F. ( ' : - - ? ~,'-:t :.~URT MIAMI, FLORIDA •~,~~~~:~1•f~.~ oF~~ ,~n ~ ~~f MIaR sl 10 3o AM'75 30~604 ti~ ~ ~i~: _ ~ . CERTIFICATE OF DEATH IkyaAment o1 Ilealil~ and Rt6al~~luan.e Servlcea ' 87ATE FILE No. ~~~.~t+ F L O R I D A ~~'~0~~'~~~'~'° REG16TpAR•S NO. x - ::~CEnSED-NAME ~~~Sr rwwt ~~st SEX IDAiE OF DEA(H ~rowtw, o~r, ~t~t~ . ?v~R~~Ai? ?•SacKEP~ZIF Jr. ~ *':ale ~ Se~te^:be~• 2~' ? ~ :~CE ulGW. utu[~u n.o~..a, wGE-~.s~ u+0l~ ~ q~¦ yr~p~~ ~ D~t DATE OF 61NTH ~b.~•w, D~r, ~OUN7Y OF DEA~M j ! SIfC~11+ . ~~~iMD~~ 11l~~SI rpS. O~~S MOY~ST_rW ~Vfl , Irmite „ G3 u ( _ Sent. 9,1~10 Dade • ~ ~4 C!TY, T~JVYN, OR 10CATION OF OEATM ~ i~s~oe Utt iuuti MOSMAt OR OTHER RiS~ITUTIpN-NAMf i~r r~pT t~Tnee, ont sntt+ ~ao r+;u.~t~ s Y i ¦ S?IC~~+ \IS O~ HO i ~'iami r~ 'tes *iercv ~{osaital ~ i ;T~TE Of {~RTH ~u r10i 1N u.s r.•r[ CIDLEN Oi w?1AT GOUNTRY MARMFD, NEVER huRRtED, SUQVNPIG SPOUSE ~n ~~rt, anf MA~OM NW[ 1 ~ cou+m ~ W WOWED, Of~ORCED ~ sr[c~. ~ S . En~2and _ ,TJni'ed States t~!arried F-!elen Dunn _ ..:•_~At SECURITY NUM6ER USUAI OCCU~ATION ~cra a~..o or wou oo.+c owwc rosr o~ KINU Of lUSWESS OR INOUSTRr F wO~~~NG Uff. [~l~+ 1~ ~1~:~[D / i ~ 07~-2~-7172 ,,._Retired O~rner ?.fo~-in~ R- `~~ora.~e Co. ' ~ ~E>',~ENCE-SI~TE COUMt" dTY, TOWN, OR LOCATION ~~MSwt cm iu.~rsyTS1REET AND NUMSER ( ' 2 t ndian ~ v~c.r• .es o~ ..o,~ } r? lrida u~ ~iver ~o @T'O Eeach ~~u wC'S ~~a d 1m Road . K Ba te Pa ; : ~~"r1,P-NAME n~s~ r~oae usr MOTNFR-MAIOf~~~~~.~+f n~s~ ~~o~e us~ G ~ ; PJor:n.an ~'.acKenzie Aranie Smith ~ '!~fORMANT-NM~f MI,1lING AD!.`RE55 ~s~~eer e~ o~o , e~n o~ :o~N. ;r.:~, tu~ ~ ''rs. Helen :`tacKenzie 1a~5 Late Falm q~a~ `lero ~eac~-~ Fla. ~ ~ ....o.,.,,~T ~ ~ ?^~T ~ OE~TH WAS CJWSED 6r- [FrvTER ONIY ONf ~~USE KR tiNE FOR (ol. (bJ ~wD (cl~ ~tTr.t~.. o..u~ •r.o M, .rr. ~ ~ - ~.,.eou~e cwst^ - ~ ~ ~ ~/1T" S Z~ ~ ' W~ Gi ~S ~ lUwuvvir.~! v? \ ~ _ ~~x ~.J e ` ~ G~rt ~~st ro (b) ~~~'1.~v.~~ ~~~~.....s..-~ S L\ ~ y'aD~hOuS, u ~wt, ' - . ; .~lD~~I! C~ult to). DVt 'O. O~ ~S ~ CO'+SIOU[wCf O~. - ~ - Sryr~r~G tw! YMDft- ~ ~ i•~~ . C~ut! i~31 . t - ~ ( _ ? V _ ~ ~ ~ ~"Q! " OTNER SK,MIfKAN~ CONDITIONS. ~ s co.aenunNO ro ot.*~ w~ r ni•no ~o c.use e.. r.~r ~~o~ ~AU70~Sv li ~ES +.t~t n~o~ Gs eor.- ' ~ w/~ ~ ~~(S TjraJ~ ODOt~ Nw OETt~r~n~aG UYS[ ~ Is+s ..A ~n - ~~~rt ~CGOf`if. SI:K~DE OR ~DA Of W1UR~ ~ ro« , w~, /!.:+UR ~ MOW IN)URY OCCURRED ~ t~r[~ n.rvn or ~«~~n i~ r.n i oe n~r ner u r ~ -_v~.Cipf. OR UA9EiERM~NED • - ::c~ f~t ~ . : 170D . 76c M ' ?Od ~NyVQ`/ ~T WWK %ACE Of w1URY •r »o+t. r...., sneu, ~.:ro~., LOUT~O?t • St~lIT O~ ~.i D. NO~, UfI O~ fOMN. Sl~i( ~ ~ s.e::n.~so~«o~ qIK[NOG,e+C ~srfon~ 4; , 7:. 201 ~9 ~ d ~ CfF71F1UT1ON- ~M~rN o~r ~w ~~w.n. o.r ren• w..o usr S.w «w~re~ •i~.e o.. ~ ew~o~o., r r~~ ofwrn Oeeuoto rht ruce. O.~ n.~ ~ ro«.w o.r qu ~oo. .r o oe.r». ~ ~ r?~SIC'AN: TO ~ '.MOUI); O~~[. ~MO. IO Mf ttST •>itw0[0 tMf 3 ~I `L it1,JV Q~ r~ [rqw~[O.l. O~F ~a . oece.se~ ~~o. 7' ~ 2 ~ ~ ~ , ~ - 2 d - 7 3 ~ G- 7D 11c tH 71r M ~o T~r u~se+u sr.rto. ~f:ri~t~iq~-rAEOKAt EltAlalNER OR CORpt~ER e.. •Me ~.s ~ o. r~e woue o. c~.r~ rwt outw~i ...s rroww..cto ot•o or •w ~ocr ...aio~ rKe u..ev..+~o.., on~~a., I o•. •u• r,ou. ~ ~~cc~,~rto o~ mt o~q u.~ pve IO TNI C~ySE~Y i*.*to r M~_ M ~ K%; (~,T~r ER-r~AME ~nn o~~..n - ) SrGNAtU ~ o~~~ee o~ ~r.[ ~DwTE S(IG..,NED ~..oc•.•~, o•...e•n ; . ~~v,,~ I I`~ V l.l C.i-W w 7A. - ---v~j~_ ~ ~ ~ tk / ~ ti~~:~ G A S- fRTiflfR vne. w r.~ o ~ , e~n ~o . s~.•t tn ~ ~ ~ ~ ~ ie /~.~1".'.~7 ~ ~ =~ei~~ ~REMATION, REMOVAt CEM TERY OR EMATORr-ra~Mf tOC~i~O~+ c~n o~ ~o.~ sT.rE ~ ~j, S.r<~~., ~ ~j -~1~„ ~emoval ,n Ferncliff Cemeter~%_Assn. 1_'estcne~ter Count~P:. Y._ r'~ g"~~tE o•.rr, w-. n.n fUNFRAI HOµE-N4MF ~NU ~DORFSS ~ s~~rer o~ e r o NO , l~II O~ 1OM~M, SV~I :~r ~ ~ ~ ~=eot. ~ 29,1973 i~. rsennett Jlm - 152~1 ?~1.~ ~~J., ?th Ave. 'iiami Fta. -33169 .•.EQAI EGTOR-51GNn~Rf . REGIS(R ~,4ylf ~ n OwTE ~fCf~vtO • ~p~~~ tEGiSi~w~ . ~ ,jjj ~ - ~ ~~~.I • (~j ~M~~,~ C / ~ / ~ . . . . ' ' _ . . - - - :~i _ - _ . . _ . . _ - . .