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HomeMy WebLinkAbout0759 • ~V'~~1V 1 _ , . . . ~ . ~ ~t.h . ~ ~ . •I . t r ' _ ' • ' _ { S ~ ' CERTIFICATE OF DEATH ~ ~ D~Mr! d N~.Y W R.VIiMMw SwNa~ RATt II~ NQ rm, o~ ~n M annon o~ w~n~ ! L O 1t I D 1l ~a~~w•~ «a . N~AMM IIK hM~ ~ E ~ W111iaun Samuel Beam Male ~ 16 • ~ ' ~AC! w~. wNw. ~wrc.r «wR AO!-aw ~ W?fE a MtM ~.a~ w. OOYN11f Of OfMN , ~ r«.. ~hi te .o.. .a.. ~ ~ . : . 4 ~1M tw UrM . 1~ rp r MMtf, OM f~ w~M ~ I ~ Wtw A~ O~ u0 , A d k ' tU1/! O/ MM u«a M v.s... •u.r w1Y?T OOUMtII MAt~IE~ ~Mi MAMEO. ~.w. s.w .?r~. ww ~ aor~w~ w1D0'WlO.ON~O~C[O~v~cr~~ ' ~ ~ ~ • Tenn ~ ; urw. r M~r iOC1Al 141M~ YfIW OOQI1Al10N ~Mw ~w p v~o~a qN wr~N ro~? p p0 O/ Mlifl3l O! Ro1Kll11 OOC11~ M ~M ~M ~rFl ~ 'l~Y ~ - ' ~ . r'~~ '.,,o: n. 41 is. i! ' ~-f/A1! COIRIIr Glr. i01M~, Ot IOCATfOM ~~N aw ww S 1 ~ wcr~ ~ o~ ~o i - Ir. F IN. 1!. W. I~. ~ iA11~-1~NMt N~M . r~w~ us Y011B- N~ME rrM r~~ W~ j . ~ t ; Unkn ~ , N~O~MMR . ru?~INIi ~OO~Ett ~ww~ a ara. ro., an a~ ~o.~ ww. s~ ' ~ ~ a R ~ , i ~ ~ o~w~ wnt c~ufeo nr. ~ aar a+E uuse ~ u+[ ro~ 1~1 Ai ~++o k~ ~ ~ ara u~ wur , ~ 'y . , 7 ~rc¦ w aw +d M rYM~M G?~M 1~ ~ M/0. O~ Y r1 GO~M/Olr[~ O~: ~ ~~UN tNY YN ' ' ~ ~ Id j ~ M!f OTIl~ iIONrICNIf OONORIONS~ ~Oy OO~MM 10 M?~ M~ Mp q~~M! ~wM r w~ w M~~ f YEi vnM wrMw~ Rar ~ ; !10 p MOI a~¦~M NMY~~ f/M~ , i 9 ~w. ~ ; I ot wotturws 1Oi1"' ~•'W ~ NOw MwtY OCCUMEO ~wM w.rr a«wa r~.~r ~ a r.~ K, u~ t ' ~ ~ y. } MMWM~ ~~'O p~ .r w.r. Mrs. r~ooer. lOCA110N ~~w~n w a~.~. ro. cw w w+M. w~ w~.,ett ~~wa~~~ , ~Ia al. ' 11~ . , ~ ~0~1 Yf AY ~pA~ W 1tY MI~ Yq M~ 1r/I~Y MM OM 1 N/M ~p v~r MA*1 OOLI~~ tl M~M[f. OM r 1 " ~ MOMWMS T~ ~nl~ Y~ RY ~OM MM~ 1rOM~ W, w O~ ~!Y ~ 1N wa.w wo. , ar r. ao.~ew w t 9 25 1973 5 16 1975 ,k5 16 1975 Oid 2.lOP~p•.~n:~... ~ CH1tKw110M- ~ a. ~a a.w w r~ .oM a M.w we wcurw w wa~owcs w~ ~ . ~IYM~~p~ p 1r qr~ Y~/O~ ~~MMwOUL M~1 O/~UOn. r0~1 Yf MY IOM wr oaar a. w w.++ w~ a~r uww wM. Y 1f~ k . M P re -Ab M.D. ~ M.D. ~ ~ _ 5 19 75 ' ~A0°~-`~"~ Post ~ rca a Florida 'W`33821 . Q+v?flo~1. ~t~wv~u -rw~t nn o..o.r ww ' ~y RBOO~Vd1~3.d1 ~ '4C~'St ~l• Ci3~I1S !M. 1~. p~~CICe FI~jL~c1 ~ a?~ ~ 16~~1 ~,.rtwNO.~_wu?~r.?+o . o....... .o.. : , r. s. se 1z ir ' y~,,,, u. BAIIZU FtA~R~1',~ N. ~h~. ~ I~: "~~e1~o0 ~ Fl,o9~ida 33450 ; R~r.1970 ~ ~ , s ~ . . (ZsR1'IPTS~D COPY ' ~ I hereb~ certity_the abone to be e true and correct co~y of the I,ocal Registrar~a ~ record on tile ir? the ~l e~..]~- Healtb D~partment at . i ' ~ g~ ~ ~ (warningt Not v~.lid . -+yr ' • , . ~ tin~ese'r~iiaed aeal ot the ~ Health De~t;t~t~'.~,a ~ced.) ~ .4i - , ~ $ • ,1.• . ~ . ~ •r - . 'g .i • ' ' ; • ~ ' - I • ~ Ay . ~ ~~23 . 4 • : . _ ~k ~.r 4 ~ . ~ j ~e,~ ' ~ Deputy Local giatrar ~ . ~a~~~ ` ! ~ , ~ ~ fJ i~o ~aa R ~ EC4RDE =T. LUCiE ~OUNTY F~~ ~ . . ROCEn ?4iTRAS 1 CIERR C?GC~/~T COURT : a~coRC vER,Fifo.,.,..,_,,._ . i ; . ~ ~0 1! ~4 ~N'?~- - f ~ ; ~ . ~ 800K PAG~ ~UU i ~ ; ~ ~ ~ - ~ ~ ~ ~ ~~w-~~ ~ ^-r-x -e-:- z .r.F ~'•Y*• " f = r~~~``^''~J y _ ~z'~' ~ . . . . . „ -