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HomeMy WebLinkAbout0385 t ~ ~ ~ -a w : . ~ a~~,'~~~ . ; ~ ' ` CERTIFtCATE OF DEATH ~ ~ . • Or/.wn.,~ d Ik.l~ ..i R.LdIM~ww 5...1iw ~TAT~ I~ts ~w. ~ ; p~~~~?~~ FLOaIDA t..~. o...nn M1 ....~~..a..... • wto~sTAnw•~ +w. 422 • . . . N~MAfNM IMt ~MM1f ~wt w«~ 1N IYMNN !M Sl~1 oATE 0lw1M ~~K w~. n JOEH~I A. C~.L~ ~ Male • t 26 ' ua..+.•~.••...«,..w,. wae-w. .w. oa~t a ~.a+~.r.,. c~awnr a oewm 6602 .K.....~..~D~ite ~1..~..~ .o.. .e... , ~ . . Nav. 2,• 1893 „ 5t. Iucis • . t w ww cw ~~.w~ M O~ O:N[~ a4t ~ r Mw, «w ~+rn w~r~ ~ ~wcw~ ut w w , „ Ft. Pieroe ti Yes „ Ft. Pip,roe Manorial Fiospital , {1A1! O~ MM ~r rN r~.~.~.. Wy MI~N1 t.011NNr /M~qrtOn.~N~lrE~ w1lMt0. rw. Mw rMr w1 ~ : 1$cx~I JP-Y'5~1/' ~ swrw~ ' . ~D i'7dLY1~~ ~ wc~•~ u. ~.1Zc~t}1 ~@ZaY1P1~ :r:.r iin:w 3! MMMt~ - YSIW ocar?w:~un : c. - - , . ~.r r+.rsa~ n~ s~e~sm o.» r M~w N„«~..~, n 267-98-0886 ,~~au ty ~O~iva.~' ~ V„~ Newark, Neti+ Jersey - ~ts~0lwCt_sr~x C011NA tR~/. TO'w~~ O~ ~OGt~ON ••w cw ww ' , ~a F1oriRia St. It]C1E 14 Ft. P,1P1~G~ ~w YQS ~ w. 1106 YO1~C AV@. /AMf~?YY~ ~AM ~~Y W~ MO~~lR~M~QtNNY~ wM wM! MM y. • NM?V• 1~ WR~Jb• IMOMWII~NMM Mµ~rG ACWfSf IMM~~ M 1~.1. NO.. tw M Mw~. wA• MI v, Elizab~c~th Collun~b 2206 York Ave. , P't. Pier~e, Fla~i~cla 33450 , ~ rwt otwM w~s W16to a. ~Wrt~ orKr O~+t uwt ?N ~wE tw M IK wo k~ w«.w+ wur ~ Q (N E/ I'8 • (OMMI~O~~~ M ~MI ~nn(w ~~~f ~~N ~ ~ • ~rYN~M C~~N w~ ~w ti. M• M ~unw~ r+~ ~r~ ~fM~ ~~rN MN , M ~ . ?w~i Ont~ sOwK/wf OO~~OM. n.r.~w a+ww~n w~..+w~.M ww r u~ «w+~. tiw. N. MnOr3t • ~ES .nN ww~.~~ ew ~ . ~ws M ~~n ~ Mwrw~~ cr~ .Y ~w ~ ~.w^. ~u. ~w. ~ O~ I~~ItlM~l~ N MOW M~1W~ OCCIINfO ~M~ w~M~ M~Iw~ ~~M~ ~ M/M~ R~~~~ d iA 7w M iM. A~ Mp~~ N ~o~. ~.rti awM. ~KV~. IOCAf10~1 ~ Mww M a~.~. r., aw N wwq. Rrr 1 ~ rw..~t. uwt+?~ s. wr . ~y CMrKAt~ON- ~a.~ ~ w~+ ra+~r w wr w ua. wr a..i~w w~w ~r .»/w~ .e~ ww ~r «~~w Ottrr~ •r w~ w,.a. w ~ud~w, • i0 .sr wr ~ew u~w w.r. Mti, w~. ~O w MM ` ~ .wrre~ wK L t p [ p e~ ~w~. ww !M NC~~M~ MO+ ~p p 1N 4 ZO tN. V ~ 1N. I~ TM ~ i DOM_ N~f WR»I M~M. . ~(~1~1(ATId~-MIDKAI ~l • O~ M A YM O~ w 1011~ M M~1A My M[ VM ~KII~ MM ~~~r~~~0~ d~~Ol~ ~!M M rMN~M~O+. r w O.~'Pr. ~wA Y~ ~ «r...~. a......... p ~ M tL tl~hpf~~ n'm M w.w ~ ~ i OO 11t ~ ~wMt~~ye~ wM O fne~~. Mt sw~ . I7~ -t f //1~ i ~wa;R ~oaess_ce~arrr y ~ ~•«•Q ••S.•" ucie F].Ap~ 2 w e. W~ut. t~tiwf4N. ~wO~vN rtt~ W C~E~uW~?..w~E aOC~fiOM cw~ a.ow. w~ ' ~~u~ri,al Hi1lQest l~n~• Ga,x+den, F't• Pieroe Florida ~ I~M~.l~~ AYI MK~AI N~rf~N~M( ~N~ AOD~ SS O~ ~I.1. tAf O~ ~ ~ ,y t~ BAIRD ~3ivER11L Ii~ME, N. '~th St.;~t. ~i,erve,--Fl. 33450 ~ r. S. r~ 1t ~uMt+ ~ctrstw tw. ~ ~..i. a wcr ' »~o - --2' t~c.E' ' t~. Au st 29 1975 ~ f L.~v +~h~~ =rs:3aDE0 • ! hNrby owtify thb to b~ ~ trw ~nd to~nct aopy of 1h~ Locsl Ly+~~: ::,~ibT~ F~A. ryc~ ~ Rpistnrs rsoord a+ fik in 1h~ S~. luci~ Goun~Y H~relth O~p~A• - RRS - u~ I T.)C7 m~M N fort P~a, Fb~~da. Clf i.. .:iitT ;.UtiRt f l ~ 4 . . . ~ ~ ~f a~~~ . (WsMing: Not vNid u~+less n~sed ~eat ~f tl+~ 5~. ~~ti~ ' 7 . County F4s~lth Depenment is effis~d.) ~~5 3 0l PH . ' r . , N. o. M~u~a. M. o. , L;s,3 Fi ! y y „ ~ Co~rnr~, ~rwlM oRic.r L t~oc.i Q i.trw . ~ r,, . . - 9 - . d~ ~ : ~ - . .i ~ „'r s.. ' DM~ D~wly Loa{ R~oiat~K ` ~ ~ • ~ . s 0 R r~ e~ J~~~! tr1~ ~'~.;.:g,~s: BOOK G~'~ PACE J85 . ~ ~ ~ ~ _ f ' _ - T . " ' ' " . - . . . _ , ~ ! , t 1 • ~ ; - r. . ~ Z ~ ~ _