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HomeMy WebLinkAbout0574 . ; i,, . , ~'DADE COUNTY . ` ,r.;- ~ 31 r~. ~ - ~ . '~8~6 y~ T~';~ DEPA~IENT OF PUBLIC HEALTH . ! ~ - 1350 N. W. FOURTEEN STREET ~ ~ ' 11~ADdI~ P'LORIDA 53125 - ' . ~ - } ` ~ DEPARTMENT OF HEALTH dc REHABILITATIVE SERV(CES ~j~~~. , i~,;'; ~ - DIVISION OF HEALTH ~r . ~ .n,i~'~i, - - ~ i ~ ~ , ~ ~IS~U`~ A TRUS COPY ~ THE I.OCAL RSGISTR~R•S Iil9CORD CF ~A s ~ . i - . , : • • ~ 8 ott~Y,~liO. ''the raised seal Y RSGIST ,E . # . ~ . *Of:.~d;: ~r~ait o!?`Vital Statistics VITAL I~CORDS ONIT ' j~ • y : - . ~ _ _t . i4~~i° + . DIIAI~lI, FLORIOA ~ . , r,. ~ ~ CERTIFfCATE OF DEATH 1~rp~rlwrnl u~ f~rallLili~~a~ilalire~ ;tThc~' 1TATE FtLE l20. - ~w.~rx*.~~~ .M~,- FLORIDA !N wr~~'~~~' - ' " PEGISTAAR•S NO. )1 •~n' ~~ooi! ~~ir SEX OATE Of OEA~M .~o«rw, o~r, •t~~ ~ yK DECEASED-NAME ~ ~ ~ - , Willard E -Thompson , male September 4 1975 RwCE +w~n, »ewo..wnc~u. ~..ou.., wGE-•.sr ~..on u»a~ ~ o.. OATE Of NRtH ~ w.~r~_ p.~, ~p~~p~tY Of DFAiM ~~c ~WCMt~ 4~nM~ ~ uu~ ..o~ o.n .o~.-sT n.a~ • I~~l` :'.~~tpE~ W white ~ ~ ~ June 14 1918 i~ade ~ ~ ' ` CIT11. 10WN. OR IOCAi10N p/ OE~.tN +..ww c.n ~r~~a ttpSFCTwI O~ BTiiEi ii'KTITUi~O?~-NeMf ~ n..or r~tw~• ~ne s~r~r •.o r.~t~ ~ T~ R~ ~ / s?eur. •es o~ «o ` Miami no Calder Race Track ~ r f~' ~ ° _ : ~~~iT ~ z Si~TE Of W1M ~ w roi w ~ s•., ..••e CI112EN Oi WNAT COUNTRY MA~MO. NEYfR w~RSfEO, TURr1rNG SrOUSf ~N ~+ut. en~ .u~ot« wrt i~'-^"~'"'~~ ~ .ir/ ~ Georgia ~ USA ~~1DON~a~B Eunice Crews ' r2 , ~ pif # ' Salu SECUbT? MI~ER USU~I aNrAT10N ~aK awo O? ro~ po.~t MM~.~G ~ost a Tc~p p~ WSwESS OR u~S~RT ~O~~~Ci ~ !M N Hfi1~C ~ ' ~,i 26Q-16-9528 ~y ~~umber {~x Maintenance Plumbing ; RE517ENCE-SIAiE COUNfr CrfY, 10wN. OR IOCATION ws~oe cw+ irm STtEEt wND NUMK~ ~ ~ sne~.e ~~s w no f ,M Florfda Dade 14 Miami yes ~w 2824 N W lSth Street , ; FA1HE~-N~1ME nyt rop! c•Sr MOTMER-M41DfN MAM( h~f~ r~00~! t~s' ~ ~ ~s Horace P Thompson Mattie Lee Crafton 3 ~ INFO~MANT-N~Mf ,Va?~NG AO~RESS ~snin i~ ~ r o. ..o. on w.o+~, s+•p. t»~ ~ ; ~l~ Mrs. Eunice Thompson ~,n 2824 N W 15th St, Miami, Flor~da 33125 3 i ?A~T 1 OfI?TH WAS GU ;ft.tEA O?~t~ ONE UUSE /E~ INi iOR (o): (AL A?rD ~ar .r? n.a~ w~ r~c ~ItrtlN pMift ~MG p~~M I 11 ~.rt ~y ~ ~ ~ ~ . : ~ pl Jk+~' ~ C.~ ~ _ ~t-'~ 1 L ` !L' f O `r ~ L( - -•7_i q?~~ I ~ - - i M • ` i ~ corN~wrs. a un. ! VIIICM a~n ~ue w (~1 i trrlNalf t~Yf~ 101' ~ p. «~f ~ COrS~01MK~ O~ ~ •~~nw41w! vr~la- ! ~t1M0 C~Yff l~ff ~ ~ i Z ' ?wtf p OiMER SKiNItICM/i fOH0~i~0ai: eo..~~a.s cc...asvn..e w w•n~ w?..o~ nureo io e.ru er.e« ~....n ~ a~ MlIOISt K ~FS .u~ nr.s~r.ai co.n 1 ttt W MOI LOf~tD ~M Ol/I~~MING C~Ylf M Ot~tw n~ ~w }~n6eN~1 ~ 1~T~ A ~~parw. Oa~, R~~ 1 IIOU~ NOW ~NIUt~ OCCURREO ~ e~re~ wrun w~~wn r.o ~ o~ r.n .r, oer ~ K~OE. }w * M 7Y ~M ~ i NMIr AT wORK MACE Oi 1NJIJ~V ~r wow. ru.. srwr. ~.c+on, tOC~tION ~ snen o~ ~ r•..o , an o~ ~o.M, ?~.n ~ i sncm ns w.ai aww ~ue..ea. ~wcar ~ p~G, ~ tM ~I ~ ~0 3 CER~IHCwiION- raw~ ~ ~w ..o..,w wr ~~u .w uss a..• n..~wo .u•e a.. ~ op~ow w~ .:e.. w ot~rw o[cu~n~ ny ruc~, a+ w rM~SKUw: ra.r~ w• ~,re~a.--~ wA ~rne oe.r« ~.aw: o.n. ua. ro~w rs~ ~ ~ ~ am»Ot~ ~M • ~ ~ ~ ~O I41 CMIf! 1~ 1f~f{O ~ ~ Ta oect.stonor IG in~ Se t 4 1975. t~. ::_7 ~u tti $:40~„~ - CEKt1fICAT1pN-MEDICwL f R Ot COROHER p.. rw~ ~.sn d uw ~pu~ o.,oe..~ ~oe»~ o•s rw«w..ceo o~•e ~ ~urw.nw. a w wr~ ..o/w Tw rwesue.ro... r. O~wWw. / . 7w o.. .wv~ ~ OlaM OCCYMlO O~ M N~f ~M~ OM ~O ~Mt UYM~11 ~t~1t0. ~ { ' ~ ~ ~ / M, i- ~ - M a CERDHEt-NAME mn w~+wn A f, " 0 u1e ~?tf . DA ~D ~o~ , qu~ C7 • ' Robert J . Schiess, Jr ~ ~ L ' ~ , j/j } MA1lM1G AOO~ESS-CERTIi1FR rr ~ w~ r o ' c~ a..~ ru~ rTr . ? 3 4 3~ ~ 1 W 1 t h Ave ! M~ am i F l o r i~ a ~ ; iURllll. GKMATION. ~EMOvAI EME~ERI' OR ClEMATOl1-?v4ME i tOCAT10N e~n w aw.. sure ~ ~ ~ s?1C~n ~ ~ ~ Burial ,N Southern Memorial Miami Florida _J O~TE ~..o.nw, o~~. nw -tiUNERAI MOME- W1titf ANO ~pDItESS ~ smn o~ o no . crtr o~ ro~.w, su.~, nr ~ tw S tember 6 1975 ~s.Van Orsdel rtuar G600 SW 8th St,Coral Gables, Fla. 33134 fU?~E l UrECiOe ~ G ' t - UK w •~erp•~~qp ~r ~~p((~ [cisnu t CT CL7L~ C.~ ~ 7p~Lf V iJ~~ - -r ~ ~ ~-~~`~"`..k,~~`~~i'~~~x`~' r` • ~ _ .