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HomeMy WebLinkAbout1572 CERTIFICATE OF DEATH - O~.e.t Ik~hl. a.a Re?.6+6an.e Se~.i.~es lTATR FIL! No. w~~ w.u.a a.r~o Tr?e, oR ?drn ~N av°"'" ~ ~~A~n~ F L O R I D A R[QI~TRAq•! No. ~ ItRMANtNT IMK ~CEASEO-NAML ~w~ ~~ae ys~ SEII DA1E Oi DEAIN ~•oarw, rtu ~ Si4 NA11P~pOl f0t RAYI~ND L. - ANTOhIDES ~ Male ~ Ma 23 1975 RACE rvwn. »fON. ~Y~KY+ wOYw. wGE-ui? uwn c n.~ u..oe~ ~ wi OA1C Oi ~11'iH :ro.m~. w~. CONNitt OF OfwTN nc. ars~ uanw~~ ~~w~i .ws. wn wouas .u. n.u~ ~ite 69 s. ~~tar. 14 1906 Br w r , TOwM. 0! tOCAT10N Of OEI?TM waw un .•~n MOSIITAt OR OTMft NSTOUiION-HAME ~r w~ w imn~, am ua~r ..o .wwe~ ~ `n ~h Hollywood ns oa .w Yes Holl ood Medical Cen STATE Of WM ~ ~ Not ~w ~.s.~., wue dTIZBi pf WqAT COIJN1tY W?RRtEO, NEVER MARRlED. SURVIVNG S/OUSE ~ r we, pm r~pw wur~ ~ tAwsr ~ MIbOWED. OIYOlCf~ i vecr~ ~ ~+~u.~w.~«. ~ hew 3ersey , USA N Married Aa 1 rad r W ~t OttLit~ u.~, r euw SOCt~I SECURm NudWE! USIJ~I OCUIfA1~0l1 ~on~ .w a wu oow eu~»a rou a KND OF MKwESS dt MDVSitr o_cu~eto ~o~wa un. rrew r ntmc ~ „ 155-03-9008 Ca enter f!S~D!!Kf ~tf0~( " .oW~s.o«. ~1wErx~-sr.rc countn cm, rowr+. oR ~ounon .awe c.....~s st~r ~rw e L,.~., ~ tt~u....s «no ,y Florida ~a Aroward ,4_ Pembroke Pir.es w. Yes 8761 Johnson Stree FATHER-NIMf aes~ ' .~p~~ uy~ MOi11Et-MAIpfN NAA~E ~nsr r~Opt uy~ ~s Frank ~ Antonides Eleanor Lane INfORMANT-NAME MA4srG AOORfSS ~vae~ oa i.~.o..a., u** o~ w..., u.n, irs ~h Hazel Antonfdes 8761 Johnson Street, Pembroke Pines, Florida rnn otwn~ wws uvs[o ~r: twrtR a~xr or~ uust rte i~t rat a .,.w=~.. ( ( L lbl •uD (~H ~m+eeM a+~et .w ee.a~ y. ~..reM uwse Pu t~t a t~. ~u kTr~ . • : . COMOQIOMS~ w ~n ~-w~ : - ~ -z ~ . ~rwKw 6~v~ ns! p h) Ylr~N4t! 411lf 101. M 10. Of Y~ GOM7~011lIK! N: ~tAlIMO tMf rNYl~ / ` \tIMO C~Yf! Ytf ~ A A • I ' t /~,/~f I~YV~ ~ S'~ ~ e ~T • `r • /~~l v- ba.~ • ? ' ?AtT OTMEt SIGNIFK~M Cpr0lTlOt+S: ~a+w*aw d~IN~O q ON~M WI eqi ~h1M t0 C~VS! 6nlM ~w IYT ~ MI ~~3~ i 1fES ~IMOIMGf COM~ itu p rat t~e[~[D ~w o[r wuw cwfe S ~ o-~.l c ~ G~ ~ ~ ~l . Yes N •lA1M ~ ~ MOMKIOE; OR IRDEtEUrIr.ED ~ ra.TM. rw~ MOW IN1U~Y OCCU~RED ~ t.na .u~we p h+wn w r.n ~ o~ ru~ a, rrtn ~ ~ !M M. 7Y- IN1utY AT WORK IIACE OF l1JURr •t .o.r. ~.rr. smen. ~.cwn. IOCwDON ~ smn w«.e_ wo., an o~ w.n., u.e ~ t snon ref w.a ~ aa+a wea.. ewc ~ sntrs ~ !1 ~ ~ U[1WG?TION- .o~.r. a?. n.e I rwr . w. ,eu I uo uu s•~ ~wu~~ run[ on ~ ae/ao .ot vev. we a~tM occveeee ~r n~e rua. a+ wr ~1n3Kw~: T~ ro..~ o.r ~w ~ae+ a~ ~e• ~¦ou~~ o.rt. u~o. .o wu ~•m~~ ~ 7S ~,~5- 23-19 75 ~ 3 7S Q r 2: 24A M o~~;° u:~ ~ !la eecuseo ~w. ~ tERtIFKAi10N-MEOIGI ExAMMEe Oe CORONEt: a. rw ~.s~s a*re ~ w wM ~we oecem.~ .~.s r~ouoiw~ces ew t1ArM~1Wa W M Wb~ u/0/O~ n! MvtltOwtqM, w, rr OMWM. nO~Aw Or? tG~ WW 0laM p~(yK~ pr~ Mt G?q aMY YY! q qy 4YSlql S~~RO. i K ` CERi1f1ER w1ME mn w•s+~ ~ A eacen a nae D~ra.~.~ r, ~e.e~ ~ F . ~ n, ~n- . ~ ~ AODRfSS-QRfIF mee~o~ e.r.o. wo. cm p ~a , u ~r. d i3IV t~ . ( or~ ~ c~ 4 ~"3 ~ ~ ~ { iUR1Al. QEMAi1pN, lfMOVw/ ERtI OR CRFNU?TO~n-NAME IOCATION an o~ fw.. sutt f ~sncrr~ ~ Bu sa ra. Dade Memorial Park ~ Flor d DAiE irpxM, c.~, nu~ FUNERw~ MOME-NA~1E ~Np ~aptFSS ~ swn w~!.o. .w., c~ w ro.n+, sr~n, z~r i ~ ~ May 27, 1975 7 FRED HUNTER FUIhERAL HOME I\C. 6301 TAF T ST. HOLLY'rI00D FLA. 5. /61? f~lElAl pR-SI~tAiURE . REGISTR4R-SK',NwfURE O~tE ~KErvEO ~r i ttG~Sitwt ~ _ ae~.,ozr, r,~ _:T- /t~ ~ , ' fI ~ 1 ~1 r . ~ - ; ~ . - . ~ - `~~r---z~ ; ~ CERTIFIcD COPY ` I hereby certify the above to be a true and correct copy of the Local ~ Registrar's record on file in the Broe~ard Count~r Health Departrr.en[ ab ~ ' _ Fort LaUderdale, Florida. ~ . ~ ~ ~r~rm , _ 11 7 C Gp ; . W ~ ~ r u ~ ~ - idarning: No~-~ra]„~d unless rai sed seal of the Broward County Nealth --<<.-„~-'~ r ~ !"1,. 4 ^ 2 ~ : N ~ - rr, f ~"Depatitrcertt is affixed. ) . ~ ; ~ _ ' ° v 3 ~ ~ cs ~ ~C ~ t: ~ ! ! M ~ • ± ~ ~ N ~ m ; 5-27-75; _ - - ~ >o ~ ~ : f _;,-J:`..,,.~. Cou y H alth O ficer and Local Registrar u ~ . _ . . ~ I ' I *i5 i " t r ~ ~i+~iZ~L . - ^.a':~,•.~ ~ / ~ 'l.~f~Y~-~ ~'-'~'y . Aeputy cal Regiscrar ~ _ Bi 6CRK~44 F~r~15 ` ~ ~ • - - . . ~:~w`- ~ ~ ~ ~ ' ' } _ ~ - - ~-~-*~_a .