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318565 CERTIFICATE OF DEATH ~ laer..~...~ .1 lk.l~i~ .wd ReL.6~ln•„.e Ce..~ce. ftrATS f~~s No. n~~~ F L O R I D A irrE. O~ ~a1Mt IN ~'~~"°""""~O 11tO1sTI~A11•• NO. M~MAMIlfT INI[ a~A~~M~ r~~ rMU uQ SE1 . OA/E O~ OfA1M ~~Wrtw. N~, R~~ ~ 1[l IIY~iO~~ IM ~YVf~yl ' ~ - . ? ~ r 1 r i t n A 1 A~11' i(Vi~,:l~l 1,a~1?i t1..~.~ l.~r_;lwli:L..L J.~• ~~,~•ia11~3 i..~i:i1,i,•~~u" ~AC~ MNq. Y/MCM MYr. AGE-up PM~ 1~U~ YM~~ ~ M/ QATE O~ M1M 1~0~4 M~. ~O1RAr O~ DEA1M ~K. ~ MlC~ ~ MM~~ ~ AY~ ~ r0l. M~f MOMf rN. 1~Y 1 6602 ~ I~fii.te SG ~ :~e~t .17 1 _l . Saint Lu i. . . l A wfM t~r ~~nn NOSIIIM O~ OiNE~ - Mp r wr~, Nw r~rw ~ . fMt+~ ~ff o~ w0 w.~ori: I'ier Q ti 1'es r. D.0.:1. - rt. 1'iexca t;er~or:ial lIos i.tal STA1E OI wM ~ r rOt w~.~-~., wu! 11i[tJ p w~Nt COUr~lt11 MAqtO. NM! w1NE0. - SPOYS! ~w ~re. w~ ~ tw~ ~ w100w[O. ~ wc~s ~ • ~wun+««n • I:QS'! ~'Ori: e U:i:i a~•:1Y1':tC n. L~OlC01:11~~ liunt ' Mc..~.. ~r.u r M~r SOdAI SECtNrt1 MM1~E~ 11SUAL OCCU?ATqM ~Mw aw~ or oor w.~ ~rwp ~op er 1[ND W M/SINE3S O! V~11SM otc~e~ w ~ortw ~w. !wr r rw~ ~ n a33-50-710~ ~ C),'.'iiCC i~flr.lc~Cr ~ ~Ei10ENC!-St~R ~OMA1I [17t. ~O'~~ OA lOCA110u wrw cw ~rwl S1~tET ~ ~ . ~wc~ as a~ ~ ;~lorida ~t. Lucze i~ort P~erce ~N i-Io 5?_Oa Citrus 11ve. ?A?I~f-ItAME ~NY rMN up MOi~'~~~114bEN It4~ ~ r~M~ uN ~ ~s Ciiarles L.cl= ec1~1 N C~1zri.e Van ~icI:le t!tl'Q~RRti!-DfAAK W.ZCIG AaCltSS :i~s!! O! l.e.a. u~ . Ctr O! !i*i++. l~~R. i ir~. Dorotiiv ii. I_clieclal u4~?O~ Ci.tri~s t1ve. Ft. I~icrcc I~ 1~. 33~!50 oEwm wns CwSEO ~r, (tHrtt pwr oME uusE rt~ t~ ro~ NL A1 ~ kll w..r.~ w~w+ .r w.~w ~ cr~ROl/~c ~,~sr COMM„OMf, M ~M, ~ ~w~tw ~~n uf~ t0 M . urlM~lf C~rU rM. M p. O~ U~ GOM~OMMp O. . N~TIw~ t~~ IIM~/~ ' k~ HR ~'"~ii~~OS c~~' ~ ?n~T ¦ OfpE~ SiG~+DrGwT CONOBWni. COw~110M~ COMrIlh'» q M~tw M Mp RI~M q~~Mf Owfw r.~r : w w11tOKr r ~ES wu „»Nwo~ cor~ ~na o~ .a~ wen~ r. Nnw.wu~ tr~w I D ...t. ~ . ~ OR Y?O~TEMLN[O A ~.a.~w. r~. n~~~ h MOW NIY~? OCCYNEO wwr M ~w r ~ w r~n r, w~ ' Fl ~SfPr-z~- ~.s~ ~ I ~P M ~ ~MP ~~rirv6 0~ «'",c~s'r ~.~i.? i INJIMY AT M~OlR Oi NAJ~~ •o.~. ~•w, aw+. ~~can. l ~ sn~~y~,~ rs~ yn a~g ,.w,p~ ~ ~ ~hc.~r ns ~ aw~o w.. ~ wcr. ~ /Q~~ iYr ~C ~f/r/= fU /l~s'/~/ TA L ~ R. /?.t _ AM t/ ~ CtBKKAi10l~-- ~w. ~n wr .s~~. .w r~ w~ w w../ww ~ w . wh+.a .w ~ e[~tw occ~MM ~f M~u0. M M ~ ~y~~ ~ .s.~ w wr ~aw ~r~ ~ra ~wr ~ rw, rR w w ws ~~~w~w~ w~ O~ w eowAw. w1 11~ Nt~~S~~ NOr 1/t ' 1M ~11. ~ ~ t0 M 4YM/N WN~. y CERTI?1GTION-MEO~CwI [iAwtf o.. nw w.s or w~ .oM o~ u.w~ ~e NceM.w .r~ tiorow.u~ ~w ft~aN~/0~ O~ M~~ ~M/O~ ~ M~1~fA6~~~OM. ~M ~n O?MO~. M~ ~V~ bY~ ~e~w ote~w w~I~y~/`-FS+--~ r-w ~ L CUtnf~E~-wM~E mn~~n ~ p~nu ~.a+M. M~, AYI ~L.CA~lxro t u~ ~ Z . ~ ri o-~s~ ~ ~SS tERfrE~ TT ~ snn~ a~ r.~. wo cm uaw ~ t11 L ' 1.~ L-- N1R~A~. CREMA . ~EM01?Al fMEiEt? OR C~EMATOIIY-?uME lOCA1WM t.A o~ ~o.~M ~uq ~ ,..,~w, ~ P.emovll-rurill llarn Ce~et~rar Elmira N. Y. D~- ~ro.nw. wr, wu~ flMrEtnt MOME-naiwf ~HO ~OOfESS ~ amn w~~.~. wo., un w q.... u•e. ~r ~ ~ t rw Sent. 30 ]_97S :s. ~'ai:e~ :~t~~~e~al tioT,ic L'o:: 777 I~t. I'icrce i~l~. 3~~'-50 ~ v 5. ~612 Iu+E~~t weECTO`~~S~G~tU~E ~EG~S - ?u~E. ! n o~~e actnto ?ow ~to~uu~ A~r. 1970 tA ~'a' ~ ' % • I " ~ ' ri~ L%l.GssC ~q /~S//C. ~ : . . . ri ~ - • trw ~nd oo«~et aopy of th~ Loee1 ~ ~ ~ ~ h..wt~y owtify thb /o b~ o.nistrsls ?aoord on file in th. 5~. lucie Gounfy H~slfh OopsR. fit~~ ~4: ~ t~u~ca~o ~ ~ 3 1tMnt ~t i0A PiNU. Fbrlda. ST ~~7C~:. ~JhTT F~A. . ~ (yyKning: Not vNid unless raised ieal of th~ Sf. l~Ki~ ~ Cl F1.~C ~~;.ulT~k URT ~ " s ~punty Health Departme~+t is effix~d.) 'r~'. r v= .;r ~____~Q S,~ t~l s. ~ 1 ~ , r J ~ N. o. MiuEa, N?. o. ~I 8 8:4a ~H T5 ~ County ' Ith Offic~r i lAesl R.qi.nK , ` ~ / ~ . ~~.~5f'i5 ~ ~ ~ ' ~ " _ , ,i ~ i ~ 3o f /~G ~ ~~1~ slti~ M ~i~ - . ° . DM D~p~AI~ ~ RbhHM r ~ ~ A ~ ~ . - - _ 6~~~~44 ~~E1712 - - _ ~ ~ ~ i . . , • ~ 1 . ~ { - . _ : - - ' - ~1-. - - _ _ .