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HomeMy WebLinkAbout2034 CERTIFICATE OF DEATH - - • ~ Dkp.~.s.~ .t lie.ll~ .wi Re?.dIMMI~e erwrt /lu Ma. a•~ ~~TM 1S~sO~ L O S I D!l rr.t O~ M1Nt 1N ~wr~r.w.awu~w~s 11t~SIfT11AR•s No. M~INAIMIIT tNK ~Ew~_K~ ~+st w~~ u ~~tr. ~?r, t~u~ y' p' ~ CdROLIhG T. I?ILLIAYS =~'a,na2e , ~p~• tl ?.5, 1 g75 RACE ~rA. MtGW.'WtKau MNa~, wGE-uu • nu ww~ ~ r DA1E OI MRM ~~~w„ Mr. COIMTII O/ 0[ATM . ' c ~ wc., ~ ~jh ~ t!! ~ ~.ws. ~.n .ors~ rr~ 'u" ~ T ~ ~ 1 9~ yo 1 us ia . - ~ 11r, 10wN. OR t A wf~t cwr Al OR . n wa w ~mw~. ww t~rn ui wru NcItrax ~osptta2 Y~dtcaI ~entar ~ DQytona~ Baach << ~es H. ~ STwTE Oi /~RIN ~ M wot w v s•., ~ur~ W Of WlNT C01R~RRY MAt~~ f!~ MIMRItQ fIMrNMG SPOtISE wt, aw r~~t« .Mw ~ . Pchns~Ivant`°~"~"", USA M/DOn~°t~'~' Richard R. ~tlltams °'d socuu sECUerr wwEe ufluu «aR~r10~, ~a.. a.» w.o.¦ .o..e wrw .o.. w ~up a ws«ess oe a~llsmr «innrtqnwoM QQG-2A-0417 B . uR.e4'~+u.4~ ri • ~ 4~v~n Ho?ne ~~40hKf M~Or l,o .o.~ft~o«. lES1DEtiCE-St4~E COIMRI? GIr.1dM~M. CR 1OG110N ~MN tw fT~EET L,r~, , + ~ wcrr n~ a «o Ne~o York hssex ~ssax ,M RD ~1 /AT?IER-fU+Mf nut rM~R ufl MOQ1lt~-MFDfl1 NAME rrM rNw! wt ~s mour Tr~tbls K. ~~ar ~t~mples n IrMWM~u+i-?~uME MARMIG ADO~ESt iaw~ o~ ~.ea. .w., an w a.w. s~.w. is~ Fichard ~ R. ~i21 tams RD ~1 Essez ~ Neu York • r~un oEwm w~?t ~ •~e+rEt ONtr GufE ~Nt tWE lOR NL AL ~ kA r.Kw ow~ ..r~w. u ~ _ - N~ ' ~ ~l An+lf l3~u : a~ . ~ . , _ M CM O t! !1 b - ~ ~ ~ IMN~1~T~ CI~Yf~ W. . « ~ ~ ~ • ~i~t~MO tM YM~N- . . ' ~nri Ca~tf! uJt . . . - ~ . . ~G~ ~ . . . - . . . - ~AtT iNE~ SU'+NIf aaawwn w Nw w ~N~ ~o . w iw w1RCK11 • 11Ef otr ti~~~ co~ i _ i~t.! ~'s'~t Go _ i«nO..oi ~~w.n...~...s~.. 4~ , oa uioftt~rrao _ w~u ~ MQw ~ a.e~ .r~we er wiw? w~ aw ~ o~ arr w. ~wr u~ ~ ~ ~#°'~f ~ , - _ _ ~wuaf wr w~c ro.r...w, ww...oan~. t0uup~~lt - ~ ws at.w ~a,, an w aw. ww ~ - ~ swan +a a .a~ wa.. ac. ~ ~w~a~r ~ k , ~c-: , f , 7A 1M. ' ~ ` ,Yi ~ ' RRMKAM~i- tlw1~ MT tI~Y YO~IM Mt .~ly MA 1~ YM ~ M ~10~ ~~I M N~A1 OOGI~O tl~If h11d. OM N ~ 4-11-75 ''O 4 26-?6' ' _ . ~I t~ «c~- ..w. t+?. ' ~ ` ~ tw. tn ' 30 ~ a r'i ~~i. CHtMKwt~ON- EiAMf+ER O~ - w s~ wa a rr roM a . ~w . • ~ •t..www a Me w~e ..r~o~ ~e .wwo.s+ow. M .n wMw. . . Yw- AY ~ ,4,» . M.?~w OCC11r~ W r! M1~ rr ~M q Ilr 4MdY iltlM. ~tY 3 :y . - . - ti_ ~ 2C""~"'~°7~.'°n~ttard, 1?r. D• , P. . . . 4-2 ~s N., ~""Y4~~!`~hn Avenue, DraYt 8~~h, = y4 ~w~~wt. a~.~u?noM. ~Mova F~_,,, y, , a~. o. ~o.u ww ~C~?noval-~urtal Croton ~t22 C ~ t r i~. ~ C Ut N,,, Y Tk OAtE ~.wn~. ~.r. .w~ NINE iN~M p? p q~w. ~ ~Ttl ~ ~`9n"~"~!'ac ~t~~''~'TOa 'r' ~aytono Beach FIa. r. s, l612 iurE qIRbS1q- ~tue R~v. 3970. +w~ ~ ci.w..n~ - I1 ./1n . ~/f I ~I~1~ _ ~ ' - - - - - - _ - - - - - - - . _ ; ~ ~ CERTIFIED coP,r 318`7s0. ~ ~ Wf. NEREdY C~R71FY THE ABCVE TO BE_A TRUE AND CORRECT COPY OF TI+E LOCAL REG I 5TRAR' S RECORO ON F I 1.E 1N TH~ VOLUS I A COUtiTY ~ HEALTN QFPAFTt~ENT PT DAYTO~~A 6EACH, FIORIDA. ~ ~:'r:._ ~ , C ~ ( ~aot va I I_dz un I ess the Sea 1 of the Yol us f a u~ty Hea ! th '~-'T ~ is affixed.l A ~ ~`n' ti: _1~ e - h ~ _ ~y`~; 4 ' ''~~°i+,c.. ~~,,t ' • ` '~1 ' - , • ~ 0~ I F ' y ~ .-~t{K,. ~s` i.-. ' ~ j~ ~ ' e _ „~,~r'~;~ : o c a I e g s r a r- =r e ~ ~ ri.~'`' ~ : : -~-~4 ~ ~ . s.•T s • ~j`. r : , 4..? . 'if ~~~•t i ~ j ~ ~ ~_~.r ~ y ~ T.~' ~ CJ ` . < ' . ~ f-~1 : ~ ~ • ~ ~S ``'trti~''•;~`. -a:= a~-Q.t,.~.iL~ ~~4 ~ ~ ~ a'~~ t975 epu y eg s rar = ~ sia~` . '~1.3~1~~a~ r..' . - ~ • : ' ~ ' - ~~~r ~ go~K~44 ~~f~034 ~ ~ _ - - - - - : . ~ ~ ~ - _ _ ~ -:~j~~~ _