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HomeMy WebLinkAbout2306 CERTIFICATE OC' DEATH ~ Oeputwed ~I He~lt1~ P.e6a1~11ilaN~re Se~vkes tfAT[ fl~[ NO...~_ a~~y~~~~~~~ 3189~1 FLORIDA fYIE. O~ IR`1.•IN ~f°'~~'^'~~~'~'° REGISTRAR•! NO. ' ° ?f~M,+~t~!.• INK OECEASfO-N~ME ~~ti ~~w .~ft ~ .~~Q~ SEl Ow1E O: GEwiM ~~LM~•, c.r, r:.~ i~~"""~ '''~"10`~ ~ N D. yELSON t Female Decetnbsr 23 ~:9 ?4 i RACE ~n..waw...rncu. wwM, wGE-w~ w.~a ~ nu ~Lwx~ ~ e.~ ' Owit O? ~!ttN ~w~.~«. ea•. COYt~Ttt Of OE~iN ~K. 1 YKI~f ~ Ma r~~W~I +Of. O.y rOYSS t4~ ~ White ~6 . ~ ~ 19, 190 „ Dro~•r~z•~ . iOwN. O~ lOG?t~Or+ «w~t cer u. MOSMi~I C4 ath:w tP:Silill~~-MAMi • r MOt ,r sa.i a~nei ..~o w.se~ ~ 9'q o. ~ Pompano Beach No Coral Manor Nursiiig H~:*.e ' S~ATE Of MIlM ~ r rot w ~.s.~., wu¦t CITtIEN Of WNA~ CptJP/1RY MARtl[D. NfvEi ~NRR~E ~SYtVNA+G SPOUSE ~~~+re. sne r~rxr ww ~ ~wu ~~«.K. ~ Llinnesota . USA "~°~a°rrie~ Arnold J. Nelscn SOCu?t SEC11~T1/ MJwt6ER 1lSUAl .7CGIMAiqti ~a.~ ¦..n ~.~wa ec..• cau.c ••osi or ~¢IND Of WSwESi O! uM~USTitf ~ occvu~s w ~w we. ~wu r ay~o ~ ~~¢~~~•~M ?~5?8-b2-i85o xous~:.~ife ~ Own r,ome a:aoe..ce Nwr 'O"'u'O"• RE5IDENCE-Si~rE COU?iTr CIiY. iOMM. O~ tGGT10N I~ ~tn. ~Mi M.a~ StUET wVD ?rU~! `""'a' ~M. Florida Broward ~k Lighthouse Poin~,~, l~`es 2620 NE 'LS Str~e-i fA1qER-NArf ~~pt Wowt ust MOTMER-w4WEN NAME h~Y ..wMe t~Jt ~ ~ Inga T•aretter, ~ N; cholas Dar.ie7 son IWORMU+T-n~uwE MA1lWG ~OGR:SS IN~t~t O~ ~./A. W.. GO 9l tOr.', l:~!:. TJ! ~:I+' Arnold J. Nelson 2620 NE 25 St. Lighthouse Point, r~a. ~ ~nat ~ oum wws uusto ~r: ,a+rt~ orar o+vE uvst rt~ ia~ rw ~ot •~w~ ~~.~i .ei;.iM s~sn ~•c ~a.- ~ wrwa c.ru pQ pl ~j///s• /f/,~ii?L ~va7~~ St`lUC1E COU~Y fLA. Q 7 /'./'~4'~ ~ CLERK CI~~Cl1iT COURT ca.M.~owt. n ..n. ~ ~,~t•t !-~1n-l~l~t(/b~i~s~ ~j(.t44! R COR~ VE ~Ft=!ti • ~ a... .,...o n~ a..iwn e.~se ro,, wa ~o. w.i • eo..s~ore.~a a: ~nMO c~~u uu ~ ft~i~r0 Tw~ vM~H- OCT I l I i 43 AN 75 ~ ! • IARf OTMER SfGwrtKrwT COND1T10N5: w~e~wa.K eawr~vrww q ee.r w~ roT aur~o ro e.rse a.e« w r.n wVtOKY M ~ES r~~t n»e.res ea- ~rif w ro~ Y.ef~ta ~w x~fr.~r~ws _ ~!oM~/ - b. n~ * o~~rw MO~tK~CEi~rDETlu~w~tD A ~~~w• Y~, ~ea~ ~ Mpw IN1Yt~ OCCYtlEO ~ ern~ wrwe w u~wn ~N rur ~ w?.a r, ncr t f ~ ~ ~ ~ M. 201 ! WJ!!RY l1~ WORX ?tAtE Of 1NJ:Jt~I.~ wo..e. r.~+. srre~, ~~non, ~ ~ vean ns a.a ~ onrc+ reo.. uc. ~ sruw. ? lOGf10H ~ sne~ w a.r.~. Mo., c~n oe To.rN, u.a ~ E M!. Iy. ! ~tTi1~ATbN- +O~~tw O~t tW ' ~M Mt rW a+O Uft !~r MY/M~ ~l~'II OM ~ O~NO~o .w;~ vhr Mt D(~tN OCCYi~lD w~t NaCl. 6~ +~t [ . IMifIC1I.N: TO rOnM Wi ~W ~OOt ~/R~ Ol~iw_ twOV~f .d ~~t. .ti~. TJ 'M Kt~ ~ ~~~neae mi C' e~ 7 ~ a. a..o.axr cu ~ ~iR NCt~3(0 /Mr ~ ~ ~ ~ y III~ ~ ~ ~i.3 7~ Zic ~ / ~ ~ ll~ i l. I! ~ j 7h~ ~ _ ~OM 10 tii C.~ . _ f'~'t0 ~ CERTIF1Gt10l1-~FC~CwI EY~~utrfR OR CO.Ot~tfR• On ~w~ us~s O~ rwe ~pw p~ p~~M sw~ oNtOtrit n~s r~G.ouKlO Ou0 ~ ~ llu+a~t~G+ W a! b:r ~wO70~ ~M wvlftK.a~W w+ ~ p~w0~. ~OMIw MT t~V ~py~ e ' M~M OOClit+t0 M hl O~T! .w0 ~M ~D tFi CnY!l13/ 1T~QO. ' M rn Y . CEITYIEf-NAM} ~me o~ ?~wq L stG~!! M n~t ATE~.a..'+~. o~-. -t~~ ~L`. c~ r N S i~,.. t, TS ,rn. ~ C-:. M. D. ~/L ' 1 ~ NCr ~DQ~SS~ t[!4l`rtt ~ - ~ ~ n ~~yrr w r ~.o. ) , :m o~ rp~.. ~ a~.n ~ ~1 t. Y 1 L' ~ ~r• ~ . ~ ~ /7 ~ ~/'r I"~" i ~ ~ WR?AL, CRfw~Tp?{ tFMOvwt EMfiERr CR ClEMATOtr-rv.wE tOG?(~p+ un oe ro...~ s'••t ~ srear?, r~orest i,awn A1em. Gdns Pompano Beach. ?lorida ,~i ~ OATE r +w. wy~eu~ fYNERAi l~OME-NA.ME A?.~ aD;~tF55 r~~~r a~ o. r.o , tn• w ro~~. :urt. t~r + Qc~rLC~_e_~i_.:2 ;2 7;{.RAEER• ZlSy ~~L 3~ St. ~o~~ano 3each~ Fla. 06~: ~ ~ Y. 5. ~a 12 /UtaE .~~REC:Gi ~w5!°~~~ ; % ~ - / ~ ~ ~ ! .E: ~t tL~l •_:.~•:s•~ ~ i~.' R~v.I~70 ~T~~/~ ~ / ; % ~%~~G- +.G15..nR~~~~ .f ~ ~ . is.~ :s, ` _/~J,,,(~,u1.~w I:_s Ill~~?-Gt~,T11~`7 %4- 'iir--1 _ - ' ~ ~ CERTIFIED COPY - ~ I hereby ~~et~~fy.the above to be a true and correct copy of the Local ~ ~ . . . ; j~t , a ' 8egist'~ar's reco~'~j~on: ff le in the Broward County Health Departinent at ~ 's r : ' % . ~ Fori I.~+~i$~c3s~~e~~'o~ida. ~ _ : . _ . - .i. t.;. (Karning:~ .,'p,~ t~-~a~~Q~~unless raised seal of the BroWard County Heal[h ~ . ,s ":~.~.~dtC~'~ ~ : = 3''~~~~nrt is affixed.) . , ~",r::.:•o~,a~~e~F'. 1-29-~5,."^''t~~~ ~ ~ - County Heal Off=c and~Local Registrar ~ ~ 6o~K 244 ~23~ i~~ ~ ~ . . Deputy Loc Kegistrar _ . , 3k ~ " . _ - - - ~ ~ -