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HomeMy WebLinkAbout2474 , _ ~ - . _ . _ . _ . ~ . . . , _ ~ - ~ = -~.r.;'r::.~_.,_:._.r.;....:.~.:...•ii~t-..;;- I l~~ i.:.~ ~~~~~uuc~ll C:~~uN~~Y 11~n~.TH D~PARTMr_NT . . ~ ~~NN~.~ ••N tIlR1N~Nt . T~M~~, ~.o+~o~ ss~a . 32~0 ~ • . . ~ • ~ N• ~ ' ~ ~I CERTIFICATE OF DEATH • - ` ~ R ~~.P.M.,~,, ~~.r~~ ~:~.,Mk,,,,.~ .r..w~ RATt riLt NO. a~5f 4-~-- ' ~ ~~n~~~w~r~~m FLOAtDJ~ ~ t ~ ~wa w.w.. w•~wrs IItO1tT11A11•• MO OtCtw~tO-MiWt •~~s• r~w~ ~ SEl OAtE O~ OlAtM ~•so«tw, nu~ ` i i ; ' ~ V~ I 1 ' : cou~,~. a ou?n~ ~ a ~aCE •,.n. .aaw..rrc.w w..w, ~GE-a•a ww~ ~ v~~ ~~.r DAT! O~ MM ~+o~. «?r, nc ~ wc~.. wwy. +w an .ow~ +~a n's ~ SZ' ' n~l~~_ 1. f1 A i U ~a ~.-Ni^~ Cfir, TOMM. O~ LOCA110N AiM f~Kn M~ a Al a 1~ - ~w ~ w f~(~. O~ fMM~ ~M y~ ~r ~ ~ - ~ . ~ o i h o e ini r i.Q~,~pitAi ~n~ st~rE Of M~1 ~ w..o. w ~~•.»w p wq4t COIJNt~~ MAR~O, Ntv[A /MAR~lO. MO S~OVSf ~r .w. oM r.~.. rw.~ ~ ~ cow~++~ M r 1 0 0 1 M l p. 0 1~ ~ Man ~ p - x -r c, i. ~ ~ ~ ~enns Lvani • U~A ie da B ~ Pa.~mi~iani N ~ ~ ~ SOtiiu 3Etue~TV ~a uSU~t OCM~?t10M a.» a.or. ~ow ~rw.s .~w~ a itMD O~ M1SRlSS O~ w0lRttv r,~' ^ ~ ~OYMO /Y!, F!M M!MM 1 ~ C~ f ~ rrir ~ _181~6-46~ e >n. yp! i RESIOENC[-SIAIf COIIIJf~ QIt. TOYMi, Ot IOCATIOM MMM ulr ~rw~ fitK ~ ` ~wcr. ni oe w ~ ~ ~4 i 1~ I4 1N 1~ t~iHER-NAME rwtit rM~~ uN MOTIE~-~MbEN NA~ p~p rNM~ Wt ' : ~ ~ ~ y N~ i NfOW~NI-NAME MAtNO AOO~SS a~.r.~. wo., un o~ w.r.. ww, tr~ Mrs da B Pasc rel r~r Otnm wni Cwst~ sr. ~e+?tt o~ar pt C~uft ~ tK ~Ot NL 14 ~r0 kA awr u. M.u~ I RES • COMO~TIOM~ ~I ~M~ K - ' ~ ~ VMI(M O~~ ~~N IO irsN~~R C~11l~ N~. N~ q. O~ N A COwMO11FKf Ora ~ ~ ~ ~e•t~w0 IM •w~~? r : ' - . N~wO C~11N ~tt ' I k~ • i _ A{«~sti r res r~N 1~uMM~ CO~ . . r~f t n Oil~! SIGNrICANf COf~11101~15: CO'M~wOM~ ~O~MYww~ ~O N~11~ M M01 MuNN p ~~11N ~Mw r+ ~MI ~ M? f , ~ws a Mo? a~iww MpdMMMi tJ~UM ' • iI M ~ ~,i~eMWri 1K 1 aOrrM. Ms, tW ? 1 fw4~ w?M! O~ M~~W? Nr rYt ~ p~Yr a, ~Rn ~ ~~GOE, Ot YlO~tl~MMQO 110W INJY~I OCCII~EO ~ ~M ~ ~ M. ~1. S ~HiV~Y AT WORR HKE d N~Rr ~t ~O~M. rar. sfMf1. s+K~. LOCAII~ ~~MM~ Oi ~10.. tl1t O~ fOrw. N~M 1 . ~ ~ ~~Itrn ryt O~ »O~ OA~p w6.,IK. ~VKr?1 ~ 1h ~ ~ ~ CERTIfK.ATqt'1- rOMO M~ n~t aOnM M~ ~W aw~ Wt Mn/M~ MM Ou 1 M/M MO~ ~1l~ M O~A111 OCCYM~O ~r M~MC~. O~ 11~ • ~ r , / • s ~ To .a.~. ,w .e« .rM. e..~. ~.w. ~ A w ::.~.a~w~O.:o : ~ y"'~Mte Nov. 3 1975 m Nov. ? 1975 rM Nov 7 1975 ~•10 45 K~o ~~~«p~ ri~ wcus~s rw. . C E RT~tiUi~ON-MfOiCM Ez~MwE~ a CO~ONE~: w n.~ wn a wt wow a a.w~ ^K •y . . ~.•.~..•np.~ p M~W~ ~/M ew~ ~ft~Wfp~. w~ rR O~M~O+. ~OMM w~ NY w011~ . . ~ t.n. oCCUNN OM M O?p ~M W q O/ (~Yfiql /LN~ 2:a ~ ~ M • A ~.o~+TM, e.r, n.u . CERT~Flf~-NAME ~Rre O~ nw.n ~ M6M~ O~ m~! , NT j)ENNIS~j~, M D ov 19 5 u~iuNG ~OORESS-Cfnl[r s~rn a .«o. ww ir 1H Veterans dmini rati n s i Z ` euaiwt. ctEwu?ir0?+. ~EaOVwt f~EtER~r O~ Utw~?tORi-rv~uwE tOCw1WN a~ o. w.~+ s~.n - :,;""'~URIAL „~LA.MEMORIAL GARDENS BREVARD COUNTY FLORIDA . ' z ~;~~OV.1`-d°;`"~~:'~'" =`~O`~S~E.~~~i~.~I~E~Z'~~ A1~~~•.••• LBOURNE FLORIDA ~ ~,~-+e " o~-f+ca+: eEGrst ~ SK•w~ME ~ emo ~r ~ow asr~~ ~ 7 i? • t 7t~f~~ 1N , . ~ I' I HEREBY CE1tTI~'Y T1tE ADOVE TO DE A TRUF, ANO CORR 9 ,il•Krsii.. ' . ' ECT ~ .•~€c~q~;~ ''~p ~OPY OF THE IACAT, RECISTRIIR' 9 RECORD ON FILE IN TItB NILLB•• DoROtK~N OOt~ITY tlcAt,Tit ~r-,PniiTMr;NT AT TAWmA, FiARioA ! s~~~,,_..,~. . ;~yh~ ry~~~ i (1~AtlNINQt NOT V 7Nt.ESB RAISED 8EAL OF TN6 HILL9• = ; : ti0l~01~3N ~ EALTI 0 PA I FFIXEO) . . . . : • `~X ~;'~;P* -:Z~; , - . . ~ . ~ . - f . ~ r ~ ~ •p ~ r '~r;~~ ~ ~y. ~ . e . . .P.H. D teetor : :hx;.~?~.~~-. 8a~K2~5 ~E24? • . . - • • , . PA ~ty He~~th 0 fio~r ~ Loc~~ Ragi~~r . ~ ~'~~.'~~'~V~' ~ , . "'~y%~' ,i~'i~~-`, y+s••' NOV 1 01915 , . . ;r~: i`• . . • - . , : ~ . ~ ~ ~ • Deputy Rvqistsar _ ~ . . , , . . . - - - - - ~ _ - . : - - ~ _ - ..,y,,r.:~