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HomeMy WebLinkAbout2493 3211.?s ~ F :EO -.~-~t~E S~. WCI( . : .!Ntr Pl a..~~.: ~ ~:•,s 321~fi C! t= ~ . ~ - ;:GJRf \ ~ `3 p:n.,, . t.fw~~ Nor i l ~ i 40 ~M'15 CERTlFICATE OF DEATH . Ik~rlan.l d 11h111~ awd R~Lilp~pw G~1ce+ 1TAT[ /IL! NO• nnccNx~ ~n_~i.in F L O A I D A - wtuc w ~.n.. na~m~~ 1?[. Ot ?t~Nl IN IIEdItT11AR i NO ~ttMAN[Nf INK LKE~p-M~~ ut x OAiF OI 41M ~ ~O~+~w, a~s, ~t~~ ~ ~ SEE Iu~0~001 IOf ~ / i~tl~tr(T10rS ~ ~ / ~t"'7.17 ~ /7 ~S ~ I L~ 1 f ~ / ~ RAC[ .~.m r~ ..w~Kar ~+w... ~GE-~.~~ woe~ ~r ~ w. C~iE Of {MM ~+o~.r¦. N•. COIJNTIt 0[AiM ~K. ~ W «~~n~~ ~~a~s ~ r0f M•f ~Or»f w. ~~j ~ ~~~rL 1~ N S~ y~7~ l~ ~~~lC.i~l~=V TOwN~- O-i lOfw11JN w M :•.wt tu. ....a MOSIrtnt Ot t?~ER W11T ~ w~ ~r ~~wr. aw s~M~~ •w Mw.sa . ~ / Nt ss L N MO J/ ~~111~t~ ~C~-~~ n r=' K"~Gl,~/~~r~e ~~s' ~~lE~=~!'-/!~' iS~ S~~IE O~ t~lM ~ w.ro• w CITIZW Or COtRrtI~ MAtMfO. KyE! MARIMEO. S{!lvNNG S~'OUSE ~r r.w. aoe .a~oer r~rt /~.t1 • JcDw wr ~ ~ ~7 + OIMORCED ~ wc ~ .~/?.~,'1 vs~.i~Nw.K~ ~l?r~xl_a~-l_t±,/t/ ~1 ~Js~'/• _ ,,In~K)~~I?)<L~"I% 11 /<<-~~~I'~7~..r..~.1 w~p~ r~ca..~ SOCI/LL S(Cl•~lY?~ti~E! / USV~I OCCWAnON ~o~~ ~w u«at car,~wro +qat a [WD O~ WSwtS3 OR TtY ! - GCtytKO w~ ~O~i ~ t. f`!M 4 qW~! r ~ 1~ _ ~...,,~u.w.. oN. ~h ~~~Gu-~ ~s ~ Y E-ry ~c_.E~'s~ ~s G~!-c ~IS'MrL~ M~OM .n.~~sw« +r~ tm ~ra~ SDE 1-AN NU/~Et ~ l'ES~DEKCE-SIATE ~OIIM11 Ct111, TOwN. Ot 110P~ 1 MiCMr~ 1y O~ MO ~Q~ u~~cr/`/l~lL. i~J1 '~l t.~ / P/'L C-- u~ ~"Vt,'•~ ~a l~T, ~ d/ IwtNfR _N~wE ~.•~a~ r.oai w+ ~hER-~urDE?+ N~ME ~w~ ..~oo.e u~s~ ~s ~!~!-Z a-~ Cl.~ /'/!~/.l[-~Y~ x. GC ~ ~i_ ~ 11tlOiJIMM-NAME MAR~1[i 13 n w ~.~J..a. aer w ro.ry~~*•e. tr~ t . o ~r.~-~nts~ ~ "T. / i~~~/ . ~ic-~ c~ ~~.9, ~n ou?m wns u?useo ~r: ~+rrK o~xr a+[ uusf rt+r ir+e ?or p~, A1 K~I a~..~N w «e ~ R w)~ r a,n r I ~,c ~ c,v COMN„ONf N aM, • • ~p ~ ~ w~ , _ /1~ I I• C / c rMKM 0~~~ ~tN 10 w~ ~4 W i ~l << ~ ~ w~ • ~ ~ V ~ i ~ r~lM~t! ~~~ft NI, p y~~ p: ~t~11M0 f~~ ~MK! ~BM~ (~11U M~t . W . MtT OtMEA ~Gw1 CO~+O~1W~+S. ewr*an ea~wun~.o a M.a wn wa rv.+a a e.xw wnw w..n ~ r~ ~WtOKt rt rES .ae .~~~~¦es eow • , It~{ 7 ~ ,•IM NUWw1M0 Q H~ « ~ ~oww~. r~, rue • MOW INJUR~ OCCYtlED ~ ~~a~ •~aw o~ .wYrr ~w ~u~ ~ w ?.a o~. ~a ~ ~ 1w. ~c M. 7N- 1tuNtY AT vMO~I[ O~ N1~tr.r .w...~.., sw~n. ~.c+oe.. tOG?AON ~ faen o~ .a., an a ww~. s..w ~ , IiNC+A wf o~ »o~ OwK~ M~o..~tt ~1Ntrrt~ ~ ~ CERTMK~Tql1- r0~~ M~ 7W 4 +O~ Mn rW ~ W/ L~ wLMaI~M d+ ~ M/ ~O ~O M OEAM OCCY~ttO ~t wt rwtl. O+ at ~~yy~: rO~+M MT~~i wY Ir0~r~1 3 J Mw. ~w1, q~t M3~ ~ . 1M. MCt~twlYNMOM ~[~{T ¦ ~ ~ / / 2Y l ~ ~,~'9~ O? r~ [.~Ow•JA6!. / 11a Jf1. 71~ L 1~ t0 re 4vstn: u~tN CERTM1C~flW~- l W~ER : a+ w.a o~ +o~w a/t.+. a~ wnsaw w wo.~owcw ws •a.r...wa+ a.~ ww ..~.o~ «...KUC.eo... o~ww, .a~r n.a row ~lYM OOLY~1! OM 11~ M~ ~M NR ~O w t.?il~l1N ft~N. , K AL ~ a~~ ~ a ~ «if~l ~NtF /1'J. f~N s ' ~ ~ a ~i~`v ~i' f~7/`~. p ~'~d G'~c~/G~S % ' w~l~t. C{~u?tq~+. ~tMovu rttr -r_: ~ ~yJ cw+ o..~.~. s*.+~ ~ i `M wr riY7 ~/Vhhv.s ~vT/J~ 1M. //lls~-~/~P ~ /Vi ; 0~? r.w.a w, n.~~ IuNEW w~ME ~ ~ u_~ ce. a row, si. a~ Q(y ~ ,r /1 ~,~s~*~`ie'r~ ~rG-s~/~ f. ~is->, ~-~ie.. ~ Y- s522 "~+E~:: w q nto ~ isr~ aev. 19T0 ~„e c S 7 ~ . v ` • ~ - ~ CERTIFIED COPY I hereby~~~~t~,,fp.the above to be a true and correct copy of tbe Local ~ - , Reg:,~~~tar'b=~d on file in the 8roward County Health Department at ,1" ~ vc• r ~ _ F~~~~~~g~~' I~rida. . .F. c .1 i .i~Y.' ' " ~ . : . ~I~ . ~ i ; . I ~ . (t~'~ i~ ,.,Npt , unless raised seal of the Bros~ard Count Health j~:Y..~~?! F.~~• Y : a ~i~ ~ ~~a=t~nt is affixed. ) ~ r ~ :.;Ps . : ; : f cf,~ ~ : : ~ ` ~C:t ; ~ • `n, € 9-29-~5 . - Coun ealth Office and Local Registrar ~ ~ E ~ i ~ Deputy Loc egistrar ~ . ~ _ ~ ~ ~ ~ ~ Ci R ~ r ~ B~~K ~Q :3 FACE2490 ~ ~ ~_~~C ~~~rx r = - _ , . . - - - ~ . ~ , -