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HomeMy WebLinkAbout2733 - - . , ~ CERTIFICATE OF DEATH ~f t pepe~.k.~ .1 H~.h1 .~d R~.6+iu.~ ~~1~ F!. O R I D A ~ATt /ILt NO. ; avts~o~ oF ~uw~.rn tr~c, oe ~aN~ a+ •••••ie•°•••••"'~•~ R[o1sTRA1e•~ NO. ' MRMANtM IN4~ OECiwSE~-HAMt ~ust ~a! ~~f~ SEx OAiEOfOEATN ~MGIi1M~wr,n~~~ ~ .Herbert Walter Hoepfner ,.riale , a - tACE ~n, rtcw. u~lucu~ e.ww. AGE-u~~ w.w~ ~ n.~ u.~w~ ~ w OAIE O~ ~~XM ~rorrr. N~. COUNTY Of OE1?M ~~~~te ~~~~WS~ ~ ~n ~s ~ ~~OV~5,1908 Broward k , . OwN. Ot IOGi OEAM ~ r+sw tn . NO:MAI O! O:n:R siSn1U~~On- ~r .~a ~r ume~, un uan ..o ..w.u~ ~ n~ o: , F rt ~_D A Hol r4ss HQ~g.~ita1_ st~tE or w~rn ~ r No. •~•••e e+ ot ww?r tou+Ter w?a+r~o, ~vte „wiuto, suavnr+~ srouse ~r we, o~..~.~ .~w. oowa.. ~ w~oowEO. OMQeao ~ vec+. ~ ~ ~ Illinois USA Marrs.ed Juanita Schafer ~w e~u.s~~ SOCWt SECUR~TY t+UMiER USUAI OCCU?ATqN ~am .w m.roe~ ww awwo •~ost w RWO Oi M!Sl1ESS OR INOUS!tT ~nne. r ec.w~ ~i.o uN, ~n.. r aneu . . «""~°M „331-01-841? Self -tployed Electrical ~~s+mr•~c... om ~ te3nu.Kt u~qe wawi er? ?rrts SII~EEi /WO NUM~! RESIOENCE-SiA1E COYNTY CJTY. iOMIN, OR IOCAtION ,~,Florida ,~St.Lucie „~ort St.Lucie ;,';`~e's«~ ~,~1429 SE Airoso, Blvd. fATMEt-lt~uwE ru~ r~oae us~ MOIMER-~uk~fN NAMf ~us~ woa~ w~ ,s. Helmuth Hoe~Fner AuQUSta J. Sa*aatski IWORIMNT-NMAE ~ MA~wG wDORFSS ~s~aa q ar.o. w. ca* w w.h.. u•a.:.~ St ~ Ludwi~ Mortuarv „~Jackson at 3rd Ave.,Morton Illinois ~ otwrn wws uusEO ~r, ~tNrts c+~nr or~ uust rtR ~v+E ro~ •.::ii `oNS:• :.~o a.r- w~ ~~?~tT ~ ~ ~ ~...w.w wist ~ ° t; ~UMTY $t. lU~,l~- x h, Acute Coronar Insufficienc '`'~'~~'i5 ~ , • ..se nc . OCf:'1»1~ ~rC (1 .~s] COMMIONf, V ~M?, ` ~ ~rrKr o~r~ ~~N q a~ .Art ~ ~ wua~n t~rst ab NN t0. M~f ~ COw1tWRK/ M~ ~ inNO ~ uu uir°"~ ~ - kl x IART OiMfR SIGNIfKANT COHOfilO~'S: COwawOr! CprtWM+~+O 10 OU1r !N MOt ~EWt~ q 4Yit GnlM w?Yf t W /WtOK~ tF trES ~11~~~ •IMOIMO~ CO~~ tns oa uo~ o: oiiw °~1euuMwo wric ' No ~M ~f" su~ ~rw*w w~, r~•ai Mpw IH/lltY OCCU[REO ~ enne u.nne w~M,vn w r.u ~ o~ ~an a. n,. u ~ Iq~~ue~ OR 11~OEiftMUNED ~ tM. ~c M. l01. INIURY AT WOUC ?IAfE O~ WJURT ~or. ~~a.., srun. ~.aw~. IOC~TION ~ axeer w u.~. wo., L~R W W~IM~ uaa ~ If/KM? T!~ M w0! ONK! MD4..lK. ~fIKYi~ 7M. 1~' etnaiew~aN= ranw w~ ~w .oNr MI ~ue .w w~ v~.r ~..Iwt~ ~uvt o.. eaieb w~ r~. wK otwM Oetu«EO .T s.~ ruc~. a+ x ~~nftKUw: ra.u~ wr n.a wm una a•a. ~ww~ e.n. •..o. r~ n.e as• ~~rruwfo tr! TO p r~ ~w~ttoG, o.r „l O!tl~lf0 ~~Or 711. 11l 71~. ZI~. 10 M~ 4Wyt:f1 t•a't7 :~CERTriGt10`~-MED~CwI EX~unwER OR CORCr+Ee: o.~ ~•e us,s a r.K wow o. a.w~ *¦e wuu.n ry I~O~+WMC~D O1~0 l~AY~M~~~OM M~! WO~ ~MlO~ tAt vrllfSIIWTAA. IM Mr MMYON, a-~ ~~w u•n•. Approx: 3:DO a,~ Jan, 18 T 1975 4• 31 a. M ~ CERi?f1ER-ruMF rnn o~ rr..n ~~e ~ iSrG?+RIUR ' /0 ewte ot~mt wiE SrGt+fO f...-v.a., o... •eu~ R-KQ I~ i- y ~s•~ ~ Jan. 18 19i5 ~v_'~ ~m-~E~=~~`~~p ~~nt~ ct t r.o. ..o. ~n +o... si•a t~r t~l. ~1 ~ • ~ WtlAI. C2EMATION. LEINOVAI FMETERT OR CAFMI?IORY-NA+wf WCwi1JN dn u to~ swe ~ ~Removal ~.parkview Cemetery ~.Peoria County,Illinois O~TE ~.a.+M. w•, .w~ W?+EW HpME-nuMF .wD ~ODRfSi ~ srnn o~ a r o. wo , an o~ ro~w, ~r•*~, t~? ~ „,J n.20 1975 ~,Baird-Case F.H.Inc.4343 I~.Fe3.Hwv.rt.Laude r S. ~~~'.1 ?WE L :REC •iU REG~STQAV.-yc.~+?(i'iE . ~ 1D~tt ~lCE~vfD ~t IqG~~ ~iL~St~a• _ ~ R. v.19 7 0 ,s, ~J ~~v r,. ri.t/. • l,Cc: ~~l. !~:i~1~?~Tr i ts~. ~'C~ :c ? / ~ •I;~ ~ - - j .~l CERTIFIED COPY I hereby certify ~he above to be a true and correct copy of the Local ti~~N~{ Rcgist;~~~~•rec,tf~~lon file in the Broward County liealth Department at Fort~~~~d~1~r F"l,~i_Y~~a. . Y - . . ~s~i ~ ~ . 1 j • M~' .~E ' ' • ~ ~ (Nai~i i~tit`'vat~~ ~t11es~ raised seal of the Broward County Health ` 1Wep~~i~T~it~,'ias 'affixed. ) t` j=~' : ~ ~ ~ ' . "~I! ~ s i. . • • o~ ,r 3-20-75~~''f~ At~sS~~;. • County }lcalth Offic and Local P•egistrar ~ ~ - ~ p~~~ Deputy Loc Registrar 80r,K ~ - - -x- , • a~ v~ . . ,