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Home My WebLink About2735 ~ K 41~ ~ • • / . ~ ( `,/pCQa„~4s~ ~ ' ` ' . i~ . :;:~~_.ORANGE COUI~TTY HEALTH DEPAR'TMENT . e., . . i~2 WEfT CENiRAt ~Ol1lEVARD • rOSiOFF1CE ~OX ~Ip • YEi.: S4~~S~ ORlAN00, RORIDA ?tt02 ~ . c. t- ^ . - - - - • ~1~rN~sii~.~Y ' • - - . • CERTIFICATE OF DF~1TH ' . r . .eM d IIr,~1~6 •~d R~I?.I.~ltt.u.e Senlas . . 1R~?T[ I~ts No. ' i~~~or~ aF ~w~.tt~ - F L O A I D A w.r...r..r.?~r•++n.~ • 11[GIiT11A11'S NO. c. - OECE~SEO-NM~E ~rft , uwu ~~s~ SEt 6A1f O~ DE~)M ~ •o.n~. ~~u ~ • • Susie . Mae Hines Female , April 20, ~1974 RACE .~.M, Meaw. ,w„c.r wwr, wGI -u~st w+te ~ a.r weea OAt[ p~IInN ~+o-~. N~. COU+Tf O~ OEI?tN !K- 1 1NC~i 1 NqM~~ ~ f Wa 1 +0{. My M0116 ~ - . ~ Ne o~• 55 . Feb. 10, 1919 ,R Oranqe . TOwN. O~ t ~ TM wnN c~. aws I~OS~rt~I OR OrnE! 1rtYf - ~r ~.a r. ~nK~, o.w s.~i~ ..e .~ww~ ~ snur? na a .a . Orlando Yes H. Oran e Memorfal Hos ital ~ STA/E O~ WM / I! MOt M Y.~l.~ w.e anzu+ o~ wwa ca~+nr MWRiEQ NEVE! MW~I[O. S~ONSt ~r .w. awh ...~aw .rwr ~ ` Carolina~~ U. S. A. t~arar~"~`~"' » Eu ene Hines ~ soa.t secudn ?+uw[e USU~L OCCWAt~~ ~Gr! [rq O~ MW~ ~Q OY~r~O A061 W Rr.~ w ws~ss oR a+ousm tipt~q ~ !~'!M ~ M 1 • y„261-3g-7143'~ ~ - „ ~lousew"~~e i Housewife RESiDENCE-SiA1E COlMiIt (7~Y. iOWl~•Of IOCAriON Ms~t un trK StiE[i, wN0 M/µtt # • ~rec n~ o~ w • .~~.Florida ~ < St. Lucie ,kFort Plerce ~es 526 Douqlas Cburt /wl~t!-HYME na* neM[ ~ wt MOil~R.~1MMDfN NAME aw .'oht ua - - . Mi 1 i iam - Jefferson _ , Jul i a ~ rr~rORMAt~t-NAME W?LNG ADO~ESS ~~mu a u~- .a. cn w w.+. u.w, :.r~ ~ Eu ene Hines - „~526 Dougtas Ct., Ft. Pierce, Fla. 33450 ~ ~ r~tt 1. DEwA~ wws CwuSE ~ (EM[t p+tr a+E uusE rE~ lt+[ Ip AL FL ~ kl) .~:~.ii: o wi . o ie.w~ , ~ , Q ~ ~ • N1 • . : • . . pC~~~ _ ~ COM~AtOMl. ANi. ' ~ ~rw~~w o~t! a~ff q ~ ~arlh~f! [~ilf~ M. NR W ~f ~ [O~OMK101i / 11~TIMO ~M( YN~(~- fnr0 t~ M1f l ~ n_ ~ • ~ F ( ~.liL~ iQ!Qht,tw,i E! S ~Z~C~F~. -@-Q.~- ~L+~.s~. e?YU C~1~G ?u• OT+#e SKNM1UWi fOaolnONi~ c co~wu~Mwa.o M M wOt ~M~N W twst O~+ew w ruf ~ rl t If rEi .~.e .~.a.as ca•~ ~ eS , ~ u~w~as..~..~ ~.ti. i p~,~ 1 Ktwtr ~ no~nw. nu~ MOW IN/{I~r OCCUI~EG ~ e«a~ w~ww o~ ~wtf w~a» ~ o~ na w.. ~N lt~NClOfs O~ i1NDt1EfMMIfD ' ~ ~ - • • ~ M. i~l. 1tWttl AT wORR ttACE OP sUUt11 ~w.r. ~.cwn. IOGTIdi ~ sae[a w c~i_ oo., an w+oaM, anw ~ ~~snon ef a .a~ ow.u ~us..ac. ~s.rcwr~ . . 7w. 7M. • ~ 'CER~K.ATbfJ~ rO1M Mt RY r01f~1 MT ~W tM 41f f~w1 MI~/MN Mw! OM ~ M/O~ rW til~r M Of~1N OCCYt~tO 1t nM ~1K~. W M 1N/1Kul~s tO . r MOMM Nl• t!Y ~OM YIt~ M~~. ~n011~1 p~~ ~~~~OGf. MI! ~ ~nlrM~ 1w! ~ ~ ~~11 NCf~NO p0r 11t ~ ~N ~tI M 10 ~N 4YA 1~ fw1[~. KElTf1CAT1ON-MEDKAI E~AMMiER O~OIVER: O+ W Mltf p~! wOM Or M~M Al MC ~3 r ~ Ny ~ ' /u~wap~ Ot M ~ ~/O~ nr ~q~WfOr. M M O~M1~1M. ~ ~O M?~ ~l~1 ~ ~ AOM / ~~N OUMM~ Ow At M! ~N NR t0 M 4Y111M ftqN. • / M. CIji~lft-NM1f Ilf1~ M IINII qf A E O~ M~,ttVl l~~T.F.Fte rt,M.U.,M.E.,District 9 „ l,~uc.et,~ • - C~L ~l r~ ~`~7 ~ . M.Mw ~oo~ss-cr.r.rte ~ q S. Orani~e ~hveriue Or-~~~nd~ F F or i i~~ 323Jr~ ~u~~wt. CRE~u?i~Ori. R[MOrwl W[~E~r Ot UEMAtO~~-M~+ME lOG?i~ON u~ o~ ~o... ~~•K ~ umter South Carotina Removat Mayesville DwTE ~raww, w~, au~ fU+HtRwt MOME--H ANO Sf ~n •.r.~• •ro•. ce~ o~ rOw . ~t. ~ 3JYJO ',N Stone Bro~ers~unera~ i~me-P.O.Box ~~'~-F~~. Pierce, Fla. 'n? ~ r~~l.C ~~.x~:K~. t~. acuno.l;,1°~'9°'19T~ ii'1~ - ~ - - - - - - - - - - - - - - CIItTIFIED COPY . ' `'iit • ~si. I hereby certify the nbove to be a true and correct copy of ~'~~••lt~r~~~a~'s r~cord on file in the Orange County Health Department, Orlando, F OY#~: .t, ~ . ~ ~ • h'• ~j~ ~ ' ~ • ~ s /J//// ~~/j~/ J~// /'i1 I ~ f~ ~ ' •Y , ~'~I ~ ~ ~ i . ~ : ~ ! ~ ' ~ i' ~ , • i s . ~ . County Health Officer and Local Reg.s`r : , ~ ~ s'~' • , t • NOV i 0 ~75 rp _ t U !1 - . . ~ . i Date I~sued 600K~Z5 PACE~7~~ ~~h egistr WARNING: Not valid unless raised sesl of the Orange Couaty Health Departmeat is affixed. : : • ~ ~ '~d~ ~ r ~,.t.~~.~~-~~,~ ~~.~~~r'~. . . _ ~a=~.