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HomeMy WebLinkAbout0315 ~ ~ ~ _ ~ ~ ~ ~ 32~~1 CERTIFICATE OF DEATH ~kprrewra~ of 1 kak's ~~d ~R~rl~lt~N+e ~enwes lTATE Fllt NO. FLORIBA - TrfE, OII ?flNt IN ~~"~"R'~~"'~^° REGICTRAR•S ?t0 ?ERMANtNT 1MK OECE~SfO-N~t~wE •~~s~ ..aou i•v SfE MAlID100~ F01 St7~ DwTE O~ DE~i?~ :+ar~., e... .ue ~ ~sr~uuw.s ~ RALFH T. MaDAhIEL : Male Novowber 25,1974 RwCE W1tIt~. M~V~O. ~Y~~KdN ~wu... ~GE-use wwn -~'~+_e~ ~ o.• D~~E O~ 6~~tn • rc..r~. o•~. COU"iTr pF pFw~H ac. ~ ~?tcu. ~ aana.~ ~.e.~s~ ..os w . ~ •owt ~ .w' •e•~ ~ ! . White 80 s. ' k ~ ~ Jan.12 18 4 Bro~ar.~ C1111, iOwN, OR tOCwriON Of DEAiN ws~w cm u..m .~OSMTAI OR O1HER MSt1iUT;p?~--nivf .ar ur..~r, cwr a~n~~ •..o ~uwes ~ ~ f?lcyt t!s C~ NO n Fort Lauderdale Yes Iri ri.a2 Point Hospital ~ ;TAlE G~IItTN ~ n Hot ~ u s~., w~r~ GT12EN Of MlMAi CONNTlT iuwRR~ED, rrtvfR ~u?RCED: ~StlRVns~G 51~puSE r~~e, a~~e +?wt~ w~rt ~ cawm ~ WIOOWEO. ~rvORCEO . s?etr. ~ ~ , ?'orth Caro2lna , OSA _~_I~~arried~ __~auline Tr~rn .'~~rr otce~ M ~j,~ SKUR~TY NUµ6ER tlWAl OCCU?Ai10N iu•e in.o o~ •~wa oo..e ou~~.w ~•os~ o~ KWp Of WStNESi OR INDUSTRY O[C~~~tO w ~ wOrlr6 UN. MM u Nt~ttO ~ ,:261+-12_2658-A ~y Sales~an Fire Ec~uianent ~ .areSt~Ow ~ wsiOl C~ft ~w~K SifEET ~VO NUM~ER RES+~Er+CF-S?wIf COUNTf CiT1t. TOMM. OR lOUt10t~ ~ ~ Wt~n i~f O~ n0 ~ Flori3a Palfi Peach ~k Poca Raton yes a0 SE st StreeZ f~TnEf-n~,uF r,as+ .~oqe usi +M01nER-wiw~pEN NuNE ~~s~ +~owi ~.s: r „ ~orge KcDsniel ~u Cora Elliot ~ INtCRJMNi.-N~u~E MARMifi Api.lESS ~u~en o~ ~.~.e. .w.. tm o~ ce~~, ar.tt. t~ri „~i'~rs. Paul3ne Mc~aniel ~n 90i SE 31st Street-j?oc~ itaton Fl~rida ~'~'~2 ~wRT OEnM W~S GUSE~ !r (EFrfER Orvt~ GnE C~uSf afR twf F OEO •••ro....•i .-.•e•..: Rn+11.. ONSt~ u+0 ol~Q~ """Oit °Yf tT.1.UCiE C . ~ ~ L~R K R JZ AL ~ N~ X/.9 ItOCER ~O~rAAS RT ( ~~,V ~TES : , • w « pv! ~ / Il S~V.L /~R SS H'O~~RO YER~F~EO M~it1 j ES ~o~o,~,o~~. C R!~ Tl 8= R MMICM 6~Y[ flff ~O ~S~ t~Y~O1~1! L~'JSl ~01. aK a~> ~ COMSfOV(KCS M ffU~wG Mf VwOI~- ~r ~nwa e.vse usr (q CAi2L°/y0~1`~ ~ f" ~~S / ~ ?wRT u pTHER SlC.t~IfKANT ~piplTlpNS~ eow~„a+s eanw~vnae e~ a•m wi rw~ nu~eo ro u~~l~3~~ ~~'=Y If 1/ES r~~t r+«~~ti:i ea+-' ~V IRS a~• LClflO ~M O[Tttr~n~wG Uufl~ q OI~iN ~r ~O ~w ~ iqM~KiDE: OR~6W~OE~E~D w 1NtURY ~..o.nw. wr, se,i, HOt1R HOw INRJIY OCCUtREO ~E•rte~ ~~run o. ~..~u~. ?wn ~ w.ur ~n~ 13pcc?/1 ~ ~ !k lN lOf iN1U~r a~ wORlt r?IACf Oi Wl1.Mtr ~ooa. r.~.. sraer, r.aw., tOCwnO~~ ~ s~ear o~ ~ r.o. Mo., e:n o~ ~o~.r., s~•.e ~ ~ f~lC~n rtt O~ •W ~ oeK! ~WG.. E~C. ~ Srton ~ . ~M ~D CERiifKwT~ON- o+• •W ~ ~oa+~ w. •w 4u s•• NW: M~~ ~lf I ON 1~ ao/o.o ~+o~ .~n+ Me oc~rn OCCUriE6 .«e ruct. r. nrt ~MtSK~wH: ~ TO , ~O,+r» W~ it~~ ~00~ ~~rt~ O[~rw. ~~.Cu~. o.n. .w. rc w as~ ' ~ ~ne~oto n~t ~ ~l I ~ ~ ~~II ~ ? ~ 35r ?r Ctio~:roo~. out tt~ o[e[.seo m.zr ' I ~ 7qjiOV~L ~ 4 ~21~ :1~ M o~.~ e.use s; :•.rta CERTMK~fK.i~-MEOKwi ExwwHER OR CORONER. w r+.f us~s a r.e „p,n o. ~ t+~~ eecea»+ ~.s •~a.a;.+ceo oe.o ' ea...~~.,:y. o. -«e wo...w~o~ ..e ~...rsnc.~o.+. a,r~o~+. j ..o..rr o.. .e.r w~:• oe~~.. .~-i:CJ~+lO OM ME 0~1f w0 Ouf TD TM! 4YSl~f~ s~~n~. ' t~~ ~ . 71 M. . CERhi+. N4Mf mit oi nwr~ SIGNA ' otca[ o~ r^;~ :?!f S~GNED ~~uy .+y~. ; ~;N/~/ O ~'~/?./l1/:~~!/~? t ~ -rl/ /'?I ~ G ~ s:eee, e... e..v..,.-7-r--7 v., ~u?Kn+G w ss-~FRnr ~ ~ >>o~a~h Cv~ress Road Po:~~ar.~ ?each ~iorida ~3Ch0 {lkul. Uf~Trprr. tF~Gvwl CfMEiEkf W CREMA(ORY-NAMF ~IOC~t~On a:~ a ro«.. s,ue ~ snun, ~ Crer~ation`~_~os+ard Cre~.a~..oriur? ~~4 Fcrt Laurierciale.Florida naTE n.•.••ui i(;frE4~t t+pwtf-a~-+eE +•:D ACDRf55 ~ auin ce o~~ /V•~ O~ •o•.t~. s~•t~. i.~. _ ` ' ~ " -rer~~er 24 ! 4 :~.Pairci*CasA '~'~'T~ .~3 ::.~rv n Bpach :leri~a 3_'.0~ 5. ~E 12 fIMER~AI n~OR- ar , 3^R-S:Groa. ^ , ~ o. - ece~.eo ~.~c ewsrl.} ~ R e v. 197G is~ t, ~k.~ ~ ~ ~ ~ ~ *r ~ ~ 7k! ( %l J ~ Y z~. _ _ - - . ~ ~ ~ ' CERTIFIEP COc~Y . ' : . . . - t I hereby-v~1~~itf~r~ ~h~ above to be a true and correct copy of the I,ocal . _ ~ ' ~ ; RegisBx,a'r;i~~~~r~a~m;file in the Broward Councy Nealth Department at - z ' ' r~ Foro ~*Laq~dp~p~y~_];d~ida. _ , fi ; • ~ i , ' - ~ _,,t ~ ~ _ ~ i f~! '~-•~r„ : ~~1 ~ ~~~~uriless raised seal of the Broward County Heal.h • f t!#~~llk'~ is aEf ixed. ) ` , . . . 11-27-~ ~~t': ° ~ - .,..d.~-_ ~ Coun y Healch offic ' and Local Registrar ~ so~~ 247 3~~ ~ ~ Dep t ca~~Ke~istrar _ , , ` ~~n , _ ` , z .