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HomeMy WebLinkAbout0129 ' 32;~;~;~~~ CERTIFICATE OF DEATH / i~.~..~ .11i~.1~ R.~6.w ~••~k•• F L O R I D ~twT~ Ko ~ IA~lVIW /IF I~AI1H A tY/~. p~ /tIN1 t?a °~'~~"R'~R"~~° 11tOliTAA1~ i"10 M~MAIMMi IMR OKlAf[O-N~Mt • ~•s~ Sff MiNOf /Of _ SEi DATE O~ el~~w .u.~. t.. . 'a"~i0ia ~ 1RBD V.L. ~ULLItiGTON ~ MALE , F8BRl1ARY 26, 1976 uCE .rn. ~•eaw .r~K.w ~wu.. ~GE-~.u w+n ~ w~ wa~ ~ w~ OArE Of ~M'h1 ~no~.rr. w~.. ~01~T~r d OE~r~ . nc • Y!(.n ~ 4„N~~ ~ ~~~q ~ rOf Or~t WMf ~w ~ ~ - . vhite 76 w •~AUG. 12,1899 Volusia CITm tOMM_ O~ IOCwi10N~w - o.t~1 cwr tr,n NQSMAi Of o:ME~ i ~N wt ~~~r. n.•4. .r`c ~...w~.- sncM. .~s w.a Nev Swyraa Be~ch jea H Flah Mes+orial Hospital ~ St~?E O~ MRM u~wo~ w w~re 11ZEN O! WNA'1 C01M1R~ WIRMED. NErER~w ED. SV~~~~~V .~Wa ! M rrN~ o~. ..N ~.,w. NMa.K. , NeM York • USA ~ i,°~'reo~° "n"" Nra. Dorothy Else.~iller F~lliag SOCUi sECU~m ?iuwE~ _ usuAt OtCU?~t~o?+ ~orvi :.:i o. .wi ea..e ww..o .oi~ a' t!O d M?SwE9i O~ M~DUSm occ~rw r. ~o~wa cwr. e~r.. « wewe ~ 706-41-5264 ~i_ Field Su rvi~or Railrwd Usion MMNrt! NqM w{sow lES~OfN~E-S?41!'' TCOYMIII CITr. iOWN. OR IOCAT~QN MMt C~v u+wf S 1 AND wtlWE~ - ,y Florida ~w V~lw ia itev SM~raa ae~ch ~~Y' ~N821 E. I 2 th Aveaue M(l--M~Mf ~YOM! W~ MO~A-MA~fNN4At[ ~yj~ ~M~ .~N Harrisoa Fulliegtoa N Mar~ Jaae Simpaon ~ ~~'~T-"~'~ w?INC, wOWtti .iwet+ o~ ~ • • .~o . cm p ro~,. . . • . Mrs. Fred Fullington i~n821 E. tlth Ave., llev Sw~rnaseach. Fla. 32069 ?.R? ~ OEA/M W~?S CAUSEO ?r • (ENTf~ OlNt O~~ CA(ISE /[f l~L K?! p!. ~l~ ;cll - _ ' _ . . +M.r~M OrY~ ~~w~ M~~ ~~1 ~ . - . • • M - ~.w:~. ~.t • •w. ~ 1 _Arr.uute ~yncardial~ailur~ . - - - ~ ~r.~e .•~se m w/`e :o a.~ . te~i, a.e o. i81~1L~~-- ;~a•~r : r! ~~0~~ ! • w . . ~M ' • Arte ' ~4~~Qt1~__H~BZ~ Disease . Yris. ~afT ~ OI~f S~IM~K~AJ~ CI~~TK»'IS' COy~hO'~1 COIOMM~~ ~O M~M M MQt ML~~IO M UY1I O~N w.~n . a, wutOK~ T M•ES nN NwMwN tMr - - ! .rt a~ rNN~ w M7N~M~M~ Diabefies Mellitus . R~ •A Vw~M?1 ACC~OfM1 LhC~E J~ i A~~~.~P+tw e~~,~f~~~ 1 /1pW IMIURY OCCUHEO ~rw~.uNw t~ .~vn . r.~~ o~~wN ~Y 1~~ i1DMK.0l. ~ 1MOf: EM~NAD ~~M ~ !A 1k M IM INAMII A? M~Olt rRAC! .J! Nll~~ ~a.r. r.~r. sqM. u[I~ohr. IOCAt~ON ~ a~en oa ~ r•.a . an w rpw., u.~~ . ~Mt .a . ~a•<~ w0~. . ~~[°Mlc1Q ~ ~ ~ d ~ ' CER~iK~•~!w - nu .o.~w. u. .w w. s.~ ,~we a. ~ Miw w. +K. . oecw~eo n,~ wea. or ~ /M~fK~~N~ ~iM Mt `.,M_ . ' TO Ay WN ~/R~ w~ «wn p •~M. rr. ~Y ! MV- N~ ~ V~~~w~ j~e ~II\ Feb 26 ~ ' ~ ~ ~ JN ' '~~9: l~i ~t~ w ~MOrM~M. ~ Q~_~~ i. _ • r.o y trrwM wM CptrKwTqM--r~p~w~i E1t~~4t ~tpd+E~ a+ ~w 4s.f a ron _ ~...wno~. w-~.~ w~. .w~u. »..~s~~c.~.n.. u~ rt dM~O~. MOW p M~M ~r • ~c M~ wpv~ ~ w•... ,~c~vwio a.~ w,.n e,. a-~r :.we~~. s..as E.=: , T Feb _26 _ 7n M ,,.`~Yerv~`n~~: ~'[eck, L~ V• A.yy, d r~s~1 ~~~•C'I~ 4~~. Y~. ~WI - - ~ ~ . ~ -''~f% ~ ~ > r ...a ' cE. : ` sn.n w... a ~ _ ~~E~' _ ~t. ~^~o. `~ausew New S ach Fla. 6 ' W~~t. UEW1i~On. ~EMOvwI fMETERV OR C~Ew?iOfr-n~u~E l tfON on o~ w.~ s~.w S~KM ~ ,,.a~rtal ,NEdgev~ter Cs~eterr 8dge~ater. Volu~ia Co., Plorida o.,~ - ~ - ~..Ma rch 1 976 - - - et t leWil~e~ _ : ~wo a ..o ~m ~ a.~ .?.n ~y , ~ S.Oran~et St.. ~ Ner S~ncaa Seach. Tlorida 32069 r. 5. ~E 1) ~wEUt w~ECtd-SK.~urWE ~ _y~,~~ . . • ~w o a . reasnu ~t.~.19~~ ~ C. w ~ 5~ ~r . ~y ~ 32:j':):)~ cE~rr~~~u copY ~ I herebr certify the sbove to be a tr~e aed correct copy of the local Reqistrar's record on tile tu the Volusii t:aunty Nealth Departnient ~ j ~ = at EdgeNater;;' F,2lorida. . '3~+-{n O.~ ~ ~l~j~* - . • , f ~ _ t' (Mas~~; ~~~~,~~~~'~~id unless raised seel of the ~lesle Co ~ tb'•H~ea2"th : i j'Y ~ ~+f ,,,f~•~'-Y~„d+)v.~s.*/.q.±i {t1~ _ ~ _ paf~~'~adeat is aitixed. ) - r.~'' - - ~ - ~ r1F~(St~R~' ~~r . ~ ~ ~ ~~~:J~ _ ' JJ:.:~• s~I'i ~~~i'~ f~f . d ~ ~ : Y. " a- ` i ? ~-a• ~ _ , - ;~ST~ST7S1;r. ~ -t<,.~.. ~ County Nealth Officer ~ Local Regfstrar t= ~ • , . v ~ . e` ~ : :.s - . t ~ t~?rE : _ ..~.~1',l ' q ~ cal pat~ Reqi:cr - ~.Sb - ~ , ~F R~i . ' { . y . 2 ^rs r y; ~ _ 2~ ~ y _-u. ~ - . -.~u.-~"_ ~ ~