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HomeMy WebLinkAbout0758 33~Gy3 . DApE COUNTY U~PARTMFNT OF PUF;I.IC I-~FAI.TH ~ . 1350 N. W. FOURTEF.N STRF.ET ~~y ~ MIAMI~ FLORIDA 3312.5 - _ EALTH 8c Rf•.NAI~ILITATIVE: SFRVICF.S . ~:q~pA~~~~~.OF t~ a - - D1ViStON OF HEAI.TN - . h~~ ! ti - . t . , r HSRSAY C8R '1~;~~, COPY OF 'PF1E [.OCAI. RF•GISTRAR'S RE~.ORD ()F DEATH. f~ t CJ vt - ' -~''r ~ ~.t:'f f'-L ' _l~~~~~F~t~ wAB~tita0~ 4, ~ . 'f ~ . ' s_ ~ ~~;~Ot~~~~ ral8ed seal - 'M REGISTRAR - A ' c ~~u ~i~l Statistics VITAL RF.CORDS UNIT ; L ,+~'~if~ - ' a'~, ~ MIAMi, FtORiDA } • ~ , ,^S i . ~ ; ~ ; z.~;~ifC~,'~ _ ~ t" • , • ~ ~ ' =`F ` - • 'CERTiFICATE OF DEATH ' R/~I~wl ~ Hnlf~ awj ReIuL1I11a11vr:Sriv~li:' sTA7~ F~~c ?+o. , rx~esK~n i~ ~w.,~ in F L O R I D A I N w~.~ s.RY w~~wo . t MK RC6iiTRAp•! HO- q s ~ OtCEASEO-wM~[ •~n~ .wa~ ~•u S[t OAIE Oi DE~iH ~ MOMIM, 0~1~ ~t.~ ~ , - • Myron Walker Matson ,male , March 14 1976 j 4~E ~MI~. M~6~U. ~~I~K~M 11NY~M~ A~--\~~~ Y~~~ 1~~~~ 4!!~j~ 1 O~• CAif Oi ~iliM ,.a.~w, w~, Cp~lNilf 0/ OEwTM ~IC. 1 W(M11 M~IAO~ 1/y~l ~p1 M~~ M011~~ ~ ~~~~f , white ~ ~i9 A w ~ July 27 1906 Dade ~ ry Crt9, 10WN, O~ IOC~t10~+ d 0[~TN .+w~ un ir~~s eqsMTU pf OtqER NStrtUi~-d~wE ao~ w~n~, ~~i s~4~~ •.o .,~,,,,~p ~ f veu~. ns o~ .w ~ Key Biscayne ~ yes 607 Ocean Drive . SIAfE O/ MRM ~r ro+ r. u s•.•••r~ CITII[N Oi MIMAf COUN1RIf MAlftlEO. NEVER w~,RCfD. SU~VIVNG S~O~lSE ~N vrw. aM .u~oN+.raY ~ EG~sn~w.~ , Pennsylvania , USA N~gt~`~ ilelen Hazelton ~ - - _ - SOCW SEC1M1~f NU~E~ USUAI OCCINATION ~Gnrt awo o~ ~Ma ow~~ ow~..a wse o~ ?~u~o w wsa+ESS at w+~isnr .pawo ur~ hfM Y MMtO a 176-28-1739A ~ndepen~ent Producer Oil ~soe.+c~-sr.re cou+rY cx., ~ow~. oe ~oun«+ sn~n ~ e Florida Dade Ke Bisca ne "~`yes°~"° 607 Ocean Drive ~ y y , rwrMt~-N.rt .~n~ ..~oo~. YniME~--AU/(XM NUNE .~n* ...oo.e w~ ~ ,s 'Bruce Matson te Ella Walker ~ ~ k ~lN0~1-NAME ~ ; Au?Kl~fi wDGRESS ~an~n o~ s no. em a eo.~, sr.w. iy~ , i ,r, Mrs. Helen H. Matson ~n607 Ocean Drive, Apt 8J, Key Biscayne,Fla. 33149 , ~ r~ut ~ a~rN wwS Ca1~SED ~r. ~[?+rtR owr u?~ uusE ?fR ir~[ roe ~o~. le/. ~u+D awr. a t { N- - rrra.w twa~ N wer~~~ own ur outr j ~ l~~_~~ :Y1~- .t_-:..-~ r ~ ~ / , i ~z~.~-..~ . ~ ' - ~ ' : ~ C071Mb0~l. U ~M~. _ _ ~suw o~n nw q (~~~-_yL~C~~~`i~ ~i _ ~ .]..i f ~~'.i -t1Si~-1-~_ ~ IMrfM~11 (~YM ~W. M W. O~ ~?3 ~[O.tllOYtK! Or. ~ ~t~/INO 1~1~ Yw~N- . ~~~~0 (~YY t~1t ~ it, ~ ~ ~Ni i OTME! SIG?~MICANT Cp~DtT10M5 CO~+O~DOMf GOMY~YIUp q~M Wt wpf qut10 10 C~uq cn~.. r.n ~ w~ i 1/E ~ru~ nMe~MO~ to.~ ~ ~ • ~.~s o~ »o~ aw~e~ u. ~tu~..i».NO uw~ ; a ou~w ~ _ iw riO ~w I A ~~M. a~, r~•~~ M~ MOw IN1U~1 OCCUtRtO ~~M~~ w~~ a u.wa ~N ?.e~ ~ w~~n u, rter ~ : Ot IMOE1t4~MED . ~ . ~~!'1 ~ ~ M 7~1 IN1Ut~ Ai WORI( I~ACf p1 R~IUlI •r ~or. r.~.. snm, r~on, IOCAOON : vun w~~ o MO , Ut~ O~ fOMN. SIIR 1 i ~~?K~/f ti~ O~ w0/ ONKf MOG . f~C ~ f~KU1/ ~ f ~ ~ ; . CE11I1f1(w7X1l4- ~O~sM M~ ~ 1fY irp~w rt~~ _ ut. ui~ ~•(nrrn~~ ~~~+f Ow . o.o ~O r~o~ r~r ~w1 p~~M OCCYtlEO ~t wM IM,p, W~i ~ ~ M3KW1: ro ro..r« " o•• reu tOO• •r7~a w•we MA. r4 q W~tF ..p...~...~ 4 ~ tr~r 14 1976 n, •7 . 7 . ~ ~a ~ ~ p w.. a.o.~.oa..re ~ . ~I~ NCe~LO NOr _ _1_'.---- - )!1 71~ M lo rw! C~ufl~M f1~NO. ~ CER1~fKwT10N--MEOICwI xA~MrfR O~ GO~ONEf o.+ ew~ uus a c.r «ou~ o. a.~~ ~ r~e oec~a»r ..s ?~o..w..c~o w.o - ~~~YN~~~~ W A1f WOt ~MOfOt IMf wvlf11Wt10M. ~M rr WW/0~~. i rM~M D~• t~~~ py~ ~ Ol~~ OCtYM~O OM M O~t~ ar'C GYf ~O ~wt C~uSfttl f/~/~D ~ ~ _ y ~ --2---- 4! ~ y/J M ~ CE~T1f1l~-NM1f mn o~ nwr~ -~SK~f-~?ME--- 1 . wane d nr~t DATE.~c~ D~~ tn. . tW~ 1 ~ ~u B. D. Epstein, M. D. ~~1~.~ " f;.- ~ ~ ~r~ J - ~ b - ~ {D : MII4MIG A00lESS-CEAlN1Et ~N ~ o~ ~ r o.w ~ ' cm ~prv.. sur~ u~ : r~. 366~ ~outh Miami Ave ~Iiami Florida ; ` NAIAI. CREM~i~ON. REMOvAI CEw~fTEtY OR CRE?V~IORr-N,a~+E t[r. ~tuH~ c~~. o. w.» s~..~e ~ ,.,K~Cremation ~ Van~Orsdel Crematory ~ Miami Florida - - - %y OATE ~ror.rw, o.r, ~ fUNERItI MO~-NAMf ANp wppRESS~ ~ a~~~n o~ o o. c~~. o~ w.~.. sur~, in ~ ~ ~ ~ ~d~r 17 1976 ,,,Van Orsdel C ortuary,4600 SW 8th St° Coral ~ables, Fla. 33134 ~ . /tR~Ei~~_- - ~/w+f~fr~J E - ' 0~1! Cfrvfo ~r l M W ~ . . ~ J, - - / 1 ~ ~7~ V 4~A-. ~ f % ~ . ~ t~? ~ i . ~ . ~ . ~ 57~~U~. 4 .t:kTi FIA. ~ ~ :F~_`, . _ _ _~`,$~RT iC~ ~ ~ • - ~y ~ MaY 12 i i 44 AH '76 ~ F ~ 252 758 c- 33~~y3 ; ~ ;