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HomeMy WebLinkAbout0083 . • ~ }-----T- - - - Z ~ORA~TG~ CU :~TY HEALTH I ~PARTMENT ~ - - . - . H32 W.. Central Blvd. • PosCoffice Box ?187 • Tel: 849-3335 • Orlando, Florida 32802~~ - - - CERTIFtCATE OF DEATH i~~, ; a~a~,.~.~~ ~ tt..t~ti .~d R~l~.F,?;,~.u.~ G..k~, F L O R I D A ~rwT~ Na ` iN~~.~o~ nF ~~F_~~ni ~A ] ( ~ w+r.~r.n.an~nno ~ /r/ V V V R[[i1STRAq•9 NO. G ~ . . JECf~SE~-HAME ••wa~ ~•u SEt D~tE Oi OEwTM 1 rOMtw, q~~ / . , i 1 . ~~,-cE _M~. .~a.a. ._..K... ~...,WILLIc~ ~.o.. ~ ,,..o~. , o~. WADEE or u~~r?~ Male~.., ~ October 11 1 2 cour,n or awtH ~ I~c 1!~1[qr 1 4~MO~s 1 M1N1 40f. O~7! MOYIf rM. ~W / ~ lI Whi t e s. . June 16 1 1 Oran ~ N C+nr, t0~, O~ lOCw1~0?~ DEAlN wwe e+.+ ~~..m HpSry1Al O~ 01NE~ NS~ItU~rON-N4ME ,.u. ~,r„e~. e~e frK~i .,.n .w.,u?r ~ ! snca. .u o~ ..o hy =j p Orlando n ea Orange Memorial Hospital °C° W • « y Sr~iE Of ~~~M ~ u..o~ ~w u f~.. ~~r~'CIOIEN Of riNAT COUNiRY ~ww~nfD. HEVE! MwRbEO. SURV~V~+G S?OUSE ~ w rnt. o••t .ur~u .wa ~ s ~ caw.~• ~ W~OOWEO. ON'O~CED ~ wctn ~ z ~ Florida • IISA Married ;~1ar et Elkin ~ ~ "f~~i SECUtiTY M!?~~ER USU~I OCCU?~Tq~ ~dH ati~ O~ wO~a OOw~ OY~~MO ~1~ W KWp pf WSwE~ UStRY ~ O MUO UM, Wtr~ n~~p~p 1 ~ A--~~. -16- 0 Owner IItilit Maintenance Co . "NTO ~ f%+t ~ CE-Si~fE ~COUNTY UT~, TOMR1, O! LOUTION ~w~ ~~n ~rn~ gTRfEt A?t0 NUM6ER If~tt~ ~~f O~ w0~ v !O ~ida Oran Orlando no 10 rd Street c ~ saiHE~-~••+•f t~~3~ WOOt! 4f~ MQiHE!-MI.IOFNNAMf ~Hff rOp~ ui~ /~1.~ ~La' ~ Carl A. '~ade Lottie Cla ~ i hFOM~...?+t~rr~E MAKWG wDORESS ~cran o~ e.• e w. een o~ ro••,., sr.n, ir~ . t i~i:s. ;•:ar ret 'rlade 10 ' rd Street Orlando ~ FZorida ~ pf~tti~ ww5 UUSED ~r ~f?+JER OMr O?+E UUfE ?ER UNE fpR (e), js), ,Wp ~i ~~'b"""~~ N ur.~e« o»sn .~.o ot.o. ~ ..reoun c~uu ~ , (a1 C-A~DIA~ AjC~E1T~ TEAti~~sh~/ I+ . • • M 1 ~~~x r- r ~otio~no«~. ...r ti . cw o~v~ •~i~ to ~s? A~...~,T ~ M U~A /L O L ~IV r"+f rZ~rl • ~ ..ro:.n ucst ro~. I ove ro. w.s . co~uow..u d sr.n..a T..~ YMO~~. . ' ~.~~o c.~u ..sr (~I ATrt~ti.usc~..•tnoric ~oR.~nl~-•zr iFti: ~F.~Y 41r~~~+.r~ '?~xr 1; OtMQR S~GNlI~ANT ~ONOIIIOPiS ~~bnOM1 COVtbtyt~wp q Ol~M {y1 Mpf f~{~f[O ~O C~Yf( G~'fN /M ~tlf 170~ AU!O?SY ~f rE5 .~¦e ~~MO~MCS COM• ' , / Ihj «!'~QI d•, f~M Ol~~~YIN1N0 UVl! 1~ ~ SL~C~2~ ~lwr Nr? ~ (/.C.vM~Cwl/F~1 ~N~K~tYJM r «If ~j-tLI.rTO.vd' ~'iN ~Ef Ih No ~ ` :.uo-~l ?'.GOf~+T, S:ltCtOE-~04 ~ A WJV ~ npatw, oar, t1u ~ MOUt MOW 1 IUIY OCCU~REO ~ wN~{ O~ MlYt1 ~N r~~t ~ O~ r~n o, ner ~ , ~ ~~"w~GOE, O~ UNDE/EUr~xEO i , ~_«~tii - ~ • to~ 7k . ]ol. ' , . ~.r~.~RY AT WO~K ?IACE Ot IN1U~~ «Ort, r~~r. Sr~lf~. ~~['~Oti, IOCATION ~ 1r~l~t W L~.~. ~r0.. ~ Of ~O~wM, ft?R 1 E~ YK~n ~f! Of MO~ ipnKt MOfi..fK. tVK+n~ ~ V f r 70i M~. ifIUT10N- rpnM W~ q~~ ' rry.eM D,~~ •f~~ ~~q y~s/ yv M~r: ~~ivf OM 1 01p/Oro ~+Ot rtpl MI OUiN OCCUNED ~t d! ~1Kl. pu Mf ra.rw w• n~~ ~oO~ ~R(~ M~IM. •HrTiU? [~wur0 M~ TD - ` o•n....a. ro n.~ as. I~ , .~«.,~~..o.. ~ , ~ Nov. 19~ 1471 Oct, II 1972 ~~,Se t. 26, 1972 d~d ,~.8•00 A+~. °o ~i°~~::o . ~~U~iQN-MED~~GL E~AMINER OR ~O~O~'~E~~ pH rr~ p Ml wpy~ p~ ~~M I tw} OK~:lwt v~~s ~~py~~p p~ ~ O/ Mt q0~ ~.~O~O~ fw! ~M~3Tr~tpa: M rr ~n~tON. rOMIM O~~ 1~1~~ Mpy~ ; CU~~tD O~ M! O~n ~NO ON W M! (~1M1l1 f~aRO. ~ •?~m ~~~+-~.~E ~r..~ o~ .....n ; S+Gr~~t1IRE eeon~ d nne DwTE S~W+ED .~.n• r ,~ti~rc~ ross, M. D. !n. Il 8, r~ Oct. t2, (~'j'~ ~ ~.U~~wc ~o`f~ ~Aest"Columbio, Sui te B, '~~~'anc~o~ Florida 328~6' ~..~i~i, UE+w~i~OH, IIEMOvwI LWEiEAr OR C~EwtAtO~l~-wu~f ~lOGnpn « q,,,. ~~~n 3 ~ snc.n~ ' i:~~ 3urial LINDr'~1 C~~TE~'cY Sumter Co. Florida " 0~7E ~.e..*M, wr, n.~~ 'U?~ER~~ MOME-~uMf ~~+D ~DOOESS ~ snnr o~ ~ r o. ~o . u+. o~ ro.r, fT•r~. i~?~ :a } Oct. 1 1 2 FairchiZd F1u1er?~ RcWe 01 i. Ivanhoe Elvd., Orlando, Fla. ` ~ f~*+Ea CTpt-S+G+~~r~aE REG~SiRAR-S+ tu • } ~~t ~ O ~ OAtt RlCb~fvGYR l G~Si~7~¦ tN IN. ~ ~s! 7 1 . , _ . ' , - ~ _ , . . CERTIFIED COPY r I hereby certif a'~~ y thP above to be $ true and correct co record on file in the Oran g e C o u n ty Heatth Department, Orlgndoe e 1 R e - i 6~ gistret s . ,orida.., _ . ~ - - ~ : . ; ~ ~ ; . - ` County Heal ~ . ~ ~ _,.z~'~ 'r.n` . th Officer and Local Registrer ~ 9 t9r~ ~D,~ j' ~ .te Issued i ~~5 eA(;~ 8e~ , ~ 1 WARhING; Nat valid unless raised seal of th Deputy Registrer County Heelth B~~~nrtment in ~~tiY,,,~i ~range ~ ~3r r...._ . _ - ~