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HomeMy WebLinkAbout0316 1 r f i t i ! - f . ` . 4 _ _ _ . _ _ _ _ _ . _ . / ' ' ' `3`~~43`~ CER711=1CATE OF' UEATH ~ , • I~r~ri~IwK~d oI II.aIII~ Mn•I I~.~Is..INLl.alhr ~r~.Ar• - STATF. FIIE NO.' - ' - - - . ' ~y~~~~ ~y ~n F L O A I D-A ~~I ~~1?It Ilf ~'~••w••~•••••~~•• p~f.I5f11A115 ?~O ~ •I~MAHfNI INK p~Clw'.t0-NWf r'NU i•t~ 51~ DAfE O/ IMAIM 111 ~~MUMO~ ~0~ ~ ~~~«w~wn , 1toL~ri. . Jiuner ---Ya~ln_ _ : 1•tnly--- ~ _ July_ 20i 1~' G ~ fACL +rq. r~G~.~. •..~~w~ti n.~y.~, •GI up vw~ ~ qu uw~~ ~ o•. CA1[ O~ N~tH ~~[w~w. O~•. COUNIY O~ QIA1N ~~f ~V~(M~1 ~•~nM~..~1~\!1 Wf 0~~1 MW~1 ~N ~lu~ ~ ~ ~1liite---- ----~8 w ~ Jul 9 1 18 I3roWard ~0~. O~ IOCAl1~M Qf p[AIN wfM tu+ ~~„t NpSMAt pi OTHE~ NSi11Ul~ON-H ~y Np w c~r~ f~M~~ ?.b .u.~~~ ~ 3 wca. .rs w w h PemUroko Park yea__ Community lIoo ii,al of South i3roi~~rd _ Si~lf 01 N~dl.r «o. w~ v.f C~hlIN (X wNAI COIR~f~9 M~A~RKU. ~AVI~ MA~fI(D. SU~rNfKj S~QUS( ~a ..q. L.vr r.r+~w wr~ ~ cown. ~ w~DOWlD. ONOKtO ~ yar. ~ ~~~r~-« ~ Hi~consin • USA N 1•tarried Ttarthr~ i'cCuire - - - - - - - - - - . . - ,~.~c a•„ SOC1~1 StCIJbTn MN+~ER USU~t O[CIM~t10N ~w.~ ~«o a.•wa w.N sw..w +as~ a aw~ OF WSINESS OR~1?+OUSttr oc, u.ne r ~.orw4 iw. ~.lw w qn~to ~ 'n Retired Lineman 5outhcsrn Bell ~~~~c~.+:e ~~roM ~.N~~~O-~3 9- - _ c"~~•,," ~lS~OEHCt-SfA1f COUNi~ ~rt~. TO~MN. O~ tOCwilpN ~s~oe t~ irnl StiEEf ee~p ?~1)+NE~ t„_.~. ~y _ .1 no .p 2541 ~:•J Q8 Terr Florida I3roward Holl ood MfMEf-NIWI ny~ +~OOU ~~ft MOf11F~-MA10EN NAME ~wf~ ~Np~ .~P - G~irtis 1•I Ya~;la itartha F. I'k111ah ~ I~MpRM~Nt-w,uwE rut~(', ~OORESS ~s~n~i o~ ~ r•..o. c•~. ~ ro.», ~..n. r+~ i'rr,. 1'Zrtli:? Ya ,la 25~{1 SH 48 Terr Itollywood, I~'lorid~ 3?023 ~ OEAM WAS C~USED ~T: (Nf(f OIN( OI~ CANS( I[A lM~ !pI o b AI/O ~ 1 t A t H ~~r~~~.. o..ti~~ ..a a.~.. 1~ ~ w:rGuii Cwf~ ' ~ - ~ _ 7l1_1_!~-'~~.._ ' ~i_ C1 ~ ..i ~ COMOI~IQMS. ~I ?yt • • ~ • • ~ ' ~ ~ricM G~~f uS~ t0 ~/1 :.R .'~~..'-~~W ~ , ~~~~M~tf C~W~ ~M, OVf M. O~ ~1 ~ COMft01MMC! p: sunMO u~ ~r~~~- ! ~ IRM~ CWN l~H ~ ~ ~ 1~ ~ . ttl ~ / .i.~,.~.__ !\~.v.t~ 1,~ J~ t-k_d ?A!1 ¦ OTM[ ~ S1G+~~KwNi GOr~T~O~+S ea+ano..s eaw~wwe a se•rr w~.ro. uu~u ro e.~' mr a. •u~ . ee~ AUTOtSr Y rE5 ~r~n •~rs~N¢s ea. C . ` ~~If p w01 f~0~~~0 ~r' Nry~r~~~wG UVf~ ~ O~ Ol~~w ~ ~ 1_ - - ~b n~ 1q ~ . P.~6e4~1 KCW~iR,.SWG~bt' A 1 Wwtr, s~~, ~u~~ NOW INJURt OCCU~RE~ ~ ~wqf wtuM M~ww~. ~w ru~ ~ O~ r.n n, ~n. ~ ~,i ~ ~.1 1O~KlOE: O! IMOEI!lM~~ s lswc~ti~l E 70~ ~ 1p k )y i ~ IN~Rr AT WpRK ?L/1CI O~ NRI~t »er..•~., s.aa, ~KtM~. IOCATION ~ fn~p q~. w0., bn p~ tOww, lurt ~ ) 1 i~NN~ A! M w01 d~Kt MOG . ~t ~ 1~!(M 1 7M 7M ~f i `J C[ttliK~110N- ra~ o•• r~u ra+w~ s•r •w w.~ u+• s..~ FW/~I~ ~~w~ on . wo/oo~..o~ .ar ~w Otwtw OCNUeO r..~~. cw r.b •M~SKII~N~ MO~•M O~• f~u ~pp~ ~~IN N~M ~~p~~~ 0~~~. ~w0. M7 M~I)+ ~ ~ 1~mwNO t~! 1O r r~ ~ L N r~ ~wp~qM. o~M ~ tt~ o~a.a~o r~o. / 1: 1' ~ JD ~ 76 Ih ~tlf?~C~ I\r` . 7l•~7:55~i p,~ ~o ~e cwx~s.sane ~ CE~tKiG?7q~-MEU~Cw E~A~u?~E~ Oe COtONft o.. r~t us~s w~w .~ow w a.r.~ ~M~ Nua«~ w.~ ~.www+ceo o~.o •a~w~T~Ow d FN ~DO~ ~~O/W fM ~vISr~G~~~, w r~ MwqM. rO+M O~I wp0~3' N~M OCCWMO Ow M O~ry ~MO OYI W M C~VSfIH St~/f0 ~s, r_ ~ T7~ M m ' C . _ ~ ' e ` M ~ Ctb~f~~- ~m~ o~ ~e.~n • SIC Af~fi ~ - a~ru M n~~~~- Ow?E SK,NE' ~.o~.a.. o.~..iu~_. r~. E~'+ "ic_ ~ ( i, l~~ t~~i~•.`T /C 2..~~_ t h jn 7 b ' 1---•--t+----- ` ,+u~~M~K, AowESS-ceerut(~ , J a~~~•q~ ••4 »o r _ c~n u +o.., . ` sun ` ~H ~ ~ ~ . ~ ~ !}~I il,Y(~~ ~ ~ ~~~:la,q:/r ~ l:/ ~ , ~ ~tMUI, C~fMAtIpN. ItEMpvAI CE?~EtEI[Y OR pEW?TqT-HAME [OU710N _ em w ro.~ s,ue . [ ; 1 ' ~ 1 t~ICM ~ ~(~~C: Cremation t~? ABCO _Crematory__ Ft Lauderdale~ Florida O~tf rOw•r, Wf, n•~+ /PNfRAI NO1NE-NAAAE A?Ip (1bR(SS ' 1~~~~~ o• ~ r• »o . c•.• a ~o...., t~.n, i.? ~ ~ ,w Ju~3r 23~ 1976 Doyd"s F 1I ~100 Iiol2yxood Iilvd I{ollywood, Floridl 33~?4 ~F. 1? ~ur+[.•.~i o!uEno. -y~y Rn~w/ a i iuaE . o•~t ur ~~o ~ocn ucnnu RPV.19?0 ~1L1,`-~/~r,•~.l~L~/~/.'.4~•:"7~~ ~ ,t 7w ~ , ~ - - - - . 344434 ~ ~ : ' ~T.lUOi~C ~M7Y ~uj, RpCE~t t01TRAs E ~ CLERK Ct~CUlT COURt ~ - r ~ , - , , CGKTIFII;I) CU1'Y RECOao ypR,i~~o ~ ! n ruc n»~1 r.arrec o t~ ~ Kc{;i s l rn r' t E T I ~ c r c b y c c r C i• t~ r : C l ~ r. a l ~ v c. a C ~ p ~fp~' 4~ ~ ~ rccorJ o~i f.i~~~in tl~e Broward._County itealth llepartmcnC ~t ~r Y'~ d( le t ~ale~ Floridn. s : _ • (w'arni~~;-Not ~~y~lid u~il~ee• jreised eeal of tl~e l3roward County Ilcat tl~ Ucpt. io uEfixed. ) . . . ~ ~ . ~ ~.lil,C ~:~C,~':~'l~` f ' ~ 7-26-76 ' ~Cl.t~'' ~ oui ^1rn C ~ j~Cer an oca cg~eCrar Q L 0~ lf.f~` ~•r . ~ ~a~x 257 ~?~E 3~.+6 ~ ~ ~ ' eQu y cu eb s~ ar ` - _ ~ _ - ,