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HomeMy WebLinkAbout0454 I r 1 ~ ~ .3:.~(~~i~~ 3 CERTIRICATE OF DEATH oq..w.w .1 tiw~ .d R.t.VN~.n.. S..v+e.. frATS h~e Na ~ a.ma~v c~ iaai_,i~ F L O A~I D A tnE. Ot ~R1M IN R[OItTRAR•• TiO. NtMAN~N1 INK ~~E~p~N~ ru~~ u~f~ SEX OATE 0/ DEAiN ~ rp«tw, e~?, ~1~~ ~ ut M~roaot fot , MAUDIE CLARII~DA ANDRTWS ~'ea~ale , Februa 16 19 1 ~/?CE .iwn, r~ow. ••~~K•w ~aour, wGE-t-~a. uwu ~.a~ w.a~ ~ e.• OATE O~ NqN ~..Ow~~. COtJN?Y Of OG?iN nc. ~ wcr~? w~Me . ~.au~ ..os ~.n ~ows ~ ..r.. •u~ ~ ~ Whfte ~ k ~ ~Jan.26 189 Bro~~rd 111f. ~OwN. OR t TWt~ Oi OE~TM wuw cm ~¦.m MOSt1iAt OR OiMER INStoW ~GN- ~ u..o~ ~N ~~~.t~, aM i~ru ..o ..we~ ~ . v~tu. r~~ oa .a r Pompa~o ae~?ch Yes 2 Ol 3.E.~1 th Street slAiE OF L:RM wo~ r. ~ f.. N~r~ CiT12EN p WNAT COlMill/ MAlI1~ED. NEVlR MAtIGEO. 1 IVlK'i S~OUSE ~ r weN, oM r?eew w/.e ~ v~~.~.~se.»c. ~ ArkaU,a9 ~a'"•~.~' U.S.A. N~I~140Weds.~:~., ~..eu oecw~e ~CW~Tr N~wEi USUAL OCCU?Al1OW ,c,.~ ~wo a~a. w.w swwo .~w~'a lawp pF WS1wtSS pR Wp1~SitY ~~.eo. r oan~ `.w•.w ua. tvt~ u nr.~~o ~ ~~«~~W~«~• 6n~ ~ HouseWife OFtt1 Home " 267 0 9033 ~lLOIMtf ~!p/f .o..,~s.o.~. ~~NtE-SiAiE COUr+1r GtY. TOWN. OR lOG?t~0~+ ww~ cN+.r~n SieEEt M+O ~ f?eca• f o~ ..o ,M Floride BroNard Pompano Beaah ~`es 2501 S.E. 4th Street /wTNEt-NA,ME ~~~1~ r~pp~ uft MOTf1ER-AUqiN NMME ~ust rrope uu „ Arnold Hunter Unob. Kenner I WO~MANt-tL?iwE iw?RwC wO6tESS ~uu~ o~ ~.~.e. .a., cm a a.n., iun. ir~ 3 2 Retha Autuori 2501 S.E. l~th Street Pompano Beacfi,Florid ~nn oEwtM wws CwusFO ~r: NrtR ornr or+E uuSE rEt irvE ~(eL 1sL ~?NO ~~N ntie~« o~r ..~o ee:~ u . rrw uu ~ 1~) ~ ~ M coM~moMS. •M.. .rw~cr o.ve ~~s~ ro tel ~r,.ea•n uus~ wr. ~,o. a.s . co..uow~.ce a: tIM6 iM~ YMCl~- ~n~eo c.us~ ust k1 ?A/I OTNE! S1GN/KANT CONOITIONS: CO~MnOMf COMWY~wO 10 Ot~n~ W~ .q~ MuAO t0 4uff GMN w rut ~ q~ wUTO11r ~ 1fES ra~~ nNO~MOS COM- Q~ Mpl MM~fO /M OlT~WININp (Wy~ Q/ ~~~1M No A ~ rO+tw. M?, ~e.~~ NOW IH1Y~~ OCCUlRfO ~ ~•rte~ w~wr w x.Hn ~r ~u~ ~ o~ r•n u,.ae.. ~ MOM _ O! IMOETEWMIED ~ . ~`aM ti l~c M. 7Y. MIJU~Y AT wORK MACE OF INIURY.~ ..o.e. r•u., snen. ~.cwn. lOCw110N ~ smn w~.r.w ~.o.. cm w rorn. sr.n ~ i wan nf o~ .a ~ o~~ce wsa., eic. ~ srecr~r ~ 7~. 7~ H! C~T~IGT~ON- .a~tM O.~ s~.~ ra~M o.r ~w u0 uft Lr wr/W~ uM ON ~ a0/o.o MOt •a~. *M Ol~iN OCCUt~fO w.t hKl. O.. nV ~N1fSK~wMe ~ih+~w O~r ~1u ~OO~ ~?tt~ x~m. ~ ~ o.n. ••e. ~o me uu ~~ne..o~o n.~ TO ~ ~ ~ rr aw.nwu. oue !~a wu•uo rw,. 1 ~~t~ 2 ~.6 71 n~~ ttI t~. ~o ~w uusus~ s..no. - CE~TIfKwT10N-ME nl E C w•.~e uHS a n.e .ow a oe•s~ ~ oenoe.n ra eo ee.o l1Y~M~f~pa O~ w0/O~ M! uartfhWfON. ~N r~ O?MW~~, rOMM • ~!tl ~OYt Of~M OCCYV~D OM Mf O?R ~NO MI! 10 1M! 4~YfltSl St~ilY. ~ ~ CERi~f1ER-N.wE n+n-~ nwn S A ceee ~iE SK,wEO +o«n., o.r..~u~ Jose h E. Williams M.~. ~ !,~'eb.l~ 1971 ~"NG1D01~~-`~~~1`~2 N. E. lst Stree~ Pom no ea c or 33d~2 WRlnt. CREMAfqN. REMpVwt CF~EiERY O~ C1E~u?TO~-?~~E ~tOC/?t~ON un w w.... surt ~fntrr~ ~N Burial ~ Por~pano Beach Cem. ~ Pompano Beach Florida OwTE r.a.n~, n.r .w ~ ~ WNE~~t Mp~E-nu,wE wnp ~DOItESS ~ sraea o~ ~.r.e. Ma , cm w ror+... s+.n. :~r ~ ~•F'ebrua 1$ 19 1~. . Ja Krseer 200 2J Federal Pom ano Beach Fla ~ 062 v. 5.1612 f oa- t~snwit-W,~+ owrt ac~y.w ~~ow~c~s~u~!7 R~v.1970 ~ " M. + tw Y ~ ~1 ~ ` CE~TIFIED COi Y ~ I ~ ~ 2 t ~ I hereby cert~:fq the above to be a trus and correct cooy of the Local ! Regis~.,,~ n~r`s'`1~.GO~d. on file in the Broxard County Health Department at f ~'ctrtr 3~u~l~al~~~iF.Florida. ~ ~ . _ : ' ~~,i~ ~alid unless raised seal of the Brovard Count Health - ; Z L'~ { ~ ~ ~ 'Depgrtcient is affixed. ) y . : • ; s7u-~ . . .rs" f ! ~s J L~~^ ~ T~ , _ _ I F i ~ : ~ .r+F'•, r ~~l1.y~ ~,a f `t,_ - ~ ~ ~%••~•'5~:~~ County Aealth Offi and Local~ Registrar ~ , ~ , • - ~.~:~2~ , ~ ,i ~ ~2 ~ Deputy Local Registrar ~ ~ ~ ~ o ~ r ~eo ,?No +~eC R t - - ~ ~ c3~S ROCi C~O T~AsI ~ 3~~ Q aECORa VERR j~p COURt Mor tT 3 48 PM'~6 ~ , ~ ~ BGulc ~~U PAGE '3~1 ~ " :