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HomeMy WebLinkAbout0513 ~ 1 ~ `3~~1SQ CERTlFICATE OF DEATH ' Iltirw+v.~ .1 Ik.ld~ ..J Re~.L11w.a.. i...w.. ~ trwTS nu llo. ~ I11YIW7N ~If IMAI.IH F L O A I D A ~~n. o~ ra«~ a. 1~~01~7QA11'f No 361 M~IIAMN~ INI[ ac~.sto-.+.re ~~n~ ~t~ ~ 3!~ OAI[ 0!I?M ~~ow~. Nr, q~~ ~ YI IW~~OM NI ~ DtM~L:ti~ ;1I1.I.In.';SOT3 ~ FemalQ , Jul 12 1975 ~ !K! •+n. wNO. ~rew[~r ~wrr. AGE-~~M w~n ~.u~ rw~ ~ w~ OAIt d Mf1M ~~Orw. Mr. COIMi~ Or 0l~1M ~ .K t:mxte ~ G1~N~.•~' ~n i1 r. 2 1~I4 Saint Lucia ' 6602 ~-Oww~~i 10~?_iidN~T~i cw .rw nt q.1Ka - rw r~ar~. vw s+wr .r w~w~ ~ yK~ r~~ W r0 . , ~_['t. Pierca _ _ ?._Y~s_ _ yrt. PiercQ iicr_.ioii~l_lTosPital___ _ _____a_ St~tt O~ MM . r~e~ r~~~, ru~ C~~IlfN d WNA/ COUMIf1f M11tK0. Ntv[! MM~tO. SI~NG f'OVf! ~r r+;. ~w~ r~Mr .u1 ~ cow~w~ wOOwtO. Wr'WCfD~fwc..~ • ' ~?~•,y~• ~_!d._Virc~inia ! :_lrtin______ M *.a ' 12ufus__~~il ~.a.mso .M~.a~.w. -xx1~d-- - - . . ~1.__. M M~M souK sfcu.n ..w~• uwK occw.r~a. ~ a..o.. .o.~. .w.~ •a,. a. ¦.+o a wsaESS o~ r+ousn. O[tv~M~ r rOr~ 1~1. Mti r MMN ~ - ~ „ Unavailablo . ~Tlouse~~ite ch~m ; forao _~_M •~.naer ~lS1WNd-fiitf~--"~COVNTt Mr, IO+wM. W lOG?/10» [~v ~rM ~~t[i ANb MlrMi ^ ~ ^ ~ • ~NlC~N q~ O~ MD~ ' ~.,•lorida St i.ucie I~t. .~ierce ~..710G ;~t. Llalton Ave. r~t~~~w~rt .w~ .+w~ a.v ~+OtHt~-nuiofNn~u~! .wa , .w~ w• „ Clyde C)'tsara tfiavailabla I~MOW~Mf-MM~? ~ WRMG ~OWk33 •MMf~ O~ l~~ r0. 4~'~ O~ q~u. v~7. ~r. ~ ^u~us t•!illi~mson ~n710G ,~t. '•T~~lton Ave rt. Picrce ^1. ~~~50 rut ~ Ol~m wwt C~uStO ~r itMrn orw r Ow~ c•ust ~t~ ~~1 ~W Nl AL u+u kM N1~Hr O+N~ ~w M~~w » " :~F. T•nY'___.__ ' Ni !11~~H L"( `.i ~ C.\ ~ ~...o~ s ` , t, ~t~ ~ c_ ~ Z ~ Z ~ . c. . ~ ~•u ro ` ~~1 ~1A~T?IiVr.S~fl"'G---- i - ~~Q`~.1J~k~- .+t~.•n u~f~ •r. ~ M~o O~ s to~s~0u~.t~ d ~I ~1+~N f~YN ' all ~_T"_"__._T" 1"_'_`_'_ 1ut • O~NI~ SKi~+MK~ COMDnqwS• co+~wo+~ cor.w...,, ro w.~. ~v..o~ w~.a~ ro c.w~ o..~. ~.w ~T~r ~ i rES .~~e r~r«r~~ COM YN~N ~ NQM~w~O WIM M N~~w 5~..-~ Q--i~~ M ?~.iw~.~ i(t~Mwt" 7wK+t 6i ~~6nTf8Ti~JL~~.-.o+:: i+:, •i.e. MOU! ~~Hpw lwr1N~ OCCW~tD ~~rw~ ...ww~ d••..w. w~.n ~ o~.~w w. w. wnK.e~. d vpawwwe ~ i ~~M i , ~ IM~~ ~t M~dl . t~_"'--_ ~M Y •1Y _ ' ~I jhAC! 01 NM~ ar rr. ~~r~r .•rw~.. ~\OC~TWr~ .~w~~~ p~ r• w. tw. e~ v?... • ~N~(NIw~~Y~{J' IVI~`C/w~4.~t •YRw• w 'r+ - i . C~f?I~C~tY~N-- .r.~w. ~ s.• nu , .w~+ w. n.~ •r u~r s.~ .Nl.~.~ e~ . w e~ .r+. ..rr otCU~o ~ r n.rr. o. ~r IM~~MyM T~ { .o-~w a. .w ~eM. .w ~ ~•w. a r r?. I . ...~..w• ~_}j--i\_ / . ~r ~~M~G. MM i M ^I~~~N~ .p-~ ~ " f~ 5 Itn ~ Y= Y_Y2~~ ,J~_~i~(~I ~ 1~ ~1~ ~ ~~~00 M t0 qM CMrM~I~ ~t~A~ ~ C[~trK~7~0~+--~+(OCiI tt~ru?~F~ O~ C0~01~[I OM ~ MMf P ti wM .r . r.~ w~M.w ~•s ~wr.Ki~ e~:n - ~ ~~~~~Y~~P~ M M~~ ~M~~M M~/Y~N~•~•~~Y ti M O~~~d~. ~ ~YM~ N• ~OV~ ` N~+~I O((MMO (M ~y i~/ ~N' t•I tl 1!~VNn. p~A~ 1 . ( ~ - - ~ ~ CQ1MM~-.r+iNrf ww _r ~ _ : . _ . _ _ , - " - . ^ ~ S~'ri~lieK"----- ~ ~ ~iE SK~+tO ~+o%~~ e... .w~ ~ rw---D.avicl_M - Bleech i[._.D rs 7~14 ~5 ~ ~ ' ~ M~IIMCs S-- Il~~fi(~ ~ i~n~. q~ r n +O M ro~r ~q . ~ ~?iz inia Rve. Ft. Pi ce F ' ~ ~N~1~1. C/lMAt1~y. ~MQ1/Al ~WI(f1 Qf CtlMEfQ~Y--N~M( .I~A11d~ (~n M r.~..~ . y~A t ~ ~~.^:enoval-I3urial jl~iIoll~~r~oQo :'er,l. Garu. ~r« I-.o].lywood, ~'1~. ~ D~1t •.ov..g w.~. ~ ~~uNtIY w(fiK-.waW ~M ~MKtSt ~~raa o~ • r • -~o--cn. w ro. ,_s•.w. r•. r ~ ~ ? ~ w~v~ ~3 \ 5 _ »1'~t~,s ~ 'ierce "la. 33450 S~ ~F /Wt~~\ - ~ y~.ra~flMf O~ 1tCf~v10 IOC~~ rl4~1f~~• ' ~ KG~Ll1~~-- ~ i°'o ~M cv ~ a Jul 16 1975 t € ~ ~ h~+~pr orAify Mb b 0~ ~ tlt~ and totnc7 oop'~l of iM t+ocs~ . ~ R.pi•u•rs .ecord o~ f~~. ~h. 5~. tuc~ Cou~+h? H.•~r1, o.p.n• ; Rr~fN ~t f0h P~Mp. Flo~ids. ' - ! ' (yVKniny: Not vN~d unless r~~~ ~s~l u( th~ S~. L.ici~ _ ~ Cou~ty Ne~Uh D~par~mMt ia ~ifiad.) f1~E0 ~N~ aECORDED ~ , : : : ; ~ ' : ~ 9t. R06CR PO TR?S`~ , ~ : ~ J. . Rt ' ' N. D. MiIIER. AA. ft fpK~s At COU , - ; Co~nty ?+.rl~h Off~ur i tAes~ R~o~~nar ~ , `t. ' ~ aPR Z~ 9 ~9 aN ~ ~ ~ ; _ ' ~~i' ~'~i' ~ 7'-/ ~ 7.5~ ~ 1~1 ~ 7fA.e.t Jti • f,•. ' , ~ p~ p~p~Ay Loul RroynN r : . -0 ~ ~7 ~~~rf ~ j ~ ~ ~ ~~150 . ~ ~r f' : ~ ~ ''4'~ d'~ ¢ • . ~~ylr~r• . . ~ e~ac~ ~E 512 . ~ . . _ _ . _ . . _ ; ~ € ~ ~ ~ ~ ; , _ , . . ~ - _