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HomeMy WebLinkAbout0717 ' ~ CERTIFICATE OF t~EATH ~ •~r~wtwed d ik~l~ aed R~b~lna~~~e Gn tTATt /IL[ No. ~xvr.Kr ~k ~n~?ut~ F L O R I D A «~t. OR 1MM M ~w.~~w.u~?.~ws~ 64296 IIt6~tTAAN-3 NO. !t tMAMlNT INK GlCEASEO-M.WE ~~~1t +~1 SEt OATE 01 OEAfN ~ ~o~~+. ~ SF[ M~WIOOI 101 . . ~ LEONARD KC~C ~~l ~ RtPt-+ber 29 ~ 19~ 71 ~ACt ~.w. w~ow. uu~c.. na.~w. •Gt-..?~ ww~ ~ n.. -'ow~~ ~~.r Owtt O~ WtN ~..o.+.., COIN~T11 d 0(~iM ~K- IWCr1~ M~W~~ISpy~ ~p~ Mq ~O~Mf ~M • ~ ~ White s. 7 » w 'Narch 13 1904~~• Broward ~pMM, q IOCJ?t10N A N .~tiw cwr ~~.~~f npSMi~l Ot OiNER NST~i -wM~E ~ V MO~ M ~~1M~, GMf 3~N1~ ~y u1MNl~ ~ YftM7 ~lf o~ w0 w F t Lauderdale Yes 2200 N. E. 66th Street S1A1E d WM ~ r wo~ w e f~., r.~ GT11EN p WNAT COUNTRt MAIRt[O. H[vER wlNEO. SU[VWNG S1i0y~ ~r .u~, oM .re~r .w.t ~ ~ ca~~. ~ wIDOwlO.OrvO~CEO wun . ~ •~„•«-d ~ Ohio • USA Married t„ Elsie (Sanson) Koch .~en ~ecuw ~u?l SEC{IMTt ~tR USUwI OCCWwi~ON ~a.~ a..s o~ `.oaa w~a eva++c .ov o~ [wD Of WSwESS O! wDUStl~ u.~9 d Mw OCCVMf~ M ~ ~f ~f ~WIMG ~IM, !`lr M MA~tC 1 aFa+c Mq~~f It 6V6~~.7~5~~/ 1~. ~1 En 1~ •OiYt~- ~tSWE?+Cl-Sf~TE COUNTf pri, iOwt~, Ot l t~pN u~Ma cm ar.n ST~EET ~w0 Htw~E ~ wcNS ~~s w .w IM F 1M IM 1~1 1~e lAIM(!-N4Mf •HN w~! u.fl 1MUINEt-MAbEN N4ME ~Mtf rpp~~ y~ , ~s Jose h Koch Ma Schoen IWOtM/wT-tiAME w?aiNG ADGttiS ~sme~ o~ e~ e. .o . u~. o~ ro.~, se.n, nr~ Mr Elsie S. Koch ~~.2200 N.E. 66th St. Ft. Lauderdale, Fla. rur OEwiN w~S CwYilO ;fr+tER Ontr Or,E UuSE rEt twE WR fe~ rs~. •r+p kll W~..nr o«u~ ~r M~w y s ~ ~ , • » ~ ca.«nowi, a •rwKw 0~~~ nf~ q n~ ~ I~yM~q C~YS~ IM. My q. O~ ~i ~ t.OMY011lKf O~: {I~bwO rM •r~~!- ~ . \nr0 C~~f/ YU . w ?Atf i. S1Gw~~CwNT : caey~o..~ ao-wMK...a a M MR MO~ NYAY ~O CMIM ONlM M~~M ~ 1~1 wV~O?S~ r rES .~~r .~.~~waf ca.- ! % % ~nf p •q~ p ~tii¦ Ntur.rw0 trrY ~NO ~w O! MO~1lL m!O ~rr, te•~~ NpW 1lU11~1 OCCYRlEO ~ bwp wuw or wwn w rut ~ O~ ~~n ~ ~wn i~ ~ 7r 1h M. !!l M1RI!'I nT wO~t hwCE Os r~wMt.~ -or. s?~ut. ~.s+o... tOGtlOt+ ~ sw~ a~.~.~_ ..o., vn o~ w.w, sr.w ~ ~ M~dA M M r0 ~ OI~K! 0~6., Q_ ~ VKNn ~ p . ~ ~ ('~R~AT~1- rOMM Mf ~tY I rDnM Mf TW ~~O 4fi Yv w~r/wN YM OM ~ O~/y~r1 ~M~r M Ql~tM OCCYtltO lwf hKl. W wif I ~~~MN AM ~ ~y t~ A ~f r0•tw Mt 1!Y ~001 ~l1N Ot~M. ~~O~r~~ O~A. ~'+O. ~O M Ml~ ~ !la Nn•sN rw+ C/ ~ / ~ ~~l? / + f-~ ~ ~ 1k 9 ~ ZZ - ~ or ..o~.~oc~. we ~ 1 71. M~o nq cr1fe~s~ fr.r~s CEAtYKwtiOra-~.EDU?t EY~e+wE~ O~ CWOnEt a. n.e us.~ a ti ww a a.w rw~ Nera.n ~.f r~o..ou..as ow lu~w~~pw O~ M q0~ W/O~ M M+ff~K.~r~O~.. .w p~qw. ~Wt~l M~ r4~ pM ~ M~~ OCCYrM O» M Yb r~ ~Yf q 1M 4YSfat~ lt~AO ~ Z 9 - M ~ CEnWE~-wwE ~r.n o~ w.a p o~u A E~.o.. . o••,.w~ ~ Q1-. Rober A. Geor a +n. - • ~ w?R1NG SS-C(~ris = ~ tn~n w o w ~ un a ~a+w ~ _ ~ ~ i. L F~2 AL R r.~ WMM. CtfMwt~ON. Iit~wOv~l CE~EiE~Y Ot CJEMAtORr-ti~w~E IOUTiON un a w~.. s~.re I 2 ^ ~ Y~tr~ ~ EE ~l ri:- „ em Crdn ~ Pontp~np Beach ~ Florida i~, ~wTE •~.an¦. e.~, w..~~ WhEilwl NO~?E-~f ~+~0 ~G~ESS ~ in~n o~ ~ r~. wo.. cm o~ ro.+, sr.q. tu ~ ~ October 2 1971 ~s.7ordan-Thomas F.~!o^^e 5110 *I.Fed H~r~v. Ft Laud. Fla. S, f612 ft~aE~wtpR~CTp~-yG~tURE fEG~STt"~ SrG?+~t~4aE. 'V 1. e' O~~ ~[ce~reo ~r ~OGa ~ea~~ru~ t~r.1970 ~ .l ~?'r--~<'~""^ ri+~~.i+--.~y• ~..~or~~ ~G tw~ Z • ~ IQ a ~ , filED ~ND RECORDEO • ~ ST.LUCIE COUNTr Ft~? . ~ocE~ aoiTa~s i ~ R ' i.~r : ~rU11 COtlp' `~~96 REto~ ~~0 1 ` CERTIFIED COPY aPQ 16 3 4o PM ~ I her.~by c~rtify the above to be a true and correct copy of the Local Reg~st~al*'s.~~qrd oz file in the Brorrard County Health Department at ; ~1b~=~~1~ a:?Flori3a. F : . i 0 ~ ; . ~ ~ io ~?IiPa}ing~,, Not ya~~,d unless raised seal of the Broward County Health (Z~pLtb~ent is affixed.) ; ~ ? .L~~ ~~r ~ - ti g ~ , ;.~n' i. ~1i/ - County Health Of cer an~ Local ke~istrar , ,r ~ . ~ . • - § , ~267 ~ ?i5 ~ ~ ~ 1~ 71 • Aeputy ~1 Rep,is ar _ - _ _ " ik:' ' ..sdS~-~~~}v~.=~ ~~v ...)~~.-w~.~^~5~..~