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HomeMy WebLinkAbout0717 -1 / l~`~~~~,~~~~~s~~X . ~o~ A~s Clf RR C~aCU11 COUR~ . 1-R' F ~ E 0 M~r Il 4 02 PN'?~ ~ 3~ ~ ~ ~ ~ 36~6~9 CERTiFtCATE OF DEATH Ikp~tt~w.nl ul ~I~altti and K~~rfolil•h•r ~ri~Nr, t7ATt ?IL[ HO.- FLORtDPI .w... s ~ qEWiTIIAR~! NO OECEwSEO --N.w[ • ••sa~ SE~ .0~t( O? OE~tH ~ •o«~~ o.., .e~~ ~ i: -::r i e rc _,k ~z i~~~ 1 e_ s i ~'e t~ k-~.~ 20 . 7 97u _ . - ~ ' - t~Ct ~+!e ...u~.~ ~Gt ..e• • •e.. ,«oa~ ~ c.~-- Ortn W NtM ..o..~. o... :COL~NTr pi OEATH _ r ~.ec... ~ ; ~ .~.~s.' ...~s ~ c+..~ ~ „pu~s ; •tu ~ . ~ ~'}l; ~ 1~ ~1~._ _ . _ .~..~1i_ 1~ ~ ~~~f~:~~. Sl~ ~ ~ 'r~ '~t 2:~3I la~u _ : rt*. t(~wf+. OR IOCil~C~?~ fX pt~iN ~ =~s~oe .~n .,r n r~SMl~I Cf O.~E~ NSTITU11pN--rr e.r•rr :~n s•we~ .«o ~nrue~ ~ ; ~.ec•,. .'A*~:r~:. :r.; ~f . etersbur~ ';ei:ei~i ~~arnita2 h - - - - - - - - - _ . St~rf ~ ~ Rt?~ . r ..o• . ~ . ».•riCii~1FN Of w.+~( CJth~'ir ~auUtRfEa ?rEyER MwlttFO ;SiJRv~vlM, SR_ti~,F . c n r.~.. wr~ ~ uw~r. ~W~OOWFO DI~KEO ve: ~ p:; t0?"}i ~ . ~.RI'Y'{P • rr h:3t: ..r...iZ':~{Il0 ~a ~~t SECUMn rn;MBt• ~ ,~Sa,wi UCCU?~f~O?~ : ...r o• .o~. :w.F e;.:..f ,.ase w ~ KN+O OF WSwESS OR ~?+OtJSttr .p.~,,..:K. N~r ~~•.NC. ~ ~ _ ...e , . ~ >~_i?_y2~= v=r~..~ . i lorker ;i~~ ~~f . . z~•~.ersb•ir£ . . • - - . - - . - - t - T +t~~~E~+CE --Sr~tE ICvc?itr ,ii~Y 'Ow~+ (i~ tOC?•~pai~ ~~~a cm .,r~n SttEET ~u+0 a~,~Et ~.u~.. .e~ c• .r.:~ :'l!'~C~~' ;+N • , f'~ ~ . (,w ~t ;Y'S~'':` ~t'~aCll~ :ef~ ia ' - ~i'..~s i~~'@. `'~"t~-- h~r,( . n+ •~oa~ . N~OIIfER - M.?aEN ~vAME ~ ~s• .~oo.~ ,.s• .1~-~. '~.::t ,U tt nt ? .i ~,;r i N~OMR~NT- - N~MF ~ MAr.NG Af~GRESS ~ vqe~ o~ ~ ..a s•.tt. f~+~ 1 i,~. t~ ,t• ..n: ~~n ~j!l :zv3. :;L. :'~~C[~, rla. ~~j"10~ ' ~~li ~ ` • p(I1TN WAS CI~USfO ~`I • ' • ~-Fvrff CN.: s ::r:t ` ~uSf Iff .Maf /Of ;n P A~fL' 'a ~ • ur~~.r1.11~u ~ - _ ' _ _ _ ir.4D•ii1 U•i1t ' _ ' ' _ ~Nrw ti O.~lf~ ~'+O ~l~tw - - - - - - n ~ t - " ~:s-l~_~..;_i`~.~lL Li1,,,~..<~t~•`~t' -1 -6-'=~_ ect-.R--SS : o;,; . - =a~a,~o I ~ C ' /i ~ ` ; ~:cw e e~sa w ~si 1 r .1` ' ~ -L - ~."l./ ~~o,.,e uuse ~.r, - - ~ ~ "~~=~ir--' " L-- ~ `!l: L ~ . _ } . - - - - V MOI~ 1 D.~ ~ ~ ~ CUw~ J~ ~ ~ ~ . l .ftw~iL'~Y1~ 3~1\ 1 . ~ _ _ " _ _ _ . ~ _ . 'nt• w- -.:~fHf~ S'~iL1:tiK~Ni CLlN61:~.in5 co~w.•~o..~ c:i~rn~w.,, . •o ~.n. s,.• ..e~ n . . .vs~ ..r : -'AU~O?S~ ~ ff VfS w~u r.rs~wot eor i. o...c>• ; rN~w ~w DfTN~In:MG uuu a w.*+ ~~tr 'i;-~ !t* s.e~oby.~ c~DE~+T SuKMf O~ ~~~TE f~ 1NtU~f1'--r'a•.~~ r... .e.~ _'~iOtR - ,Ow ~wiUir OCCUteEO e•.•r~ ~...,n w •wwn ~ :a ..n .n. ~ . .~~a]p~KK•Ot. Ct y~CflflWU+fO ~ ~ YSa ,F~, ~ ~ ' 7~' ~ ~ ' . j_~ _ ~ f ~ ~NIU~~ ~i wOtR jMACf O~ 1iPJR~ .r r.~. ~:~an, r~tru. :6CAilON u~ln o~ o w~ c~n .~t +c.w. t~~~e ~ 1HC~r~ •~l O~ w0~ `(~M~(f 404 f~f ,Ytc~IS. . ~e. 1 ~ ~ CEftM1:AT70~'1- T'~ o.. ..o.+'~ . o.. .~.a ...o .n~~ wr'.N O» ao+_w ..o. r~f.~ .w Of~~N OC[uRltlD n.t ~ut~. o.+ ms ~j ~.~Oh:~. D~~l. ~wC. ~O !MI NSt ~N~SKi~N - ' _ a.• e.~ ~oe• . ~e~ _ - . ~'~e..41D ~w1 Td ~ a~ f1~ / ~nn ~O~~ rr ~i+O~tlOGf. Ouf 14 [tQ~ifD nOr r~ '1~i a ` --'Z-- -'rt~, ~C.~~T_ T i/7 !U ~ Y O )t. ~7_:_?as.~ ~._~ne c.us~-a~ p~~eo tE~iYKJ~tM)?~i--MEOR~t Ek.WMiER O~ t a. uisT-.a o.-•.w c. w.e- i~ew+. ••~awa...uo ce.e •f~~ w0~~ r...»..r~o. d M wo~ .+w ~a ny w'N~n:.~~a+. w r. w~.~.. ~ w«~~ u. ~..n. .xc~Nw w w oan o,~ ~onM ±•uv.s~ s~..eo, ' 'n ~tE SifrfR-r~( :nre c~ h e;: c . i,"~ ~-'a-~" • - - - M. ~i' ~S1GN~'Wf ~ a~:.re~ b+•.ne DA~E ~M.?iEG •.:r.~. r.~.~u~ r;.- - ~ , 1 `t :~r# ~'+c * { - - / L ~ ~ :r ~ ! MwNNG • , r+"''~,--i, _ L _ . ~ DL1lfS.S'"( ~j~~ r n ~.r ~n .p~+',~'_ -~4-y_~..-'~ Y ? ~ ~ r~ ~ i ' a ~ ' 3 •~i ~tAb~t ~REw,tiOa ~ „ ~+w~+[ itOUnO?: :n ~a x,.,. S~l-•.~ • ~ . ' Y • ~ . ~ti1 ? r~'~t~ T ~L - - ~itt 1(, ~ f~it a ~ l~ t1lOr'i ~•~:12"i.i.j:i ~N. :'C~L'^iii::Cit ~iA. f v-- ~`r s ~ ~j ~ - - - ~ - - - ~ - - - -~'~L- - . . - - ~+O~RK-~'.-1A~~, ry~ ~aWE55 ~ n~~~e• a~ ~ ~ o ..o .:~r. o~ ~c.. •r•.e r~i lr_~'.Jtki - ~~~Y ; ~:~b ~1 ;~:;~:~e1 .~~~re~ _yve..,t. ~ Nt.ersbur • Bc~.. ,~la. tN pMKTp~ ° -,e,~- 3. t--SK.N tu~[ y ow te ~v .02w~ NL~sr~~a I is, . - ~ ~ 1 - 1''~+.^`~ -i ~ IM - ~ ~ " - ~•.i • . A CERTII~'~~` ~~S~'~_ c.;~~LMBOS5ED SEAL 0~ THE REGISTRAR OF t'LTAL STATISTICS ,.~t_ } . ~ '~?4'~'1 S • . , . .,i'? - k.;. a ' i~: ~ ~ i~~r~'~ ~ . r. . ;.'~~t , .~~:~fiat this is ~ true and correct copy of a certificate .r~: ^,p,~,: fice oE the Locai Registrar of Vital Statistics oi the ~unt~~~_H~alth Departc~ent, St. Petersburg, Florida. `Feb 21, 1974 ~ , Deputy Locat Registrar . ; i . . It . ~ j . fM ~ 4~~K~JC7 PACE ~~s r