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HomeMy WebLinkAbout0967 i~ tE0 AMp RECOA p ~ wc~t couMTr ~i~. . • 3'7Z'~'08 CIERKCC RCUIT COURT ~ Qt~`~4^ yERIi~EO .~UL 1~ ~ 02 ~'~t ; 3`72'7U8 's . _ _ _ ~ _ _ - - . . _ _ _ _ . _ .~...r... - ; OCPARTMENT OF R~ubia O'D Ask~v, G~,« - ; Heaith & Rehabilitative Services ~ DlSTR1CT ELEVEN DADE COUNTY DEPARTMENT OF ~ 1330 N.W. 14ch ST. PUBLIC HEALTH MIAM1, FLORIDA 33125 I~~ ~I~ .~S~S 1~0 BE A TR[~ COPY UF T4iS I~OCAL RBGIST~tAR' S I~EOpRD OF DiBJ?1S. ' =',1 t) ~ ~ ' . S W~~~i~'iA ut~l~s ~.the raised aeal PtT1Y R~CiIS R - g o~~O ~tau~;d~+Vital Statistice VI~I. RSCORD6 [7NIT ; _ ~~~t~~~ ' : ' ` MIAMI, FI~URIDA . ~ • L~. , t:~ . - _ . :y a i.3 . ' ' °_..:7 _ ' r„ . • ' " - . ~ ; : ~ . su~ee~Yf~ ~r~d~'. a' i-~ CERTIFtCATE OF DEATH :~~-i~artrnarnnt of Heaith $~l~~sdi~iit~~i~.i~~YtCI•S ~ BTATE FILE no v~~rtiLS'i~~~~i~,s~~~~::. FLOAIDlI ~~~~Jr ~ REGI6TRAq 5 NO i.. -~,1.'vT DECEwSEO--rawwf ~,r:~ S£a .CarE OI Dt~iM •r..~~. o.. - EruT : GERTRUDE~ F. NIRSCN _ Female _~~_March Z977 INK UCf ...n .~nu...~• .....o~... •GE -..S• F..,e~ o~.~~ ~'C~fEJf ~~R~r+,.c«~.... ~~c w~c~n !•...u.. .e..~ - Y - .COUNtr(NGfw!h 1 ..ni o..~ , ww~s ~ 1 ~ ~ ~~thite ~s. bG L ; Ma_y_ ?6. 1912 Dade ~ cm: rowi~ oi io~.,~o.~, o~ oEwt„ ' +K~ .~•~s nOS?iiwl O~ OINf~ NSTITIlIiON-rv4MI , • •,c. ..A ~ j vr,,.r .u d wo . . ~ Miami 8each Yes Miami Neart Institution S1AtE 01 WRM ~ ..o. „ ~ . ~ iC~Titf?a (N +vMAI yNi~l f wu~tt~(O. r+EvE~ ?WR;fD iSVtviJlK: SoOl;St c,.~ rr•u•. ....a : - - - - cow,.• ~ w~00w[O OrvOtCEO s.ur. ~ ' - ~ Germany U.S.A. Ufdoued ' a StX1~4 SEC'JhT~ ?+tr+~8[~ f USV~i OCCV?~ToN ~~.e .wn o. ~ e :~n..o .:.u o~ ~ ~ - - - - ~.a...: . re e.iti ~au+0 O? WSwESS O~ ~rAUSrt~ a~~uo ~r 346-24-3B18 House~ife ~~un Hom9 - !FS!DENtE--Sl~tf - - 7COilN7? - ~ ~ T~IIt. tO~Mo CR :(XwIiO?. - -•~s~w c.n ~~wq 'SllEEf Mi0 Mtlwia~ - - - - ~ - - - ~ ~~ir~c~~. •n or ..o:~ ~a Florida ~t.. ~3ad~ ~"i-~~; P.e~~h `~u Y~s i~.. 80Q U~.~t Ave I~:eK~ ~-v~+.E .~~s~ ..~v~.~ ..i. MOIHE~ ti+~:Ofw H~w~E n~~~ ~~e_.:~ n Gu~tau Isa~c ~nma -'ckha~;s ~ INlOWANi - MAMI : MA i.?~G wG4Rt :S ~ snn• o~ u »o :.n a~r~.+ s•.h f 'E Je.°f t+?-~~h ;,n 627 t;hite ~Jak Lana Park Fcrest ~cuth - Illinoia rw~t ~ lu ` GE~?n+ vrwS UUSlD ~r ;fw?ER Orn r t~t CwUSf ![I lNE !01 ,re~. i6: ~r+D ~c~, ~~r,.~~« orsn .r a.r. i - - - - - - - - - .r+io~.n~ t:ua - - - ~ - ~ = r----~ ~-i- . ~ t : `.t• .rl»r~ ~r~::_~f.' ':t~ /;1Y~~ 1•1 . ' !!l , . . _ _ ~ ' - - _ - . = ~ ecrm ,.r-.:.`ra~..o.~..r~ or- ~ ~ _ ~ co.+mo.s. ..~c« .o aei - - ' 1~~ 1• C.YS~ - . F I ON 1D. tA ~f .(.,~.1~W1?f p - ~tlfly0 Y~O/~- ; ~nM6 f~VM l?{t - - _ . _ . . i ; 1 ~ - _ " _ _ _ ` . . ` - _ .._F _ _ k ~A~i 1N ~ K~i?fli 1 ..[:r.~.~ ~ f- _1-'-'. Es O E S KwNi CO?~D (IOr~S i c.,..•~,~.•...~. ,.i.r. ~ u..•~:. •u . s~ •.~.e.. ~..n .~0 1, uro?sr~~ T K tES .eH •..o~..o~ co~ ~ ~~f W ~O' 1 t~0i~~0 IM [~I~~~~wn1G (~Y11 j ~ M Of~~w . ' 1n. h~t i ~w ~ V f ?CUOIVT. 3UitWf Cf T0~1t OI :~.~:UN ro..•. c.. .e.~~. N(:'J~- _ . . . . . ' . . : '~°V1. ~ .Mf)wr ~NlUf? OCCUi~FG ~ u rvn 4~ :«~:n r.u , o~ r•n n~.. ~ ~ . M u~Otttwn.t0 i ~ - - - - - - - ~ i~ - INA/R~ Ai WOf~ T?uC! C.v :wxM• _ ~ . .:K,~. ---r ~ tMC.n na os ..0. .OUT~Ur~ snnr o~ ~ ~ o »c :~r. o~ !o~w ~~.n w.~n rx. . f•e.•.. ~ ~ ~ 7p ~ ~C ~ CEfTMKATION- ..o...w o.; .e.. J- e., . .•c s.~ r ~r' .i..r e+« : : o~u ..e~ .a~ n.e LN!h OCCr~~tD .r r..~ ry~{~, p„ ?MT3KI~N ? TO ~G•.~w L~r ~1~~ ~00• ~~~l~ Oi~t.. . K::~~ G~A r0 W wM N\' 1 ~I~~MD~C IKf { ~ n. ouuuc .o~ n ~ i`, rVL P o. ..r~.,~w. cw ~ CER1qK~tKX+ -MEO,C~I E~~wr~E~ O~ C; r.E• , ' ~ " _ ~f• - _ 1 ~ M-~..~ . ~snt~ v.•~r >ir_ s u... o~, ecy..~ .v~«fia..c~r e~.e - uuw.e~ o..,y r.c• .»e'c~ ...ef~~~..~, . .u.+r r.. b. ~ ~ - oe•s oc:w~e:. w.~ c.:~ .»t ~w ~a •r ~.,s~ . .•r: . 71~ " w~ 7: s ~ CERTHft-~~~wl •.a S+GNA( ~ ~v ~ : M ~ . . - . u r/ . / Z. ~ - a~.•e~ ea ~ ~ ~D~TE SiC~+EC ~rc•.n. e.: .w~ ~ - r . , ; ~ /~t=~~?{ ~ r --Y . ~'=t.~ , ~~A~•7 ,~s~ _•~.-l y.I~ I` 7 "7 +uKU+G ~OOtE55 - if~r.~~t~ ` sui~ ~ c c~ .u~- 'i ~ ~ r.,r .1~ ~ . /_li . - ,r ~ ; . ~c:/.v, -c~f.-f~ - ~ ~U~IwI. C~fNAf~O~:. i1M(i+~i ~:[MCf~t~ Q~ CiEMA70tr -tiaa~t :CX~*~C;?~ ~ ~o~•. `snn v~t ~n , ~ ~ r.. Eur:al ~h~_~n Gardons Cemetery Ft. t.uu~erCale~ Florida C~iE ...o-.•w. o.• . ~_~nlt~t H~t - ~uMF ~++0 aC,O~fSi ~rn~~ w o .w c~.. w ~o~+. ~~.~e r.r ("~rch 22, 1977 i,,.~iverside P1en~orial Cha e1 192~ Alton Rd. Mian~i 9each, F1a.33339 . !t!+l~Y WtEG1t~-- LGw~tuM - - ` . ~ ~l. t~ • { ~ ~ ~ ~ : I7/1R,•~ ~w• 7 ~~oK z71 ~E ss7 j . _ _ _ _ _ _ r>~~