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HomeMy WebLinkAbout0101 t / i + STAT~.p FLORIDA - ~ -3`~'43.~5 ~ ~ DEPARTMENT OF ~ o~ a~,« ` Health & Rehabilitative Services ~ ~ - Sara~bta Countr Healdi Dept. P. 0. Box 26~8 Sarasot~, Florida 3~18 ' - ~ State oi Flocida CERTIFICATE OF DEATH > ~ Departcneot of Healtb and Rehabilitati~re Servioes srwTC ~o. v~.rw~. S.~.w~tsr[cs F L O R I D A ~ R[GIiT11A11•f NO / 9~ F :'YPE OR PRINT 3!1 D~AA1t O~ DEAM ~+o«tw, q~, ~tu~ ~ . ROBERT CAl~BELL Hale , June 30, 19?? PERMAHENT BLACK IMK v?CE .wne, .raw.••~~•c... w..», ~Gt-us~ Mw~ ~ a.~ ww~ CwTE p WM ~rwr. w~. fO1NRt O! OEwiN ~.c. ~ wn.. ~ a..r.. ~.~.a ~ .w~ ~.n .aws ~ ~ ~$O 6 ` Hhite ?S s . Dec, 22, 1901 „ Sarasota U1/, /Ow~+~. O~ IOGt~Or~ Or OE/?iN ~+sw cw a.un MOS/~Twl d OMN NSTtM -w?k[ ~r .o~ o. ~..w~. cw~ u~n~ .w .w.w~ ~ i s~ecr. n~ o~ ~.o Yenice h Yes Yenice Hospital S?wTE d~MM ~ r wot w r.u anip+ p ww?t COU~+nr MW1uE~. ME~?E~ MAR~IEO. SiJ~WVNG S1~OIASE ~w ~w, ow~ ~w.~ r~~a ~ rw-~ ~•a..•~. , Missouri • U.S.~. w°O~a°~"e°d"~""~ Nellie Josephine Kniffen ` e..~, e«~.~.. ~~.eo r~u.r iOCW SECUrtf MJ~YE! ~ USWLL OCCWATION ~an a..~ a.aa ww ww~wa .~os~ or RwO p M~SMESS Ot u~DIJSTlt o[iwaes r ~+~Or~i YM. MM r MMM ~ a 3?5-0?-1281 Fox~asn Frank H. Yilson Compatty . ~°~~•w ~ts~otNu-si.r[ cow+tr trtr. tOww, oe iou?np+ ••w. c,...rs sirtn Mw rNw~ea 1 w Florida ~w Sarasota Venice ,w ~~Yes p,,. 62~ N. Tamiami ~ail .ATME._.wnt .w. ~ .w~. un .•oTME._.WOfM N..Nr u.. . . JOHN YILLIS HARY ATTA SUMMEAS ~~~-?M~ - ~u1lwG ADO~[SS ~~~an o~ ~ r.~ wo., cwr o~ w.... M.w. ar~ Nellie J. Cochell „~61? N. Tamiami Tr,, I.ot 92, Venice, Fla., 33595 IAB i_ OEAM 1MAS CAYSEO 1r: 1Ef OWl1 O~~L GIKE IEf 1~! IO~ ~M~OSw w t r W+ ML M. ~ k11 N~rf~w OwMt uy M~~w M wrww twM . ~ ~ w Htia~,i.oc #.i.c L nn ~~o ouN~r~ ne monxh • ' ~ aoaEa ' ~~....o.... M CtERK Ca~CWT CCUaT - ..K..... p n~ - -~t~o UMN CNY VN M ~O, p~f ~ WrYOMK~ O~~ ' ~ } ~ ~ ,r 36 A~ ~ 1~?tT i. OM! t~Gw~fKwM~ tONWT~p+S: co..swan cawr~~w...a ~o M.w. w~ rw w.w~ ~o c.~ c~?.. ~.n . w ~Y1pi~ • rEf •...~.s~ co? ~ ~A1 O~ r01 M01~N ~w M~/~~rNN ~~YY O ~ N~tl~ ~004 Ot vOltEww~ ~~a.n~, ~.s, re•~~ NOW /NlYtf OCCYtfEO 1lrq~ w~NM p~wNn Nr 1~tl ~W Iw w, w~ i ~ 7~ ~ M 1Y ~ IMAJ~t Ill Wl7~R /'~ACE OF Nll~r ~0+~. ~~~r, 1nHt, ~~c+ow, IOC~??ION ~~nu~ o~ ~.r.~. ro.. un o~ w.w. a•w ~ ~ ~MKaA N~ O~ w0~ Ow~fJ rW_.~R- ~MKN~1 i s ~A € C~~KATK~'1~ ~Owwr Ys AY rOM~ Yt TW N Wt Yr ~IwM Y~ Ow ~ M/M ~~~f1~ w~f p~A1M OCCVWO ~t M~4tl. Or y ; /~(yp: 'O ~w~ Mt RY ~O~r aAH M~N. ~wOM~ MM. ~r~, fO 4~ MY r. «a o: S 26 17 ~ n. ! 30 77 r• 6 30 77 ~wd.~.d nl 1: 4 a M~~~~» CE~TI/KAt10M-rEDKAI E=AlMQ~Et Of COlONE~~ w nw ~.NS w r .ow a M.r Mcew.a ~u ~w.w..u~ ~ ~l~r..•>w o~ M~w. .r/o~ wr w~t~nc.~or.. w.~ w.wa., .a.w ~.s vu .o1M N~w 00[YM~~ O~ M MU ~rM Nlf 10 M C~YMM WA~. M M (EfIM~t-~'MME M~! O~ IMMA - NWf/ O~ ~~1Y A S~GI'~O ~O~A. M~,'tY1 J I..~'isher lt.D. a - ~ A1 rs ~ ~~~o"~"am~am~, T~il, Venice;~~or~ f4" ~ M~W. aE/wa~OM. lMO~AI fMEtEw O~ CtEMntOtn-~raraE tOU~Ww c.n o. ~u.~. u.~ f . i ~ ~ ~ GSceioation ~ - ry ~ . Ho~e For ~nerals L o Florida ~ Ow~[ ~ .aww. r.~w.~~ HlMERA? NOME -?inME ~OOt[Sf ~~•«o w~~• ro , cm o~ w..w, f~.n. tr ~ ,r _ ri,. .Home For F~rterals 1 Belcher Rd. Lar o. Fla. vS.'r~t2 . ~ REWS1u~.~.+. tU~[ ~.n ~ree ~ow ~cn~w R.,~. ~ns ~ s ,M Ar~,,.~. -.-~r.ca. s /97y x. ' c, , , , . . i _ ' - ~ ~ ~~-F . 4 . ' a ~ ' ~ ' ~ ~ i!. S - . ' ~ A CERTIFIF.D; COPY,ji~JS`~C ~ARRY~.T}IE EHBOSSED SEAL OF THE REGISTRAR OF VITAL STATISTICS. THIS IS A-' ~FtE~ COPY QF Ar. DEATH RECORD ON FILE • IN THE OFFICE OF THE LOCAL ~ REGISTRAR OY•VYTAL`~STA~YSTI~CS, SARASOTA, FLORIDA. ~ R s . : , - - ' 800K~. P1~G~ 1~ ~ DATE ~ 'S ~ / 9 ~ /O _j~~y.~~ DEPU REGISTRAR • ~ - ~ - - . - - ¢