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HomeMy WebLinkAbout0829 ~~623 ~ ~'7 ii~~'~(? . . ~ ~ Palm Beach County Health ~epartment . state o~ Florida CERTIFICATE OF DEATH Department ot Health and Rehabilitali~re Setvices F L O A I D A lTATE s~~s no. _ VITAL STAT13T1C3 QEGIiT11A11•f No TYPE OR PRINT OKEASEO-MAMt ~t•• rwK~ ~ SEri OATE d DEAM •rort», ~e~~~ , i PERMANENT ' ~T~R ~_r (N~IN) CRAMER ~ MALE , JULY 1 1977 't BLACK INK V?CE .wa• waw• •..~NC... ~..~uw, ~GE -~.u wa~ ~ nu w+u ~ s.. CA/E d WM ~..o.~w. w., COIJ?iTr d O~AM f ~K. ~ WcM~ ~ ~ ~NwMa~ ~ q~~f ~ r0f Mq rO~Nf w ~u ~ i ~ WtiITE 72 ~ s~ ~ 10-19-1904 PALM BEACf! t1r. 10WN. O~ LOCATION~M wsw cw ~~wf NOShiAt OR iHN NSt - ~r w~ u. uw~, aen ~w~..w wwe~ ~ Wt~n n! p p0 , i ~o a~ WEST PAUN BEACH h YES ST. MARY'S HOSPITAL STwTE 0~~11 . r wo~ w ~ f~, M~r1 nZEN Or MnuT COUNt~r MARMEO. NEYER MAMI[O. SURVNNG S~OUSE ~ r~.n~. 6M wyeN .rw ~ . f { cow~n ~ wOOWE ~ ~recn ~ ' { , SWITZERLAND , SMITZERLAND N I~A~~ COBRA MAVEY ~.io '»l:e:w~ SOtu'~l SEC.Jetir t+1w~Ie uSW?i OCC1N~ti0N ~cm aw a woaa ~~ww ~.ou a cln0 Or MlSr+ESi Ot wdiSrir ~ 1 OCLVHiO M r+war+a uM, e~nN r Ma~ ~ ~ 6n~ut~0~+. 6M ~ .,y,,,,~. ,,~„r n 076-26-5164,~ , MANAGER IIOTEL _ .o..~uw« r~YN cwr irw~ 3TlEET ~ 1--1 ~ESiDErKE-sr~Tf tOUnn CRr. Tpwn, OR tOUtrON ;C-. r ~fHCw..~s W w0~ . ! ~ FLORIDA PAI1?1 ~$£;ACH WEST PAi1?! BEACN ,N YES ~w 426 54th STREET ' i fATME~-NAM[ ~w~ ~ ri0a~ uft MOT/!R-MAb[N NAMI ~rsr ~MMt us~ „ ARTHUR CRAPtER w MARTHA SEILER IN/OMIUNt-NAME ' - w?lN~i ~OWESS ~~en w~.?.~ ro. cw. w ro~.... v.w. tr~ MRS . COBRA CRA!?tER 426 54th STREET, WEST PAI.1?t BEACH, FLA. ; 33407 ~ otwm wns cw~nto ~w ~crnE~ a+i r a+t u?us[ rc+~ ur+[ ?o~ hl A1 ~v+o an «~.a~ o~,.. w.w 3' N. . • ~ s, ~ ~ ~1t ~y 1~. ~ • J~~I~~C ~J • • COMM?~OM~~ N ~M~. • • ~ t y ~ ~ ~ _ / , ~ e ~ ~ c:~ ~rr~tr o~w nw ~o (N 7 ~ ~ rj t?- ~ ~r.~«~n c~~s~ M. ~w a. o~ •s • w«xow.~n a: ~ ~f~t~M~ t~! YMIM~ ~ _ ~nw~ t~OM up ~ t kl ~ M!~ 11 OIMEt SK3nilCnnT CONOIt10NS: co.+~*o.s ca.rrn.~o w~u~ w~ uo~ run~ w c..se e~wM w~u. ~~a - wYTOK1? 1r ~ES ~ee~ r~w~rss eo.F ~ t 1'~ ~ nf o~ Mo ~ ~ M ~enu~www twk - ~ ~ M ~ I~OIACG~I~t+ ~ ~~fr. Mt, n~~i tlrM~ w~t w wwm n~ ~ut ~ o~ r.n x, nu~ N~ f MOw p~luRr octuetEo c.. ~ , ~ ` • ~ 1N ~ M. 1Y ~ Nul~~ AT WpR /lA[E p NJtIl~,~ wOr. ~•r. sn~n. ~~c~o~?, lOCwflON ~~uen o. ~ r.w .w.. en. o. ro..~. ~•w ~ I MK~R Mi O~ MO ~ ONK! Y~6.. ~K. ~ iMC~t l " ~ ~ ~ • r~ ~ ~~T~~~ rOM~M MT t~Y ~OMA1 Mf W 111y 431 L~Y 11r/MN YM OM 1 M/pC NO~ ~~iM «CYM~p ~t M! ~YKf. OM M ~II~SKYtM: ~ YOnw~ M~ 1!Y W~~ N1N N~Iw ~MOY~~ N7~. ~r~. q M Nf~ , . . t n. •1~ ~ - ~ . T ~.-t ~ ~ r ~ ..~.,~~...r. f~ acu~e~ ~w. s' I L. ~ h c tw7 : ~ .r?. ro wr cwro~ wee_ CNT1iKI?t~Ot~-n~EOKAt ~AMwER OR CORd~ER a+ ~ asn w we w~ p a.e. ~w Mcw~«~ w.~ ho~owcn ~w ~u,r~~wOn p 1r tl0~ a~ W n~ wWShG~npw. w rr O~~rd., rW~w M~ ~!u rW~ F N~M OCCtlrH O» M MN r~0 Wf q ~wf C~Yf~~f~ ft~RO ~ M ~l + nN~ nwn ~ S~GNw sw~e o~ u.~e A E~ i ~w? ~Vr~~~ ~l~~y ~ ~ • M ~ D. ~ MAIt~G ADO~ESS-CEtnfEe ?rnn w ~.r o .w. ~ ~w... a.w _ ~ . ~ WbAI. qEMAT10N. ~fMOYAI WETE~ C~EMAiOh-N~Mf IOCAi10M c~~r o~ ~o... sun ~ ,~swcrr~ ? ? TI~ , Ij o ~e _ CRF~IA'f M~Q~~ _ ~~A~l- HOMLE WNr`~ CNRO-ADORi VRY _ siuo w~ e.a , c LaKw~. s~.n. e~ ~ F- ~ ,y 7-5-1977 n.NORTHMr00D F E L ~ V.S. ~'617 i O~-SiGr+~tWE REGtSt -SiGa~?ueF o~~[ nuweo n iouu nennu . Rw. ~/78 ~ ~ ~ tN ~ S~ 7 ~ ~-^r--~-- - - - ~ --r e~ 'T.^ I . I ` t ~ ' ~ - I HEREBY CERTIFY~ TRUE AND CORRECT COPY OF THE REGISTRAR'S RECORD ON FIL£ IN THIS ~ ~ ~ ~ ~ >a~- (Not valid Palm Beach County Health Department is affixed) • ' ~ . ~ ~ / July 5, 1977 ~ r. - _ - ~ C.L. Brumback, ll.D. _i L~ - Local Registrar ~ - Bureau of Vital Statistics ~ k Hest Palm Beach, Florida ~ " ~ . f ~ ' ~'fi.(.. G(.~(~ V' s~~UC1E COUIIT~Y fiA. ~ Q~~ ROGER PO~Za~S ,,~~p p.;Q ~t~rx UJ ~~F~R c~qcuit couRT ~ ncr^•~'s!c'.RIf1E0 ~ ~ l> 3,,Q,Q. 33 ~U OCj ~ ~ 0 5~~~~ _~1 ~ '.N ~ P. t,lt Of f 2? 3 ~ pAGE 2 6~ ~ B~CN sEC e Q ~oa~ z?'5 n~ 82~ y~. . , ; . . ~ . ~