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HomeMy WebLinkAbout0423 ~8~3s _ ~ . ~ ~ . . . . . . ~ stat~ or Ftorida CERTIFICATE OF DEATH ` D~parturat oi H~vth aad Rehabilitatiw S~r~rio~s F L O 1R I D 1l RAT[ n~.s No. ( V1TAL STATISTIC8 ~caiaT~~~•s ?+o ~ . TvPE OR MINT ~ ~'~f• ~~NI SEl oA O~ OfA N ••o~r~. .N. ~ ~ iN ~ Jean przen?elevski , Fe~na~e , Au ust 13th 19?? PERMANENT 8U?CK lNK ~•'~'n. wo.o...euc.n w..N, ~GC-..u ~we. . c~~! a wm+ ~.o~a.. Co1NAr a ow~~N ~x. ~ «~w»62 cw~~ .oa ~ow~ "ugust Z5,1914 BTOWArd . s. s~ .A 1(-/~ ! . TOwN. t A .~~w cw ~w~n Al O~ W - ~w ¦w ~ uar~, an t~rn .M wru~ ~ tNC+. M/ o~ ~o Pom ano Beach ,.No N North Broward Hospital ~ ~ fU1! Of MRM ~ r wo+ w ~.s N•++ W wNAi C011N?!~ rW~l[D. NEvE~ ~WMEO. UtvNNG S~OIlSE ~r .w. ow~ r.w~. r.w ~ Y3VY M..aK. , NeW Jersey ~ U.S.A. -»°O~ucr°NO~~ec~`~~ „ Adolph J. Pr~~aelevski socw securr. ~a~wi~ uw~u occur•r~+ ~a....w w.o...ow w.»K .ow a Rrw a wsrress o~ wousmr r «.r ~.~o...o .w..N» » tln... ~ ;,~o~.«+ „ 135-03-9717 B ~y. House~rife ' „ own Home .~M...~c..uo. r~~.. c.n u... sn~E •~»'o'+• ~Sp[NCE-STAtE COIINir C11Y.10'MA~. C~ LOCA1fOM L~~ Florida Brov?azd Fa7ckland ~w~~es 8989 N.W. 70th. Couzt ~ 1M ~ iM I4 IN y IM ~ /AT/~!-IiAME rrM rM~f Wt MOil~!-M4blN NAMI ~ru ~ v ~s 5tanley Orzynski Nichalena lculikor~rski , ~ ~I~MOAAIAM-N~MiE ruRNC AOWESS ~~wa w•.~.~. .w.. cs, w w.r. ~•w. ir~ ~ Adolph J. Prz~eleWSki „~8989 N.W. 70th. Court,Parkland, Fla. 33067 ~ rnit? awn+ wns cws[~ nr: ~u+ret o~ r at aust ~t~ ir+r ~ot ~.J. w1. ~ kA wi .e« o.a...w M ' ~ ~ ' ~ Acute Coronary Lisufficiencq S ~ ~ p Arteriosclerotic Heart Disease IrWN~1~ C?Yf! IM. a„~ a: •~.nM~ rw ~w~~ ~~w cwrw us~ kl .~?~tt N. OtNtt siG++iriGwt CoNOrtwNS: ca.rrws cor..,,~.o a w~r «n.w~ run. a c..,e o~w. wurdsr • rts r~f~ MMNMGf COM• ~ t'~11 O~ MO/ p N~tM NttWUwN CMIM " ~ . No MO~u00fa Ot YW~TtM~OlO ~+w~a. r~, n~~? MOw IN1Yl~ OCCYR~EO ~ ~ww~ w~w a~wn ~r ru~ ~ a~.u r, ap u~ O ~ ~ ~ M. 1M uWt~ AT w~OVC ~u~[E Of ~+J11tV u nwt. sa~n. ~.c+o~.. ?OCw110N ~ a.un w•...~. .a.. cm w ro.a. s~.n ~ k 1 ~NO~~ 1if O~ MOI OMK~ r6.. ~R. 1!/KI/~ 1 ~ ~ J 7h. 7M ~A \ CHT/KATION- ra+r ~w now~ w. .w w~ u~. s..e wrr.x rurw oN . Mlae w+.~. wr oewtn otcwuo w~ w.c~. o.. ~r ?MtiKw+: Tp .a+s ws: ' w ~wr .m~ M•w i.ow~ a r: w~t~~r.i.iw ~ •~{.NN ~we t?a ate•w~ wo. tH !a 7N !b M. ~o wy cwaa~ w~a. s CNZ1?KwiqN-~rEWGI EiMrrrE! O~ CO~ONE~ a+ ny us~s a wr ww a a.a~ ~~u Ncea.n .a r.owou.cee a.o a ° 5: 43 A~. August *13th 1977 ~ ~`i: 43 A. ~ r w.~w oawr~ a. .~e ~.w .w~ we a~w c.a~a? sr•we ~~-lMME ~flp O~ Np+n e ~ ~ a~ r.w A ~.~OrM. M~. ~lu~ Abdullah Fatteh, MD '~ner ~ ~,Au ust 13 19?? ~ '~""GAOO"~-°"""" 5301 SW 31st Avenue`~ Fort I;au e cfiale Flo~'t'da 33312 N1~1A1. ClEMAZION. ~MO~AI . OR C~EMATOR~?-HI~Mf ~OCAl10N c.n a w.rr f~.a , ~"`~Removal ~oly Cross Cem~etery ,w North Arlinqton, Nev Jersey OwiE ~rw~M. w.. n.~ ~ fuNEULL MOME-H~ME AND ~ODRESS ~ s~nu o~ ~.r e..o . cK. w ro.... ir.~~. n~ ~ ~ August 14,1977 „~Kalis Fun~ral Home 2505 N. Dixie Hwy. Ft.Lauderdale,Fla. 33305 ~ owa eec eo n~ocu aasru~ ' f vs.~ists f~ - ,~JU:.?.~~J i.'.. ~ • ~ ~i. : /~l %i , R.r. ~ns r. ' . • ' . . . . r . . ~ . . . . . , . _ ~ - ' . ~ . ~ . : i~ r~~=:~'~•':;~,~. t CERTI,_ F~ED GOPY ~ ti,. ~ , r . ; ~ . ~ I. .~i+eic~b~ `c~rti~y, the abova to be a true and correct copy of the Local Registrar's record on file ia~the Browerd County Health pepartment at Fort Lauderdale~ Florida. ~ • . :r (~Tarniug-Not velid unlesa raieed seal of ~ Bra+~a~rd County Health D~ept. is affixed.) ~ •-i' - - _ , ~ . ~ l ~ ~ V ~ s-~~-~5~~_ _ ; ~ ~ - - ' County Health Offi r aad Local Registrar ~ ' ' ' ~ . ~ . ~.~GZ~ ~ ! i ~ . ~ ~ Y ~ Deputy I.o al Registrar ~ _ ~ i ~ ~ ~ - - - - - - - - _ . _ _ : - . - ~ ~ ~ ; ~ A ~ j t • ~i ~,~w oFCices ~~LfO AMD ttECOR0f0 it. LUCiE COUNTY FLA. ~ ~ ROCER POITA4S - vocEUf, ^.~f.F.K CtRCU1tC0URi ~ GALLA6HER ' ` ' ' t(~`(, ~ B~a~K ~ OcT 1~1 12 32 P' T , , MZ , ~ v. 0. ~Oi H~0 ~ ,EaC BERCH, ~1ON10A n~ ! 329iD ~ a7~v G '¢z~ - ~ ~ Bpp~ ~ ~~4~38 ~