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HomeMy WebLinkAbout0191 i ; 3862`~4 ~ ~ ~ ~ ~ S T A T E ~ F F l. O R I D A ReuDin O'D. Askew. Gowrna ' ~ ~coT- ~~a~K ~ 9~0 ~Rr Sr 1-~ c~e f q: ~ o T t- / 3AOGK ~9~e ~.Rr S r~,~ ~ c?~ ~ C~ ; Department of Health & Rehabilitative Services ~Ro~P ',q, -Q- ~ D.istrict Seven ~ ` ! : ~ OSCEOLA COUNTY HEALTH DEPARTMENT ` State ot Fiorida CERTIFICATE OF DEATH ; ~ Depattment of Hedth and Reha~ilitative Servicrs F L O A I D A ~TATE r~~c No. _ VITAL STATlST1CS wcc~sT~~w•s No ~ ' # . ~ OtCfw3fD-reM~f •~a• rya~ ~~f~ SEX D~iE OF OEwiN ~ rOMIM~ ~e~~ ~ ~ FE OR PRINT I~ BI~S ~ Female ~ ~Ctp~Y 30~ 1977 • IN ~ ~RMANENT - BLACK iNK uCf .r.N. w4w~..~~K... AGt-..f• w.a~ ~ n.~ wa~ t M. CAT! OI NiItN.~o.nr, Mt, COUM~r W Ot~iM ac v~ ~~~,.o.. ~•a~s~ ws w.~ wws u~ .q~1! • _ 53 _ w •Feb..27 ~1 24 „ osceola cm. ~ow?.,. w ioc.rw?+ a a~i~ ~•.sw~ cw. .r~a MOSM,? OR OT~![t NSTItU110N-N~W[ w~ ~r ~~~~1~. 4M 1tM1~ .w .wu~ ~ Yft q~ p MO ~ ~ Kissi,mmee ~es H Kissi~ee Medica2 Center ` ' s~wu a uan~ ~ w ro~ r ~ s~..~..e C~1~tE~a U~ w?ut COWItr MARtlf6. MEVEt MAtbEO.'~SUfvNNCi S~OUS[ ~.r ~ut. o~n .uo1•. ..~w . cow~n ~ WDOwED OIVO~CEO ~ arKr~ ~ i , Pennsylvania . U. S. A. NMarride John Biros • c~~ ~~a~ soc~iu sec:r~m wrwt~ uwn? o~wi~l~o.+ .w.~ a..o o~ .w. oq.y w~wo ..w~ a [wD O~ MlSV~E15 O~ ~NDUSitr ~ 199-12-8562 » „ u, Sti+itchboard Operator Cit of Kissimmee ~ ~ .,.o.. ~ES~OE~+~E-Si~fE couHr~ Crtr, ioww, oe totwnoN W+~a cw..~.~.s i~~tn .HO ~M e ' L~?. ~M~CNr f!i O~ MO ~ ,y Florida Osceola Kissimmee Yes ~..1213 DElaxare Avenue 11?lflff-NwhH •.p~ ryp~ U.~l MpTME~-Malp[HN~M[ rrs+ .uOO~~ ut• • " „ Ra-7-ph ~r~nkhousen Florence Hartman ~nnOUw?NI-?~uN[ ru4eK, wOG~ESS ~~~an o~ ~ ro .w. cm w w..., s~.n. t+~ John ~iros Sr. ~ ~ ,ti ~ 1213 DelaKare Ave. ~ Kissimmee~ k'lorida 2~~41 ! ?Nl i ot.n~ wws cwus[o ~t ~[NiEf OM~ ONE C~US[ ?Et !M[ /Of h~, (O/. ~v1D (~y ••~w¦~.. ~..,~~.u ~ ~ ur.u~ a.s~~ .ro M..w ~ . W r~IDUN C~~ ' Cardiac arrhythmia . . . a ..uow~ co.sn~o~s. IdioU~ thic cardiom o ath swrCr G~R bf~ ip ~I + Y P Y r~~~~~~~ (~vtt NI, MI~ W. p ~1 ~ (OrflO~h~+(f~d - . - l~~~~MG lw\ YM~~~- - ~~~«O C~vM u!~ (t~ ?~i ~ OTNER S~G+~pK~WI COND1lqtts lp~+O~t.prtf (pN~MY~.MG q q~~w ~y~ rpf KuriY W(~W~ 4MM .u~ ~ N~ wUtO?3• 1I YES .eae ~~»~.res rp+ ~.u o~ ro~ YM~~O IM Nlp~~rwG UVff O~ O~~tw ~w ~w ` 1?.~e?l~j ~CUD[4T. SUKW! O~ A~-~~ ~~O~+w, ~rt, sl~~~ NQW IHIUlti OCCUflfO ~~•n~~ .u~uN W IMlY~~ ~w r•~t ~ M r.t~ u, m~ ~ ~Ur ~OE. W v+DE~ltrwlD ~ ?r ~1 Y 7Y itU~/t1 wl wOtR hwCE Os ~lUt~ u..p.y. s•an. ~.c+on. lOCwt~O?~ ~ s~~eu w~~ o NO .(IT o~ ~o~... sun ~ ~?nc.n n~ w w~ OMK~ wY4 . ~K ~ snc~n ~ 7~ . 7M 7~! ClfiM~U?11pN- .w~w w. n.a .o.r o.. •~u .w us. s.•• .i~.e w ~ ee~o~o ..or aw oe~tw O[cv~ttD ~w~ ruc~. o-+ ry •MfSK1~M~ ' fO ~ ~~1r O~r ~!H ?OOs ~~r~ p~M ~+~pVlr Y~H, ~u0. ~D +M NS~ . .m..we n.~ 71~ e~cus~o ~w. ~J~t !b 7~1 tb w o nu c~ s si.~ - - - CE~iuKwlKr+-MF6~Cwl E:Aiuwtt t~ CO~C~•i-rE! w•.: saa+~ c•~+ r0 M W M~n. / tw~ D~~eq.., ~.a .wra,«c~o e~.o ~i~~w~r0+ d r.K q0• ~uO/0I rN r.ffi~:~r~W.. .r ~s prw4+. - 7: ZVM 1 tw M~ •Ii• . +OV~ ~ W~fw G((NH4 d+ M4 ~M ~1M W tM (~v1l~f~ s~•no ~ i~O i n. t~ ~ tober~~977 ~i M C!t'.Ih[i-N4M[ ~nn o~ ?nwu - ' SU'i~+ Jff ~ ~ rm~ '---~a~1[ S~GNED ~.o.w._ o.. s~u, ».__~~~Q~-~ist~3~.E~--- ~ • ~n 7~-~1-77 wuNNaG 0~ -CI~TpIE~• ~ ~n~n o~ c i~n oi „~Mec~ica~ Examiner s Office 1323 South Orange Avenue Orlando. Florida 32806~~ QE~Tpr~. REw~pvwl ICWETE+r O~l Ctl~MTplY~waM[ i'~p~wt~pNv c~n a~» y...~ ,y ~urial Osceola r1e~c~ Garden~__ _ l:.. ~ i ssim.tl~,~'lnrifla - r O~IE' ..o.,... w. n.~, fUNE~AI MOMf -N4M1 •NO ~DWESS sn~~. o~ ~ r o.ro . c~.. w ro.. a,.n. t~r ~ rrove~; r 19 :,lConrad &'Thompson Ftiinea-aI Hv, k' ,f~ P i C~•l 1`»^GA ~ . ~ =G1? Iw ~O~_ wi - - ~~G~St~~i-S~G~}~rutt~ o.rt nu~vw ~oc•~ ~wnnu ~e. 7/~6 ~ ^ a_ ~ tw --f~c~c. %-,.:%.c"~-? ~?M ~ ~ I NEREDY CERTIFY the ~bove to be a true and correct copy of the death certiticaie as ff3ed in the c~'~~~~ of'th~ ~SrPnla Cnuntv Health Department~ 6D3 L•.+est ~ryan SLreet, Kissimmee,_ Osceola Cou.nty, Florida. !~~Rf,lIP~G: Not valid unless rzised seal ~of the DIUI5I0fi OF UITAL ST~TISTICS, ~ ~~~C~ CO~NTY NEALTH DEPAR7MEN? is=affixed. _ sEa~ ~~,,4 r~ ~ r i~.u-~r.` Geo e. G nt~ M.O. Stephanie K. Freuler Locel Registrar Deputy Registrer - - , _ ~YOpER P4111tt ' s ~i~plc C1RCU~T COU r• - . V~R+i1E0 OEC I 2 a i P~I'1~ 3~+62'~4 e~ ~c Z~ ~