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Home My WebLink About0789 / ` ~ ~~f KCER ~ !'~,1~3 , ClRCUtt COUR1 S . 4~r7r ~ r. r~f~sD ~Ee 1 9 oj AN'~A CERTIFICATE OF DEATH ' ~~/rAw~rw! ~ ~~~~~I~ ~n. .J..I~~r . fTATE iILE NO. IM~hN1.\~M FLOAIDA ~ MY~~ N w~~• R~t~T • REGI6TRAR ! NO ~ OECE~lEO-?+~wt S[s OwtE pi CfwtH ..c.~», o... .l.~, ~ Nicholas J. MORACE ~~le ,rtarch 2 1976 e~CE •~,•e. ~~c~o. ..~~~c.. ~..D~~•., AGf -~•fr ~•.a~ ~.e.~ u~.o~~ ~ o.• CwfE O? ~UtM . w~..~+. e... COUNtr O/ Otwia r~t ~ v~c.~.. t a~.. ~.e.~~. ~.oa o..~ .ou~~ .w • ~ White ~ M ~ i,, ~~ept. 22, 192~+,. Pinellas (rtr,ipw?a. Ot lOCwuON O~ OEwM ~.w~ c.+? ir.n ?iOSf+iw~ Ot O)?+E! r+St~tUtp?~-w ~a w. ~~~.u c~.~ ~~nu .w ~w~u ~ ~.~cu. .~s o~ »o St. P~te. Y~s Bayfront Hed. Cen. - gut[ d trft?r . u»o. v~,,....~ CIt~ZE?+ Ol ww,r Cax+r~r ru~t~EO. ?+Evt~ rwRiEQ SU~vn~aG S?OUSE ~~n, cn~ ..roe.. ~ , Ma.ss. ~ U.S.A. „10~~~°~`~~~~d „ _ SOCIAI SENfITr ?~JM~E~ USU4l OCCU~AT~ON ~w+~ a».o o. +w~ oa+~ ew~..c ~o's+ a RINO O1 WSWESS OR INOUSft• w~ ~ a «n~r . „ 015-i$-03~ u~c~ance ~ounselor Oakhurst, N.J. School System RES~ofrKE--S1~rE .T COUnir ~rtt, iOW?+. W IOCwT~ ~»+w c~~ ~~.~n St~~ti w?~O rtV~+lEf ~v~c,. o...o~ ,y F1a. Pinellas St. Pete. ~fes 7599 -~Pine Dr. No. iwlM(~-NJiuE• nqr ,upqe ~~p MOTMEf-wu!(1ENN4ME ~~ar ...ep~ W~ . „ Louis Morace Casta.lia Ca.rbonaro IN~O~MANT-NAM[ µ.i?KU~G ~OG~ESS ~s.~~n o~ o..o . o~. w•c.... +~.n. a.~ rtrs. Fortunae Lewis ?599-Orpine Dr. No. St. Pete., ~'la. ?~tT ! pE~iH WAS C~LSED ~[~+1Et patt OH( C~USE ?E~ ~isE Fp~ ~e~. 70). ~ND 1~)1 u~.~e~ o.u• w a- I~ ~ ~r~0•~tf C~Vt~ ~ Closed Head Injury 13 Days , • • N t ~ O COr?~t~Owt. ~r ~~n_ ~w~tw b~~f Nf1 i0 ~rrfeuf! C~Yf! t0~, ~ ~O. M~~ ~ CO~IfOOlK~ O~ ~~~t1MG iM~ YM~~~- a.~ro c.w~ Icl r~Rt p Oi?t[t SK,?rUK+v+t GO~+W7~dvS cw.ano..a ca+~~w,n..w w w.e.~ ~v..w~ a..+w •o u~a~ c~.e.. .~o~ ~u?aS~ V~ES .~e~~ nrs~res c H ostatic Broncho neumonia ~ ~•~i ~e~ne ana.~.o..c c. YP P Yes Yes 1~CCMlNT, S1lICip( O! A E W ~.d.tw. Mr, r1•~ ~ MOW INH1tt OCCUtlED ~ f..~U K•ru~t o~ ~ww~~ ~w r~~f ~ O~ rwn u, ner ~ ~"°tidc. o. ~weTe...~Meo - . at intersection :.o. ' Accident ,wFebruar 18 1976 ~ 8:35A M~l~totorc clist collided wit automob - INNlr At WptR ?IACE O~ MNI~r .r .o.~. •u.. sr~e~s, ..~p., lOCw40N ~ sr~nr o~ a..o . un o~ ro.~. sr.r~ , ~f~lOn hf O~ ~O~ prK~ wOG.~K ~SrKu.~ ,a No Street-Intersection ~a, 34 St. and 14 Ave. So., St. Petersbur , Florid~ CER7u~t~0?+- +a.r~ w. .o..m o., ...o us~ s.,. ...i..~~ ...+r o.. ~ o.eioa w+ n.e ot~iM octw~tD n.~ ~..n, o.. rw?S~uww 1O w~+~• ~o•~ .t.~ ~oo• •~ta q•a ~.o,.t~ o.n. •••o. ro r~ ~ wn~w0~0 iwf O~ r~ awO~1pG tb o~ce.a~o r~o. I J~f !1. 7~~ tr. M ro n.~ t~.v~s. s~' CE~iVK,~T~N-wefDKwl EXNw?+ER OR COtO?+f~ o~. r.~ ~.s.s o~ r.+ ..ova o. a•u~ o~cew.+r w~f r~q.pyM~O D~~O '/t~YW~1~W~ W twf ~CiC~ ~MC/Q~ TM WV~SlK~~~~pN, IM nt O~W~U•.. y ~~0ti1N O~• rOU• or.... «c~.•w o-. o.•e ..o nw ro••n c.~~,+• s•.no : 30 A. M(rn March 2, 1976 ~i S 30 A. , tt. ~ CER?uiER-H~u+f ~n?e o~ n~~u S~C+N tY wa~e~ m+uu fl SE IA~C,NED ~~r+. o~~. v.. John J. Shinner, M.D. ' Medical Examiner ~,,,`farch 3,1976_ - ruywG ~OWESS-fERr~~+Er srn~r o~ un o+ +o..~ ~~.~e - 260 Ulmerton RoRd e t Lar o Florida 33540 [Ui~~l, C~E?ut~prr. RfMO~~t CEME?E~r O~ C~Ew~tO~r-r+~E tOC~tiON c~n c, ro~+ i~.,~ . s+u ~n ~ ~ ,h Removal St. Micha.els Cem. Springfield, Mass. OATE ~ r0~.'.. Wr, ~t.~ f1)NE~A1 MOME-NAMf 1NU ApQ~LSS s+nu w~~ o o. a~. o~ •o+», s..•~, i~r ~ Mar~h 2, 17l~ ~s.~Reese Flineral Home 6767 Seminole, Blvd. Seminole, Fla. 33542 ?Ur+JEW~~i Of RO~-LGNAfU _ ' RI +S~R~~-5~:;~:~r~Rt ~ 1o•r. rtu~•to a. eoe.a ~~a~srs.~ t5~ ` • . ~QrQ't"' . 7a ~ ' I 1N`- 1 ~ l G ' ~ ~ Y - r ' ' - ~•CF.RT! FT F~ GOPY MUST. CARRY `'~j$~ ~ OSSED SEAL OF THE REGISTRAR OF VITAL STATI STI CS . - 1 hereby certi:~~'that this is a true and coTrect copy of a certificate on file in-,C~ie,`o~fice of the Local Registrar of Vital Statistics oC ihe Pine1l~Fs+~o~in`t'y Healch Department, St. Petersburg, Florida. ~ 'J ~ ~ . , March 11, I976 '~.y ~ Deputy Local Registrar r ~ , ' BOOK ~~1, PAGE 7~ . . , - - - - _ . - .,F. . _ _ .