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HomeMy WebLinkAbout0507 39~183, • C E R T 1 F I E D C U` . . . 1 HERCBY CERI7FY THE COPY REPRODUCED BELOW TO BE A, THE ORIGINAL RECORD ON FlL[ IN THE BUREAU OF VITAL . • FLORIDA, OEPARTMENT- 01~-H![J1LTH AND REHABfL1TATIVE FLORIOA. ~ _ t i ' ~ . INdT VAUO UML[ft TNS S[Aj., Or~Y~~~rt 0/ FLARIDA. O[rARTM[M`~ J. • ssRVicp. u wn~xta. r ~ ' ; • ~ _ . ~ : ~ ~ . a~, q - . - ; - . 6 ~ ~ ~L~t~;' ~11M 1: :~4T . . , , ~ 1TAR tli ' • ' . ' ~ ~ !'t - . . Ot~AAT4~ . • 1• . ~tR1/1C[: . . ~ - , ~ • ' . . . ^ ~,~,J~ . • ' - ~ . - ' State of Florida CERTIFICATE OF DEATH ' j l- 0 7 3 7 0 7 ~ ~ eot oi Health and Rehabilitative Ser~rioe~ srwtc FIL! NO. r vrrAL STATIbT1CS ~AENDEQ ~IAN 1 3~~ O A I D A PA,, L1 - , nL i ~F~pisTRw~~s Ho i[CtnSEO-M~Mt `~n• rwa ~~s~ ~i DAIE O~ DEAM ••o«~., o•r. n•~ ~ NORMAN BAKER : Male October 24 1977 ~.rm. recw. .w.c.r ~M..~, wGE-.•s~ was . nu w~a~ ~ e.. C~?iE Of MtIN ~..ow.. s... ,CO~x+~r O~ ou?rN ifMCM~~ WtwO~r ~ttNf~ ~Of Wq rWAf ~Iw White 64 ,Sept. 8, 1913 Hillsborou h m. Towr+. oe iour~a~. a oESrw ~se~ cn. ~w.n MOSMAt OR OMH NSTrt1R101r- ~ n w. ur~~, w~n ar~. ..o ..ww~ ~ s.ecr. ..s o~ ..o ~ Tampa, Florida No H Veterans Administration Hospital - 1A~E d W1M ~ n ror w y s.. w•r~ CIT12EH Oi wW1T COIR~1tY MAtR1E0. NErER MAtNED. SU~MNCi Sb4lSE ~ u~w. on~ .u~pr wr[ ~ COwwi ~ wDOwEp. WVORCEO ~ YKrn , ~ New York ~ USA » Married Rutt~Abstein .pC1Al SECIMR~ NUWER USUAt OCCINA~ION ~snre awe o~ w!a w.r o~w.~c rw~ o~ 1(1!O Of MlSNESS O~ N~DUS/RY ~ ~pswG ?w. Mw r aMr ~ ~ 507-01-8976 ~L Ph sical Thera ist ~s ~ESIDENCE-Sta~E ~01MaTr CR11. TOMM, Ot IOCATION ws~e~ ca+ ~rnf STlEEI ANO MNM~f~ '.sncn. ns w ro Florida St. Lucie ~w Ft. Pierce Yes ~N 1703 S. 28th Street °~TNER-N~wE nM .uoat us~ MOTMEt-aMtOEN ?~~E nn~ .~ooa~ wT s Unobtainable u Unobtainable IdIOWAMi-NAME ruaflC, wDO~fSS ~fmu w e~•~+o . cm o~ ro.... ».a. :r~ u. Mrs. Ruth Baker Wife ~n P. 0. Box 1227 Ft. Pierce Florida 33450 a 1+~Y ~ ~4 ~ OEwiM wwS GWS[D ~7 ~MrEt OHtr pE C~USE IER tNE fOR le~. 161 I~q ae.~.ew o.it. ,.r a,? ~ ..~eww uwu i•~ ATHEROSCLEROTIC CARDIOVASCULAR DISEASE . . . (ONMIOMf, N ~M, ' rwKw O~nt u!~ t0 1~1 ~r.e«.n c~w~ w, ~w w. o~ . co..s~a+e.ae a u~nw~ nt vr~~ . I pa» c.uu uN ~ kl ~ 'AfT ¦ OTME! SIG++YIC~Ni COr~Wi~O?~S ca.ana.s co.~avh.w ~o wn. w~ .w~ runo ro c.+rse c~n.. •u~ ~ w~ AllIO~S1r ~I ~ES .en ?~re~.cs co~ i . ~'~ff O~•MO~ YOlqO ~w N4~r1wu~6 UuS" p O~~~w ~ w NO ~w i -A~CIOE ~0! A ~~a.n. Y~, ru~ ~ MpW IWUtT OCCUttEO ~ t»n~ •uhM d u.wn ~w nn ~ q?~n o, rtt. y ~ yp~?~p E; O~ NOEitWIMEO ]w ~ M AI ~ • l1~Y AT WORlt ~IACE Of NJU~~•r ~wr. r.u. sran. r~ow+. IOCADON ~ smn w~-r o wo . cm o~ to~M, s~w ~ ~ vwn +~s w.a i owKe wc . ~~c ~ v~cm ~ 7M ~ ~ ~N~TqN_ .~.nw e.. .iu .o~.e~ s.. .w ~y;~n~'~ ~v.~~ nu°~ io'o m w~,n;r ot~~occv~no s.n ..o io~ir~~iee ~ ~r~~ ~ rtr te:u~:.o Oct. 21, 1977 T~~•Oct. 24, 1977 OCt. 24 1977 tN7:S0A M o~`~°w~la e :ERTIFICATION-wiEOK/~l Ex4MINER Ot COROtiEt Ow ~M HS~~ O~ M .~ov~ a• a.~. ~~a.+* ..s rw»w..ces oe.o ~ urwtqM d eR ~Oe~ u0/W ir( sn~SnW*O», w~n Orw~O... rOKtw O~t wOV~ NMM OCCYMlO O~ rM! Wn wu0 WM ~O Mf CuM~l1 S~~MO ~ M. ~ ~ :ERTIf1ER-w~ME ~~•r~ o~ rrwr~ ~G?~ATUfE / ~ wcai o~ ~.eu Q~ S~('.KO ~••o.~,~•, w...~u~ ~ SHARON SIBERT, M.D. . ~ ~ . = ~ r M.D. Oct. 25, 1977 ~ MA? SS-Cf~f~i f+an o~ ~ ~ o c.n W ro+. s r n,r'~`eterans ~~ministration Hospital, 1~3000 North 30th Street, Tampa, ~~orida 3~612 ~ ~URIAt. QEMAiION. lfMOvwt Cflr~EtERr OR GfEMATO~r-NAME IOC~ttOn+ c~n a.e~.. sr.fe ~ VlCN~ ~ ,y Rem-&v~,in..~ N. N~~cne,dZ Alem. ~dr~. F~t. P~.elcce FQon,ida ~ o~TEp~ "2~~~1~~7'~.. s~N :wo -~"u»¢~t"~°~~~ne~ ~t°'~:'?~h"'C~.';"~~':'~Y'.~FlcCe, F~. 3345C------ .r. ~ ~ui, .wi - - -s,cw;?u ~ • aGnr Sc.r.ru~E ` a, n~n~' .ec~s~y~ ~ ~ ~ ~ • 7M /N ~`--r?' ~ ! ~l'.l~ i~.,/ .1 •t ~Y 77 ~ ~ ~ ' ~ ~ ~ ~ ~ ~~R~ ~~~~E 499 _ ~ ~ ~ ~ ~ ~ ~ _ ~ ~ _ - ~ , ~ ~ . ~r~i~ . . ; {