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HomeMy WebLinkAbout0528 i :3`~4195 ~ DEATH CERTIFICATE UF CLAUDIA EVELYN FISCHER ~ CERTIFICATE OF DEATH • (kp~Hwea1 ~1 1 kal~~' ~wd {~e~abilUdMe Cenkw fTAT[ 'ILt NO. .~?~i- ~w•~~~ ~N F L O R t D A r.~ . ~n(. O~ ~~~M ~N r~.~w.wrw•rwn 11[OIiT11A11•• NO I~I~MANINI INK ~E~p_N~ ~m~ .~yK~ a~ ~ i OA OEAiN ~ rowtw, st~~~ S[l lLLM01001 f01 • "'s~'~01~ ~ C~ALIDIA ~.'VF.LYN FIS'~~t ~ Female ~ October 2? 1975 lACE .+.n, »~cw. ~,u~~c~w ~uw, wGE-uf~ wa~ ~ qu ~we~ ~ w~ QAiE Oi ~M1M ~ro~¦w. w~. C01Mf1f d OEATl1 ~K. ~ WCMt~ N~LM~~ ~~Wfl r0[ Yt{ MOYN w1_ tW ~ - ~ White 5? ,June 21 1918 Brevard ~ tml, tOwN. Ot l T A ..~w cn ~rw~ At OR NS - n ra wr enw~~. oert ~wn ur w~w~ ~ ~ntMr•n w ~o Coooa Beach Yes H Canaveral ita2 S1ATE O~ ~~R1M ~ r No~ w~ ru.~ p wFMT COtM~Rr MA1tIMt0. l~vE! AWIIlp SIJ~vNING S~OU6E ~r .~w. ~n .ui~w ~wr ~ M....~. ~ Florida United ~tates 'fai~r~e°~ I.~ouia F'ischer .~e ..ca..• SOpAI SEGYMIr MUWER . VSUAI OCC1!?AiION ~ww a~ w rro~t ~ay ~MrM ~4i~ or aw~ a iusr+ess o~ N+ousm u~tD M OCC V W~ M ~paw0 ~M~, Mr r Mn~ ~ ~ n 264-12-4683 Housswife O~~n Name ' ~ RES~oENCE-sufE coYM~ amr. ToMM. a?ouna+ c.. u... s , ~w F10Y'1dA, ~y B1~EVAI~f.l ~t C•00021 B@SCh ~~wc+. m a~ ~.s a. ~e ~W Yes w 68 West Ba Drive fATMEf-MAMt raN r~a~ ust MO1/Et~MAp(N N4M[ ~rct wM! w~ ~s Claude Jennin B~tis~ ~ Dora. ~el Horne . iwourunr-wu~ wu?awct ~oa~[ss ~,.H. o....,. .w., c~. o..o.~...+.....~ IAUis Fischer 5000 Ooean Beach Blvd-# A-3~-Coooa Beach Fla~'ida ?~ur awm wns cwusta ~r: ~urtra O++tr o~ uusE rN u+t ro~ N! AI. ~ kll M+.n. wa.* .w wu M. N~ Respiratory arrest and shock 3 days ; :'o:;i p n~ Cerebral vascular accident 3 days ~rr~M~tf C~Yf~ ~M. ~ q. « ~ ~ a: . ~t?t1w~ tw~ YM~~F \n~N C~YN U~ft k~ Hypertensive vascular disease years ~~?ft OTNEa S1f3~MKwNi CONORWNS: ca+~w~..f ca~rw~.e ~o ~uw w~.ar ruw~ a c.ae a~ r.n ~ w~ AU~OKT • YES MMNM~~ CO~ 1 ~n~ a~ wo~ weN~ w Mt~arMwe pM: . p ~e~tr tr NO 10 MorK~D4 oa urO~~EwwtO ~~'TM. nu ~ MOw u+lYl~ OCCUHED ~ u~~ w.w~e a~wrrn ~w r.n ~ w~.n N, m.. u ~ ~ 7w ~Ic M. !Y . tNAltll Ai wW~c M/?tE Of Nl1M~t...or. ~.~r, ~nrn. ~Kwn. lOCA110N ~ svw w~.r.~. .a., c~n w~o.u. p•w ~ j IMK~n r~f O~ r0~ pwK~ ~yO..fK. ~M~[rn~ { ~ ~ ~ CEQi1CA~N- ~OMM Mt A~i riOMlr Mt T~Y ~r~ 43f Lrr wr/r~f YM OM 1 N/M MOt ~yr fy OlA/N OCC11rlO q IMf rNC~. O~ M- ~M3K~~M: ~M M~ t~Y MAM_ I~OMI - MA. ~w~. q ~ N~'; Oct . 22, 1975TO„~ Oct . 27 t 197 Oct . 27, 197 ,N_ did not~ n•.10:45~ o~°~+:~ CERT1ilU?TION-MEOKAt EIIAAAM1Et 0110NER: oM r.e a.us o. w~e wo,~ a oe.w~ M~ ~~en+r ru noMOUaew ~w ~YrwUOw M M~00~ uy/W /N ~nNt~O~rOw, w r~ 01~+Wr. / r0'+M Mi ~Ut M01i~ ~lAM OCCWNO d~ Ml Mw ~M ~M ~O ~M C~Yff~tl ft~R~. . !7~ ~1 / M f ~ ~ nHCe-?+~tli111am F. Add' on M D r~ [ ;~~j-'' ~f'i /~'LSp ~ ~ 10 29 ?5~''•w~ ~?..+a ~oo.~s~~.~.nuteman Cau.scxwd s,~" •p ; Cocoa « ach Floric~a 3293~ ~ ~UtlAI. UEM11t10N. ~MOVAI EMETE~If OR CREMATOtI-NMME IOCAi10N t~n w~a... t~~M 1 YKM~ ~ Cranation Platinun Coast Consdt . Brev Ow1E ~.owrw, n.a~ fUNERM NOwtE-?vnµE ~NO ADO~ESf ~ ~~na w~ ro., cm o~ ro~., s*.tt, trr ~ Oct. 30 5 rritt Island F H. P O.Box 136?-Merritt Island Fla. 32952 S. s612 f~Jwt'~ 01?- u~[ 1~2 REG~St ru~E ~~j T o• e~to ~r ~ ~ea~sr • R~v. 1970 -f C iw .r ~ . ~ " w ~J"'r I HEREBY CERTIFY ~iE ABOVE TO BE A TRUE AND OORRECT COPY OF 'IHE RECORD ON FILE IN . ; THE LOCAL REGISTRAR~ S OFFICE IN THE BRE1/ARD COUNTY HEALTH DEPARTMENT. (Mnt valid unless ttie seal of the Brevard County Health Department is affixed.) " ~ FILED ANO RECQRDED ` $T. LUCIE COUMTY FU. ~ ~ ROCEP. ?OifRAS ~ ~r c~r ~,RCUlT C RT - , ~~n~p ~ Local Registrar _ - FE~ z0 10 3~ ~N'7~ 3~41~95 . ` . ; lVOV 3'~ 19TB - - . Date b Seal ~ . f Deputy Regist ar LAW OFFICES WILLES, BITTAN & WILLES J k~ f ' ~~O ~ P. o. eox so9 :~_C~ .~r ~A,~E FORT PIERCE. FLORIDA 93460 ' ~ - - - ~ z 7 ~ ~ „ ' ~ s~.~ . - . x.;ss h ~ ~ , u-.yLn-,-~ Y~`~?^~~