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HomeMy WebLinkAbout0595 ? • / - ' CERTIFIED COPY . ~ 1 MEREBY CERTIFY THE COrY REPRpDUCED BELAW .T'6 BE A TRUE ANO CORRECT COPY OF . TNE ORIGINAL REGORO ~dN ~1. IN f'HE 6UREAU OR VITAt_ STA775T1CS OF THE STATE OF ~ RLORIDA. DEPARTMENT~~~~~~?tiT1~" fN0 RENA811JTATIVE SERVICES. AT JACKSONVII.LE. 1~LORIDA. ~`'R'~~ ~ : ~.~~rrr : . • INOT VALID UN{.[it TN~~L ~~Y'~1~ 'T~ Qr/`LOR~DA. OErAIITMENT. Oi MiALTN ANO RENA9I~.ITATIVE f[IIVIC[f. IS A/TIX~O~I~' ~ . y ~ r ~ f6~ z z~s?~_. ~ , . • ~ W--~ , . • ~ l. q ~ ~ ' . . ..,,n ,?,T.~ - . - ' r:'.. ~i ~ ' O[/'AR7Mt11r O~ M~AITN ANO A[NA~16tTATIK ~ • . i ' Si, ` . ~ . - - 396~~'5 . + . ~ _ - _ ' fTAT! eowr~o oF Nu~TM CERTIFICATE OF DEATi-1 68-0 O O O~ T ¦uaiwu OF VITAL ~rwn~cs F L O$ I D A sTwTE F~LS No. 91RTM NO. REGISTRAR•8 NO. 1. ?LAC[ Oi O~ATN COOE NO. Z- Ys~MI RtsiOCMCt ( ra... ~.a...~ e...~ /!ivt.wnw: Rr~IwM ~y~~ ~l~www~) e. STATE COUMTY ~Mr Alachua - O ~ Florida Brevard i, CITY, TOMN.OR ~OCATqN . t. K KACE Oi DEATM t. C1TY. TOM1N, OR LOtATpw t. K RESiG(!KE INSIOf Cy~T~II UMRSt /tKIDE CITY UMITSt Gainesville YESp~ Mo0 Cocoa resp ~ Nl1YE OF (/Jsot is i~tyitd, ~iss ~htd dba~) f. STREET AODIIESS ~S ~XX~ ~ MpSMTAI OR ~ ~ ~T~T~*~ Veterans Hos ital Kin s Trailer Park #A-15 3. MAM[ OF ~n( Ali:Ilt LoH 04Tf Mo~N M/ Yeo January 9 1968 ~~«p°.t.n JOHN HENRY MANNING ~TN . S. SEX i COi011 OR IIACE ~ MARRIEO ? 14V[R MAR~IfO • OATE Oi ~1ATM . 9 A6E (I~ ~e~rt ~ N~~ t tGt u~D[.12~ MK. / GiaW41 Nwt4 Mw Nwr~ X:w. Male ~ Cauc. ~~Ep~ qyq~~Ep Jan. 2b~ 1925 ~i2 ?O~. USUA~ OCCU~AT~ON (Citt ti~1 oJror! /s~[ 1~. K~A00~ tU51NES50R INOUSTRr 11 ~UTX?L~CE ($I~ft O~ /onl~w leY~[ry) lt C~TIZ[M Of NW: ~~f ' frrta/ wMf ~/+ratiu/ J~/r, RtR ~J rdutll ! Car Mechanic Service Station Florida USA ~ 13. iATMER~S NRME • N' VOTNER-S MAIpEN NAYE , ' E ' Richard Manning Mary Ballrie f t6- SOCIII S[CURITr NO. D. IMiORM41R t tICNATYR[ A[bui 266205942 VA Records, Gainesville, Florida ,~Jy ~ ie. ewusc or ecwn~ ~s.r....rr..~.< y~. r~~ h? c.?. ie?. ~a.~ 1ltiERVAI ~ET1AfECM ~ OAAT L OEA1N wA5 CAlISEO ~r- ONSET AMD MATN - ~MM[DUTE C~VSE Carcinomatosis 1 month ~ ~~*+.+~~*r• ax To ce~ Bronchogenic carcfnoma, left l~~resected._ 6 months ( ~u~~ - - ~ ~Mit [~YI! ~ ~ rhtiy t4 rw4r- OtIE 70 (t) hiq atu fut_ ~ O rART IL OiN[II SKNIi1t1Mi COMWTIQK C01~7UhJItNG TO OGM M 11Di REtwTE016 T~tt 1LfYqul pSGSE C01~DIilOM Gtv[N M fAlli 1(~I . MIAS AUTO?Sr I ~ ?[IIfORMEOt 1IE5~ IA? IA~. t~~ ) ~16. OESCII~lE Iq~ ~MJVR~ OCCURRfO (ER/tr warrr~ eJ ~wjtir~ i~ P~rt ! M PM 1! eJ Ntw il J ~ ~ ACCIOf11T SUICIOE MOMKIDE ' U ? ? ? mc. T~ME OF Hwr MwU~. /Ht. Yt~r ~ ~suer r. a~. 'o m ~ m/. MUU111 OCCURII[O 20t. ILACE Of ~MlU11t (t. i+e ~r dwrl ~o+~[. 20/ CIT~. TONM. OII lOU1TqM COUMTY ~ ST~TE ~ MNN.E AT ~ MOT MI110.E ~ W~. N~Nl. lhlA. ~~tf OII/.. tlt.) MO~K AT MfO11K ~ ` 21. ~~nd~d tM d~ew~ed /rom 11~ 16~67 . to l~ ~ and /ut s~~ ti~ •li~~ on 1~ ~ - + DNtA oee~rr~d ~t ~ 1 A m on rh~ d~t~ ~t~t~d ~bw~; ~nd to ~A~ b~at oI mr Rno+.Ndt~. /~om tM uu~ei ~e~ted. ~ MCMATYR< ([Arptt MWIt) 22~ A004ESS ?2c. OATE S~GMED ; ~c;~p,~~,~~ M.D. VA Aospital, Gainesville, Fla. 1-11-68 ~ MM~LL. pK.Mai~Ow. 230 DATE 2Jt N~rE Oi GErrE7EIlY 011 CR[v~T011~ 23d. IOCAT~OM lCSf/. Mrw. M tat~ffl (b1M~i ~ a~wru p~iJ/1 ~ B~o~va~I` -10-68 Bristol Cemetery Bristol Florida ~ ~ u. ~T . ADOIIESS 'ZS_ OAT~ At l ~l UEG. 26. ItE6KTMR'S NATUIIE , ~ li - oma 4 N. Main, Gainesvi le 1~~'/ ~ ~ _ ~ ~ ~ ~0 AND RECOAOED ~ 3~51~'S ~4, wc~E couNT,r f«- ~ aocEa Poita.s ~.T f ~K CI-iCUIT C ~ , - iiEO ~ ° R?.,~ ~~4 M~p a 2 4U PH s $o~ _ - - - ~ . _ - . s _ _ . . ~