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HomeMy WebLinkAbout0152 CERTIFICATE OF DEATH ~ ~ ~~r~wrluN~~l u~ ~~~.~~1ti wu~~ k~~~.~~~~~~l~h~r `y~nr~ 9lATE i1lE f:0 - - - UI\I~NI\~M FLORIDA ~.~t n~ 1i1Ht W ~,uu.iv.nu...~~.~.. - DfG16iR~B S~:4 •f~MANiMI 11-/II OKl~SlO"r1~f r•~r ~.oou - ~.1~ lf¦ G~~! l.l~h~ ;fl M~~OIOOI 101 ~ irsuuttan ~~9~869 Al.l)F.~f I~ic1.U1tY Itllllhll(~ii'!' it ~Inl~~ .I:inu~irti~ 1'J/h f~C! ..,q ~~r.~.,, •ww....ao•..• •Gl v..r~u ~ ,,..~n ~ o.. O~~F pt ~~~u~ ~OU~Ur r~~ I4~n~ nc ~t.u.., r~~.o..~.u.?~ ~ot t..~ .w . Whitc 72 • _ S~• ~t. ~l, 19~)5 Itrnw~r~l _ _ _1t.______ w _ l_____ . _ ~ _ . _ Clit, IOWN.O~IOCAf10?1 Gy OI~IH f•~~ c~~ ir.q HOS?IUl Of OIN~f Y~SIiIUI~Or~ ~~~a~~ r~-~r ~~a~~ •.o ~ tq(~~• •It o~ «o ~ Pembroke Ptnc~s ,,M Yes Pemhr~~ke Pines ~:en~r~1 tlospit.~1 SIAIE O~ ~1tIN ~u w0~ V f~.~+~rl C111jEN Oi WHAf COUNIt~~ MAf~I(D r~EvtR M~t~~t0. iSU~wrr~ S~OUSE c~n ...~n~~. , cou~r~.~ w~00w'E O~vOfSfO vau.~ _,_.•~.,,d,.~~ , Ca~ada ~ c~~~~ia ~larri~c~ P,~tricia "t:~ude l4in~:ham e~u.we - • - - - - - . ~ _ a•,,, SOC~~I S[CU~~It t+U.us[R USU~I CYCUr~up?~ ~a•.~ .wo o• -o.• oo~~ eu.~»c ..oi~ o. 'tU1D O~ L~JtIyfSS O~ WDVSIR~ !i('~l~~~lO w ~wO\~.wp 11~~. ~.~Y ~I ~1~'~IO 1 ; ~~-s•~~~~~.~~M „ 264-60-3125 Salesman Buildin~; Suprli.•s ~lf~olwCf Qq@ ~DriStWr _ . . tEi10F?~Ct-S~~?E COUwtr ~~lr, TOm~. OtlOC~40~+ ~~+o~ c~.. ~•.,.s SffEET ~HO NUN~l~ e~ »o~ `'~r Florida Rroward Ilollywuc~c~ 1"~~~ 7321 `icArth~ir P:~rktaav ~ iA1NE~-N~ME ~~~f~ rWpl ~~1t MO(Nff-A/I~GFN N~ME ~~~5• •~pp~l ~•f~ . „ Ferris Bookhou[ Ru*h `1cLurv INfORMANI-N~M( M~KaK, app~ESS ,v.er~ o ~.o o. •o.... v..~ r., Fatricia *1. Bin~;ham 7321 `1cArthur P:il"~:S:1V~ Holl~~ood. Flori~fa 33~.' ' r.~r ~ oE~rH w.s uusto ~r ~r~n~ wnr or+[ uvse n~ ~wu ~~e ~nr. ~~ro I ~t ur~n» .~a c•. ~1 c.usi---~ ~ - - - 1~~ ~ ' ~{L~G' 6L t. ~ . , / -L~ 6LI~ : c ~uoVi•~c~ . ~ - -r--- . (OrD~~~0+~1 •r• j 7.I ~ ~I / r 1 . .,s~ ,o f lel ._LS~ ~J i_~ iG_~ ~ " _~C ~t~/ . . r •~ID~~t~ (~yll '0~. O~•~ ~O. O~ ~ (t...1lVU~'r~t W _ _ . . - s~~ItwG ~M! V+O~• - S ~ , ~ ~ lri.~6 C~Vf~ l~lr ~ ---1~ ~ - - /A~1 11 OME~ S~GN~tKANf CONWTIOreS to.+ar~o-.f cow~.~ur~..~ .o o~..~ w~ ror a.•,~o •o c.we s~.r» ~~VIOrSr ~ ~ iS .~.e •..~•r:.s . •1~ C~ r~• t~1~!^ t111~~~`~•~ ~ :I~r~ . . ~~~~t~n ~!t! ~1 I~•eE.+E~rl ~~GiC['+i. SViC~Of O! DA/E ai WlURY ~.pr~w. p~.r, ~1~~~ MOUR • ~MO~M IN1UlT OGCV~~fD •1~'!~ w•~.n O~ -~iu~• ~Y •r , p~ r•~. n..~r • ' ` HGMIC~D(, Ot iNARf~MeN[D ~ cSoec.hl t 1r .M ~ 1'L J Y'e . _ IN~~1 A1 Kptl -~~CE Oi INIURY •r ..;..1. fvnt. ~•Cw~~. lpC~?hON . • t~nP o~ r~ e . c!. p~ ~n.~ ~•••r • ~ s~u~•. .~s o. ..o~ ~o~•~ce ~we . ~•c , s.u,~• , \ 7h ']0~ CE~U~~C~/~0?~ - ..o..~. c.. , .w..» .»o ~.ti• s.. o.. ~ o~o ~c ; , . ~.t) ou•~ oc«~~~tn . - y~ •MiSK~..a: ~0 I .o-... !~oo• ..y o•.•. c~~~ .,.o . 'O ~ rr~..ew r..~ ~ -y ~ itl~ ..,o~,~... 71~ aue.sro I ~ / ~ ~ '1~. ~ 7 ~ 1~~,~ )4 /y r. •o .r u_i~ S r• C KX ED{~l E?~M~. - ~ . 'L'--- t' . - ~ - ~ - - ' - - Cf~IRt •t a-. w ? ~Fa pt CO~~!• ov r.~ ~.ti.s o. n.~ •oo. o. a•~• eece:~•.• •.w.~x~:~c o~•c . . I~~rw~n,7ti M rrf Ktn~ ~~+O~fi~ ~H~It~~•.~~pra. ~r~ r~ p~w~p.., ' , r:w . D~• i~~ l DI~'? OCCVIt1O Ow 'rf D~'1 ~MP DO~ ~O f~US!'lr S~i~10 1 _ 7A ~ N 11~ ~ f CE~TIi~.i_ N4M[ ~nr1 O~ ~~..r, " _ ~S ~NAT~ ~i ~ . ; ~ p~ .s.~ ~ G~l[ S~f.~.r .'.,,-r Larry I._Gilderman, ll. 0.---- ~~~~^~/tL~•~ ~""~~.~-I~~l. ~G(,(,L1:~t~t~•. - ~ . M~NU+G ~CD~ESS -CEn~n[i - - t n„ o Q „ . y ,r lISQ ~riiiversi `I)r Prml~ruE:r Pinrs Floricl;~ 3s~~4 WRI~I. ClfM~?1!QN. tEMOVA~ 'CEM[IFRI Of CRE~M.~TORY--~+~~+E ~ IOC~UON o• •o-•• ~•••e ~ ~ ~ tqUn ~ ( ~ t~~ Entombment Hollywood Memc~rial Gdns. I,~, lloll~wood ~'lorida I/ATE--'_"', rCr~rr D.• •I~~~ fU~JEoAI //OME - NAY( AN~ AI~^o( iS ~ 1'~I~r p w~ 1~~•~ ' i.. Ja 1918 ,ti. FREll liUNTF.R FUI3ERAL tior~r:s, ItiC. .~~3`) i TAI~ ~ ST. ,}{ni.l.l'l:t)~1~, FL~~ - [i I V. S. ~A 11 iUyERA~ hf IO~~S~(~i~UPt C-_ REGfSfR R-c~.`.~t•IUf[ / ~ . ~ ~•q VC tD IOC~t ~lG~)u•~ ~ . r R~~.1910 1w ' r~jll «•,~1~ ~ ~ c.~.- ~ ~ 7 , _ ~ . . _ ~ - , ~ f~';`', . • . ~ ~ - / 4 , . • . : . , ` , ' - - . ~ , i ~ . - : CER~IF11•:1) COPY ~ 7=~hereby certify tlic ahove to be a true and correct c~~y ~f tlie i,~cai Re~istrar's ~ record or~'.file in the Rro*~rard CouRty Ilealth Uepartment at M~rt I,auderdale, Florida. , 's ' ~ . . , ~ -(WarniAg-Not valid unless raised seal of t!e Br~ :~rd ntv i.alth [~~~t. is affixed.) ~ ~ ~ 1-2~;7,8. , - _ County ilealtF~ l1 ficer ancl Local Re~istrar ~ Q~.~GG~'t- /1~.Q ~ J ~ cl,ief eputy I.ocal Regi trar ~ - - - ~ - ~ ~ ~ x ~ ~ ~ ` 3~':869 ~ a~ ~ Rl10 kE~'u~ ~ j Lu~~E COUti~ ~ LA ~ ~ S ~C~'' ^ ~pi "A ~ ~ :r r'^•.,.)t' ~ ' ^ ~ ' 1 aH ~'~F ~ FiECOR~ AN~ RETURN TO: ~ M~r 21 ~ Abrams, Anton, Rotbins, Fe~nick. ~ ~ k { Schneider 8 Mager. P. A. 84CL~Z PA~ 1~ P. O. f3~x C50 - • ~ HpllywcoJ. F~~~~~a ~~C~2 ~ LAW OFFIGES ABRAMS, ANTON, ROBBINS, RESNICK, SCHNEIDER 6 MAGER, P. A., P.O. 80X 650, HOILYWOOD, FLORIDA 33022 3 ~ 3 ~ F - , - ~ ~ ~ ~ ~s ~ ~ ~ . - -