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HomeMy WebLinkAbout0039 a~~.~~ ~ ~'!'A'1"~ O~ ~LORtDA ~ ~ DEPARTMENT OF R~uDin O'U A~kcw, Govsrno~ Health & Rehabilitative Services DlSTRICT ELEVEN DADE COUNTY DEPARTMETvT OF 1350 N.W. 14th ST. PUBLIC HEALTH MIAMI, FLORII)A 33125 I HE~tEHY CERT~~i ~I~S TO BE A TRUS COP'Y OF T~iB LOCaL RDGISTRAR' S RECORD OF DF.t?14i. ~ A r ~ ~I~ii~ts ~~S . • ~ v~ ' • . S ;Rlo~~tlt~ ~tn~e`~ the raised aea~l ~ P~TI'!t RBGIS It 8 ; qt~~ ~a~ tc~1 Vitttl Statistics VIT11I. RSCORD6 UNIT 11 ' ~~~T~iifed-, : MUI~l2, FIARIDA L , - _ C~ _ ~ = ~ 'i.~ , , : y.,.. , -.1,+; . . , , _ s, • stf~bsi~~s.:;:~'~i~~ CERTIFICATE OF DEATH ; partment of Hcaltri alld~~~T~~t~e Sen•ices sr~Te FIL[ r:o - vrt,wL s7•i?T F L O R I D A {~64b~, ~ 1 REGI6TRAq S HO ~ NT O~CtwSEO--NYN - - •~n• ~ •~e~,e , ..u ISft ~Owtf O~ DE~Tn •.c.~. o.., •i.~ ~ ~ ' Ann~ Levi ~ ~r - - ~ J FEMALE ~ MAY_ 1~ .1977 ~ ( ~ACE r'~Nt~. M~6N. ~Y~~~C~N .wC~~•.. • - ~.D ~ ~ - ~~4t~ ~ D~. r~ . ~ Gf .•u ! ~ C~TE Of W~iN .o. o•• ~pyNTV O! Otw1H 7-- ~ - l~( t S~~CY~ 1 ~•l~~D~• ~~f~~1 ~ r01 P~ ) v ~OV~f T ~1~~ i ~ 1 . White 1,, 74 ~ -1----~, riay 25 1902 Dade - CRY, TOWN. O~ IOC~tiQr~ p pf~in -,ti~,c~ [~n ~~r.~f HOSNfAI Of O1HEf NSl12UlION-tJIJML .v ,.o• ~.r~n. a..-,e ~+ae~ :..r ~....~e~ ~ ~ ' sn: .es w .w . : Miami _ _ _ Ycs JACKSON MEMORIAL HOSPITAI ; S1~TE O~ 4RiN : „ ~ . .....~~C~tvllr~ (N .vnw? COV++lllr ~w~Q~~EO. t+EVft w~wRRiEO ~SVRwv~G So'OUSE • .~n c,.~ ca+~~.. , ~ w wEO. tv RCEO vu+.. ~ ~ Germany USA ~,~~tarr~e~ Hubo Levi ~ ~ul SECVait~ ?~~~.DEr Vsuw? OCCVrwT:Oi+ - - • • - - - - c..i awo a• •.a. co~.~ rwe...~ w~r o. , t~NO Or WSwf15 O~ ~NDUSTf+ , ' ~o~.~.~ ne.. ~~,~.~o ~ • ,~-103-12-SQ42 Mayseuse Self Emplo}ed - - - - - r - - - - ~ - - - _ - ~.:f.w cm ....~n ~S(ttEt ~t~0 ?~UM~f~ ~lS~DE?~CE-Sl~tE jCOU?+iv +Cr•Y, iUWr1. 0~ ICY~fION ~s.u... .e~ o~ .w~,i t~4)t 8 ~,N Florida ,N St.Lurie ',4 Ft.Pierce Yes ',u 1323 Ba~~st~ore Dr. , MiMER-w~M[ .:u~ ..,co.~ ~.s~ ~MOTN(~- MA.CIN N~ME ~:a. uv ~s Max Froahlich (Unobtainable) 1?SORKANi-NAME iMALLIHG ~OGRESS ~aun~ o~ o ~c . o0 0• ~o,.... es.r~. +w. Mr. Hu o Levi ,n 1323 Ba shore Drive A t. 8 Ft.I'icrce Florida ?A~i 1 p(AM WAS CAUSEO ~ ;fNTER ON1I pN! C~USf ?E~ l:NE FOI ol. (6!_ A~fC . ( tl ur,.u.. o«wr .w w.a 1, ~rrfouN~C~u1t - _ . E~~a-~~~~ ~/~~,.~rc~~c~uZ A~~ ' 31~,~,.~ ~ : zs~-.~.-o; - - - { ~a~e,,,a».. ~11~' l~ Yi~- ~c~~ /4~'Z`~- ~ ~MK~ O~t~ ~IN t0 ~?I ' V ~ . ' _ _ - ~ _ _ F fr~101~~~C~Yll~O~. ~ OV~ID.O~I.la(Gw110f1~~+C1'G~'"_'.'_"'_'__'". " ?t~t~r0 fw~ YM~1~- . ~ \TIM4 ~~YM 1~~1 ~ ; ; <<? ~'~,~~2,t,~ jCl_C.'~i,77~, _ C~'1 ~Q~~~('~~~2 f~(.~_~ " Z'~t~~_ : ~ ~w~T ¦ OTM[t SKs?+qKw?+i CO~~O~i~OraS ~c~+a+•ws cc.nrws~.w w.~.r. »o~ n..~~o .o..c.~a o~+~.. ~ r... ~ F~- TA~~v Tu YES ~~s re~~cs cpr- i ! s O~ * wo n. een~w..~ra Uvst ~ ! o. o~.~. ~ ~~~??.ww~~~eee~~~111~~~ 1 RtC~O!?r1, fitiZiO! O! w?E ~ w1Uir- ,..o~.. c.., a... -~----T-- ----v~. ! HOW iN/UtY OCCIi~fEO ~ ~~~u .....•a o~ ~..wn r.~~ ~ o~ r.u n~. ~ . O! ut~0[iEt/rttt(O ~ - ' I 7F _M ~ T01 _ . ~ IHJ1l~t AT MfORR hACE Of N1VRr .c.w ~.!r •*~en, .•c+q~. . IOC~f10N ~ . snu~ o~ ~ . o ..o . i.~• ~ trw~. n~ w~o ~ o«K~ nx . ue ~~.ee~.. : o. ~o~~ sr.,i ~ CfRtMKAt~OH- .~o..~. o.. ..~..m n.. ...e w• s... .y....~. .~m o.. ~ o~o'ero ..o, rR~ ot.~M oc!u~aee . . IMt~KuM: ~ rO~.rw . M• ~!4 {00. ~rry~ M~rw ' +ou~ ~ G~r~~r0, ~O ~f MS~ ~ 1RlMM0 1»~ TO na.',.1 J ~ C•/ Y~ l~O'~rUOGt, Pyf ' n~ o~u.seo ~~u. MAY 4 ~977 '~~MAY t 97Z 'ta MAY ~~j ~ g~] n~ D I D t~. 5• 3aP M~o uvua~ u.n~ ~ 1" . 'i._-'__ 1 . _ '_L'_'_._'_.'" i+(~~ . CE~iM1UilON-~MEO~Cwi E1IMUNE~ O~ CCrRpr~E~ u-~ ~.s + o. ~+e ~ o~.+~ :~orcia»~ ..s .~c c.~,»cw e~.o ~L~s+~~q~ W ~M WL~ ~.~Gi W r~N ~•r.•ftrr.~'9.. v~...p.., ~O.~rw o•• .1•~ i N~M OcCyMp D.~ w.1 D~TI ~rM D~Y rG ~.M C~~f~~1~ S'.•t~ IM M y}7~_ M CE~D~tER- ?a~h~f :nn o~ .n..~~ - - - r K= ~i - S.,t+ ea~e~ o+ nq~ o~rE s r+to ,w..*» c.: ,~.i. STEPHEN M. MALLON M D ~~~~r/~~~-_-~~ -_-'~~,w~'~ Mb~ 15 ~ 1g77 - rt~NtNG ADORESS- CERi~1N~- - - ~ - - ~ - ~ - - - +i~et, 2i~ ¦ : ~ =.c, ' Cn w ~~.•e - - . - j ~ ' 2 h AVEN E MIAMI FLORIOA 33t36 ?WIAI, CfflNATION. Rfr~OvAt tCEMFiEtr O~ CREMUiOfY-NwMt t1pCATIQH c.`. c~ w»~ v.•e ~ ~vfUn~ j. _ _ _ _ . _ ~ ~w Remova 1 Beth E1 Memoria 1 Cerietery1~~ St, Luc ie Coun~y._ F~a _ D~tE----- ,.c«... c.. .t~~. ~ {UNI~A: HGME -I~AAK ~D.~ott1 -~nu+ o »c , c•~. o. ro.~ s~.~~~ r.-~ ~ May 16 1977 Van Orsdel horthside 3333 Iv,E. 2 Avern~e Mia,i I'lorida 33137 ~ fUa ,tECTq-y!'vM I R[GIS -,,ir~4!~17[ _I- ~ O~tt ~N r M~[~~'y{ • ~ l»~ - - ' ~ • I. ~ •1~ ~0 7Y ,J~ iy ~ ~ ~ ~ ~ a ~ ~ ~ ~ ~ ~ ~ s~~LUC E COUNT Rfl,j ~ aoceP p~~T~r~ ~ • 'K C; ~;:Uif GC . ~ - , F ~ 30C!(~OJ PALE ~ ~'Pr 11 10 36 pN ~~R ~ ~ ~ 3~~q - _ ~ ~ f ~ t ~ = ~ i ~ ~r ~ ~p~ _ - - > ' ,~,~,d ~ _ :