Loading...
HomeMy WebLinkAbout0967 Y-~ , ~ ~ " ~ ~ - ~ ~ 4041~4 ~ i f NIL.I.SC]OEZOUGI i~.OUNTY' f1i:A1..TH VL=PAfl~f MI~N'r - ~ 110~ E. k[MMEOY I1110.~ , ?.0. ~ON` 17~1 TEtt1NONE -P~~--~aFf- . TAMPA. RL.OFiIOA ~3001 ' Z7Z-6~90 ~ ~r ~ CERTIFICATE OF DEATH n~~re~~ oc ~.~u~.pa a~.auac~.~ s...ioe. ~ L O a I D A ~,rwT~ No. p _ V1TAi.8TATI8TIC8 ~coisTw~~•s No ~t~(~JQ PRINT ASlO- •Nf• wM~ • ~ W?T! Ot Ot4TM ~ rowr~, r!w ~ VENT ' Harold W. Miller ale ~ February 17, 1977 INK ~AQ w~w, M~q. wMC~+ ww». AGt-~•u v~e~ v~~ CA/E OI ~M1M ~.aMr. M~, COIINtt d OtATN ~ «.~phi te ~75~~ •o. ~ ~ w • •Ma 4,1901 ' „Hillsborou h ~ j,0~ ~t,tiSM~M. Oi t A ..Mw cw ~wrM At q MS - ~r Ma ww saw~ .w rr.M~ ~ Wtrt p~ O~ MO w Tam a ti Yee N Tampa General Nospital . uwn a ww+. r rw w M..i tN d w1Mt C011NI~r rutrEO. MEvE~ ~+nM[p. ~ StAVroMG S'OUi[i+ ~w~ o..~ ~ N.~. , New York`°~~ , USA ~"°~a°~~""`~" Helen Frick • » wiv iOCUt 3KU~119 MMMER USYA~ OCCYIi1T~ON ~Ont w Or rOn ~OM ~Mw~ rOM p IvO OI MKl~tSS O~ M011fIRr ~ rO1aM ~MI. Mw w N~M ~ q~ ,p9S 01 7~17 „ Enqineer „ Construction IIES~OENCl~StAR . C011~A1f ~ 011~. tOwM, OR 1OG110M ~»w~ cw u.q ft~Et1 ~ ,~lorida uillsborou Ruskin "M`"' g,., ,N no ~S. R. 674 ~ 18th. St. SE ~wtMte_~M[ ww w~w~ w~ MOiMN-wuOt~I wul[ .ru .ww~ us. ' Tone ~Miller N Mable Crawford ~1~M~O~MANT-r+AME MI?as~G AOD~Eti ~u~ne a~.r.~. .a.; un a w.~+. a•w. ~r~ ~~R „~Mrs. Helen Miller .~t.l;Box 185D, Ruskin, Florida~33570 ~ ~tt ou?~ wws twseo n, ~ ~eau awr at wu~ rp ~~t ro~ ' Nl 1?1 wO k~ o.wn .w ~e.~e ~ I' ' . . ~ ~,'t' r', r - . ' l .~r/„ ' ~ . ~ ~w~iti~~i~! a~ ti M . ~ NtYMwM t~1rM ~M. ~M f0. O~ N• Oh - . paU~N TN 1rwN~ ' . ~hM t~MM 111M ' . ~ MRI A. OfIK# ~lrICAN1 ~fl10N:: tOnM~04 tOMMMy /0 ~Yw M wp !WM 10 trN aMr r tin ~ N1 Mfldir r rts .n.. N.«.•. co~ /I . r.._ C . ~ ~~N OLM¢( M ~~MTwlr MM~i t~M! ~v~r q ~.a+wi. w. ~w ~ MOw IMJ{M~ OCCYMlO ~ ww~ .r~w a wnwe w. r,tl i e~ ~.w M, w. ~ fw A?. f11. . IN~Y AT YMO~R •t ~o~f. stMr, ~K~pp. lOCA110N ~ qNn M~.~,. Mo.. Cq~ M q~r. W~1 ~ ~Mww w~ e~ ~e~ ww.,n~c. uwcr+r~ ~1. 11~ CE~CAT~i- rOnMl Mt ~ ~W W . rW M~ MN Mr ~/~M YM Ow ~ A'1N~ ~ A~ ~R ~lATN OOqlrt~ Y M A~Ll. O+ M M1T3KMM: ~ ~Mw Mt ~W ~OM ~NM MM~. ~~OM? Mq. rr r0 M Mft '.:«.M:'..~ 8 ~ 4 76 ~ ~ ? 7 7 ~ T " . ~ / i : ~ ,Mt2.35$.~..~~.~..... j tEfTIF1Gfl0~1-r~EDKAt Ef~AlrwEt : a.. ~ wn w w ~ a M.ir r«~ ~ece~aw w~w~onrc» ~w ~ ~i furwMOw p 1M ~M/O~ ~~wfM10~1~DM. w r~ O~~wO~~. ~ rO~M11 ~ M~ ~~Y ~ ~ OOC,~rM.O» M W M M q M C~Mt41 Y~~. . . . . - ~ . . - ~ CERfIf1[t-NAMf ~ew o~ ~p m ~ - t • ' ~ rwt ~rww~. w~r~ { ~7i !a. ~i , /G".- ---I,~ / l_. - ~ ' ~ . ~ ~`ca~ Center Box 19 1'~0`~ ~30th t. Tamp Fl or~da 3"~612 - ~ ~ a~~w?nw~, ~.wvmi w c~u?tow-w~ o. .o..~ ,..w ,N Cremation Aalmetto Cremator~ A,almetto Florida = Ow li~ri.snw. ww~ ~iN~E~AI ?Wr~E-Nru~[ ~NO ADOAtii ~ ~n~n a~ ~.r.~. Mo.. cwv o~ ro.+., v~a. :n ~ ~ F 21 i9.77 ers & Shannon 30 .Col e eAve.Ruskin Florida33~70 ~ ~s ~ z ru~r .t..iC n,~ ~ ,s~... +/7S , . ~ I HERBBY CBRTIFY TE~ ABONE TO BE A TRUS AI~1D CORRECT COPY : _ i," ~dF THB i.0(IAL RECISTRAR' 3 RSCORD ON FILB IN 1`NE NIL1.S8(?R~fUCN j;` CQ1N1'Y HEALTlI DEPAR'IMEt~tT AT TAMPA~ FL(IRIDA. (WARNING: NO? ' j~~'~'{~ VALID UNLEBS ~AISED S 1'HE pILLSD0~tA1Al CAINTY HEALTH :~s ~i+Y'Rt s ? ~ ~ a • . . 4 . : 3 t ~~J f~ ' _ T~ - ~,../'x~. M Zi i ~ . . 1 r~1 i~' ° z ~ ~ ~ , ~ 4 • .J ~r -F'f r~ ~ J' ~ts'. _ ~..i ~ ~ _ . 1. • ~ • , _ .r . . - J . Neill, N.D. ~ M.P.H., Director ~ C n Ae~ltb Offie~t 6 Loc~l Resi~ts~t K - y~~~=: _ ~ . • . , ; : ~ .z~t.;<_-~ , , , . _ : i ~ o~'~ ' s t~ "?'t-'C+~ ~ f ~EB 2 21977 3'iwr~ aoa - ~ , ~PP ~p~ ~t.crsr ~ - - - ~ ~ ~ D~t4 . ! i • . . ' ~ . . 4041.~4 a~ppC R pp1~71~US LA. ~ ~'Q~ ~ ~ CLERK CiRCU1T COU ~irV YEpIfiE~ ~ . - N~ i9.~ 8 S9 aH~~s ~:n~ ~r~ _ - - , - - - 4.~:-~ _ ~ Y~ - ;4.~~4