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HomeMy WebLinkAbout0403 0 ~ • ti~a~~~~ uf Ft~~ridn CERTIFICATE OF' t~EATH l/~ 1~•pnrl~a~•iil ~~f 11~•aUb nud It~•I~Hhilit+~livo tiorvirn~ sr~Tt n~c No , VI'1'~~ 1. ti I•A'1•iti 1•N F L O A 1 D A n~ ~ icTN~p ~ No tYPE,UIii'Nllr) WCIA~[p HAMf , rw.r Slt UAq ~N (Nwtu . ~N Philip W S~agren , male , February 27 1977 VEHi~11ANENi . _ _ . _ _ _ _ _ ' eIACK INK fACE ~M~N. w~4h~. ~~HIS~M ~~w.w. AG! ~.t~ ++~+'n ~ u~ u.ef~ ~ Nr L`wl~ (N ~ItfN ~w..w s... ~p~tr M Ot~n~ ~K ~ Nf(q~ ~ M~n~po ~~1~~{ ~ b1 N~~ ww~1 w~ ~la~ 1 Ikc !4 1906 Brawnrd ~ wl~ i C e ~w 7 ~w _l _ _ ~ - I _ ~ _ - CITY. 1OMM. O~ IOCAl1ON OI OiA1M ~~»f tw~ ~~u1.. NOSFlTAI Oi 0111[R NSIITUIqN-~w~ w ~nw~, o~q VM~~ .w .~wa~ ~ . . 1ptM~ r~f W r0 . ~ ~ Pompano Beach yes Colonial Palms Nursing Home ~ SMTE O~ 4~M I M MO~ ~M Y~~. M~YI CITRfN p W?411 COUNIW i MAR4E~, N[y[R ?U~RIED. SU~VIVl1Cs S~OVSE IM V4~, Oti~ ~uwM ww w~~ ' W~O~M(O.WMQtC ~Wtr~~ ~.~.,....~.K. ~ - I no s ~ u fe ~ ~M.~ - - - - - - ,~.~e M N~w~ SOCIAI S!C'H111r MIWEf USUwI OCC1l~~T~ON ~o~.~ a.+~ o. rwa w..~ w~~w ••os~ w tM1D W lUSwlSS O! o~DUST~r OCCY~N~ r1 ~OMw~6 Wf. i`!M M~~n~H 1 ~~""w~•~^~ 266-76-0082 ~ County Director Public Schools .~va»~..~.o.~ - - - •e"'~~~ ~ESIOENCE-S?~II GOIlN1t M~. TOwN. OR lOCw1Wa ww~ t.n ~~rin S1~E[1 ~~HUr~Ef-- ~ srau. .H O~ r0 Florida ,N Broward Pompano $each yes . 14 521 N Riverside Drive ~ tA1ME!-Ne1ME na• ..~eou ~.s~ ~ ~rOtMER-~vuOM Nurf w~~ ~ r~oa~ u?• ,s (Unobtainab-le) Martha Lagerstrom 1 T-wM~E ' w?~lrK, w00RlSS u.~~n o~ ~~e .w. cn. w.o.~, sua. tr~ ,h Mrs Victoria Seagren Apt 307, 521 N. Riverside Dr, Pompano Beach,Fl: ~ r~ut ~ ot~tN wws c~us[o ~r: - ~[?+rr~ ax. at c~ust in+c rai a~. nt •w r. • ; p n~.~x. o..s~~ ...e s~. ~t ~ u i NI . ~ ~ co.w~o~• u •N. • 1 ' .w~er a~~i ~ae ~o (N . ~ ~ ~~r~~t~tt (~Vf~ ~M. - - ~ f~~11M0 t~~ YMN~- h1~ W. O~ ~1 ~(OwffOlM~at1 M: ~nM (~VN lNt . F ~t! ?Atf OiME~ SKiN~KnNT COriW1~S conano..s cawwawc w w.~r ~a .w~ na~~e ~o cws~ www ~u~ ~ ro~ • AUtO~S~ 1/ tEi /W~W4{ (1 3 . ~ ~.es w •.o~ wwm ~M N~u.•~~»e e•v ~ ~ no ~ .e.~» t , ~jACC10ENt. SYI~~ ~ A W ~ rOMrw. Mt, r~~~~ NOW INIUlI OCGUt~ED ~ I~+r1~ wWM M rwwtt ~M ~~~t ~ M?~ w, M~ s~ ~ O~ 1/OEI[tWNlO ~ A 1w IM~ M ZY . INJWt A1 wO~R 1lwCE Of u+~uRr wr. ?~ae•. ~.nw+. tOC~nO~+ ~ fnu~ w~~•.ro . un w~o.w. u.n ~ ~ wc.n .~s w .w ~ ow~ce ~oc . uc ~ snun ~ i ~ ~ ~ . CE~iIfKAT~0r1- ..o.n~ w~ ra.w~ w. .w u~¦ s.vr wr.r«n uM o.. . ao~ao w~ .N. ~e ot~rN Oet~yRO a.~ ?uc~. o~. s~ tNtf1CNN: t~ ~ +O~+M O~t nu ~ MO~ • • w~ ~.py~. A o.n. ••o. ro nr - q ! T~ M a~ ~.~O.nfOW. ~ 7 y: ~5 w? ~o wN cws~~s~ s~.... . ~ fN aa s~ie~w 1~' /~~~7 n~ 2 2 ~ - ~ ~ n. Z-- 7 tq /L!~`~ t~~ CERT~IC!?110N-MEO~C~I Et~Mnrf~ OR CORONER a. .w s.s~s w ~r row a~.~ ~N~ ~ec~a.n .•s .w~oa.ue e~`e \t~rlw~~qr W M qO~ ~MO/M twf rn/l~~f.~~p», M~ w O~NMw. ~ rOMM M~ r1~• wOU~ ' W~M OCCYWO Oti W O~d ~NO RM b~M C~VMISI f7~p0 . ~ ~ rn - ` CERTNIE~-N~E ~ry•i w nwn - - S~~TUlE u~i o~ ~m~ -Tbw~( S~G?+EO ~•w,r. o•.. ~w~ ~ ' Ccobert S Borin :s __~~i~ Mar 1 _1977 ~ n~~~5^cf•~~~ Suite- 102 s2323 ~N E 26_ Ave . ~Pom ano~ach Florida 330~~ ~ aUMAI. CRfMAT1pN. REMOVAI ~ EME1ElY OR C~EMAiORY-H~Mf - IOCATION an o~ qr.n S~.r~ ~ sreewr ~ Burial Woodlawn Park Cemerery ' Miami ° Florida ; ; ~ "j DA1E- - ..Ow~w. 0~~. ~ " s' fUNElA1 HOM1E NAlN[ ANO ADO~iSS ~ s~n~. oi r.~ o .•o c•i. o~ ~o~... tr..~ +~r - rch 1 1977 Van Orsdel C G Mortuary 4600 SW 8 St Coral Gables F~la 33134 v.5. ~612 ~wet ECtOR--S~c,~+~tu+et tEG~StR~e_ •rutt,i ~ ( o.n ruureo n~ocu e~~n~~.• ~ Rev. 7l76 ~ ~ ~ ~ ' - ~ ll l f 1: : ~ ~ ' ~ i I~ .S~ ,~'v ~r•~~,~(~!/A~~~T'~~i~'~.~'4.L~'~%_i;;.4•.'~,-L~ ` ~il+~i^ p ;<J.l s~~~y~ ~i.:Ih- ~ , ~l ~ ~..L~'~~ .4• l~u. rst V`~•. ~ '"~f'i0RlRD ~ -'~!ClICt RECOR'06yS00 ` ! . . . a.: _,r:' + ` . _ ~ ~ Bk~w~ko courri. fiLRtDd , . „srY . . Y .s,s`=~ r~' . , ~ L. ~ HES?ER ; ' ` .y'~~ ~ ' Gl:lt l'l t'I I:It t:~~l'Y - ; QOuMilr At~a~t:;u?+~toY N - t`''; 'tg. 0 i~ . y:r _ ~ ~ ~ Q~ - . .E: - i ~t ~Y~~ z~~,~ . _ ' 1 I~~r~~lty:c~•t;L' yx. l~r. nl~~~iqs I.~i 1•~ ~ l'ruc nrnl i•~:rr~•rl~ nt -~I~c L~~r:~l lir~;i.^•trnr'r~ ~ rccord ~0~-'.1,~~'~~~~'+~l!~:-IStc~r:tcd Co~utCy Ilcnlll~ i)cp.~cCn~~iC al' t'orl- L•udcrd~tile~ hl~ridu. D. . ~ : ~1_: LRti?~fti~lt~=•~ (Wn~nln~,~_!~u'avatid u~~lcod:'rn,ieeJ ecnl of tl~e Itroward Coun~:y Ilcrl~l~ I)epe. lo uttixeJ.} G,. ~ . ~ f: / GJ ~t•,t.t•. • , .~•~j~%~~"V"~~r~ f !i~-~_[.J ~ - - . 7~~ ' ~~(7.{ ( ~ ~ " Z~ 3-2-77 . ` . ~v~~~ -if~~,i~~; rrr~~~C nn oca cc~;iaCrar . - . /J ,/f . . ~ t~~~t- G ~4 ~ _ ~ ~eputy. T ~cu cbie~~ar ~ _ _ ~ ~ ~ ~ ~ ~r -y~~ - _ ~ .-~:y~. i„~!.,~. ~ . ~ ~ : . s ` ~-~~~~~"1'„r' : .e~, . _ , • f~~{'",~ ~ . .r • R - s . J ~4.'_ t . ii r.i' - -1-- ~ ~ ti rt - ~ ~ FILEO ANO RECOROEO ~ - ST. LU^tE COUNTY Fl t. . " F.Oi,=~ ?01'R4S ~ - • . 'r_r ^,~lIIT~i'J• _ _ ; c ~-t . ~ - ~ R 289 40~ ~ ~oex P~ ~ Juk 10 I 3~ PN'16 ~ :z ~ . 4O'7504 ~ ~ ~ ~ ~ _ ~ s`~`~~,~'"~„~ ~x ~ ; , ~ ~n ~ M°~"' ~~~~~--~.,x,--«x F ~S . ,~~,'~~~-~-~o ~ ~ ~a-~: ~iY .