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HomeMy WebLinkAbout0526 . ~(19519 . etaa ot Fiorid• CERTlFICATE,:OF DEATH D~putm~nt ot H~alth aad itehabllitatiw S~rnioe~ frwT~ ~~~t No. VITAL BTAT13T1CS F L O R I D A p~d~~wAll'• No TYPE OR IRINT !~O-~~ •~~t~ •'N•~ t~tt S(1 _OA/E 01 0lAIN • rOr~~, ~~t, ~1~~ ~ iN , Edna Noble Groves ~ ~'emale , May 23, 1978 PE RMANENT ~ tiLACK INK uCE ~u. a~4q. ~W~K~w ~w~uw, AGt--..N ru~ ~wu ~ e.. _ MTE OI Nt1N ~.o.aw. Mt. CpuNi11 q pIA1N ' ~ uc ~ wcw ~ White a~w.. „~u~~ p~ 1--w.~ .w:~T ~..-1 ~ ~ w 69 w I i ~E~ril 1S, 1909 ~~.Indian River ~ -1 Cltr. IOMM. W IOCAf10N~pEA1M ?w~ an ~u..n ~IIpShlwl Of O1HE! NSi1tU110N-N~uMt~r w0~ ~w w~w~. G~n ftyp ww~a ~ ?..c... .n o~ »o • + , ~ Vero Beach Yes Indian River Memorial Hospftal ~ ~ sr~te a wn~ s~~ ~o~ ~~nti.. a ww?? cou.nr } wu.KO, r+evn ..n..~eo. - swvn.+a srous[~~,. .N~, o~.; .Yw ~ tpwu~, ~ w~pqw O. O~ tClO ~ vur~ ~ ,~„o,,,~, ~ New York ~ USA Wi~~owc~ N/A ~ _.~s: ~~~~.w. - - - - . c~.~w SOC~A'l SlCtWTlf M/w~N~ USUwt OCCWwIqH .a~.~ a..~ o~ ~u.. ou.+~ ~u~~.w ..of~ o~ R1NO Or WSwEiS O~ IwD!!SIl1/ ~Or~w4 ~~M. ~~f U~.~~Y ~ ~ .'`.•~~w~~~~ 046-05-5216 A Cl~rk, rct. Insurance Company ~ .~'.~..~~.~,o.. u . - . - tES~Of?+tE-SIAIt C01N~Tf - - Ulr ~Ow?+. W IOC~T~Oa- - - - c.n .r.m St~fti ~?a0 ?KW [ ' ~ ~ fr~w. r~s w.q ~ , ,N Florida ~t. Lucie 14 E't. Pierce Yes ,w2050 Oleander Blvd. fAtllff--N~Mi ~us~ rKOU ~.f~ MO1NE~-MAWIN NAME ~nsl r~OW~ W~ : rrT~~ James Noble Alice L. Parker . INW~MANt-NAMt MwKwG wDGRtSS ~s~uu o~ Mo . twr p~o.n.. f~.q. ir~ ~hFtose Hill Funeral Home ~~E's0 Flm St., Rocky tlill, Conn. 06067 ~ DEAM WAS UliSEO t~. (tr~ltt Ontr ON[ UuSt ?E~ IINt IOA (o~, ~?q ~a ' N N~+.u.. oMN~ .w w.n " ~-y~„t•!,( (r'lt fit ti~~: ' rimar site-left bre st , • • N~I ~ ~ow.mer. w.n. /"..,.;L 7 7/:-' . ' 'c ~C ~L ~C . r~~tr o~~ ~~N ~d 1~1 _~5~ i~.,,, LG ~ G trr~N~l~ C~Yf~ N1. ~ q. p~ wf ~ COrMO~MK~ M. ~~~IIM~ tU~ YM~l~ . r . \t~M~ C~YN l~{~ ' • I Li c f y" - l i ~t •~l ~ :_t• ~nlt 11 OTNE~ tSK.t~IIK~Mt COND~tIOnS, ca.rwo.n co.w~rw~.w w M.~ w~ ..o~ r w~ ~o c.w~ ~Mw w~.u ~ w A{Rdi~ M 11ES ~u~ nr~~wos ca.~ It~f M«OI YN~f~ Iw Nf~WrwO 4uiM ( 'G l 6 LL~--'6 ~`Gc /,G. 1' C~ ! • ~ Np ~ ~.1 ii~~E~ w OI ~~Owrw. y, qu ~ HOll~ ?Ww INJU~Y OCCY~~EO ~~Mn~ +~wr a~Mwti u~ ~•n ~ o~ r.n N. nu+ u~ ~ ~6l, pt y~O(ttww[O . ~ lw 1h M. ?M IN1Utt AT wORK KwCt O~ ~a~r ...o.r. s.«.~, ~.no... ~oc~np+ ~~ma w~.r wo.. cm o~ ~o.r. s:a~ i ~ua~n u w~ ow.u r~.:.~.c ~wcr.. ~ ~ ~ eenaitwr~oa- .a.~. M• tt~a r0~~~ O?~ q~~ ~+y uft y~ wr/~N~ u~q pM ~ M/Oy r0~ ~~!'A M p~A1M OC~V~1lO ~1 w~~ /~I[~. Ow M ~M~fK1AM: rO~~tw Mt 1!Y ~0~~ ~n~~ N~M 1wo~ ~w0. q AM N~1 . ~~m..N~ tM f0 7~ ~ ~ lb : rj~jp o~ rt u+or~~ou. NM 1 ~ ~ J t~i ~ 3 )1/ t4 `M ~o rw~ ur~a~ ~u~~• 1H NCI~N~ ~q~ Zu / . CE~fYKw1~0i~-rEOK/?t lawiaWl~ O~ COROaE~ o» ~ai.s~i a,w .ow a a•my oeua..~ .p r~u..wnu~ ~~~o ~~urutqi. p tw~ WOt ~w~/O~ ~M ~~•~ft~G~~~. .w r~ O~r~.Or., rW~~w M~ ~0~~ , ~~~Iw Ot(~u~0 d. wN NN ~w~ W~ W Iy Uvf~.f~ auNo !i~ ~ M ' ~ ~ - ~ CE~11/IEl-NAM( ~nM W rwau SKsNAi t~ p~t A ~~+O~~M, .i. ~~.i~ _ _ ~ _ , / ~ / ' . ~v I' , ~ _ • ~ ' ~ Michaela Tovatt~M. D_ r~ 1• ~ _ ' ..~rwc woo.cu-cE.~rK: 2300 ~ Sth'~~ve ~ Vero Beach ~~or~ida 32960 k ~ut~wl. CREw?Tqe~. tEMOv~i f~.EtE~r O~t C~[r+utper- N~Mf IOC~np+ c•n u.o~~ f~.~~ ~ ~ncu. , ; ~wTransportation _ ~&ose Hill Memqrial ~ark___ 1~~ ~cky Hill, Conn. _ ~ Owif ~y~ 1UNk~AI NO/ME ~~~Mt •r~p wp ESS ani ~ m~~ o . u~• o~ ~ r t~?~ ~ May 25;"*~~'I~ Cox-Gifford-Balc~win 195b 20t,~jSt. ,~l~ro Beach, Fla. 329b9 ~ v.s t1et2 eu+EUyfo:~ecto~-~s+~!?u~i - 1~595 rtG~st ~,,:.a~rNre - o.u ~ecn+eo ~..oc.~ ueuu.. € ~n6 rs. `~~'Js. ~[.C.. • i.,~ • ~ ~c.~ii, . ~w May 25, 1978 ; _ . - - - - - - ~ ~ ^ - "T HCREBY CERTIFY TNE ABOVE TO QER CODUTYANEAITHRUi~ITCATYVERO t3EACHCAFIORIDA.'~R'S ~ ;t~.:CORD ON FILE IN 7HE INDIAN RIVE ~ ~ H I S I S NOT VALI D UNI~S :'INE RAI SEO SEAL ~ ' ~ 0~ 7HE INDIAN RIV~l1NTY_ H£Al.TN U~lI7 ounty Hea th Di rector. Regi strar ~ : S AFFIXED. ' • ~ . . ~ - - - _ . - - ~ ~ . . . ~ . G~puty Registrar "~3 r • ~ ~ ~ , i: ~ r~: /t4ID ~hG At~ Kuc., ~ ~T. IUC+E COUN~t F Ld y~ 4[;G~= i 1~~5 _ K t U'T ~ r - - . r - .~..~1_ ~ Jut I I 12 ns PN'1~ ~ •~09519 ~ « ~ ~ ~ ~ ~ ~ - - ~.-w~M ~ ; ~ r -c. ~ . ' T ~'w` ~ ; ~ ~ ~ "~t3`~s - sra rt4~~ a ~ e x ` r~-'~ +v . = . ~ c~ - s-. x . . ~ _',3 . .