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Home My WebLink About0738 ~!)9625 ~ ' HILLSIIOROUGN COUNTY HEALTH DEPARTMENTi ~ 1105 E. KENNEDY IILVD. P.O. nOX 1731 TELEPHONG 272-G390 TAMPA, FLORIDA 33601 ~tate ~t Flurida CERTIFICATE OF DEATH I).~partment of Hralth and itchabilitati~•.• Serviccs stwTE F~_E Ho.____ v~rai sTAT1STlcs f L O R I D A a2s43 RfG161RAR 5 NO iiINT DtC[~StD--?r~wt ~•o~~~ SE1 DwtE 01 p(w1H ~c~!+. a.., .a.~ ~ F NT ' j~ILLIAPt TECtRLSEH SHERMAN 1z Male ~ June 18, 1978 - - GE ..f~ ~»oe~ ~ u.. • ~ ~ NK 4CE •.n~. ~~c~o. ~.o.... • c~ o.. 1 CAIE C! ~ fTN ~.w..•., o.. 'COVNI~ OF OfATN _ ' _ _ ' , _ ~~t ~ f•IU~~ ~ / ~•.c.• •t~U ~ ~O1 o•~f ~Ou~f w •1 • ~ . White 67 ,s x epug. 29, 1910 „ liillsborou h _ - j~ ~ C17r, IOMrN, OR LCKAiION O! DfAM ~+~~01 C.n ~w~~f NOS~~1Al OR OTMI! t~S111U1~N-N~M[ ~•s w0~ ~uwf~. Wv~ trql~ .w+ ~wH~ ~ , / f~1i.~~ ~la O~ ~+O ' Tampa,_ Florida No ,a Veterans Administration Hospital _ _ _ - - 1/~1[ OI !~[in .,o~ u s.. Ct1i1E?~ O~ w~ui COU?riRY ~ull~t0. NEvEt ru~ttiED. tSIl~vrvM/G S~OUSE ~•r .~n. c~•~ ~..~a....W~ ~ cow.u. ~ w1DOw[0. Orvpt E~ , vuw• , Kansas , USA _ ,o Diarrie~ Virginfa Ferguson - - - - - SOC~~I SfC'~1rt? ?1U~ulEl USUwt OCCU?I.IIQN ~a~•~ ¦wo o~ ~wa oo..~ c~..~~»c ~os~ o~ ~[Wp pi WSWESS O~ ~?rOUS1Rr .oe....e u.~. e.n. u ~a,~w ~ „ 570-16-3589 Military - Retired „o U. S. Arm~r_____ RfSID[NC[-SiAJE COUNIY CI/~, fOM/W. OR IOCATION Mf+M (M u..nt SiYfEI ~NO nU~UER ~sreo~~ .~s w «o~ Florida ,~bSt. Lucie Ft. Pierce ,<a No 3801 S. Indian River Dr fAT1/lR-NLME ~~~5~ r•oDa~ a~f~ MOTNER-MA~OfN NAME ~~~f~ r~ODt~ uft ,s Sidney Franklin Sherman ,6 Inez Byers IHlORAU~Ni_H~uwF ru~u~G wDG~FSS ~su~n o~ o.w. cn~ o~ .o.~n, aun. aa~ Mrs. Virginia Sherman, Wife „s 3801 S. Indian River Dr., Ft. Pierce, Fl. 33450 ?ART ~ pfwM wwS UUStD ~r. EHi[e Owlr Or+[ C~uSE rEt ~MVE ~O~ o I ( 1. Ib). R~+D 1~11 ~etiur ors~~ ~ro ~e . wr~0u~/ C~vlt RESPIRATORY FAILURE , .i . ow..c~ o COM~1110Mf. LITNG METASTASES owICM G~t! ~Iff t0 (S~ ~rrf0~~~! (~Yl! ~ol. ~ t0. M~t ~ CO~.fIOV~~+t! d.-- - ~ ~t~f~wG ~M~ YMOI~~ \HMG CaYU ~~f~ . BRONCHOGENIC C,ARCINOMA ?wtT p. O1ME~ SIC,~+HKwnt COND~i10~+S co~a••ws co.n.ru*~~.e ro ee.m ~o~ wo~ nu,eo ~o c.use a~~~ rur ~ a~ AU~dSr 1f YES ~.ea ~~r~~~es eer~ I~~S O~ ~1 MK~~O ~M Ol~~~IUY~Mp (n11U N Of~tw ~s.NO ,se 1 wCC~O[rt~, fU~GDE O! A iNJUR ~1~~ rpw*w, w., .~u ~ ?10UR NOW iN1Ul~ OCCUttED ~ ~•rtu whrM O~ es~wn u. ~.u ~ o~ r.u n, ner t oi u~on~nKUUo p~~k1 700 2'00 ?OC. M 7JO INlUf1I wt WO~I[ ?u.CE OF wlURr «ow. s~aa, ..no... tOCwr~OH ~ a.~~u o~ s. ..o . tm oe ~o.~M. s~~tt ~ ~~MC~n Mf M MO~ ONK! ~aOG.,lK ~inC~nl 2pl. . ?LM. CE[IM1U~~ON- .wrw w~ n•~ w~.a o.. .KO ua. s..+ r+.i.e~ ..M o« ~ WO/OM wOt v.(r ~wf p~11tM OCCUt~fD .wt rutt. o.. ~we ~ t~ ?ic i0 ro..~w O•~ ~a• a00~ .~q~ w•~w ~wouu o.n. ..w, w w.~ wsi a~~~i..e~o M~y 19~ 1978 rqT n 18 78 r~ z+ z+~ 6:40P~? o:,'~ ~`n°`~:~ o' ?+s wce.uo .~o.+ CfR11/K/?1qN-KE~KwI EltAmtNER pit CORONEt o« ~.s~s w.~e .o~~ o~ a..~ ~~e e~c~w..~ ...s na.ou~+uo o~•o ' eu....~NO~. a wr wo. ..+oio~ ~we r~lStK.~rpM_ ~w o~..w~+. .a.u. w. .e.¦ .ou~ f w.~w oeeurto w~.e wre ...o ew +o r.e c.v~~s~ s~.no I Qj~ M Z7b. M ~ CEtTM~E!-wwf ~rn w nwn S~Gr+w oeu~~ w uru DwTE SK',HE~ ~ro..n., o.., ~~u~ f i z~._ (;ARY N_ T_YMAN~M_D_ no M.D. ~xJune 19 1978 ~ ~u11 A~ORESS-Cf~iu~E a+uer a~.~ o un su.t . ~ 5:,. ~eterans A~ministration Hos ital 3000 o th 30t treet Tam a Florida ~~3612 ~ ~1Mwl. CREwu?Tq?~. RfMOvwt CEiwclEtr OR CRE+~wtORY-?+nMF tOCwl c•n a w~.. s~.,e ~:vs ~s.ec.rr. G~ena.tion ~„Bay Area Facility, Inc. ~<< Pinellas Coiu~ty, Florida. ~ J e~; "'f37g., `~`~:~Ir°"~Io"urit~"~`~nY,''bKZ~'~.° B`i~iii~Srl°'81'~f~i:r; ' Brandon, Fl . 33511 ~ ~.a ~~..GG ~ ~ IWi(t 'D/~f OR.--/S(GN~ F ~ R[GtStRAR-yGh~i~/iF O~tE ~eCfrvlO n tOC~~ ~tG~ivw• • ~ ~ ~G L t ~-'_i !t- ` .s ~co J s- 3-. ~ y~ ~ . . ~ I HEREBY CERTIFY TI~ AB~VE TO BE A TRUE AND CORRECT CdPY OF THE I.OCAL REGISTRAR'S ~ RECORD ON FILE IN THE NILLSBORQ)GH CQTNfY NE EPARTMErT AT TAMPA, FLORIDA. i ~ ' . ~ S ~ G ~ i ~ E y ~ - ' ~ ~ p • • n S. Neill, M.D., M.P.H., Director ~ ~ y ~~N 2 3~78 . C ut~ty _Nealth Officer ~ Local Registrar ~ ~ ! ~ ~ ~ DATE ,~yQ ; (NOT VALID UNLESS RAISED SEAL aF TtiE ~~/TZl~(-(~~ ~ ' HILLSBORQIGH CWNTY HEALTH DEPARTt~NT Theresa M. Luppens, Depu' gistrar ~ ~ _ IS AFFI]CED) ~ i._~-~.....,. - - - . - FILEO AMU RECu~::~ i = ST ! UC E COUhTY ~ ~ ~,...,Er~ ; ~~:T?!~ E . . ~ _ j~~ . - ~l ~ ~ J~~ 12 !2 s~PN'7~ ~ •~~96~Z5 :a ~ ~ ~ O R ~ ' _ 6UOK fAt;~ ~ :s ~ _ _ - - - - - - - ~ . ~~e~ ,~v~':iA ax y$. '3y t' i G , ~„-c+ ~ ,...`.2+-, .X' t'- ~L . . .1''a~a-r ~ y ~..i.~~'y.'.-~,_'~ . K~ ~ . `~`~yr 2. Y..~.f~~. f$~ I: Ya.! sw,.T:'.~~„`~{ r'~ °-S - e•,,_... ~«„'4:,~,:e,:-F-a~-c'=~ . ~ . . v -F~~~n .