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HomeMy WebLinkAbout0844 . ~ 4±!9s'79 ~ ItJ iHE CIRCUIT COliR'^ OF THE 19TH JCTDICIAL CIRCUIT, IN ANn FOR ~T. LUCIE COUNTY, F'LORIDA CASE NO. 78-265 IN RE: TNE ESTATE OF JOSEPH DE~lARCO, Deceased. i / ~ CERTIFIED COPY OF DEATti CF.R':'IFICATE - • . , . „~,s T~~~ COPY OF DEATH CERTIFICATE CONN. STATE DEPT. OF HEALTH 1. ~ CEASED-NALE i~wst roa[ wi ~ SEz i ~ y ~ 7 ST~i[ lilE M.Y~t11 . ___~~jR~i~a . PQS~L~ZCI AGE- ~ QC~QrLO~ ~u11 7FLAI~~ _ ~ DATE !K 'JEATN ~w~wr. r.~. .esw~ ~ OATE OF B~RTN ~rorn..o?v .e~w~ RACE - .w.r[.rEOwo.~r[~uu. _ _ . . ~ra~w. Rc ts~tc~r., ~ r~rw.. i.c.ws~ I- ras - w,s wuRS ' ww _ ~ 'AyQ-~- 14 188a- - ' - 1albita - l" 87 ~ _ i' Sepl. 17, 1475 a COlMT7 OF OEAT~~ ~ ~iOWM OF pEATX ' Mp$PITAL OR OTIIER INSTITUTION- wur[ ~~r r.ct ~h F~1e.E1~ G: Z sr~[tr u.~ wi;wt~: ' 1 °D = 'F~~£i~~---- " --Sbelior~ llnitad l~ethod,fst Conv. Home _ N1 CI S ATE ~Couury. Mnof USi ~ GTIIEN Oi /Country) : MARRIEO. NEYER 1~/ARRIEO. WIDOVYED. • IAST SPpUSE III ~,l~, q~re malWn n,r•y~ ~ ~ D~vO(+CED. IEGILLIr SEVAfutED ~ W ' I#alx - - _ .1 " U~A _i • Wislo.xed _ : p ,loseph De?.larco C R r USUAL OCCUPAT~ON N~rE a~wo or wOwa DuwF ourw' wnr c~ ~ M,IMD OF BUS~NESS 0~1 IIiOU$THY s I 9iOl~UAO UR. EY[M :s 11(T1Kq ~ a 04E~4Q A~ 44~ ,b H9srs~~ri Hame - F:. COUMTr _ TOWN ! S~REET AHD NWBER N I I W ~ £Qnn~z~icut_ Fnirfiels! `~k ~hel~on 13 Whetl~r St~reet _ w~s oECewsfo ~ veTeaw~ ir rES. c,~ve w~a ~ UNiT GA 5?No ~ _ rvcun .~a ow wor i ~ ' ~a ~ ~w ' i~. ~ A iATMEq-NAYE s~wsr wDqE ust i MOTHER-1JMDEN NA//E ~~nr r:~uf ~.5~ ' ~ } ' ' q ' i{ ~ INipAMANT-NAYE i MNLIfVG ApOqE55 ~5*~En ow er ~ Mo ur. c.s rpwu ~r~TE bo~ o; ~ •;~ose~h De~Aarco ;~>~94 Perrr Hfll Rd~ Shelton,r Co~n. ~ PMT 1 DEATH WAS C11USF0 BY IENTER OldY ONE CAUSE pER CINE FOq lal. (DI. AMD It) '~~?wo.:r~tt ~wrEwv~a ~cr~r!Ew . - _ _ _ _ _ _ . - - w ' _ , N _ :wca~r[ uvst W ~ Natural Senile Changes Yecrs > - _ - . W ` COti~i~OMS. ~F U~Y MwCn OUE TO p1 AS l1 Cd5E0UEMCE OF . ~ = Z .~VE 14: TO :MIfV~1[ W ` ST•T~~ Generalized Arteriosclerosis Years ~MOfR~;~ UYY 1~5T " ~ W: Z OuE TO Ow AS 11 GOti3E0uENCl Cs . . . ? N = ur ' t PAqT 11 OTlIER $~GHI~I(~,M(T C~DITIOIIS COMpTOI~s COMiRK;i~p f0 DE~1M MiT wpT 11(1~~E0 10 Cw3f O~vFY ~w ~.Rr i;.; ~ AUTOPSY ~ IF YES wa~[ r~~:>w~i cu.vo[~to ~(~(S d1 MO~ : IM DETfNY~h~.Yi CbUSf Of 0(1TH ~ CVA c Lef t Sided Poroplegfo No o - - - - - - - - . , : . j u ACC~DE?~lT. 51~!}DE. HOY1p0E. T DATE OF iWURY ircar~. w. v[•~> i MOUR ' HOW tNJUpV OCt1WRED tEyTEi1 INTUIIE Oi :tilt;~1~ INJURY AT WORK P OR UNDETERNiNED rsKC~n~ ! . , i ru~r ~ ow •un n~TEY r~vcus. .[s o~ ra j ' ~ y . ~ . _ _ . ~ . . ~ _ ~ . ~ ~ . b f- PIACE OF ~NJUiiY ~r ~.pr~. r.ur S~~EEt ~ IOCAT1pN ~st~EEt o~ ~s ~ rao. cirr ow iowr si~~E~ ' SURGEAY RE~EYANT TO CON0ITIOH AEPOq7E0 IH ITEY ls - p ih~TORY. !{i1CE KOO . FTC ISIfGI~i ~ .~M~u.~ y op.~~.M. ~GIH p~nv~N' > ~ ' ~M ' A ; ~ O V CENTI~~CAt~pI- OMYSIGAN' yp4TM W ~[/w yptTH p~? ~E~~ MD 1~5~ S~i M~YIM[II IyiY( p~ ~ pEATH OCCURRED pM Tr~[ ~!E MD l0 TM[ Tw • YFIUI • tMOt.o~ SEiT Cf Y~ R~nyyt'CiGF 0.E E ~ ~~TTMOED TtiE 3/ 19 / 6 9 9/ 17 /75 9~16 r75 : 3 o p„ ,~E :.~u:s S...E~ ~ ~..EO .p.. ; ~ ~ : _ e CERTiFiCJ~TlOM-YEdCAI EIUWiNER- u. ohw~a+ CM i..E C~iF ~w0 ~.o~~ or ot••~ ' r«t o[c[otrtt w~5 sw~r_a:MCFO OE~D ~ ~ w[ ~o rK uuiscrs~ s,•r[n u~•~ ~csu~r[o o.. c~ uout 4 V , . Y:}11w W? •E~M !n;R ~ r 7J~ S .U . _ _ . . - " ~ . ~ . . _ V CER1~i~A-IiANE (r•rE M~wwT~~ i S~GHATURE ocw[c o~ nn~ j r a ~ ' o; ~.Donald A. Davis_t ~~l.D. Oonald A. Davis, ~.1.D. - - ` ~ - g o. ~ ~MAilJMO ADDRESS-CERTIFtER sr~[[~ ow ~r o wo c~+. CM ip~ S"~~E I:? ? DATE StGYED .rowr. .F.a. ~ : ~30 Coram Ave Shelton Conn . 06484 9/17/75 7 ~`'~Y~~ , BINAI. CAEYATION. REYOVAI ~ CEMETERr Oq CREl1ATORY-NAYE i tOLATIpN c~•. a~ ~cw~. s~•+E ; ~ o _ \ ~Burial ;,.l~t. St. Peter Cem. ~ Derby, Connecticut \ - - - - - - - . - a \ DATE ircr.~ c.. ~[•wi FUNfPAI HOIY1E - NAIlE AND ADORE53 m~[n a~ ~ r o w nr. a~ rca+i sr..[ nn . . w ~ ~ ~ f o J rSept. 20~ 1978-i~.Rivervfew Funeral Home, 390 River Rd, Shelton, Conn. . _ _ _ _ - - - S ~c~, V ~UMEqA~ piREC1Oq OQ EA/&LLMER-$IONATURE - . ~ . ~ MAA/E QF EYBALMfR rr ~pp~ ~ Fr~,urEC . t IfCEM$E HUMBER ~ _ ~ ` Jose h A. Pa lioro Sr. Joseph A. Pagliaro Sr. „~1707 ' 'W ~ TMS CERTIfICATE RECE!VED FOR RECOtiD ON ~ 8Y ~ R£GISTRAR ~ .Sa t. 19 19?5 Beverl Brown - - ~ ~ ~ T~,~~~':a.ST~~~~~ C~. - ..,,;t- - . 3 _tc,~ ; ~i~ g33~~~ ` o R , ~U,~~?9 ~~c,K2~ ~a~~ ~9~~ BRENNAN, McALILEV, HAYSKAR 6 McALILEY, ATTORNEYS AT LAW, 5~9 SOUTM :NDIAN R~VER OR., FORT PIERCE, F~A. 33450 t f . . . - A~~~.~ r~ u~~ ~ ~ ~ ' _ ra ~ ~ ~ -.y ,a'~'~'~ ~'~'~+-~'Y~Y+"'~a~ae~.~'~'-- ~ %~~5.. , - "-+e~~-~