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HomeMy WebLinkAbout0151 •f ~.~v.i ~ ~ ~ CERT11= ICATE OF UF_ATF-~ ~1'~w~lo~~~d wm~ ~~~~...I.~~~..h~r `~.1.~• 91AT1 ~Ilf. 170 _ IN~1•N~\ ~N E' L O A 1 D A ,ri r~nU w n~f.l6fRwu S NQ SI ~ Uwt! ur bl wh~ . r•• • ?1~M~11IH 1 UfCI~SID -NU~f Sfl vu01o0~ {01 ~rtnw~wrti , {~IILl.I1~.tf GOZALll STII(;Kf:Y ~ 111y _?.js--14~6 i~11.1e ~ f~C! ..,q. ••n.~.. ..~a.,~.. ..Dnr •G! urot~ ~ 1•~ tu»; ~ s•. - 1 CUI (ll •~RIH ...r...•.. n•. ~(C~UN1Y (rl (Yl~I1/ . ~nc~~. ~ Ira..n.. ..t.n ~ .o~ e..~ ~ •ovn ..w ~ ~ ~ _Mhito _ .1?•- 53 f ~ Oct. 1~1L1.a F3ro~~lyd CITr, iQWN. O~ ~IX111~~ Q~ ~(AIN f~0~ U~ ~y~~~ HOSn1Al OR O1N[~ NSIpU11~N- NA4( wp~ ~w Ut~1~. WQ ~~M1~ ~~O ~.ur~1~ . f?IC4~ ~f O~ MO h Fart Lnuderdale Ycs 1511 il.:i. 12th Streot, _ . S1~I[ 01 ~~~M ..o~ v f.,«..~ CITIIEN QI WMA1 COUNi~/ M4fRIEO. NIYIf M~~LED. -'SWvrvNG SrOUSt ~•+e~~•-0~~ ~ ~o„«... ~ wroo /o. oNp~c Eo~ v~<N•, . .~,r~»~~ ' ~ Geor~ia ~ U~A ~1~12'T'le~l ~u !•tar;~ CheSt11Y'@ _ _ --r.. c~~~•wo S«,~t SECUntt ?~uMlf~ uS~~t OCC~?~np~i ~ws o~ .on oor~ ow~~w ros~ o• RuaO A~ WS~?+tSS Ot u+0~51~~ : c a.n. i : r.. ~~10 ~.a '~'Mta+f. ~~~f. I~~w u N~~~10 ~ - ~ „ 262_16-6823 2•lanufacturer ~'crttlizer e~~~r~•.;~ ~~.on . - - - w~~o~ e~n ~~..~s Siilff ~ND t~Uw~~Et .c.~+s"`~ RES~OE?~CE-St~~f-- COU?~It C~111. TOWN. O~ 10C~LpN s ~r,.. .n o~ ..o~ Floridn BroHard Fort Lzudcrda_le Yes 1511 i1. 12 th S t.ree IA1M~f-N~M( ~.Nt r~00t1 l~/~ MOfHEf-MIlO~NN~M~ ri00:1 a~?~ „ Grac~y St~icke ~orine Clurk INiO~M1AN1-.NAME wiwRwG ~DOtESS ~vm~ o~ s..o , un w+o.•., fr.v, a•• Hrs. Mar Stucke ~n 1511 ?J.:d. 12t.h ~t Ft Lau~erdale f~l:~..~o~~ 1~..~ ?A~l 1 p~~iN w~S C~USEO (tNrEe Oratr o~+E t~ut! ~t~ t~+E !01 (el. 1~1 ~~M It11 ur~~~n O~s1~ ~~o q~« _ - ~...y0i.~, / ~t 1 •`7~ ~a~ ~'f ~Y_`..=~.!1-`YI~Y _ " ' 6u7~S'ai 3 ~ cowf~o~~~(~ O Cf~MO~l1OM1. 1~ •M~. - ~ J ~ c..~ ~n~ *o IEI L_ iL ~ ~ ~-~~f, - ~1.~1~ - - - - - - r~~/. YY~OI~I! <~Vll 101, OV~ ~O. W~~ ~ COM1~07NMC~ M' ~ ~~~IIMG tM~ YM~1~- ~ / ~~~MG (~Y{f 1~~~ r ~ ' _ ~A~i ¦ OTMlf SK,?~IIK~NT CONWTIONS co~.ano..~ co.aww~..e ro e~.r~. wr ..o~ „ur~e .o c.us~ e~•~~ ~ e~---T~~aSY p?! S~ne nrewes co~ ~ r1f W~O~ ND~~ID ~r Of~~~~~r~wG (~Y~• o• oe•... Tl0 ~w --r-- - {?.eMDt)1~ wCOOINi, SUIC~D! O~ ~11~[ ~ IN1V~T 1~d+lw. O~t, i1~~~ HOU~ MOW INIU~t OCCUt~EO ~ f~rl~ w.tuq o~ ~rw~• .r r•n ~ O~ r.~~ u. ~~~r ~ ~ IIOMI(1p~: p~ y!O(IIWINIG ly»c~M 70e 7k M )01 t0~ INIUtv ~i wOiK hwCE O/ ii~ttlllv .c.~. n~.. f~au. ~.c~o~•. IOCATION ~ sn~n o~ e •.o . an o~ ro~.., a~.n ~ ~ sreun .~s o~ ~o~ o••~a nae . ~K •~•r~n ~ --ff u• CERIIi1CA1~ON- rw~ o•• .eu .o.~•r o•. ~e•~ .ro a.~ •..'.e~ .i~.~ o.. . a-e fo~o »o~ .~~•r Df~*M Oteuu[O ruc~. eW \ ~n~SKuw q ra+.r ~o•. e•• •x. 1~W DI~rM ~.p•n D~q. •M. W n•! va. J ~?nlwe~o r«t ~ ! W r. trp.~.IW1. C.• tl• o~u•s~o nr~ ~ S ~_,o~~May 25~1~ Iv 2~~ J ~ ~ , ~t/ t~~ li ~~P M t0 ~A~ [~V]I~f~ sr..~: ~ CE~i~f1UTqN_-MEDKwi [iFM'~+t11 Q* COQn E~ ow us~s w~w .oo~ o~ a.r+ ~ ~ otii ~.s ~~O~+OutiilD DI~D . ~u.w.oo.. o. ~oo• ...o-b~ p w.1Yr.~•0«, ~w • WwWH. rOti~M D~• rf•~ .OV~ e~.ti occunw o~. ~w o.,e .»o ow ~o ~~e ~.us~~s~ v.no ' 7h M ~lJ?_ . . _ M jDAIE SIGN~ ~~o~r~.;•~. ~t~~~ CEft i~E~~~+M+f ,••n m.n...~ S~G?+~iV~f• ~ a.. 5r~ o~ ...u ~ ~ ~ ;1 /7 ~ ~7h / ! ~e? tNJ1_t --1-> ~"..G~1-!~-1. w1~~,~ ~;z ~ _ MA%ING D ESS-(( s ~ ~y~~n w~ ~o «y;~ r c. •e~•• _ s~.n ~ t•• , - . ~ c, ~?.r~ . t., ~1_t,t,t~ t , ~ r~: s-c. ~ 3 ~ ~UtIAI, CREMAI~ON. REMQVAI CEME~E~r OR C~fw~tORt-N MI lOCA1t~N C~^ O~ ~0~~ t*~~I f ~ 1~~,, J r SreUn . ~ B~~ ,.s Lauderdale Nem. Park r.. Fort Lauderdale Florida__ _ ~ ~ D~tE ...e-~•«. c.• •i.r~ {UNfR~I HOME -N1ME ~r~O ~DDR[SS vr~~~ n n ~o m rr-+ r.. ~ - - - I ~iay 27, 1976 I,ti.Fairchild I~uneral II 299 i~.Fe~f.t ~ y. }~'t.Lau~:~: dzle l~1a.333o1 _ { ! ~ . Z` t~n.~~ (lY • . ¦1~ - S~~N~11 G~. 1 1~-+fD l"J<~l ~ff:~lft~f i ~ ~ • ~ ~ /T~r.19?0 :N ' _ - - - - ~ ; ° `i i, . > - • ~ . . . - ci:ttltN ~ i:t~ cc~i~t~ ~ . ~ ~ ~ ~ I t~rri~1?y C~i'Lily ~Lllte tUicivr_ t:c~ hc rt l'CU~ nrnl rc?rrc~•l' ~•n~?y c?f I.I~e L~?~~nl It~•j~Isl'rtii''v h ~ recurd ou tile in thc iiiuWard Couuty llcallh UcparL'ment ut ForL laiJcrdale, Florida.. ~ ! : ~ - ' : . ~ , (Warninb-NoC v~liJ 4iil~ne raised seal of tl~e Ilrowar~l Coun~y )Ical~lt llep~. ie nffixcd.) ~ , + . ~ ,~i!- ~ , I ~ ~ ~ - ~ ~~c ~fiG f -7.~C; ~'~l~'N`l l~ br' oui - ca t~ ~,ti~er r~~i oca ebistrar • Y, ~ ~ ' !L1 ~ ,1.~-lJ%- t . n ~ May 27, 1976 epu y ca egiat ar ~ ~ f= ; FIlEO AMO RECOROEC ST.LUCIE COUNIY f:t . ~ ROuER POIT°~$ ^ , cpr ^I~,^.U~? C4~c- ~ . . ~ A~~ 9 l2 s, PH'~Q ~ ~~o~ ~~2 P~~ 151 ~ •~1301'7 ~ ~:r . , _ r - - j~~ - - - - , : F ~ ~ ~ atU ~4 ~K~""~~-~cyr~~ a?.T.z ~ ~ : " , • .Y~ r e4 ~ ~e``- ~~yy,axr ~ _ - ~ ~a:a'K~ ~`~i. l ~'~`F" '~iYi 3` _'R9s' \ ~'r~^'r~ ~ " f' q. ! '