Loading...
HomeMy WebLinkAbout0860 . / ~/~"30/ Palm Beach Couiixy Health Department . - - - . _ _ - . - - - - - - - r stat~ o~ Floric~a CERTIFICATE OF DEATH Ikpsrtment of Nealth and Rehabililative Services F L O R I D A ~TATE F~~t t+o. _ YITAL S'TATISTICS pee~s~aww s No ' o~ ~~p ; YPE OR PRINT OECEwSED-~+~w! Sf¦ Ow1E W Ot~tH ••v~~+ e.., .e•~. IN ~7 PE RMANENT ~ - -------~ET - - - -1 ~ ~wCE ..•n. ••~aw ..~~K... ~ws~.~, ?GE -..s. VrDf• v.w~~ ~ e.. C~fE d N~/H ~..o~.~... s.._ COUNTr Of OfwiN BLACK INK - - T--- - 1/C ~1~Ifu~~ ~~~1rD~• ~~l~~f~ u01 M~l MW~• .~M . . White S7 ~ ~ x s Jari. 23 1921 Palm Beach UTY, TOMIN. O~ IOCAIl~1i QI ~(/~11: ~ wt~0~ un ~~.~~s HpSMIAI Ot O1HE~ NSTITU1qN-N~MF ~N ..or ~nw~. a~•~ snen .w.~u+a~ ~ ~ O O ' fqU~~ Hf W Mo • j 7e P~1~Reach.. GaTd~ Y~S--- 11$11.Ave, . P.~A. *~1dQ.1~ A;JD t 2Q ` i S1AiE O~ ~t~TM ..o• v s..~•~~ CIT12[N Oi WMA1 COUNI~~ ~~~ED. NEvEt iww~e~f0. TSwvrv~ffC, SNV" '~~~1. 4ti~ WO~N M~Y! 1 ~a..,.. ~ W~DOWEO.OrvORCEO ~ i • e Washington 9 USA ~o Married Harr B. Westover ~,n~ oaaue - _ . - - - - - y - - ..io N a•n. SOC~~I S!C'/hR M1Mt[t USUAI OCCUr~t~ON ~u.~ .we o..o~a ea+~ sw~»c ..os~ u cWD W NJSt+ESS O~ iNDUSit~ ecc~mo r ~w.»~e .~n. no. ~ nu~w ~ „ ~ Housewife Own Home ~tvol..tt MWtl ' ~ - •o~'s~~ fESWEt~CE-S~~tE COtlNlr C~tr. IOMn+. O~ IOC~T~Or+ '~ya ~M ~~~~s ST~EEi ~tt0 NUr+~E~ a ..o. Apt . 2-0 : ~u F orida ~~P B h ~k 1 B h dens ~y - fA1ME~._Nd~[ .~~s. .~ew~ ~ i.s~ MOT11E!-wvt1O[NNUME ~~n~ .~oai us~ ~S Ole B Kelvick t6 In a Unobta'nabl IN~ORM~Nt-H~wE wu~wG wOG~ESS ~su~~~ o~ ~.o. cn. o~ .o~..., sr•n. ir. Harr F3. Westover „011811 Ave.PGA,81dg 1,Apt~ 2D,PE3Gdns, F2orida33410 ¦~r? ua ru ?A~f 1 DEAM WAS CAUSIO ~(Ni(f O1N~ O~ (AUSE I(~ lM~ fOR IeL ~I. A/~O I~H ~ Hnr~~r pwil~ ~M M~tw~ 1e ..we:.n e.~ne _ - 1.1 C'.1 1 i: l~ i ,~•4) 2= t 1U '/?-t~ ~•tir~- ~ :•t~~ ,"G; • • » ow ~ . • . . COMNt10M1. . ~rw~tr G~~~ ut~ t0 ~?1 ~rrfOW~ t~usl ror, p. « q~ COMf10Y~K1 p. - - . ~t~nna tw~ ar~l~- p~w0 C~Yf~ ~~ft . - ~~~1 ¦ O/HE~ S1G+~MKw?+t COr~Wi~O~as ca.aha+i caw~rvh.w w a.~¦ ~u+.w~ auae ~o cwu oM. ~w •u~ wUf015~ ~ ~ES .~~e .~~~~.es ea. ~ ..~s n ••o~ yan~ e~nau.~.c uw a ~e~~w ~9a ~90 ~i..?..?r.i ~rc~Niai Yw(Hff -Qf-~~ll~ro.n~. a?~, ~l~~ ~ ~~M Y~1W ~uy~~ AffuflfD ~~MU wtuN q~wwb ~w rut ~ O~ ?~p n, ~Mr ~ npiRK~l. p! yNpEIE~M~NtO po«~M , ~ ?p~, 20c M 2(M IN1UR~ ~t wORit ?uCE Of w~utr ~w.. +,ne,, ~.c+o... ?pCwnON ~ suu~ w ...e ..o . un oe ~o~~. s~.a ~ . 1 trfC~I~ t!f C~ w0 ~ OMK~ MOG . ~K 1 VlCV~ 1 ' . l~ ~ ~ CEtTSK~.T~O?~- ..o~+,¦ w• ..o..s. o.. .:.o us. s.~ ~«.i.~~ ..~.e a. ~ s.e/oo ..o~ .aw na ot~rN oCtuKeo .r tie ruc~. d. ww ' rN~SKUN- ro-.n. w. .e.~ ~oo. ~~n~ a.+w ~.owA+ 9 o.a. •••o. ~o +w wf~ . ~ ~ ~nero~e rw~ ~ ~ ) z t~ . 1 ? ~ Y . JOf . W r~ [wO~UOG. MN 2 ~ . 7~a o~cus~o ~w.. ~ i • ;?tD ~ i~ jlc ' i ItA 7ft M~O uM Uw3ty~ ft~q~ ~ CERTIF1U1~0?~-MED~CwI E~~w+E! O~ CO~ONER o.. rwe ~.a~s w nn wou~ w a.m oKeoe~~ ~•s ~w~+w..ew w•o . ~ ~i.....•nw o~ ~•a wo. ...oio~ .w w.es~w•.~o... w w,.+~o... .a+*¦ w~ 'tu wu~ s~•M «cvn~e a. n.~ e.~e ...o oue ro~w c.osuv sr•no I7a r 22D M = CEfiIIIE~-NAMf inn o~ r~~~~~ S~NATtIlf : aG~q q raie IbATE SKsNEO ~~+M, a.,.tu~ ~sa . t . { . 1 e. ~ t i_ ~ao ; : . . i l.~ ~ax ~ ~ - - - - - ~ ~ / 7= - MARIWG ADOtE55-CfRfYq1 ~~ne• w~. o..o i~n o~ ~o.G~ s~.n ~ t~• . ,.ps Fa~, s+,. 125-E3utler Street - West Palm Beach Flori 4 va. +9n ~URI~I. CREMAiiO?+. REMOv~t EMETEft O~ CREMATOR~-w~~uf lOCwt~ c~n w w.... sr.n Nac~s O~CVS ~snc~n~ ~,r Cremation Zb Callaway Crematory Lake Worth, f lorida O~TE ----~..o~.r.. o... .f.~~ tUNfR~t NOr~f ~-r~~ME ~r/O ~DORfSS ~ sr~~~+ o~ o..o. c~,. or ~o.•. ~v..~. t~r ~ March 8, 1978 __1n~Hamm & Price 553-Northlake Blvd. No.Palm Beach Florida 33408 1~1?~ftwl D~-R~-[l0?-/S~G?~~?U ~w tEG~S1Rw S/G?~,~tufE . o~t~ tttt~rR~~ 10C~ fIG~St~ 25e - I'~. 7W. '~sict~ ~f• Ti~GG.l~ 76o t.~ ' - - ~ ~ - - ~ - - i ' I HEREBY CERTIFY ~HE A60VE TO BE A TRUE AND CORRECT . ~ COPY OF THE REGISTRAR'S RECORD ON FTLE IN THIS OFFICE ' (Not valid unless the seal of the Palm Beach County ~ . _ ' : r~~EpQ~~ cMS~~Department i s affi xed ) _ ~ ' ~ . - . ~ ~C4EP. PO~ta~s . ~ ~ : c+K C!RLUtT J > ~ ~i'1•; i+ • r~ [~Cp ' ~t:ti • . . . ~4: - ~?p C. L. Brumback, M. D. 29 ~'~"rc'~i' 6;"1978 Local Registrar ~ - Bureau of Vi tal Stati stics ; SEAL West Palm Beach, Florida _ : ~ 415301 ~ - { ~ , ~ ~ ~ ~ ; ~ ~ RETURN TO A : PAUL W. POTTER. JR. ~ ~Q~ - ~ ~ p5Q2 pARK AVENUE ~ • _ r~ ~VtERA E3EAGH, FLORIDA 3344" s ~ _ ~ - ~ - - - - - - - ~ _ ' ~ . - _ _'~-r `~~"$`,~`~:~~~~i,~r _ ~ .