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HomeMy WebLinkAbout0906 ~1S33fi ~ . ~ t,q,...... . s,o„_.. . . - - : ~r t. • . - . ~ ...s a ~ . • . ~ . . . . . . . . ~i. .i . . .M, . . , i{•. , - , . . ~ • ~ ~ ~~~1 ~4~~1t ~~~8~~i1 ~l'"~~e~1t - ' f . w ~ . . • . , y ~ 1 ' , State o[ Flodda CERTlFICATE OR DEATH Deputrr~ent oi Health ~nd Reh~bilitati~ Services F L O R I D A fTwTC ?~~c No. , V1TAL STATISTICS pEGItTNA11 i NO 7YPE dfi PfiiNT A~~NM1~ •N~• r'~~ SEk D~tf 01 OEAM ~•~oNt~, . ~t~~ ~ ~ F ra~k Jose h F ranta ~ mal e , June 6. i 9?? PfRMANENT - BIACK (NK ~l?CE ~n. ••~ow..wncu~ wu... •~~~•f~ ~~•a~ ~.t.~ WMf~ ~ M~ MTE Of i~tTM ~..o..n., ea?. CQ~~1Y ~I OEA1N fK, t MfIN~ ~ ~uwro•~ ~~euf ~ rOf H•f wOw~ ~r nu r . .Ulh' te w 6 w w Feb. 1? 191 1 ,.Pa lm Hpa h , . TOWN. Oi l A OEI?tH •~~a~ c~. .r..n NOSM1Ai W OT?1N NSi - ~r .w~ u. uw~, an~ ~~MU ..uwa ~ ~i ~ ~O s.u~r. •n e~ ro „W.Palm 8each Yes r.St. mary`s Nospital 'S SiATi Of ~M tv MOt w y.~ r~r~ dT12EN Oi Mnui COWftlf MMhEO. NEyE~ aWMED. SUfVNNG S~OInE ~y ~•w. am .u~aN .u+.~ ~ tOwm ~ O. O ~ wcrn . H•«~~ • I I1 inois • t15A » i~arr~ie~ Ann Lu if wMN OKI~L• r~ ~~•~o w~rar SOCUI SECUUtr i+uiwEll USUAI OCCU~AT~ON ~oM ~No a.on w.M w~wo •ou a tr+D O~ ~uSR+ESS ou p+OUSntr r OCCUfMO M r'~~ t~, M~+ Y~t~lN ~ w~, a350-01-6536 ~,.manufacturer „Li htin Fixtures •ewf~w.~. ~ESIDENCE-S?AIE COVNiY CIi1f. tOWN. OR lOCA1~ON w~soe enr trn~ l1REEi ANO ?N1M~! ? ~ ~ f?K~~~ ~~s M r0 . ~w Fla. ~NPalm Beach ~~UJ.Palm 8each No ,,.163 Ulindsor-N /A11lR-NVME r~W rNM! t~p MOTI~t-MAOEM NAME ~~aft ~~eM~ ua~ ~s F rank J. F ranta - . . 1lMO~M~ANT-rt~ME MnIING AOO~ESS ~~rr~~ w~.~ w w. Cm M Wrw, u•n. tr~ A~n ~ranta 163 Ulindsor-H Cent.Uilla e,~I.Palm f3each.l' . AI/ L u OtA1M WAS CAt1SE0 ~1r- ~ENtE~ On~r O?~ C~USE IE~ lNE f0~ NL f~x ~(cll wti~eM ow~~ .r~ M•w ' M. • : r - ~l ,I"I ,r_,_ ~ lOMNBO~+1, ~ ~ ~'~T~:• ~IM1CM O~ti ~IN t0 . ~rYlNa?f CaM~f ~M. Mlt ~O, O~ a~ n C01AlOYW[~ Oh ._ey~ 1t~tIM~ t~~ YM~N . . ql.. ~\IN~ ~~IIM {I~~t ~t)•. ~ART OTNE~ S~OwfKANt CONOtt~S~ coMwuo~i tawwr~.~o a w~. w~ uo~ ruw~ ~o c.vu om.. w•.n ~ a~ wUto~Sr s rES .a~ n..•~ro~ cor 1~1 M MOI MNN~ ~w N4~r~wM10 (~YN .R~fes yes s`, . _ M~.~K~Y1O~fE~MIMl~ A ~rown~. M~, rt~~~ MOW INJYtt OCCYttEO ~ ~wN~ wruae p ~wwM+ ~w ~u? ~ o~ ?.e u, MY. ~ ~ M , }r Ik M. 7M. INJ~Ilr AT WO~R ~IKE M~IURr wow. ~ur, snM. r~t~on. IOCAl10N ~~n~a o~ wo.. an w~o.n~, sr~n ~ t~MOI~ fH O~ ~+O/ OwK~ WO.. ~K. ~ fMan ~ . ~1 „1 ' • ~T/IGITIOM-- rO~Ar Mt ttY rW~M • tlu ur wt Lvr rr/wN NM Oa ~ o~/ «o~ lw~ OE~M OCLYqlO ~t u~! hKl. w M ?wrfKUS+: TO ro..rw •r wu wv ~~p~ . ~.n. .w. ~O M Mf~ N Z 4 ~P or r~ iMOralOW, N~ ~ ~ee~ n.e 2 T~. ace.ae ~w.. ? ~ lk )1~. ~ tl• M *o w e.rMn~ ~un~ . ~ tHTIf1CAT10M-irEDKwt ExAAV~IEt OR CO~OwE! a. ~ a w~•w~ i i r.~ noMo~w~cN N.e turr•ao» a w~e an ur/w wr r..eirw.ro.~. r r w.~a+. .anw n.~ .o.~ N~M OCCIM~M ON M M~! ~M MR p M! 4uqldl ir~~lO. . p i, • CEtlffrEt--NAME ~nn w?r.~ AtE^ O~.a.s, ?.•,.w~ ~ A . J. Schwartz .mD ~ ~ L - MI?KING AOO~ESS-C[~iMKf »rn w ar.~ ..o un o~ w.w sn~e nr n~ F WlIAt. QEw1t~ON. ~MOrAI EIAETE~r OR ClEMATOn-NAME tOCwT10M c.n o. a+~ s~.n : ~ M![M ~ E ,J3urial _ H.Royal Palm ~1.Palm Beach,Fla. DAT! ira~¦. w•, n.~~ FUr+ERAt NOME-N~IM[ ANO .t00t[SS ~ sina w~.~ s.w , cn. o~ ~o.M, sun. su ~ r..June 8 ~ ' ?1?0 S.mi i ar Tr. W.Palm Beach Fla. 3340F f- - ~EG~S - tueE o~ E ~O lOCa1 tEG~fff4! i i v.S. #6/2 ~ ~ ~ / ¢ 7 .R~v.7/76 ~ ~ f ~ ~ ,tt. . • + _ r...a. ._~1«~..+-- - - - - . ' . I HEREBY CERTIFY ~HE ABOYE TO BE A TRtlE AND CORREC7 i ; n~~~~ sJ`~,^~t COPY OF THE REGISTRAR'S RECORD ON F?LE IN TNIS OFFI~E •i•• ~ (~ot val id uniess the seal of the Palm Beach County ' ~ ti i ~ ` Health Department is affixed) . ~j . c;~ 'r ~ • r r. ~ t~ ~ ~ v v ~ ,s~>r.z. r; ~ ~ l~~ ~ - - ~ • 1 I• ~ • •/:r . - . ~ `~e'~': 3' C.L. Brumback, M.O. ~ . ~ :,'~.i~ ~ il; " ~ ~:is;~•.... . ~q . Local Regi strar _ Bureau of Vital Statistics ~ SEAL August T4, i97B West Palm Beach, Fiorida _ ~~~QI~UDy~~r FLA. C~? POI~~AS . • cr~c ~,:;;,JIT C F _ - ; ti ~ :C~[^ di~,19 12 ~a PH'?p ~1S~~4i doac2~ rr~: ~ . s - - - - _ ~ ; ~ ~,~f - ~ _ ~ _ ~ -~,..~~..~-~-.~~:~~y~«-~;~, 3 - ~ t..` ; .