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HomeMy WebLinkAbout0744 , . ~~8850 ~ sac~ or ~t~;a. CERTIFICATE OF DEATH ~ Deputment of Health and Rehabilitati~e Se~vices srwTS F~~c r+o. ' vrrA[. sraTtsrtcs ~ F L O R I D A q~Q~~TRAR~f NO ~~O~~S ' ~~ON~ ~~ft ' SE= D~tE O~ oEwrN ~ •o«,»_ e.., .e... ; TvPE OR PRiNT ~~twSEO-M.w[ PERMANENT ' Emi~l Schadler : Male ~ March 17 1978 ~ BLACK INK ~GE ~M~n• M~Gp• ~~~IC~M ~wouti. •GE-~~st unot~ e~~ uwoN ~ O~ CAiE Of NtiM ..p..~w, a~, C~tY Oi OEATH ~ --=r-- -r= .e.~ ~ f e~c ~ s~~crs ~ a~r»o.. ~.~utr .o~ wn ww~ ~ White ~ 72 ~ w Ma 2 1905 Brevard ` Cm, ipwr~. Of tOUt~ Of DE~t?+ ws~w cw. ~w~n MOSMAI W O~MER NS11TUilOP1-M IN NQ1 ~M Ilhy~, GM St~~~ ..~o ww~~~ ~ ~ ~-+D ~ 7MCNr ~f! W MO Rockledqe ,.Yes H Wuesthoff Memorial Hos_~tal _ ~ S1AtE O~ WTM ~ N~+o~ ~ s•. w••~ CI~IZEN pi NfNAf (pUNiRY MARMED, NEVEt MARbEC. SU~YIVMCi S~'OUSE 6n~ r~~w~+ wre ~ ~ cow+mt W~O~MEO. WVQlCE efrecr.~ : M~••~~ • Germany + U. S. A. N Marriec~ „ Luci le Marti _ _ - ~M~f DKlU~• - - - - . .,.io r K.r SOCuu SEt~laTr Nu~E~ USUwI OCCwAi~p+ ~w~n awo o~ ~rw~ oow owwc .os, a KND Oi WSwESS OR ~HOt/Sttr OLCWN~ MI rOr~ l~M. MN q Mh~N 1 ~ . . ; 369-01-9411 Owner ~ Gara e : ~IS~w.K~ NWM + .o..~~s~tr+ !(gIDENCE-StAiE COVNT1f CR11. 10wN. O~ 10G?bON ws~w c~n ~wus ST~EEi AMO ~ ~ ~ . ~ wa.. res a .w ~ ~N F lorida Brevard ?4 Cocoa ~w No ~..59 S.' Grandview Cir ~ i~TNER-NAM[ .~af~ ..~oou w+ MOTNE!-~uiOEH NaME ~us* rwae us. i ~ ~s Samuel Schedler Pauline Spickermann ~ INtO~M/Wi-WAIwE ~ ~uaM~G wDO~ESS ~~+u+~ w~ r.~. ..o . cm o~ w~~, f•.w. ir~ ~,.Mrs. Lucile Schadler ~,.59 S. Grandview Circle-Cocoa, Florida ~NT 1 pEpTM WAS CAUS(O ~Y: ~ENfE! OW ~ O?rt CAUSE ~E! lMrt fOf (e1, (Ol ANO (cp Mti~~M OMy~1 ~1~ N~M ? 1~ - rweuw c~ { ~SlNE1~~C i7N ~ ~ J~~1~~U~;~/~F /~`~FART b/SF/IfE ~ EA~Ps ~ . • - ~ COMM~ONf, ~1~n, ~ . ~ ~ ~RMICr 0~~~ ~1{~ tp h~ ~ ~rVN~T1 C~YH ~OI. N1~ M, p~! ~ COMftOYtKf M. , . ~ {~~1~M0 T~! YM~~~ - ~ ltIMO C~YN l~fl , . `tt ~ ~AfT N- OllIE~ SK+NIfICANT CONOITIONS: ca~ano.n taawu~wc w eun. wn .w~ nu o ro c.~s~ w.e¦ ~...ur ~ a~ wUtOK~ 1i 1rES .ue nro~Mas ca.. f ~qf prJ10~ YN~fO ~M Nt~~rwu16 CAYY i %~/A/~F7E' ~ ~11J'IC ~ ~//~~ON/G ~/Y.~L ~/fC'.0~'~ * N ~w e..,w • MpW INlU~1f OCCUlREO i ~ p~ 0!i O~l~tl~0~1!lMYr[O . A t rOM?w. O~t, ~~u ~ ~ ~MtU wtuM Or ~Mwtr ~N ~u~ ~ W~ut n. eta ~ ` ~ Ji~ ~ ~ ~ M 1M , IN11Mr wi wOR1( RACE O~ M1Utn ~.or. ~.u., snen. r~c*oe?. tOCw110w ~ sma w~ r e.w.. cm o~ ro.M. s~.n ~ ! INK~A h~ O~ MOI OMK/ M~G.,~K. INl'CM1 - E i ~ ~ ~ ~/TIfiCATbl~- rOMtw O~T rtu rW~a O~i ttu u0 uft f~w wr/rt~ urvt OM ~ WO/M+~M-~nt~ *w[ OtAM OCCUqlO ~t nN ~uKf. OM ~wf ~II~fIC1AN: rO~~lw N* ttY WO~ ~Al~ q~M. ~w01M~ Wll. ~ry. 10 M MY ~ .•m.we~ na Q TO -y f~o. r• a.w.uou, ew' !b oece•f~e no.. ~ ~ O 71~ ~ ~ I 7 tl~ ~ ~ 7 7 f11 ~ s tt~ 0~P M ro nw uuse.s~ sum CERTIfKAT10N-MEOKnI ExwM~t~ER OR CORONER o•. w~.s~s a M+ .~ow w a.M r¦~ wceoe..~ .•s r~n~w to w•n tauw•nw d nr we~ ..~o/o~ ewt ~..esne.now. M. .n ar.a... ro.m~ w. .e• wu~ eum ouwxo o.. w ww ...o ww w nw c.v~t~s~ s+.no . M m M ! CERtu~E!- ~nn w in.:n S~GN~riI~,) e a r~ne w S O~ . o.•. •eu~ , n. ~L L~N t. /rL bS TE~'. r~ ' a~ ~ L G _ IhL~ rk d v i ruU?pdCs A00~ -CERftl~E~ n s~r~ o~. o~ w.~ sun ~1 Z 2 . JII / ' ~ / / /Q/Y ' Nl~IAI. GREMATION. ~fMOVAI CEMETE~T W CREMAiOtT-HAME IOCAiION un o~ W.+M - u•*~ ~ snc.n ~ ~ Removal Burial N? Dee~dale Memorial Pk In ham Countv, Michi~qan OwTE ~.~o.nw, w+, .i.~~ iVNERAI MOME-N~ME AND ADOf(SS ~±~uu o~ ~ r.o ~o , a+. o~ rorN, sun. ~ M ch_ 20 .1978~. lie-Baxle Funeral Home-P.O. Box 8-Rockledge,Fla. ~ v.S. #6t2 f1~1ERAl OR-SIGMAtU -SK.NAf . . ~ oyE ec~eo ~~s.~.~c~n ~ / 7~ ~ ~ A~,,. ~ne ,A -~!C ~ 96 ~ ~ ~ ~ ; ~ I HEREBY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY OF THE RECORD ON FILE IN ; ~ THE LOCAL REGISTRAR'S OFFICE IN THE BREVARD COUNTY HEALTH DEPARTMENT. (tdot valid unless the seal of ~the Brevard County Health Department is affixed.) ~ ~ . ~ FILEO AND pECORUEG ~ ~ ~ ~T. LUCIC COUNT7 FLA f~ ~ ~ r~ RO;=., . y:'ac:~~~ C ~LIICI ~~~j [.l ~ i ~ ~ _ _ - `j'' Local Registrar OcT 1 2 3~ PN'7R t MAR 2 2 iy~8 ` 4~BS~O ",~.-w . ~ ~...f~ 1 Da B. b Sea~l oQ Deputy Regi~str ~a4s p.se 7~3 _ . _ _ ~ r~