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HomeMy WebLinkAbout0569 ~~a~r~ r-_~ - . ~ ~ ~~o . ~ F"-E~ ,~.ND RECOROEO' ~ . ~Ic- ?:TY, ~ ~ ~ _ _ u FLA. ~ 4~~2 ~ ~ - oEC s ~ z : Sa - FI I L l. ~.~,t~. ~ },~.u ~ t: G J t~ i Y~ i~; ~.T N L~: ~'Q iZ T M E N T/~ 3 -1 ~0!; E. ..eNN[~~~~11~': ..:;~~ri? P.u. OOX 17j 1 TELE~NONE -~2-)--1~i~1- TAt•.-,ti, ~LORI~A 33G~1 27Z~6390 OFF.~ M- CERTIFICATE QF DEATH REC. •J1~~ PC ~~9 ~hpetwewl r 11r.b1? ~wd It~L~l..l~~~u.~ ~r~~h~~ lTAT! /ILR NO. IN~1~M1~~NIN~IIn FbOAIDA ~t IN •w~a~ww?..w..w,s `i~~~•` INK I~tO1tTRAR i HO r. 101 OECEASEO-rv4M! •r• ~~fr ~St¦ .L~t[ d UwM ~[.r~. i~•, n ~ Selby M. Thompson ~ Male Ma;~_21, 1976 ' U?i! ~M/~. r~N~J. ~~~MI~A MN~M, ~N~~ v.s~~ ~ r~~i ~w~~ ~ e.. F-W NfTN •.o~~.. w q~It .~c ~ wca.. •rwy.. .o. M., .w.. a.., a Otwt« 1 . White 3 w March 3, 190~ Hillsboroua_n ll~, 1OMR1. O~ IOCAIlON-~ OlA1N ww~ c~. u..n HOSMiwI O~ OMl~ N~t~IN~-N •+..w ~~wr~, ww .~..ws Wtw~ O~ w0 . ~ Tampa Yes N St. Joseph Hospital S O~ ~~~M . w..p~ w cIDItN p MnfAt COUNt~r MA~bt~. lilrte MARbto. - 1SNf~,?MMG SIOIlS( ~r ~w. oM M~f+. ~w~r ~ ~~txiuY'SS ~o~.....~ w~oow~o. o~.n~..~ ~ ~ CenLra~ America ~ U. S. A. w Mar ~ Rose G. Garcia _ _ . SOt~Y 3ttUMtir wWt~ ~ uSU~I OCCU~~hOt+ ~awr ¦w a+o+e ww ~w..~ +ofi a RM~ O~ WS+wtSS O~ wDUSm ~orw~0 uw, Mw r MMM ~ : 547 32-1b38 „ Clerk Urdted Fruit Co:r.par~ _ ~ts~ot+Kt-sr.rt tow+r: pn. tow?~. o~ tounoN c~. smtr ~v+o ?.u..Kt ~ ~v.c+. o..o F1oMda ~.Killsboro h Ta Yes 22C~3 ~i. ~a•~atha /wiN[~--NMMt . n~st ~ rMU u7t M0111ER-MADEN NAM[ ~ ?+Y ~ ~awa uW „ Joseph Thor.:oson ~ ,•ur~btainable ~ I~MORM~wT-NU?~E MAIn~G AOORESS ~uu~~ o~ ~~i .o . cwv o~ w~.. vw. ~r~ Hrs. Rose G. Tho~oson . 2108 ii. Hiawatha Tam~a, Florida ~~tt oewm wns cwust~ ~rrtt~ awr ort uust rti ~~+t ~ pa pl ww aN w+~.e : ow~ :.r a:s ~ wrw~ _ ~ _ - - ~ ~ , w` , ~3.I~~. y Z tOrM~OMl. N ~M. i ' ~D- ~~Kw 0~~~ Mf~ q b~.~,'L(./~ -?~?W~~ ~ l.~•Q~y,~~+ ' 1 r ~ . ~ra~N~t~ C~rL~ ~M. M/0, O~ ~l ~ t0~ O~: ~ ~ •/vf7 {f~f~wa fN rw~fi v r= ~ ~nw~ c.~w ua :r r. v ~ - kl T ?Atl OTM[R 31GNMIGM? COI'q1iWlK: tOUFwOw~ tOiwMM~~ 10 Mulr M rOt rY~M q WrM OMw ~w wt ~ w ~ A{IfOK1[ / 1/ES ~u~ hrNr01 COr- - ~~p~ wpl MN\~~ ~M NT~a~O (~yy~ ~ ~ ~ w Yes • ~ ...~.Ye s ~s - i~Own, r?~,.w~ now u+x~~r OCCYttEO ~ - ~ww~+ rr~u~ . o~ ~~w r,i?~~~ lp0~1~K! ~ O~ 11~OftlWwlO 'M ~ G 7w ~M. M. MI own wt woeR ru~CE p N~urr...or. ~.r.. s~er. ~.c*on. lOCwl10M ~sn~~ a~...~ .o.. c.~ o~~w. , ~ ~nc,n w~ a ro~ ww ~uo., ~t ~+nan ~ ~ ~ V 1M 71~ ' ~ Uli1/1GilOM- +oM~w r~ +w 4f~ Mr ~w ~M ~?sr s~.r w~.~nn ~a.R o+ eri ..ot Mr w~ Otatr p~tustl0 .r ~.e w~o. a. n~ ~MT~K~~M: - ~ ~~Ib Mf 1~Y ~OO~fIrNM~M ~ ~~O~r~r MA. ~,0. ~'O'M N1~ . . ~~~wN~ M ~ ~ L nn O~ a~ t~O~U041 OM tN ~eu.~~~ ao+ 2 19 ~N ~ fN ~ ~''u ~U - IuO: W Al~? ~o er ew~e.s~ sr.no G[~ir~GiqH-rrEOKw1 EtAMwEt p C Cf p« nN 4{n p/ 1~ Mpy~ p~ KaM fw~ NC}prwY ~y rp.p„~~ ~W /~usr~~V~ O~ ~M ~00~ ~M/M ~~f +nlf~4~OM. w~r O~w~O~~, rpN~M Y~ AY IO1r~ ~i~1w OCCMNO A M NA ~1y ~M ~O w~ UYM~N {t~A~ . . . ~ . ?1~ M t7? iy uan~k~_M~+t ~n?i ~.r+n w .ww~ a nn~ ? S~G+rEO ..o~s_ o... ,~u~ W. ~R3chard Cro ~l'~iC'~~•~ t-_ ~ i-- w?~N6 ~OO~ESS-tt~?uK~ srrrr o~ ~ no - ~n+ w•o~.~. • ~ Tamoe Fla . ~b02 Whw~. C~Ew?uOw. RE~wI tfa~tttn O~ CeEw?totr-r+~+NE IOGTWw un w•o.. ~..n ~ wc.r+. Burial Garden of Memories Iri : - Tampa, Florida ~ OwTE .aw+ w. w.~. , fuNEaw~ 1[Or~E-~v~ ~wp ~ppr S •ru~r o~ c... a~a.. - M~r ?1~, 1~7b nipes-Hamilton ~uneral Home ~718 N. Anaenia Ave. Ta^pa, Fla. !uN~awi [C~O~-~j,~~ REWSt • S~~rW o.r . ..eo , ~~~1 J T . . ~L.L~~ E t p.~ .JC.~ •~G~f•~.~ tt~ ~ ' ~7~ • ? ' ~ ~ . ~r ~G tY / ~..~s Y ` - I HEREBY CERTIFY THE ABdVE TO BE A Tlt1TE AND CORRECT COPY OF T~E LOCAL RF.GISTRAR'S RECORD AN FILF IN THE HILISBORtIUGH - • . Ca1t~Tl'Y HEALTfl DEPARTMENT AT TAMPA. FL(ntIDA. (WARNING: NO? ~i' VALID UtiI.ES3 MISED S THE HILiSBOROUCH CGUNTY HEALTH . D6PAR~ IS l1F~ . . - , . . . ~ Joh . Neill, M.D.~ M.P.N., Director ~ C n Aealth Officer b Loc~l Registrar ~ ~ . . , ~ - ~ . . . ~ ' , ~ "JUL 1 91976 ~ : ~s~s~ Luppaiu ~ Dapu y Regi~trar ' ~ - - ~ i ~ _ ~ ~ 2~9 ~ 5fi9 ~ _ _ _ A~~ ~_.s - ~ ~~:,~3'~' ~,tx~~,~,~ . M ~`'~'~r~~~`