HomeMy WebLinkAbout1448 43Q5'76
State of Florida CERTIFICATE OF DEATH
lent of Health and Rehabilitative SorriExs ErTATE: Rrt.E~ No _
VITAL 3TATIS•I'ICS FLORIDA
RCGIiT11AlE~a NO
DECEASED-NAMr .•eat 1•tl Sty '
GATE Of DEATH • row•w o.., .e./ ,
_ 1_1 oy EI _ _L. MURPHY __~7_'=•T 1 e , June 8 1978
LACE rrl0, wtG W. •rlbt w ,.•o,•», AGE ..tl uwa/ 1 •1•/ u•.o~11 e•. ~C~TE Of NttN .o»... e•• COUNTr Ot DEATH
rlc , vacr.l ,~.,.o.• . •tut~ rot e.-f MOV/1 rM •UI I
f .hit~__ _ - 1. 7S _ tl~ov.21 l')c~2 7. PinolTara
Cm,
ipWN, OR lOCA11ON O~ DlAiH wt1,1 clw t.•In HOSM1Al CM OTHER NSTttUTION --NaM ,w wol w I.IM/, w.t slan •Ne Nurq/ . '
SMf Nr p, «/•O
>,tit. I'etershur~ Yes_ 6:0-1'inel)aa Point Urive South
SGTE OE WIN 1 u Nor IN u t w••t CITIZEN d wWT COUNTRY MIARRI(p, NEvER MARRIED. StMv1VRJG SfOVSE rr1• Gm r•qN wr11 - - - -
cowrA• 1 ! wlDpwEO. OrvOKED ~ s/fc+..
~ Japan - _ U::r1 _ Married II!~!ur~Arot__Ce 5mit_h
SOCIAI SECURITY WAtRER USUAI OCCU?ATION Iwa ¦w+e o..r«i eoNf e1M.N4 ro.. 01 [Mb OE Wi1NtSt O! t?rpUiT~Y .
r/CN w•p oH. Rfw o tl••.fe l
u 537 07 515 ? ,i Camloguer - 1!.ti. Ue t_. of ~1rm
RESIDENCE-STA?[ COUNTY CITY, tOwN. CtR LOCATION wt•N <In Ir•n STtEEI AND NUIr ER
I t/IC./..fs « No:
I~1'lorida Pinellas ,.,St. Peterslurg • Yes ,,,G :cE-'•incl l•~~: ' oint 1'r:
iATNER-NA+Mt pyr x10011 t•,r MOTHER- AUIDEN NAME ~ rNS• r,eelf ut•
II U. G. Murphy Nora (Unavailable)
INtORMAM-~'~ MAIR•IG ADDRESS anw o} , . • No • uR oA ro~N, ,r•tf. Ir l
„pirs Margaret l~lurphy 650-hine111s 17oint Dr. S. St. Petersburg, 1'I
rAtE r. OEATN WAS CAUSED [+T ~rMTE! ONE? CrNE oust IER LIVE FOR NA AL AND (1~ • 'w
N eu ffrl.efN orw/ •re_e1•...
a[ parent natural causes
N
COreN10Nt, r/ •N/•
errltr O•r1 Olff q h[
IrrfNArf CArfl ret, w, « A, ~ CONtfOYfNtf 01
fiAflNe 1wf eref0-
tr/Ne C•Yff lwlt
rIt
CART • OTHER SK.NMICANT C co«anoNt coNrawNC ro N•r• wt Nor Hurls ro cwtl cMN •w /ur 1 ler AUTOEjSY IE rES Luf nrelNci co-
~denocarcinoma o~rectum, cirrhosis of liver. 1...«Irol «e~ew»MNtlfrtNN.6G1V11
eccl.~,li ve ~ Iw _
pp..~,~I1,,~~ ACC A 1 rr, Mr, /b0' NOW IN/URY OCCURRED ~ INrft 11•p1,f W IrW07 IN q0 / « /•1t u• Mr r, 1
NOr1010E: Ol IIf~O(TERYINEO
W ~ M 7'RI
INJIIRT AT WQRK MACE d RVAJZY a Now. r•1r• Pglr, ..nos. IOCAiION , lntlr « 1 / • No . tm 01 rorN, U•R 1
1 f/RCrn Al « NOI ONltf Mflr. , IR 1 f/KIR 1 .
CERIFILATION- rowlrw e.• nu rorrr e•. .fu ••le us. s... w..iNef •Im ON 1 aoiolO NOr rllf O/wTN Oeeunto •r Iwf ?UCf, ow I.r
tMgKIAN: TO I•d•M p• qY ,oN •rrB N•Ir Iwowr e•q, ••10, r0 M Nr
r .rtINNO tN1 p r..NO.n10W. ool
TI, NCI•f10 /ror ~ ~71~ )h 71~ ~I. M ro wlf C.Vfflll St.rlt
CERTYKAi1pN-AfEDICAI EiwMU.1E! W CORONER ow •we f•slt w rw Hey/ o. N•n. rw1 N(1Nw• r.t .wNwNcle w•o
1a•rr••r1oN a1 rllf fOM •NOrof rw Nl,leirle•r1oN, IN o?w.o•.•
' rowrw rf•/ but
01•Iw OCCUINO oN M 0.4 •NO OIr ro nN c•vif Hi t••ns -
TT. _ 6:25 A. M June 8, 1978_ 7:00 A.
'i CERTIFIER-NAME .nn «.•«+n" A aoN1 «.m1 A E SIGNED ~.~owtN• o•...f./1
7T. Joan E. Wood, .M:II:• - ~Assoc.Med.Exam. - n, G -9-~8
w?R.R+Ks ADDRESS-CEf~ili
fiE sr 1. « e No cis w .-3.N
7>+ .¢I). Uln)ex ' Roa~ est Lar o, Florida 3540
f BURIAL. CREMATION. REMOVA~~.= s:... GRE/W?TCtRII-NAME LOCATION Cln of towN suN
,,,Burial = opil>'a~?,n Nenory Gardena,,, _ St. Petersburg, l: lorida
~ DATE • _ uy ~ MOMEws ANO [ ~ wn o ca. ro. tr•,1. 1 -
,~june 12,"~~; ~ a~`he~rs _"~unera~ dome '~d~~-~$h S~. ~o. ~"t. I'etersburG, I'la. -
S _
' ruNEe oIREC'to1t-5IGi'+PwK - tEGIST~AR-S1GN•r ' / o•n ntrloR a 1:fly
y~
tsf s. - :~s? y/• L ~tsr! 7M June l~`, .
A CERTIFIED CO>'Y MI15T- CARRY ,~IE EMBOSSED SF1lL OF THE REGISTRAR OF VITAL STATISTICS
. ,
I hereby certify that this is a true and correct copy of a certificate
A
t on file in the office of the Local Registrar of Vital Statistics of the
Pinellas County Health Department, St. Petersburg, Florida
}
June 12, 1978 ,Deputy Local Registrar
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4305'76
' i g ' ~ 12 PSI Z : i l
g~~K 3U1 F. 1443
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