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HomeMy WebLinkAbout0259 2. ZB~~ 4:31b74 ~ / OE~ARTMENT OF HEAITH AN~ REMA8ILITATIVE SERVICES STATE OF FlORIOA DIVISION OF HEAITH . ~ ~ Alachua County Health Depa~tment ~ TM~p+on~ (90y ~78~5~21 S]6 S.W. 11A IY~» ' Q~ 1327. GMn~iM~, Flaid~ 3Z60Q ~ CERT~F'~CAT~ c~r~ ur.~?~M D~p~etmwt oi Eia1W ~ud Ml~aWiitstiw S~evia~ *twTS n~t.NO. vrrw~. ~r~~s~ncs . r L o a t a A TYPE Ol~ MINT ~ •'~u . •.o,.r.. ~ Dsv3d ~hards , Msla , 27,1977 MMANlNT suCK INK y?a .~w. .rw....«c«. wr•.. wct-..a ~ c•1! p M~ ~-o~..~ w. oouMtr a oatM ~K. ~ YKw ~ *L: M11~~~ ~ q~M~ ~ Mq wOW~ rw ~M ~ . • ~u~ A ~ ~ ~ . frK~ M~ O~ M~ ~ 1 M~p~ M~wN, OM MM~ ~M MY~M~ ~ ~ ~ 7? A N . StAI! p M!M ~ r ww r v. r~N MI~Ni 001MIr? +yM~tO M!r!~ wiplO. S~OYS! ~ r rw, Nw +rr~w ~r~ ~ cow~~. ~ wi00'~MlO. 01~ . wt+~ ~ ~w.. M....~. . . N Kin »"a"",.... soa.c ~,w~~ uw•? ccar ~«...w. a•a..a.. «..o •oM w s~o.or w woustn ocd~M M r0~1M 1M~. FM r M~ ~ ~ : n - ~a n? J- A~18 • ~ts~oe~+u-u•n counry an. ow.ti o~ ~oc•iww w~.. c+. Flarida St Iucie Ft Pfe~cce ~No ~~,.~toute 4 Baoc 52 A11l~~NYI~ Nw uY MOtMl~~M~b[!~ MM~ Mr w~wt YM James E. ' Richards w Bet . K. N an r ...~w woo~ess ~wa w~.... ..o., dA O~ r0~ Y~. W I ur %7~' ,C ~ ,nS~s T tal ~~ain~sville,Flozida ~ o!~?n~ " G?uslo ~r: (e+rf. a+~. a+e cwufe ?t. u~+f ro~ ha wt ~++o RN .uww o..a ? ` - _ W' ' eweMwwN, N ~w .w~c. us~ ~d M - ~~~M C~~N ML ~ . A~ ~f ~ OOwYOM~t~ Oh ' Y~M»~ TM OM~M qMN W1Y Wt . ~q Mil OtNla SIG~wK~wi OONOp1p~f. oarwaw co...wwr a N.. wr Mw .w.~N ro ww ow~w .....r . w ~MIr~Orst r res .su r.¦«..ss ca. ~ ~a p~~ r~ia~~ ~ s+r Y ~ ot Yoftt~lY1lO •w• MOr+ urllN~ OCCYMlO ~ M~ ••M~ a r.~rw wr . e~ rrr ~ ~R " M. 7~1 . 11UII~Y wT wOVt Mlutr.r .or. ~ ~.~w, ~.c+w.. IOC~tWM ~ sarw ~e. u.~. w.. o.. e. ~o~+. wn ~ ~Y~OM~ !M O~ w~~ Ye.,/R. ~frR+A~ ~ ~ ~A~.~ . ra~ W AY r0~w W ~W YY fr~ rdM~ Mw! Or f M/M ~ ~w M N~1 Oal~ Y Y~ prt~, Ow ~ ~ r0~~ W wY ~OM ~wl~ MYt ~~OM~ ~ Yt~. ~r~ ~O 1~ ~ F l9n ' i 27 i 25 1977 n~a iooo~?.. ~ ~ TIO~t~~r[O~Cwt Et[xwnl~ : o.. w~wi o. ~.e .ow a M.r e•~ ~.o¦o..cd ~w ~Wr+awOw O~ M ~Ol~ w/p Ar ~wMfnO~~O». w w Or~wO•. r0~ W . rW wOM ' NY~ OCpNM O~ M MN ~M ~11~ 4 LM 4YNtY f~~M. M. - ~R1N~~!/~M[ O~ ~rwb MGN~ O~ ww~ I+Oi~. ~M. ~W~ ~ . S Weiner M.D. ~ r % ~ ~ ~a.~c ~oo~s-a.~r. T '~o« ~~ta~ Gainesville,~' ,~"'o'rida 32610 " MAUI. C~tw?Tqw. ~O~?w~ O~ Gtw?WR~-waMt •~OG~1qw an a~o.. wM ! R¢inovat-Buh,iat Wici.te " Cemet F#. p.~ F.l.on,irta ~ j w ~.a.¦. +w~ NwER~I ~E-M~wE ~+D wOD~ESf . s.n~. o• w., c.n w ro.+. sun. w~ ! 30 197~ &u'~rd Fun¢naL Hcme 9 1;V. 7# St. F#. P.~ F ~ vS. $~t2 SK•rJr~N~~t , tt4t_y~~ - w ac ee.. e~ R~v. ~/)6 ` . j 2A F_ L~%~.-L ~ . r 1Y a ' ~ , j - . ' - - ~ : ~.~i.~.~s.~ti ~P ~ - • ~ - . ~ i HEREBY CERTIFY THE ABOVE TO ~E,A.~~RUE_ ANDV'~XACT COP1f ~F,~~EATH ~ CERT~IFICATE FILED IN THIS OFFIC~~: . ~ MAY 1 fi 1g77 . ~ - ~ - ~ _ _ o _ - ~ -~'~,~r•~`'~.,,~~ . ~ DATE OB A''N+A.t~OVE, DEPUTY REGI STRAR ; ~ ~ ~ ~ . ~ • f t - _cD A•'~ s~:ECORCcp' . _ .,T~ r i ~ - - ~ . ~ = ~ • . _ ~ s ~ 4316`7,4 ~ . ~ ~ ! 23 PM 2 • 47 ~ , ? F ~g ~~1 ~ _ . ` 9 i , R ~_f ~eh~7 - _ _ _ ' _ ; BCCK ~~l ~ - ~ ~ ~ ~ ~ ~ -=;z.'~,,•c-''~;x=r~~ `r - - ~ • - - . . . ~ t - : ~ v ' . ~ ~"o-6 ~ ~ ~ . . _ s ~ _ . _ .,.s~ -