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HomeMy WebLinkAbout0431 , , . i ~state ot Florida CERTIFICATE OF DEATH 4~~~ u Dep~rt~t~en1 ot Heallh and Rehabililative Scrviccs F L O A I D A =TAT! No. VITAL STATISTICS nca~iT11A11 ! No 0lCEI~SEO--NAM! ~»M~ ~N~ y~s OAt! Or 0(~M • ~o~~r, ~ YvPE OR VRINT ~N , FRANK J06hPH MARTIAITZ , Me?le ~?lovember 5, 1977 PERMANENT . BLACK INK uCE ~~~1. w10W. ~r~~K1M ~w~M~. AG~-1~1t W~Of~ ~~t~• ur.W~ 1 Y~ CA1E W W~M ~~~w. Mr, co~n+tr a a.~N IK ~M~tw~ ~ ~~tTw~~~ ~r~~~f~ rOf MU +Wrq +w~ ~~u~ , White ~ w 69 ~ ~ Nov. 26 1 0 Hroward Crtv, TOMM, W IOCATI N QI O!A N rN~~ t~n ~r~0 MOSIIIM OR Ol?Ut liS111U1 -r~ ~w ..o~ ~M ~~~«u. ~M ~~r~~ yw.~u ~ W M~ ~1~ W MO ~Po~apano Beech o 1748 N.S. 49th Street • ~ - - 3UIE d WM ~ r wpt w v t~, M~~~ CmIEN d wHAI COUNi~r MAlMIO. l/EVEt MAR~IEO. ~ SUfY1vNG S~OVSt ~ y+~n. on~ r~iwr w+i ~ ~ ~~v~i ~ liev York cowa~ U~ s~ A• 1~ 1~~1I~O ~ sMtr~ ~,11 NO~16 .waNCUf~~ - - - - :~.~e lOCULL SlCtlibtr M!W[i USUwI O'CCW~~qN ~an ¦..o a.wa w~+~ ow~»c •ati~ a Kwo W iuSr+ESS Oi1 ui0usiir , OCCYN~~ M ~ r'Cr~q l'N. MM Y MMM 1 ' .~,•~^~.•M 113-2a2272. p~ „ „ FYreman „ Nerr York City •Di'~~" ~ES~CENCE-S?~I! COtlaTr CTt, tOwN. OR tOU1WN M~~e c~. ~r.~n ST~Ett ~~aVM !i ~ 1Y~CNt tIf M yO ,~'lorida ,N Broxard 14Pompano Beach No ,~.17b8 NE. bgth Street . MI11Et-NM~E nar .wp~ wt MOi11Et-AUIOtN NAMF ~ns~ us+ . ,s Frank Martiaitz Elizabeth Y ~ INWfMANI- MAQ~1G AOO~tSS ~uuu a~ ~ e.a . cm a a.r. f~.n. t+~ . ,~is~ I~ynn Martinitz ~nl 48 H.E. 4 th Street Po nao Be ?~tt O[~m w D~r: ~Nr[~ Ow~? o++[ c~ust re~ iN[ ro~ kl A). •u~o kp ~ w~:~~M N Nl ~~r'? W ~ • . ~ , - . ~ COMN~~OML, ~ ~rw~tr O~n ns! ro (N ~ L~. ~r~~uq C~YU ~M. M . ~t ~ tOMY K! O~: lt~tlMO tM~ YM~f~ ~ - \~IM{ C~YN l~lt ' ~ ?a!1 OtME! SIGN1I1CwNT COND1~~pNS: ca.aaa+s canr~~m~+c w N.w~ ~w no~ auru .o c.vu cm.. o..u~ ~~m - M110?Sr li ~ES ~a~ nrN..af cc ~ ~~H/O~y/ MO~ W•~NN Nt~~MwaW t~~ IA Iq \ ppp.~~~eeeMMM~~~ A~C1~N~1~ A ~+OMrw. Mt, tb~ ~ NOW INAIt ~~CUf~EO ~ ~w*U ~urvq M~wN~~ ~w ~u~ ~ W ~ut u, 01~ . ~ ~ Ot {RO~IIWY~tO . I 7M 1M M 7Y - INJINY At wpRK KwCE d IM1U~r »or. ~u., s.K~., ..e+oa. tOUi10N ~ fne~~ o~ ~ r e..o , an o~ w.r. sua ~ r ~ wc.n ns o~ .a ~ a+~n reo . ~K ~ snan 4 ~~1 ~ 7N „1 ~ Cf~i1i1CAf10N- .wi.'~ w• .~u ra.w~ wr .w wr s. .n .v.~ d. ~ ae/ao w~ .N.. w~e ot~tw Oteuneo mt n~u. o. ~T ~w~1KUw: ~ TO rn~fw . nu ~oe. •.n~ a.,..,., ~.ou~~ ~•n. u.e. a *r ~d ~ ~n~»to~n.~ W r~ ~.q.UOU ~ ~ T~ aa.u~ ~w. ~ ~t~~ - t~~ - - n- ~ 1 M ro na cwun~ su~, . CEtTIiKAhON-MEOK l E1tAMwE~ O! CO~ONE! p.~ ny ~.NS ny or m ~~e eK ~ ~j~ w~e ~l~rM~tip~ p iM ~001 ~M~/p~ ~y MiY~Sl~fi~~q~i. IM r~ O~Mq~~. O~~ ~1~~ . ~OV\ N~M OCCYMlO O~ ~M MR ~MO OM ~O ~W UVS~1l1 St~qO / . ~ ~ ~ CERtMRR-M4ME ~ern o~ rm.n - - - A /j ~ ~ , r~ ~yq rn D ~+a+n., o~.. ~ar Rupert S. Hughes, M.D: ~ ! y~ . , i/ - - rulUtrG /?DOlE CERt~[R . ssrn o~ ~ .+o c /~a:.. sua . r 5~ N.E. 26 Avenue Suite 40 Fo a o II ach Florida 330~2 WlUI. CREMAiION. ~E~aOvwl ~ EMEtEtr OR UEMAiOtr_NniwE IOCw on o. q.r ~un ~ ,~iir~al N~ Queen oP Heeven ~ North Lauderdale Florida - - „,l~ov. 9,~19~7~. ~U~ n,NER• Je r Kraee 4~1s 9~ ~NE th St~ ~t,Po~mp~ano Beach, Florida V_S. #612 ?tR~E OR-SrGrutUM ~~T wryR[ owq tte~veo n iot~i ~tGrsu~~ Rw. 7/76 ~ _ ~ ~i tLl~.--- %!f ~ u~ `"~.L.C(____- • Jw ~ ( ~ ' - - •.•~y~ " ' - • - • • . ~ ' , . kyf . ' ~ , • • • 1' , j ~ ~~+~t~~~~'7 . ' CERTIFIED COPY i ..~~-:i.....,,. I..~eby.cert~~y the above to be a true and correct copy of the Local Registrar's * ^ •z recc~~;=g4•~ in,the BroWard County Health Department at Fort Lauderdale, Florida. . . . ~ (Wai~n~.ag.;~Ax; val~id unless raised seal of the Broward County Health Dept. is affixed.) ~ . ; ' ~ 1 ~ i , ~ / ~ , ~ .~~i~ ~ 1~-10-77-`'' , , _ " County Health OfYicer and Local.Registrar ; l . E ~ FtLED FOR RECORD ~ . ~ BOOK AND PA~E ABOVE ~%'2"~'`- ~ RECO~D VFRIFIED Chief puty Local Regi rar ~ . . - - - . - - - - ~ . ~y ~ ~ ~6 a . ,o: F~=~A \'.'R'~HT ~ C~_.:K G: C::~:;iT CGURT - . ~ `CO-~~=~ ` 1tiDiAN RI?ut CO., FLA. . • _ ~ ~ ' , ; ~ gy ~ . G . ~ . 431'785 ~ ,i~ ~,1 ..:54 ~ ~ . ~ ~ - ~ , ~ ~ ~ s~ e~,~ ~ BOOK e~~ PAGE ~Jl - • ~ ~ ~ s"~ ?o~c0 519 PA6~ 012 0 ~ ,z . ~ ~ ~ r ~ _ - - - ~ ~a ' . . ~