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HomeMy WebLinkAbout1018 - i~ . s ~ 328316 . ; . ~ State oi Florida CERTIFICA7E OF DEATH ~ Deputment o[ tiealth and Rehabilitative Servicea fTAT[ Fi~~ ?+o. ' . REOIiTRAR'f NO ~ V1TAL STATISTICS F L O A I D A ~ 1 ,~~s• ~woM ~~t~ ~x OATE 01 OEATN ~ rOw~w, O~r, ~e~~ ~ T rPE OR Pii1NT ~EwSEO-N~ ~ ~N ~ HAROLD B ~ ' ' ~ PERMANENT ~ tiLACK (NK U?~ M~ow..w~K.n ~..wr, ~GE-u~~ w.a~ ~.a~ e.. C~T~ Oi MtM ~ra.rw, w•. cou?~rr a a~rN , ~K. ~ WCNrI M~~O~~ I~f~~{/ rOf Yt! f YI. ~ . Whi te 61 ~ k ~ June 6 1916 Ma t n ~ ~tOwN. Ot ? T OEA1 wu~ c~n ~wn NOS~IIM OR O1ME~ NSTIIUT - ~y ~+o~ w 6M f/MIf ~M~ wYrN~ 1 saun .~s a .w Stuart h Yes N Mar~ n~ emo s~t~L__ ~ ~ ~ SiATE p Wi11 ~r Mot w u.~ ~awW pTIZEN q WMA1 COIiNTR~ MARtlEO. NEVE! MAWEO. SUtVNMG SE ly ~rN~. OM Y~lM wW 1 ~°w""' Mt1DO~ar °~`e~""`•" rtle Wiener ~ ~ South Car,ol i na . U. S. A. ~ N - . ~ ~~~.e ace.s~• ~~iu SECU4T/ Ww?~E~ 1l51!/?l OCCV?w1qH ~a.~ aNo o~ woea w+~ ewwo .~ow a• KM1D OI M~SMESS OnliaDYSTl~ ,,.~o u w~~ rrWaw6 ~~N. Wt~ r qn~N ~ Charter Boat „ 245-12-0892 Charter Boat Owner ' .u-ce»te ww« pi~, TOWN. OR lOCwiION wf~ cm ~rnf ST~EEi HUWER ,o.~ss~oa. ' lESIpEr~CE-S~A?E COUi~Tr ~v~cw~ .~s w w `'r' No. Carol i n~p New Hanover Mli 1 mi n ton Yes 2611 H dran ea Pl ace u~~ MOiNER-~utDEN N~f ~ws~ r'~~ /AINER-NrwE r~at ~ ~ ~ ~ - Abrams Annie - Goldstein ,s Adl"On INI04MNi-NAME MAIwG w00RESS ~s~wu w ~.c~. .w. an o~ w~. suw. tr~ Mrs. h(yrtie Abrams 2611 H dran ea 1. W lm n o a~p„~a ?8ry ~wn oEwtH wns uws[o w= ~[N?tt On~r a+E dusE ?t~ ~r+E ra hJ. Al~ ~ kM ..tie.M a.a~ n.w~ ~ww ~ / ~ ~.1 ~ _ C A ~ 2 ~'4! . ~ ~ r ; cowano..:. u .r., . ~IMICM O~rf ~1l~ q - Irr[N~t! C~YS! ~W. r - ~TI111M0 111~ YM~lF ~ ~ u ~ : ~ ~ . • _ ~~Iw~ C~VM uft ~ _ . ~ i wurp?Sr ~f rE5 /~MMMO1 COA• ~A~T ~ OTME`~ T ~a"~' p«~ u~ o c.vu om w~u~ ~ r~ ~af o~ wo~ YM~N N~ NqYUr~O t~1q~- ^ , ; W ~UtM ~ ~~~~J~~~+v°` YES ~w E t ~~at~ ww~M O~ ~wllt+ ~w hu~ ~ O~ ?~n N. wl~ ~ ? nGCWtNt- SI~11 WE A ~rOMtN,O~t.*~~~~ f1011~ MOW IH1NlT OCC~ttED ~ ~~N~ Ot 1R0~1lWM~lp ~ . J0~ !M. - 7w . M. . 11IAriY Ai WORK RI?CE Of nvluRlf Mor. r~u.. s~ret, r~t~orr. IOCAflON ~ su~p o~ u.~. wo.. an .o~ ro~. sup ~ ~ sMCV. ns w«o ~ ow~u woa., uc. ~ sreewr ~ ~ CER~YKwi10N- ~+TM a~ rw~w w. ~e•¦ .w us~ s~• wri~ um a. ~~/ea w+ +r. wr D[~rN Oetveeeo sN rua. w w ~ rd+111 O~~ TIY ~OO~ ~ttf~ M~M. IMOY~1 O~q. ~NO. r0 M N!1 ' ~MtSKUn: ~ ~ 22 ` %6 TO ~ " g ~ ~ q a r~ uwruooe. Wf ~•mww~ rw ~ tp - 30 ~ L, f11. tM ~ b? ro wu ewsea~ sun~. n• ace.ue ~wr 7t~ ~w~ ac~a.n rw.wu.~cw w.e CERiY1UT10N-MEOIUt EfAM1NER OR CORONE~: oM ~ Na~e w r.r wow a a•n. ~M w~ nt~ ww ltuu~~?iOM d M q0~ ~r~0/M /M rMfhG~td~. w r~ O~r~~O~+. a~A OUY~NC O~ W M~! ~MY 011~ ~O fIM UVilql ~4q0. ~ rn ~ . ~ n' SIGNwhlRE aw~e a nn~ OA SIG~+EO ~+a.rw •~,.tu~ z CElTIHER-MAM~.~i*~*~e~« N"' / ~ /I/~, ~ ~ 7I~ ~7 V - ~ ~ g , sun ~~H MI?Rb+c nooRESS j ~r f ~1,nA ~%~o• ~ •w $ ~1~9 ~ ~ RJV sun E~ OR ClfMAiCRY-NAME lOCA110N - av a w.n+ ilMMnl. C~EMAiION. ~EMOwwI ' , s•.~~•, ~ S,arol i na tM Bemo~cat-~ur_ial_ '~lai-lsr_aeL.CemeterY y~~.ng~O~-~°- i DwiE ~no..~M. wr. a.~~ FUNERAI MOME-NA1NE ANO A7DR[SS : Snu~ m~~ o MO . CIi~ O~ ~OMN. 1~~If. /1~ ~ j ~„.__Januar~r 4, 1978 A cock Funeral Home,950 N.E.Conmerci.al, Jensen Beach,Fla.33457 wrwE own tceryeo ~ouu ~e~~sr~.~ ' V.S. f~F612 iUNER ~REC70~-S_I~i~ ~ REG15t f-•tr- !t tp L,V . ~ ^ ~ ; Rev. 7/76 tS~~^1/ ~.r,~. o/'l~/T/-~'s~t~i . ~ • tw _ C - I hereby certify this to be a true and correct ~ copy of the Local Registrar's record on file in s . . the Martin County Health Department in Stuart, ~ ~ : ' - ~Florida. ~ ' - ~ ~ - : . ~ ^ ~ (Warning : Not valid unless raised seal of the ~ : . ~ : ~ ~ ~ ~ Martin County Health Department is affixed. ) _ _ . - . _ = , _ . ~ ~s~• . • Archie~ McCallister, M.D. - ~ ~ County Health Officer.& Local Registra~ , ~ . . ~ ~ ~ ~ ~ ~ 1 1 ~ ~-~r~rra - ~ . ~ ! % ti ca ~ o ~ ~ , : Dat . . Deputy ~ Ld'cal egi~strar _ . ~ ~ _ c~ . - - ~ > ~ ~ ~ ~ . ~ ~ _'.M1 ' _..O~. i:, I ~ . , ~.•--•f I CD - ~ ~ , ~ ! ~ '4~ t ~ ~ ~ ~ , e~ 461 r~c~i~96 ~ . . ; . n? ~ ~ L`~~ i: Z 2 . ~ : _ ~ . ~z,- - s ~ ~ • . i ~ ~ ~ : : ~~~02 ~,2 g . . . , : . ~ _ _ . s. < , .y ~ - ~ ~ ~ ~ : ~ ~ - r . - -