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HomeMy WebLinkAbout1750 4325'74 ~ Stato of Florida CERTIFICATE OF DEATH _ • . Department of Health and Rehabilitative Services slrwTC E*ILt Ho.____~ VITAL S•CATISTICS FLORIDA REGt~T1EAR i NO 7pT t i vPE OR VRINT OtCEAStO-NAMI • apt ••i' tSEa OATS Of OEATN . rc»rw, o+•..r•!. IN ~ Anna - Greenwald Female Deceaber 20, 1978 PERMANENT --------------r------- ----------r-------T--- _____•-----f-__ EILACK INK RACE wr'n• rtGW, •rt N:•» •w0~•», ~ AGE-a•!t YV/1i ~ rNi ~»OIf i O•r _ CAIE ~1 MItM W, COUNTY CtE °EATN !K a vu•tt. tilt$t@ rOi o.rt ~ »wii ~ 1 n•NOVf is, 1899 t, Stf Lucie 6602 ~ wr~ • - ~ J; ~ __1__ i s - '»tqN p1? IYMrf NCIShIAI OR OTNE! NStlttlT N--N .w r0. P•.qf, a.•! rrut{ •wo »..raet cm- rov+N, oa ICKATION Of DEAN s?tcri w wo >e Ft. Pierce T~ yes ,aLawnwOOd Medical Center SPATE OE E.IaM : u »O• .w Y f • . ~•rt C111IEH d Mh{AI COIMIlY MAtuED, NEvtR A{Ala1ED. SUaYrvR+G Sf+OUSE ~ w riN, a.•t .u a. «•+t cow.m ~ vv1°OwED. D ~ wtc•. ~ ~I~,aaiwrn , Hex York . V.S.A. ro. Mas~ ~ '-'--Leroy Greenwald _+ta M!!.fl. - - ---t ~ - ,•.o r e!•w SOCIAL SEC',hT/ NuM{E! USUAE OCCWATION ~a:n ar•e p .•of• fP»! pui.w4 roe. p RIND W WSR.ESS OR INOIlSTtY ^ccwae,,, wwfw4 caw. faer w a•.fw. 1~ •v/~•.VT.a»,6M ,7 iSi-12 "'W58 1~+ HOU$@"~11@ Ix oiCn-HO1QP - c+•uwr RESIDENCE -Sfl rE COUNTY CITY, fOwfa, OR IOCAt1ON u+i~a c.n Irnf STtfE/ Mi0 NUMlEt ,.,Florida ,b St. Lucie ,k Port St. Lucie ~,~`~~~rio«'p ,k 114 Serenata Court . EAl?IEt -NAME ?I.,r r~001! uP flpTtlER-AtA1DEN NAME tNl• r:Opl Jos@ph Zeitler Hanna Shannon INIORATANT--NAME MAytNG ADDRESS •sralr w . t o +w . ca• p ro.», ir•n. tMl „~Ir. Leroy Greenwald „114 Serenata Court, Port 3t. Lucie, Fla. 33452 • . i.M •,.1 e•. ?AaT f OEATN WAS CAYSED ItY: (ENl[a OIwY C,F,[ CAUSE Pia lwE FOR {ol tat Ae,D IcM ur.u»_o.it• .s »+r< Ia rwo~Aw tAYls - - - - - 1e! ~ ir. iviJt ~~-+~'~I ~n ~ 'I /L ~~i . ~ . / ! 's1- u' 1'`._ _ - • • » tom-' 1 tawNhawf, n AM, ~ /'~K ,,.~11 r.~\-1-i-~ - ..rew•n c•YS! /a, ow io. oa cowslow.~ci o:~ - . ft•flw0 Twf YweN- /tlwa C•Yff oft . !!1 - PART s.. Oi,IE! SIGNMICANt ~CX+WTIONS: co»ar.o»i co+wfgw•»a r0 q•rw Wt ..or nu•t0 r0 t•.i, 4.+!» n. i.n . y. ----TAUfOPSY M YES +lft •'••e•.cs ro» Inf p wog fwiito a:Iir.-.:«c c•vN ` L p Ot••w 1 i1CCIMNT, ~ Of A !!NJ=Y ~rOr.w. w. stu. 1 UR NC1W INh,RT OCCVtaEO as»aa'+•rW! p ~wwf... r•!r . of ?.n .t. •i. ~ : oa vr>ETEwINEO . ~.ai 70D 2C•C M 7W WAVY AT TapR PLACE Of RVllJRY •r wor .•w, ir/!N, .•frpr, tOCATIOf! , snul a f . e »o . cm o. lo.r, sort IfNU,i ni M »O/ pti•Cf KO/i.,lK afilCr.l 20! ~ m0 CEOIPICJ1110N- row.w e•• nu I rOrlw O•t r1•. ~ •.+o ulr .•w a/wti uM o» . OO ~O.O •+O• •qw M Ol AfM fxCYfflO twt O~ '••f r(v.A ntl - fOtlr •R/i q•M iwC~t+ D+•!. .r0- >J 'M LrV ~MTfI(IAN: TD ~ ' •^~~•'r' 12 1 8 ~ 12 1 8 1 did no nA o!c!.!lo ..o.. 5 ? re 9 ? z.,. 2 19 re rf10t20A,flP~.~.t :.,•u l.l~.,t CEfIIEKAIh'k,--MEDICAL ElAAYNER OR COaONEt c« •wt !•a•i w ry »oc• c. n.r~ rwt otitol.. w•i ?fo»ou+.ctc Dols !i•r.M•r+0» d M t40. •++O'Cf tM wril!•:•hD» rr pr..Ow, ~ r0•rtw M. •t•f ot•+» occ~•ita O» wq o•R +'.D OW TO .q !•y,l:f~ St•.ID 1 T j CEtTIfIER--NAME .rrn cf .e,,.• i SIGNMUfE / 1. . ~t A f _ 1•i . ` S,A. Kuddus M.D. ' .t ti~ ~J l° _ z ' . i t ,iAlltNG ADOass -cE.H,.Ef 2215 Nebraska Ave. ~ Suite 2-E F`t.` ~PierCe - Florida :t, I -~5 Fpra: 5~1. %k '~.r 19°7 ip? aUtlAl, CREMATIC)N, A!OVAl KEMETftY CRf MAf(~RY --NAME ~IOCAf!Ckt t•n Oi tOw~ ~"•'e ` ,y Removal _ _ _ ~u~Lower Va11ey Union Cemete~~ Ca_ lifon(HunteYdon Co.) 21.3 . GATE ----.rb+*w o.. a.rr, ~fuNtfnl NOME - r.A/ut ANO w~(,fE;S e.un o. o ~o e... rn pow», s.••. t.+---- - - Port $t _ ~,,Ro er L. B n~ PSL F~rteral Home 8516 S. ~'ed. H Lucie ,b Dec. 21, 19?8 tUNERw?pijTCiOR--SK,t+ JRr RE Mt S.(.HATittf ~O•tt f!(!~•ta .OC a: it a•i 7+I G ~ ' 're D ~mher ? 1iT-~ t=1!_EO A~1D RECORDEO~ r~eroby certlty thb ro b.. tE'E,. end oorreet Dopy of the lbc$', LUCIE COUNTY. FLa. u, Strer's recaord on file in the St. tucio County Heehh D+Pah• ~ - `l~Rt~!ED . <..l , ~;r.~ at For? Piarce, Florida. 4325`74 _ • .;z tWarnirg- hot valid unless raised seal of the St. ltxtet7 p ` ` 4,k. ~ _ - County Heahh Uepertment is affixed.) 19 f ED ~ - ~ 9 ~ 5 2 r;'' ` ' ° - i ~ ~ ~ County Health Officer A Local Regis!r ~ ~ . ~ ~ - ~ i c: , ~ - - ' } a- -s• ~I~ Derle LGgI Reols+rnr . ,,y . . gUO~ 3~2 ~;;!,c 17~ O• LAUCiHLIN ANO O L.AUGHLIN. ATTORNEYS AT LAW. FORT PIERCE. FLORIDA. b,: _ _ ; ~L - - ~ $ _ ~ . _ -