HomeMy WebLinkAbout2004 1
g~32'74'~ t
FtLED AND RECORQED
r~T. LUCIE C(1UKTY. FLA. <
0 f~ C
. ~ 432"x4'7
'T9 f EB I pM 3:56
r i~ ~a j.
CLERK CIRCUIT COURt1~
A VERIFIED TRANSCRIPT FROM THE REGISTER OF DEATHS
OiN. trig. 5126 C F. R T i F I C A T E O F DEATH R~~ist«~
l,pl lreetl l•p a. ttr aNtlp N•Tr.reerr. N. •l•~' 1
e1a•uo ••w_ ~ -
Jose Seifert - Male M8~ 18+ 1964
• •.ce r.nt .luo .rl+cw..r.•r s• •ee :•si •n. ygrr i ve•r '-'I,~rarTN: a. Nu w erTr!¦wt¦. Ni K.a, r? ew.~.
ar N•u
!TC a?lclr• 6•r •n N ret N.t X Yt ~ '
Auril 6, 188 Suffolk _ ~ `
White 7
[It• /Nr s• •.aa•ca fr Hilr K a[rG/r M it•i 'r netrli•t N Olr/e rtrl7rilpe w•IIt Ir NINI ~ ali.l[.. 4K ilrta T F e0 ,
Southam ton _~hours outhamvton Hospital _ -
t inlt a er•r .+r rot •a y s. ..r • c...;lv al •.•T caw•¦• a ¦••w e. .avu ¦•ne...rera•. iNrlvlri 1r01tat Ir eat aK Nrer ur. I: scu•a uc.,•,r. .o m~uuo
re•a.,.. el•D.cf..arlcrT' 610
Austria ~ Married Helen Lederle 122-
II. S.
IY rfTKl K! Si•1!
.a•4ay•?att:.?•i•Or'CrI!••.rir •r••e[al ea..v: r:ir ~•.J.•a+a••1 fyT¦u •l lrte. IN a•N fr wsreafNregtra
:N Cx^rr Il! row aK nt. r. v,u •cr IK-rMel rNrw•le slwn i•f.i1nl11N ryNte
~ 1!n cr v ve s N ra
Suffolk East Ham ton East Ham ton No Cann Road
r ~.a
r. rcoa! a•i . N . a[
1a I•ld• MM '
Ile N?rG.N\f t111ir[!1 M r / [.1• p aNf, iT.T! !N. .
rrorwl Yrl
Mrs. Jose Seifert East Ham ton NeW York
,•rl. at•1.r•tc.ru•r. arrera.alo.lc•rsfn\urerNwt•1•reK. ~ elrrll.•orutaDe•••
..e,ar C.DI( hours
Coronary Thrombosis - -
0-1 ioor•t•eo•voyt•ee N
rON.l.Orf. M •,..r.ro
i.K..il TDr..a..a , Arteriosclerotic Heart Disease - ~Le..__-____-- -
-•eu sacs. t.~ aw re ar u •
~wsaos ur a -
;..eara..cc•s1:...
_ _ ~ - Is•.Dion•!•-isww niakiiiw~tive~irroii'.D:r[D
/•et n Olw1 • iK•J K r C 4rD• T.p•t C arr.T.4ra COr l r-0yt aG i01! • t e M I Nt r! a• 1! r
1D
Ue7f 61.1 w rt ••r t . t.,
ale. Ilex rlrl•ac[rw!•11 .1[¦r?iWt rlY r•Ir ••r/1N Hrt•.r!¦N
tY •CCIN rr SrtM rarC-0a »r e•1/ pl Tarr r0 N• •rl 7K. wore
r.eener•ee irlt+. -
_
' _ •f: r!!t M \ r.! .O, a11. Or 70.. 1i•ia/
i 7q r/er• •i ror• !I KI 4• •t VI I•N itrltT I•C1N• VC let•Iler .
iHCr••!!Mr0 .l•Cf e.eG IrC frRi".~
7K •N l•ST s•r w+r •l,K • 11N ! • 1.t i••sr •r.a
11• Cl rIJ R.•'~t.• r+•1~!..•. • ir! rr•tK YrFD rllo. •r •l N[! Ina 0!C[.Srf1Ir0¦ ww1l
•Itl Nair •71• IIe NL• •t' N QYa L N ¦D.tw.a Q NCt /rY !1.1I/N i a n a prl
eiR ~ to I-f i.yfr!
1 sera
n,~:a.ry•. 18 V Te 1l7 U Ill U -
- ~ P.M.
lna f1Nr w N lrt Irrtt*Ie+lrler. ~ er •r¦ m. ir! eecteari ru nNO1Ke. e!•e
a7• [lrr+IK••i• r[D•:•l !••ar!•Or [O•.irl• Carr! NLaM !••rtYap Or _ rerrn N• !u rD+lr
rt n Nr•.Oe e!•i. .•CCyM1e M rr[ e•T/ •re D.l f0 Tw! C•rtl •t• ar•il• _ .
I
~ ~ _ .
tt. eenrJr r..T 4,,.., 5/19/64
-Edwin C. Rorie, M.D. ti.rf al•
aar el•Nrt•Nrlaa C!e¦Vtr ~ GtiN1eN
East Ham ton, NeW York `
fy t aK.let•Tler •alTr N ilex il•i!•
iY ryJ. rrlY r.pw M nNV•? trtCr• ~ :•e. K•C[ fr 1.
as n Memorial Park and Cre to Comm NeW York
. f1 •r~ 7N ryn wl .Va .•K W •eerlA gTMlT M eJ ~ N .Cliff flr T.ee, al•Tl. 1yM1 ~ ao .14i/U1•Q. N
a.e MlT '.0,1. D• _ Tyt~Ot II~F, l a.Z -
Ti r ta.a ,a~ +u~'•••! a.l-relrfrr•lor N. reNUl: elretTfl !s• aTArru tlW iref
Frederick S Williams HO Helen S. Boreham
a• r•ia or ssr! •eqr*. Nr .!•r
- yqc•. nsr.•. .o n• w•.a na/ sane. n
• ~ „ Helen S . Boreham 20 61{
, ,,r~, 1; _
-
,+1~,J
. _ " = ` I-iEREBY SOLEMNLY ATTEST, that the about is a True Transcript from the
•`~`-''-:-12egistst: o~beaths, as kcpt in the offict of the Village Clerk, Village of Southampton ,County of
" ~,~6ffo&G~ind Statc of Ncw York. `
Dated at Southampton, N. Y. this 5th. - day o~.~~Y-__.-_ , 19~ 76
• ~ l
Signed----~',~.~,c..l~..~ C l~< <<_,~,
Registrar~Vital Statistics
tt ~ :2004 -
y~i~~~`
-