HomeMy WebLinkAbout2215 432895 ~f
IN RE: The North 50 feet (LESS the East 120 feet thereof) of Lot
68, MARAVILLA GARDENS, as per plat thereof on file in Plat
Book page_19, public records of St. Lucie County, Florida.
DEATH CERTIFICATE OF JOHN ROBERT VADAS
~a/k/a JOHN R, VADAS
HILLSBOROUGH COUNT'( HEALTH DEPARTMENT
1105• E. KENNEDY BLVD. P.O. BOX 1731 TELEPHONE 272-6390 -
TAPIPA, FLORIDA 33601 ~ i
. r
- stag of Florida CERTIFICATE OF DEATH
:h•partr..ent of Health and ltehabilitatire Services srwTE E=It.E No. ?
VITAL STATISTl:;S FLORIDA -
REGIEiTRAR'S NO
)R PRINT OECfASEO-NATaE ~t•• r.,al 1•u cEa OATf C, OEATN • .cam+•• of T, T:u 1
iaNtNt ' _J~_ _ ROBERT_ _ VADAS : Male ,December 4, 1978
C K INK LACE .•qq wcm..wfK•r ...e.•., ?GE ---..al ~~.oa . ruf ~«af 1 e+r CAIE Oi tltiN , w.•., o... CpuNty OE OEATN
t/t. . a?uN• 1 a.f1.e.• . a.TS - ..oa -~T- rya ~ wou•f .w a.f ,
_ ~lhite x,_48 - x a0ct. 14, 1930 Hillsborough
Clip, tOwN, OR IOCATIpi pi OEwIN wa•ee c.T• TIN1a ttOS19TAt pt pTN[f NSIITUTgN-NAME +.r rq w agMt. aM T=nIT .•.O ..u.utf .
Tampa, Florida _ No James A. H_al_e_y VA Medical Center
STATE Ot R1tIH ~ u w01 .T. r a . , r•w CITgEN OE VvNAI CO[M1tY MARt1EO, tJEv[t MARRIED. SUtvtvR.G Sr011SE ••1 ~qt, eM1t roar rur . - -
caTrnT l vvDOwEO, DIVORCED . vtcrT T
1=cl..ca R _ _Michigan _US_A_ _ ,p1~larrie~_~ _ _ „ _ Loretta S_h_o_rt '
:~u.tTe ' -
. p,..1, SQCIAt SEC'MITY ttUMREI USUAI CICCWAt1pN 1w•t twe W wtr 00.11 011tu1G lfosa a KINp Of WSINESS OR INp1/STtr
T1pfrK, u1f, Mw w tP:1101
:1YNI 1: 307-36-8948_ _ Locksmith -Self Empl~ed lae Locks
c.. RESIO[NCE-STATE COVtt11 CITT, TOwN. OR LOCATION wa10t u~ 11wm STt[Ei ANO NuMRE!
Isrtcq..ts e. ro
Florida 1.~St. Lucie +k Ft. Pierce 1.e Yes 1.R '2402 S. U.S. .1
IAINER-.I~rAME I,yl r,oolt oat /rO1NER-AUaOEH NnAtE /NST ..oat oat
=s- Steve Vadas ls. Elizabeth S erl
INEORMANi-NAME ~ MAIMtG AOGtESS lalaap O. t.f.e. r0., tw• a w..., sun. tw1
Ira Mrs. Loretta Vadas illife 1TD. 2402 S. U.S. 1 Ft. Pierce Fl. 33450
?wRt 1. . eoT..•
OEwTN wAS CAUSED tT. t[NTER ONl1' ONE CAUSE /ER ttNE ,Of (o). (0~, AND kM ulvaew o«at Ave N.A
1r.teun
t•t HYPER CEMIA
' t -
Tfwltr OArt slat f0 tOt
coratlors, a Aw•, METASTATI_~MALIGNAN('Y. PRIMARY PENDING
TYWN•tt f:l Yat 101. ,Y, b, p •1 • COralgYlfKt p:
p•tlri lwt Yrat16
' anNO t:AYN l•at
k!
?AtT t OTtaEt SIGNITKANT CONWTIONS: Cprpllpra co.warwulp q N•Tw Wt r01 tluno TO carat elver fur T In AUTO?ST / vES Trot nwelwes co1~
IseaYeS T ~
w" rjp r.r,.e c.Yat
~ ~ Aa 10E O! A TrOrTw, or•, •[•t1 I/OW INJUtT OCCUtREO u.1Rt f1•tlrf! W lrwtt r•t1 1 a f•tl n, N1r Tat
I ~IIIOETE WINED
200. 20C. M. 20A.
I/pURT AT WORa MACE Or NJURY •1 /qW, f•,r, slTftl, ef[t0e•, tOCAl10N / soap a • f.0 ro.. an M latTlr, suR 1
Ia1tb1• Ttf Ot rot OMKt tTee.,ftC. 1afKM•1 -
~ 200. 201. top.
CEtiR?ICATKIN- ~ rOMw M• KY rp1N al.• •tY AM 4a1 Save /rw/1Re YI•t Or 100/00 rot vNV aM ORATN OCCUatEO •1 1«! Iy(a_ Oq TTy
1 • TO ffynY Ma 7!y e00• •TRt N•tw- 10ort/ 0•R, •r0, TO tIN qat
, Ct•a!0 /Wr 2: 36Aa. a r• ..lowuact, era
k ~'~~Ae 1~" Nov 2 197 re Dec. 4 1978 r~-
D 1 78 2~e Did Not zte. 1o .Nt.Yae/a/al.Tae
CERTIEKIITIpN-MEOKAI E7tAAUNER Ot CORONER. atr Tw ova o. twa nOYt of N.M Twt eaCaMM TrV fe0rO1wKt0 N•0
t tfu.r+.u0.1 Of Twt eOw ..0/Oa Twf YMfnG•TOr, w .n p.rOr. rOrY1 M• .t.. were
NAM OCCTIM(O Or M WR •r0 Ow 10 M.t Uraagl-ar•Re.
2ta. ~ ~ ~ - M ?26. - M
CftTIr1ER-NMaE 11TH M „w1R NGtI Oa t/Rt OA SIGNE Irp1fR1, O••,•tYl
za.- ~Rg s_ S'rt?Rx M D _ t~0. _ M.D. Dec. 4 1978
MA~!~~ SS-CERiD t e Slop a e.f.tr 110. c/n Ot 10f.r u•lt
s=:, 2J4. dSDles A. 1~ale VA Medical Center 13 00 North 30th Street Tama Florida 33612
yn, Ils? RURULL, CREMAtgN, REMOVAL ERT OR CtEMATORti-NAME IOCAtI()N aT? alt To.r suq .
+ ovCVS TaItCY1/
Removal r., Yates Funeral Home ~ Ft. Pierce, Florida
LATE 1 rq,
e.•~•tu1 EUNERAI NOME-IVwME ANp AppRESf 1 sutu w a.r.o. ro., cm oe To.r.1, sTUt, to 1
N,- c.~+, 978 nDUVAI,T RAL HOME 3800 NEBRASKA AVE. TAMPA FL 33603
/UNE TURF REGIS 111RE pwl[ att:[I•to ar Loco teasrue _
2:~ ~ ~ ~ 2R0. Dec. 4 1978
- - ~ ,
I HEREBY CERTIFY THE CORRECT COPY OP THE LOCAL REGISTRAR S
RECORD Obi .FILE IN TliE HILLS•$d _ f?~VF L PARTPlENT AT TA*1PA, FLORIDA .
s ~ s ~ _ - : 432895 -
A = _ ~ o n S. reill, H.D., i~i.P.H., Director
L~ - ~ °b C unty Health Officer & Local Registrar
(KOT VALID,'Tl2vLLS8 RAISED SEAL OF •THE \../'"itl~t.lc.~/ _ ~
HILLSBO~tOUGH CQIATY HEALTH DEPARTltEtT Theresa M. Luppens, Depu (registrar
€ IS AFFI7tED)
~oo~ ~2 .•~fc 2~~.5 - .
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