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HomeMy WebLinkAbout0507 ~ s~»~~ 4, ,~5 CERTIFICATE OF DEATH / ~,.,~..r.~ ~031'~ ~ F L O R I D A n~~ No. ~•n o~cfoc~cs-wuu r~es~ woou us~ se, wn or oewn~ ~r., +n. r.~ p~ NIM GLADYS WEST SKAGGS , Female ,FES.19,1979 - h....a~n . wcc na uce--. w~.... wa. wt-~..~ ?•~w.r vot~ ~~wu vat~ ~ wr o~re a werw ~r._ an. twRr a a~n~ n,. ~~»...n~ r....~ ros wn ~oua-r-.:as • White 63 ~ k ~ June 14,191 Brevard i un. ioww a wu~~on w oe~m Mosnu~ p onre Maimn~a+-?w+ rq ~..w. ~r ~oar. o~ sa~ urw. oo.. . aic.... r.. ~w.+~+ a...~.? i Melbourne h Holmes Regional Medical Center ~.Inpatient d~ • ~ s»ie or µ~n~ n~ u~~o+ a wwa oow*n .w~~ec. acn~ ru~enm. w~v~ww vuis[ n~ ..a. r•w.. - . t'SJ_ rr e~r.s/ w~DO1ME0. WYOK[D lS~sJ!/ ~,.~.ww~« !~~ntuck_y U.S.A. ~0. Married W. Ray Skaggs f wMe~[ ac~wuo yau~ sewem wrn~ uxw ocar~i~a+ru.. w.~...~ ~.,w cvo o~ ws~•+~ o~ wwsm uvlD u W~M ~.r M M~. .w~ J.•w.dl ~i m~~°o.~"~. ave ~y, N OuSew~e Own home ~,a„ 291 16 3098 •`w'~ as~wwcE-sur[ cou+n an. ioww d~out~a+ vtn u+o w~w~[e ub0! QTr luuA ~ ~s ~ Florida ,.~Brevard Melbourne 643 Hickam Drive .,~eS /~1Mf-N~W( f~6T MIDDIE 1AF~ TIE~--MI.IOEN MAY! illST ~i i Matthew WEST „ Not AVAIIABLE u+Mtr~.li-wwt Iry~..~ In.rl tWiG w00~EiS Si~EFI Of t ~.D. ?A. UTr p iOWN STAit ; W. Ray Skagg 643 Hickam Drive, Melbourne, Florida 32901 - Mit~~t.QEWi~ON. ~1.0 /SI«J~l ' CEriiFN W Q[Mn1Mi-sYWE tOCAf~ON C~T/ Of ~OW~~ St~TE , i Bur al ,b Melbourne Cemetery Melbourne, Florida 3 . . a.tRa K•:f~•? ~ rown e axve unera ome ? 596 1010 E.Palmetto Ave., Melbourne, Florida 32901 ]O. M. M ....~.4e.......~ .n,,...., d~.. ~d T.. d. ......n•..,...d,r ....~+,«.n. .w ..~-~.w ssM ?MtA ~M M 1s ~M s~wl+l MsNd ~[Nw0 rw. AOY rd M~O M 1~ M~ tNMI~! sM~A. ~ rsw... ~ r.r.i ~ 'm ~ ~'a~Jw^t,v~ ~'Y) - s ~ ts......~...i r.wi ~ _ _ ; € o.~e'swwtc ~r._ a.~. r..i rou~ or awrn ~ NiF bGNtD /Ya. On. 1..i ww o~ u•n~ a Feb. 20,_1979 5:00 A„ 3,,. r~ wWf p1 11iTfti1>1NG Mt~SK1Ui 1{ Of11E~ TIMN CLt1111E~ /i!N ~ 1'+'/ s° ~~fD OfwD /r.~ M. l..l 'p^'ar~Ea otwD ~~~i ! L ~a ow sr ~t y ~oe _-_N~,MFANOADdESLWCEt7~flFlt/N~SKI M! tUU.MUiE4flfMrN.r/ ~ ' ri. W. senma 200 E. Sheridan Road, Melbourne,Florida 32901 - n. ; ~ .w~s.w wtt rece~vm n eewsrue rr._ s.,. ~ m ~5,,,,d..i ,3 , Feb . 22 ~ 1979 3 ~s ~ 9 E c°"°"'°'+s - - - - ~s wur 7~ i~yEp~~lE UUSF lL~7E! lI O~[ tt t[R us[ lOt I.~. 1~6 ~r0 r.l~l w~~ ' Nn.~O, GwvE ~ ~:3[ ~O ~V~ M~ 2~ minutes ~wriD~wTt , Cardiac Arrest ~ i iAUS! IN ' Z S~~~EM' w OV! 10. O~~~IS ~ C0r6FOUfNCt Of. 'fw.~..d M~.w~ w~~ wd dw~ ~ ~ ~i 12 hours e Anterior Wall Myocardial Infarction i ~ DUf t0. Ot /u ~ CO?6tOUF~+C[ Oi. ; Iww~wi M'.~w w~~ sd 6~i • A17tOK`t -5p L W?SCJ~Sf ~fiFHED10MEDKAI ~ k~ - - ~ ~ ?~tl OiNl~ YG~i1UN~ CO~~1~0'4-fednr.~ arw.l~nw'i ~ dq~ ?t ro~ wbwU ~e anve y.ww ~n ~~tT 1 HI ) [RAYIME~ /sIRJf Ir r A~~I 11 No ~ _ Hypertension ~ No ; ~ P.eecN~l ICC~'JFM. SUK~Of r D~rE O~ ~raMr rr._ a...1..~~MOU~ Oi 1N1W? DFX~~~F ~~Ow WlUf7 OCYW~ED ~ 11DwKW'.: VAfiE~M1r+E0 (SN~~h/ ~i ~ _ 71~. Ac M Dd _ ~ ~ v.n7~Y ,?1 w0~~ /Sr~NS nwCF OF utMV~. tir~.. le~. ww~. ba+.ti. .Ma d.+~d+v. ~OG~~p+ Si~EEi O~ ~ i.0. M. QT~ Of tOWU SLTE NK 317. r l~.i wc Is?KNfI Jw i~fi R~. ~ ~ ~ r~ n~ ~ ' ~ ~ I HEREBY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY OF TNE RECORD ON FILE IN a ~ THE LOCAL REGISTRAR'S OFFICE IN THE BREVARD COUNTY HEALTH DEPARTMENT. ~ t (Not valid unless the seal of the Brevard County Health Department is affixed.) ~ i - : ;CUii - ~ `-t ~ - _ ~ ;1' ' ' c~/ ~l ~J ~ ~ ~ . 4a~~5 Lodal Registrar ; , ~ . t T` 3 9 ' ~ F E B ~ 319 %9 479 ~ ~ ~ 2 s P,~~ ~ . ; ~ ~ n . t ~ ' ~ ~ Date ~ Sea~- Deputy Registr ~ _ . , _ • 9UGr 'r~:: ~O~ ~x D GENE ROBERTS • JOHN HURDLE VAL M. STEEIE lEE WENNER JOE WICKHAM ROHEfiT L. NABORS R. C WINSTEAQ. ~R. D~sintt 1 Distnct 2 Distr~ct 3~ Cna~rman V~ce C~~~rmsn County Atto~~!y r~p•~ D~stritt 4 Distr~tt 5 ~ - ~~.w~~ ..s.. . _ . . - _ 1~:_ s~