HomeMy WebLinkAbout1385 43220 - - -
.s
rt.r.rt+.1E.. CERTIFICATE OF DEATH .
d "'rtl"'' EtdR~Efl.tl" savtw. - 113
nua omtM. F ~ ~ ~ ~ ~ A IOGI EtU NO-
tr•E OECEOENf--NAME f+!{I rtOOIE 4St fER oA1E Or04M11•.Eb. ?•.J
Ot Mthi
tt.r i• JOHN 1'1~iN VANDERLAI9 _ _ '1_`aZe ' eh.~1 si ~ 919
t+ACa +nt tACE ~ . wc.... wt+. .ct-t..+ w.++a.t uhott 1 Yat vofa t o.Y M1E Oi E1tM tYw. M,. r..1 cowry w a•rtt
Aa tns.., rc t rs•.n/,/ / r...l ~-r pAK --~p~T reins
6602 h'hite ~ ~ ' r•
Urr, rOWN W fOCAtIpN M DEAd IpylrAt p OMt t?4nruitota--tr..• nl +.+w. M..w•«.d r.1«1 +r M061 Of M6r. tt"t"'°
~ r• Lcamtvood N.edicat Cen r _ r• Ir. tient
S1Ar[ d tttiM lf/ w is ut+EEN Or ri/Mi COW+rtY rAffIED, IfEV[t MAttIED, ytttV+Y1hG ErQAf (t/ nJ•. Iw ~•1
r s. • •..w/ wtoowEO, avotcfo f tf+sY,?
taa .ELOtNCE • Ho Z Zand U. S. A . ro. Married Ir. F_It)a In»um
vH+[EE oecfASro ~ - ~ cup a tlNSthESi of ttousra
+ . t o +r OE?I/t sou ? sECNt+n wrtft uswt OCC1IwTgN (c« E•J M ••w
UC~lt[O th awt wl wt•y EJ•. •aaw J nva•I
~
~ «E Ir. 079-09-1739 tf- Retired tlaintenartce ylJrtit
tEf+OEMCE-11Af! COWir GTY, rOVY11 q l0(ATION ItEEr Afta M1YtEE 1NEIOE Qtr ttWK
l3.rih rrr i•J
IY t? t 14. Iy ~ lp
rArttEt-•fArE r/ut rtOOtE IASf 1?t[t-afAtDEh tMrE RKi r+OME tai
t:. John Vandertan Sr. 1•- rani
+hrotwNr_•.AME (r,.. « r..rJ nttw AOOtESt srtfEt tx e r o. two. un of rowN srwTE Etr
t~ rZan 1>~-4119 Z r Fort
tut+At, a[wrtoh, t[rAOV.t. oTttft rr,..J,1 cEStEiEtr of afwrotr.--HAre courtoM un oe row++ s*ATe
t... Rey vaZ-Buriat T• Kirkland Cemete Ik Zi
`N'""'+t o. ~"'^~'~J ' """A` NOM` 3015 Okeechobee Road
I ~ •lt i ~l'/ T NAISLEY-8088 N L F t
j T. ry 1•M .t n7 •aev and !la l]w +I.o Mar J •ao~ew.•w wd/•• .wvae~ "r •.""r' Y•R'
i , oM+. sd du. w rr sra.rwd w d• +w. M sw• Maw W M a• M• ewrM M~a/.
f s It.Iaa+rr .a/ r.W/' s /syrrr• 1rY/,
GAtE StI:hED /Yw. M. r•. Of DEAM ~ t1ATE S1CI+EO lN•.. Aq, r•.1 110Nt Or pEAM
~ ~ >o. 4:15 ca• rT.. r~ M
t s -
W Wf Or nrrfhWw rtPtSK+Ah +r orllft TfMN cftitr+ER (r,N r M+~l s ~td+Otl+Cfo of AO (Y... Ar. r..J ?tONOtI/CfD OEAO (flrl
~ ~
F r0~• F 2r/- OM rM AT r
R -
tMrE A!O ADOREii Or CEtf+r+[E IfNritCt/tp, rfDK/tl E]+Aw/tEq (1,M w fra.t/
n Ge d M. rZi
t t[G/SrEAt DAtE tKEtYEO tr f ttAt (Y•., •q, f•.1 '
February 27, 1979
CONY T+O,d ? 1 .1 ~ •
w F LOVE U. t1arE0uTE CANE! l[A1Rt O.fJ a uD3[ ALA uYC r . I?I. ~.v~ t•1.1 i
~MMfptAtE t~i W
UUSE +Ot t
Sr • r ~hG T11E ' 1 T•t•rrr •Mw•o rant AA
..,~t.tr+hG ONE r0. Ot AS A C0,6EONE/(CE qi: f .
(/tNSE tASr ~
~ 1nn E tr ,w, A~i~orarrfrloula o St~o~~NA
~ ONE 10. W AS A aNfhCE M. ' Int•/v1 Mt+.•. rwr M sL•~
_ W _ 1
tAtr otNE¦/j7~K~+sK ~T
cohaTlpd-.(rdsrna .~NwE a~+isow tra •M w4aM rC\~La~• «w.~(/~r~~A~t1l t tot / • ANfoRY !sr•s./, w.?S CAff tEfffEED p rfOtCAI
~~(/a~/ W t S ¢ tT-~ L Ltiv f.'.ri.~~ ~ ~ •r r, E1tArtNEt (,Nah Pr ar lf.,
lG
7r••loMrt A<C+DEM. SU+C Wf r OA[E Or t/tttltY (M•., Et+a.. r•.I t10Nt Of 1ryttltY pflClttE IgYY IrUtItY OOp1tlEO
tR>••KtOE. v urpfrEEliluhEO Ii~w:/,I
fi. A?. r D• .
t+rS f•..w St r, tN1tKY Ar WpR lS,.•ah I•• IIAtE Or INAJtYJ1t tens. f•nn, s+nw, Iriry, •tro ?•td.+y, LOCATION fttEEr d t. r.0. rr. C)tr Ot pwN RA1! .
c.xr o•cvt a., nt. E~
/a.+ t+afN 11
.F
e true and correct tops of the Lout c:_CpR.~~~
I Hereby certtty this to (7e r • .
Registrar's record on file in the St. facie County Hsahk'Qip~h'- ~ "lt,~--v
rrlent at F[xt P~e?ce. Florida. L,
s (Warning. Plot valid unless raised seal of the St. Ludo 4•~2~V
Health Department is affixed.) J~~`'T' l~'t
County ~r ~ 6
N O. MILLrR. M rJ.
County h el?h Ott ~ er at local Re4tistraT - -
. .
' - - s/1l .
x, °
- -al Reap-r•,Ir
r. peputy loc
~o~3U4 P~1383