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HomeMy WebLinkAbout0013 / ' - . _ _ . . ~ CERTIFICATE OF DEATH • . Iaep.rt.ew~ .1 tk.l~6 •wd Re1~.611i~.u~e Se.vk+e. frwTC F~Lt l10. ~M~~sx~? ~~r~~~.m F L O A I D A •~rr p~ ?l~?~T ~N ~°w~~~•TM° RCOIiTRA11•f NO. ~ M ANtNI INK ,~~s~ riOWf «1~ SE~ DA1E ~F OfA(M ~ rOwtw, 0~~, ~t~~ ~ w~~'J100~ f01 CECEASED-NAME ~.t"°~'~°~s , Andrew A. Lad o ~Male ~ Jul 7 1g78 RACE ~tf. wlOq, ~r~tK~M ~..eu», ~GE-us~ w.oe~ ~ n~~ v.~o~~ r e~~ DwtE O~ ~Mrn ~.artr, e~~. COUNTY Oi DE/?~N ~tC. 1 Y~CY~ 1 M~IMO~~ 1 t~~\~1 rp~ O~\! Mp1Mt ~M. nu 1 . White 71 ~ ~Au ust 9,1906 Collier G1tr, TOWM. Ot IOCATI~N DEA N wfre c~n ~r.n NOSMAL OR O~R ~11?UTIOI~- IN rp~ w I~iw1~, Grvt 1tqlt ~rp ..xwa ~ Napl es ,,~Yes~ p~?~Na 1 es Communi ty Hospi tal S1Ait Of tIR1H ~ r wo~ ~ w.r~ C11~2EN Of MMAT COUN1R11 MAR~p. HEVEt MARMED. SN~vNlIG SI'OVSE ~ M~~. o~w .u~oer .we ~ tow~n ~ WIDO~MED. WV~O~CEO ~ wtvr ~ ~ enns.~~•.7JY~~S~~ni~i • USA hlarried Ann Kover ..~~.e _~ce.~io ~~wl SECU ~RTY t~UMlER USUAI OCCWATION ~aN ar~e u.+o~. ea+e ow~»a .•w~ a KIND O~ WSINESS OR ~NDVSI'Rt _ • u.~.. _ :~1fG M+ rOrr~C \IA~ ~M M ~lh~b 1 ~~273-10-8688 Reti red Nurser an Nurser . '.`:~...~.,a~ RESiOENCE-SU/E GOIJNTY C~11, iOwN, OR IOCAiWW ~Wm STtE(T AN N L~~ + ~ ww. a ¦o ~ ~N Fl ri da ~p Lee ~4 Estero No Corkscrew Road fATM(R-NAME nqt - . r~0ou ufi MOTI~R-MAIOEN H~ME rnf~ .uoa1 us+ ~s Kazimer ' Lad o . Ani ta Gri al auni s IN~ORMwt~7-?~lMtE MA4MK, wDORESS ~vuei o~ .w. an o~ ror.., s~.a. tr~ Mrs. Ann Lad o P.O. Box 142 Estero, Fla. 33928 ~ . ru~r i DEAiN WAS G?USED tt: ~EHtER OM? O?rE UUSE ?Et IINE IOf M~ /SL ~ kN •~r..u.. o..u, .~.o ...n~ wWOUt~ (IWH l~l l~IC If~,/f!J - 1//j.sC ~/L/~J~' !J c t' !V E~ll` L .~/ct/ r 6/1 ~~7~ • M - . \ COMNIIOM~ 1/ ~N~• ~/~~~~~IJ ~w~cr o~rj uft q (~1 j ~rr~~lwT! C~Yl~ 1~1. «~S py~M(! O~: ~I~~1MO /11~ YM~I! r~1 j ~~INO CAYH lnN G7K'„ '~~v~~~~iJ/J i ~ ?ART ¦ OTME! SIGNYICANt COMOR~ONS: ca.aea.s cawrsu~~..a q a~w~ wr.ar rure~ w unse a~ r r~n ~ w MRO?S~ M rES ~•tn nrs~¦os co.~ ~I ~~t O~ Mpl f'N~fO ~w qT~~r~wtM6 4Yf! ~ ~ G C.~'~1~'~S/7UE- ~/~'1/' .~-/[L~~ ~A h oe•~w ~ ~p~e?1~ip A ~~~rN. e~~, re~~~ MOW INJt1~1/ OCCUlRED ~ Iw~t~ ~unr~e M~~wn ~w ~.n ~ w r•tt rtt. ~ r MOM~CjpEi W 1RO~1[tJMwED ~uM }w 71i M IN i ~?W[V AT WORK Of 1r~JU~.r ¦o+r. ~•u., ~r.e~. r.c.w.. lOCwrOr~ ~ snm w ~.r.~ .w.. an o~ ~o.rr, u.a ~ t 1~MGA ~!t W w01 pwlp MCO .lK. / VlC1It 1 i 7~1 M'1 CEfTf1UT10N- .wiw w. nu ..oaw~ w. •w .,.s u~s, s.r ¦..ih~~ uM a+ ~ aoioro w~ na otwtM occweto rwe n~ce. w~.a ; ~ ~MI~KIPN: ~~M O~t RV ~OOt ~Rlt Ot~M. ~wOY~I O~~f, ?w0. q~Mf N~t ~~nlwoto tw~ TO t~ q r~ aMp~nex,e, ou~ ~ fb ace.seo nor ~j 7~ tq ~I ~ Il~ 7~' 7 O fl~ 7y M. ro rM~ uws~~s~ s...u ~ CERtMKi~T~ON-MEDiCAI E7tMnMrER OR ~OROWER: o.. n.e us~~ a ewe .ow d a.n: r.e oecea»+ ..s •w.~a,..ceo o~.o fa~rw~tq~ O~ /M WOt ~rO/W rw! ~rlSfR~~b~, w rt OINWr~. ~ +~O~~lw O~t •f~~ wOY~ % ~ Dl~~ OCCY~~lD Ow AN O~A OV! q bM i~Vfltfl s~.no ~ - rn ~ LERbFlER-NAME mn o~ r~wn A URF eee O~ rou ~ A SIGNEO ~+o~M. ~ W . D . ~~l~ilU/.s ~ n. ' _~c~..~ "7-/c? - ~ ~ MAqiNG AOD~f S- ERI~f1ER uai~ o~ ~.r a wo un w ro.~. u.n e~r ~ 8 1 ~~ive N Na 1 es _ Fl ori da 33940 t ~ ~URUI, CREMAt1pN, REMOVAI . GfMEtERr OR C~EMATORY-NM+f IOC~TION un +o...+ s~•n ~ ~ vtun ~ ~ t~ B4Jl"~~~__ I"larorial Park Miami Florida ~ ~ OAiE i rd~~w, 0~~, tiV ~ iUNERAI NOME-NAMf ANO AOOt SS fttU • ~ ~ O t~~ • r~t t1, b(~ y tN July 11_: 1978 ,SPi ttman' s Funera~ me ~~16 0"Pd Qom t Springs F1 a. 33923 _ ,+r t; i~~R D O~-S~GNAT~; RfGi51RAR .r t E~ ArE t ~~to ar tOC~I ~[G~sn~• ~ :s. (i• r.. ,iw /9'~~ F, - CERTIFIED C4PY d I hereby certify the above to be a true and correct copy of the record on file = in the Collier County Health Department at Naples, Collier County, Floric~a. ~ ('~ot valid unless tFtie seal~ ~pf th~,~olli.er County Health Department is affixed.) 7 ~ _ - . y ~ . t _ 4;3`715y . ' i'y~,~_ - i 3 Loca~l egistr r o Vi tal ,Stati sti cs r - Collier County, Florida ~ ~ . . ~ ~ ~i ~ Oate: ` a BY~ ~ ..k 5 ~ 3r;~. =1~.c ~ 3U ~i ~