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HomeMy WebLinkAbout0681 44~US4 ~ ~ CERTiFICATE Or DEATi-i ~kprrlu~~ut of I Iru1~6 ~od Rrl~~l~iirtrl~ve ~e~vice~ STA7C FILC NO. ~~.~"~,.~N FLORIDA N~ wwu~~nu~r~mr+s REGISTRAR'S NO. ~i~~~,~~.[Ni INR UICf,?S~D--?~~Mf ~.~v ,.wo.e u~~ ,Six rDw1EO~OfAiN ~••o¦~M,~~e,~~u~ ..~s~.u[ F01 ,•'~~i~(hONS ~ ~,rl' ~I irn 1 n .T-,r,i-,r~. ~i~ ~ n7/{ - . U ~ C01N+TY Of OEwin IACE a.M~r~, r.1o~u. ~r~~n~.~ ~ws.~r., : AGl -i~t~ •r••:~• ~ ~~•~__-iu•.J/~ ~ O~r_ I1A. F ~IYiN ~~nw, 0~~, . 11C i sIf(IIr ~ ' ; N~inO•,_ 1~~f~~` YV! ~ V~1! ~ MOH~1 ~ ~w •t~~• ~ ; %,l(~l ~ P•'!~,p,'ttn1~ • ~ '~~V ~ i j i. ~ ~ ; , '~3i -~t? -r CIfY, IOWN, OR \OCAl10N 0/ OEAM ~ r~p~ ~~n •~+~~s HOS/11A1 OR OiNER WS11iU1/ON-NAMf ~w w~ u+w~, cry~ s~ri~ uA ~ww~~ ~ . s.u~~. ,~s o~ ..o { _ :j /~2 ~~n, V~+~. ~ i'..,.~.-,-~~n T:i~."1~1T'l~~ ~T(1^111t:~1~. - - A ~ l~11 t, nYl )c - _ ~_t ~ J'"' ~ SVRVNM'ICi SroUSE IM MMl. o~w .wre..M+r ~ SIAiE Of ~1liH ~ u NO~ w Y ~ w~r! ~U11ZEN Of WNA1 COIN~iRI' MIIRRICD. NFVFR MAitR~ED. I cow+en ~ WM70WFD. .'NY~DRCED ~ vur. ~ . •~„ne.~t~ ~ r11~~"/ .Tt,Y'.^.~`~ ~11Y1i,tr?~i ~?j'.'ll:(~;=~~~ :~'f17`1^1_i?(~ ~li T~'1'1'1:1 j~AY1.^•nT1 socu? sfcuun-~w,MSf. USUAI OCCUTAT~ON ,-o~.. o~ ro.. w.,. ew,.~o •o.. o, ~ Kwp Of WlSt~lSS O~ {NOY31W • . . • of~r« ~-WM~N+O ~~N. r1~. ufl~f0 ~ 1 ~+m,; n~t 1 o,~ ,t 1 ~q_ncl_27R1 A Ret . ~ttr~r"Vi ^~r `~a .r t o~..-e urpq ~M~q t~n ~wh1~S1lEEi /WD WVwNE~ •~^~~t~<,~ RESWE?~CE-Si~TE COUnTr C~TII, i0~+. OR ?OC~T~On ~ ~ ireun ?ei o~ w ~~1 ~lY` ~i'l !iw F1 ~ ~ T;? : f~Ylf;(lil ~u ~Tn !~a ~n~~ P(1`~'l~ P='l?*' T17`, ~ ~a l :1T1 t;(?P. ii~~ ?AtMER-NA/ME i~q~ rq~e usi ~MOiHF~-MAIOINNAMf ~nf~ r~~M~ Vf~ ~ ~ ~+l T~F'~~?lY?~/f??1 ~i~ T~r[~T'~~ ~f1YlY1~' • ° ,s n'1 Yl l IWOIIMwHT-rn~E jMwMwG wWRfiS ~snu~ o~ ~.~o. i+o, an a eor.., ~r.i:, ir~ ;,i,.,. .~r~~ T n?r,~~v~„nn ~ l(1Z~ T~rn~'~l P-~l m llr, F;1 ~ F+ritnrt T'l 0 1~~» ....o....,,~~ • ~ ~Mi ~ pEwTr wwS C~uSfO ~r: ;fNtE~ On:Y Or~E Cw~SE ?E~ iwE ~Ot (o), fbi, k?j ~~~nru~ o~sa ..:wo~.-n ~:~s~ • . ~ ~ J ~ J ~ ~ ~,(J 1~ S ~ 1°~ .L~i'"L~-t ~C~ ~ i .s . ~saw~..c~ . CO~D~t~Ow). •M~ I ' ~ A . ` /O ~ ~a ~ ~e~ ~ c•;.~ ; .eu~.r~ uui~ ~a. ov~ . w._ . cow~ov..~u a ~ ~/~~~MG I~! VMO~~• I j ~I ' \11M0 C~Yf~ \~~f 1~l•' i ~~I ~ \~.r. _ ~U~O?S~ ii YES +~ne ~~MpINGf COM- k ?A!T x OTMf~ SKsM~fICANT CONWTIONS: to.~ar~o.~s Co~+r~NUt~..O ~o o~.m ~u~ ~o+ nutre ro c•w~ a.e~ rur ~~a ~~•~f _ ~ s:o~~eo anar~..u.o cws~ ! M ~1111M ? ~ ~ - ; ?~OW ~niu~lY OCCUIIRE~ ~ ea~e~ wn~ o~ ~Nivn .M ?~n . p~ r~~~ u, mr ~ 1?,~,t,-:~. { ~ff~ON~T, iU:GDE O~ iDAlf-bi W/UM ~ro«~w, p~~, re•u ;?+OW H)MIC~~f~ W W~iEW~NlO 1'~d/1 ~ ~ Lp~ _ ~ Xn M. ~ iC! € INIUYY AI WORR P~ACE Of WiWY »or~. rur. fn~n, ~~CrO~~. IOCATION ~ Uu~~ O~ ~.r.e. Mo.. t~n O~ tO.M, fun ~ ~ f11C~It ~~S O~ ~+OI ~OIrK~ MDG.,~K ~YIC~A~ ; ~y : na f CtRt~HCwt~O?~- ..wr~ o.• nu ..o~~. o.~ 1[A~ 4S~ wM #r/M!~ u~K o.~ ~~.l~D/Oro wOt r~~yl fwf) O(AiM OCN~~fD •T M~ I~/K~, pw MI ~ ~ , +o..~w o.r .eu ~ ~oo~ .rn~ w.n. ; ~.ov~ ~ o.n. ~••o. ro ~w asr In~S~U: r+ TO o~ rT ewowuoee, eot .,~..o~o ~ 3 74 1tu ~ 4 Z4 ~ta ~ 4 74 ~p~ ~ i d not ~r: :~n~'~ M. ~o n.e Cwu~ai swio. = 71• c~c~.t.u ..or ~ fw~ O~CID~~+~ w~? ?q~~OU~.ClY OUO ~ CfR11IKA1KN~--MFDICAL E~AMilvf~ OR CORONEM~ a+ rtie us~f w rM .ou~ O~ "q~M ~~tM p~~ ~f~a ~OV~ C ~ II~r1M~t~0~ Or rr.1 WO~ ~+D' O~ lw! ~r.vIS~K~~~~Ow, ~ r~ O~W~M+. - j 1.~~•~~' M OCCY~~/0 ON MI WTf ~+O DV! W f.y C~VHIlI )t~ry0- M~ 7I~ M ` . ~11_' . ~GNA l~RE -`rATE SIGfdEO ~rO~+tw, o•.. •lui CFRi1f1ER-?~~Mf ~nn O~ n~«~~ \ / on[ q~~tu ; J~ 7 1974 ° Oav i d J. Kru 1{ ~n? r~;~j,~,~~ f-i-CC.L~I.1~ :k Jan. , j sran o. ~ ~ o~:o / c n o. .o ~ sr.u n. MwfliNG AODYESS-CE~lI~H• F 1 or i da 3356 t t ~",e 'ca e ter Palmefto ~ ~VRUI, CtEMATAN, REMOVA? ~CEMEIFRV ON CNtMATORY-NAMf 'IOCAiION Gn p qr.a f~~~t i "~"~~'T~,~ri~l i,.~Mansion f~'.emor' I Park Manatoe County, Flortda ~ ~ - - i ~ ~~l i~ . DwtE ~-----.~o~r», o.•, ~iUNLYAI NOME-NAAY fND ADDR ~ fuia o~ ~ r.o ..o r Cllt O~ ~OWM, ~I~~~. ~111 r'~ . t•, 7, fi l n 7 ~ ??n ~.v^ ris t n,--, Z ~~?r~ -s ~/1l T~1 1 A~'!'F: nrl , i 1-, 7N t612 fUNF AIO~tECTOR-S~l,~u~iURE 7 R G~STfiAft-' "v~W4E • t, q 1tCt~~~IO ~T tqCw? tE t~~~ n~V. i970 ~ ~ ' ~ R !a~` ^/rl.iT~ . ~`.v ~y~ 7i r 7~e , , . _ ' C',-, • r. , ~ f~:~ ~ ` y •~-~jr.{~.~~K ' . ' . . This i:: u t~~ae cop?~ of a c~ocw~r~nt :~s ~t czppeurs on ,r~1e fn th~ ~~cQ ~J~t~. ~ c~ • _ Syzb-~:eq ' .'•~::.auc~ae Cotuitr Florirl~s. ; f,;: , : ~ . ; : . , ~ -ri . : 'j~ ~ - w ' W."51~~.ti~ 4 ~ -i - • " {Y S szcarGD~-- ~b-r:e~ vs ~ _ ca~,-~~~,,~~.~ _ t~~s; ~y~ ~4~054 " , _7 ~ ~2- 3:, ~ " ~?t9 .:s:~ i ~ ~ ~ F ,~.tG G~ : iur $T~.l(~ IE ~aUNTY.FI:~.. ~ ~RK~~lRCUR C US ~ ~ RtCGaD VF;.iF'~_'~l~~ ~ ~ , I 3!fOr ~~O PAC~ V~~ ` { q-s ~