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HomeMy WebLinkAbout2853 ,Q 37 6tat~ ut Flu[ida CERTIFICATE OF DEATH ~~9~8r0 ~ Urpaltrtttal of {Ictlllh anti Is~haltililatilre .~•1`PtJICCf RwTt lrlle No _ _ ~ vrrnl. s•rn•I•IS•I•I(:~ F L O A I D !l geRi6itlAq ~ NO DECIASID-NAW rMM1 tNt Stf IlAlllt1M.111 •r,•r,+ •r•¦, I rPE UI11•IIINI , 'N _ _ AttGELIlJA _ _ CERULLO _ tFema_le t May 2, 1977 PERMANENT _ _ _ . BIACK INK iAtE +~~N, rfee0. •rNKw ,Dear, AGI ,•ft vef¦ ~ • ~ u~ota ~ e•r Mt( OE WTN ,.rO.,rr (O,~ff1Y d DEAIN 1•(. .t?ft ur, in¦tro•• ••1•f?• rpf M•f Mu¦f rN 4t•f, f White _Iw__71_ w ~ f._ ~fSept 28 1909,. Droward r 1 , CItY. TOWN. W IOCAl10?1 p OEA1N rWf t,n truf IIOlN1Al OR OTItE! NSIITU1gN- NAM .u rut ,r n,+f¦. anf f,¦tf• •re rwfti-_ ~ 1Mtr• q? M rp Pembroke Park Yes „Community Hospital of South Droward STAiE OE EURM tr •at tr y.f r•..f CIT11E/i p WNAt COUNTt+f MARRK~. NEVER YAtt4D- S1NrNINO SPpySE ~y .rf. ttnf r.rfr w.u ~ - ~~('¦tfwrn , towrerl WbOWED. D1Y0~lD,vftr¦t _ E Italy USA N Married _ 11 Domenico Cerullo ..eu eK1•ffe ..,o fM•'r SO(IAl SECUMTY PIUWfR USUAI OCCURATgN ~c••~ ~.,o o• +w~ fq.y eeewo rof~ a Rwp d WSR•+ESS OR IftDUSIRY o[t wUe r rOe¦rq Vrf. f•Ir r Hn¦Ie, It 054-07-4462_ t,, Homemaker Own home j vet •KI M?OM •er,aKw - RESIDENCE-SIA/E COIlNiY CTIY, iOWN• OR IOCwEION :.f•fu cr• truf Si~EEi wN0 NuM~E ~ , f?f Vn •1t 0E rp ,a Florida ,N Broward Miramar ,f, Yes 14 24 31 Bahama Drive EAl11ER-NAM[ rust ~ r,eetf ~ tsA MpT?fER-MAQEN NwME tqP rMtlf t•¦• ,I Louis - Salvati Elizabeth - - , I?MORMAtVi-?uME Mwlwf(; ADDRESS tfu¦fr o. f . • ,•O, c,n a ro.r, ft.w, tr. Domenico Cerullo ?.431 Bahama Drive, I'liramar, Florida rut t DewETf wws Cwuxo RY ENT[R OeAr ONE iwusE tMR lllfE fOR h3 nt Aao It I A Ntrffr tlrMt •r M• / N .CL= t.~ ' ' - ,rrHUrf t•bff q,. O„f t0• «p N COuffOMrtf O?: ft•ttMO trf bMeff- RrrR tpN aft Etl +ARt R OTifER SIGNITKANT CQ(tW IONS c f ctrwwwrc w w.r. an . Mu•1o /q ff t:n¦r r .•n . n. w~+aSY • YE S rot ?.»..raf • c• //v1/J i///~~ ~ _ ••tf ~d1 r0, MHq. a Ntf W,w.rO t•v ' Q 1. l~'l.~~`` _.I^- ~~4 1~. 7 `C~/'~4~-1 \~L 't ~ ly lY~ w f!f•tw j?..leNl1 wCCIM •rt. fUK,(>! / A-1 ~ ~ rp¦?tr, M., rbu ?t~ MOW IN1UlY OCCURtED ~ Irtlf wtitf p ,rwN .r .•a . p..•M r. rfr .f. ?R)riKwe, OR WDEtffWlftD _ _~,M _ IM 1R. M 1Y • IN1lIRY Ai WORR KACE d W1URY •r rOW. ?ur, frtYp• ?•ttpe•, LOCATION , ft¦tft M ¦ . • rp , un Of t0+•.. fr•ry , C.~ tfMt,n tff Oe •.Ot OtrKf fuw.fK ,f?K•n, IR¦ TRI t+'t 3 CERtYKw11pN- rt1Mr e•• rl.f •.o•,w• e•• n•¦ w. f•..ri.N .,rf or . seieLw wr w- t+1 of•Ir occunlo .uct• a nD ew~fKuw TO ro•.,. e•• nu ¦t». •~~IRF•r .+ou.• .••....o ro n.• •nfroftr •+f p(f 7 7~ O• • ¦~O-U OG • n• otu•ue no+ / : ~ I 1Hf 2• 7 7. Jh y ) b 7 ) ?U tl? : lOA ro m c.ufua fr•:. ~q~ CERIr KAtIQN- i~•tOKwl Eiil•uwft Ot CORONER 'pr r+f ¦.an d wr „ow a a•n, •+f fH(feirr .•f ?eoaob•.cu ef•e ~V~ f¦•.r.nW+a rM f00. •r0~0. •.1 wntfr,G•.pr• O?rK/.•. rOur. e.r .fu bV. , Of•r O(tbMfe O•, tM O••f •r0 fHA ro r,f t•blf,fr t•••fe _ M IJf CERTYIER-NAME m?f o~ own S Ai f ~i^~/ wuu oe r.nf DATE S/C,t+ED , e•+, n•G.,~ Mwt?wG I?OWESS-CRRTgIER ~ +RI • • ¦ ~ e r c~o~ eo+~ f•••t n. > ~ • ~4 Ali n~~• ~ y y • / • > f BURIAL. CREMATION, REMOvwI CEMETERY OR CREMAtORY-NA Mt IOCwTION t•r• a ,p... f,•,f 1 tnC,n . f T4 i;ntombment Ttf Iollywood l~'lem. Gdns. _ Hollywood__ Florida DATE o IVNFRwI MOMS - r:••et •rrp AOt.f11S tnn~ o? ? • a •.o . c.•. o. rtl+r- t+• r 1•~ - - - - - - tw May 5'°"""19~`Y~ _ Tlk•~D HUNTER FUNERAL HOMES INC 630- Taft St Hollywood i' ~E12 IUNHA, OR-SIGwtui(- RtG~tY+ -S,cruwrt ~ 1 ~ ~ oaf n ~.fo f• lot•t ga,fn.• Rev. 7/76 . ~ 7 1 Vii, i 7' I t. -,j:~ v:.- ~ • ~ i..•• i 'tip • , . . . r , i ?.eX _ ~i:' o! ,f ~ • .~-may r;~• - ~ ~ J-s j. r\ 'ti "~!.'y.` • tL `s .s , 't ~ ~f /J,. 'k. ? 'fA• i. ' ••,~f w Cwwt "t.I~ ot'-1 T,,.. ~t r ~o I ~'.ue y` ~ • V'.~s"23 .a ~d:.'...~'. , : s- _••i! ~Z.~~Ie•, s•?.:3+!,~- •t _f-.r ~..~•'ri r.t~rJ / ti CERTi Fi I:U f.OPY • i hereby certify the above to be a true and correct copy of the Local Registrar's record on file in the Broward County 11e:11 tlt Department at Fort Lauderdale, Florida. (Warning-Not valid unless raised seal of tle Brt 'ard Co my 1 alth De t. is affixed. ' 6-11-79 ' County Health 0 ficer and Local Registrar ' - _ J /v (:Fief puty Local Regi tray e 's x R ~ 448436 5 t 3 1919 J! i 9 Ft 2~ ~ o EIlLD FfKf' h:COhL[J ST.Ll1CIE CCU."lTY.it:f. ROGER PQlTRAS CLEP.K CIRCUIT COUfi - gU~~ 310 ~A~~ 251