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HomeMy WebLinkAbout2166 , : s ~ , ~ _ r ~ 451611 ~ State ot Florida CERTIFICATE OF DEATH ~ ~ Uep~rtment of Health and Rehabilitative Sewices ~ srwTe si~c ao. _ VITAL STATIS'fICS F L O R I D~ pEG16TRAN~S NO i TYPE OR PRINT ~CfwSED-a~wE •b+~~ SEa CAtE W OEAtH ~•o..+., .w. ; ~N ~ Paul L. Bpstein ~ ~ PERMANENT ~ _ ~ ~81e ~ ~'+~aV@'fl 9T 22 197.. BLACK INK ~ACE ~rN~. ~+fG~O. ~~~~N~M ~MUw, AGE-~.sr u~wf~_.r1~~__ vr01~ ~ O~• CAiE O~ ~1fiH ~~Owrw, Oi~. COYNir O~ OfATM ~rC . 11K~~~ ~ V~trO~~ • r~~~{. r01 N~f wOW1 r~1 ~1~~ ~ ~ . Wh=te s. w x s BTOWSTd Cm1. ~OwN. O~ lOCwiq~ d Of~tM ~+sro~ a~ ...~n 11pSh1Al OR O1MEt NS N -H ~~N ~ran .w ~.wu ~ C ] _ vuu. •e~ w .w 4 ~e Fort Leudordel.e Yes ,a Holy Cross Nos~?ttel S{I~VNNCi SpIJSE ~M VY~, OM WrtM M4~~ / Slwif Oi WtN . w.o. v s-. CifllEN O~ wMw1 COI~+t~r ?wnlD. ?~ErE~ rwaEC. • • cow.n. ~ nn00wEO. ONWCED ~ sncr. . ' ~~~N»~~ . . Nary Fine -.m eea.we " - Penns~Zvanza______ ' t/.~.~. - ~~F+c2II.~e_<;.- - - - . _ • ,~.~o N.w. SOC~~I SEC'Htt NUWE~ USU~I OCCW~T~Oa ~c.-a ¦r~~o..aa w..~ ~w~.w ..os~ o~ cwD OI ~uSwESS O~ u+DUStlr :+Cf Ut~fO N ~YI. N~~+ N fIMN ~ ~v~i,.u•.ay~ G~v~ y ~b ~t~~KW~E .es~o~»c~Mqu ~~_~5-40- -A ~~~sd,! •o~~+~b~ ~ES~OEaCE-St~rE CW~+tr d~r, tOw~+. Ot IOC~T~ON W+~ ~W~ SteE[t ~r+ • ~ wc... w w +u ~•o d ~k r u dale +b Y 28 N.E. 37 Wa IAiIIE~-NAM[ pq~ ~yN1 up MOTMER-MAbEN N~ME ~Mf~ ~OM~ uf~ ~s Louis E stein +s Rosa Carlsetin ~ 1 WORWwt-rrM~[ wu~wG ~OO~ESS .~s~n~. o~ ..o . cw. w w~.~, u•w. t+~ ' L? Har E stein ~~528 N.E. I7 Wa Fort Lauderdale Florida 33301 ~ ~ ?~ut 1 OEwM wAS UUSEO ~Y. ~ENiE1 ONiIY OwE GtUSE ~Ef 11NE i0! (e4 AL ~??~0 f~)j ar.~~.~oMU~ Nv ..1 16. . ~rWO.~N CaYH W v ~~,Adenocarcinoma of pancreas. Septicemia due to 1 year W~ proteus and E coli.~ \ ~o..,,,o.... ~wK~ O~~f ~~H ~O ~~l - a ~rr/N~1~ C~YS! ~0~, - ~ f~•nwo ~w~ ~M~e~- w~ w. w y. co+s~ow~+u w _ . ~ \tIM~ C~Vlf UU (y (t~ ~w~t ¦ OiME~ S1GnYK~wT.CONOri~ONS IOMFAWS tOMW11bwG p N~M ~W rqt tluryY t0 C~vH GMM .~m wtl10IS~ M rES ~~n /IM~IMGf CO` ~~~t M r01 4N~~~ ~M N~~~ru~w0 CI~n ~ ~.O ~~~~tr - t9~ ~ p.~.y~,~ KCW~i+T, fU~ib~ A ~..pr~~. r~, n~~~ MOw INJUIY OCCUR~ED +~yr~~ ~++rya a wwn u. nu ~ o~ ?.p w, m. ~ IIO~KMt: O! IIOlIERMWtp I ~ M ~oe ~a M ~oo ~ INJUtr ~T wOR[ MwCE Of ~+RlRr., w.~. srr~~, ~.nw•. ~OC~nON . tn~a o~ o NO.. Clt~ O~ ~O~M, 1t~7~ 1 INf4~r ~ItM.~O~ Or~~p wG.~K ~VK~ni 70! 7fM ~ CEl71i1Ut10N- +o-.+w w. •~u .a.~. e•• .~u •.~e us. s.r .wn/r•un o« ~ yioa w. •~n. ~we otwrN OCtuntO a.~ rua. o.. w.~ ~ ~ IMt11C1~M iO ~O+~w W~ qY ~bo~ ~rq~ q~M ~wOY~~ O~q. ~+0. q M N` ~.mr.o~s rw~ ~7~0 1 7 22 7~ 2+c ~11 2~ p a r. a.o~~ou. o i•y n~ acaw~ 4~~5~78 7 z,a did no • r~ ~o ~ c.rse~s~ n.•r• CE~TMKATqN-HiEDKM taAMx~E~ OR CORONE~ a. r.~ u~~? w..r rpy~ p~ q~M tw1 ~N~Wwt ..o..a,..~~e w•o ~~uw~wb~ p~M qOr ~r0/O~ iM .r~~ff~~W~~O~+. r~ r• p~wWr~. ~d~tw Mt rl~• ~OY~ q~s OCtvufO d+ f1 ~~~1 ~MO Ou~ W tw~ C~Vl~~l~ f1~40 2j~ M 710 h CE~ililEt-NAMf ~t~n~ o~ ie~.~ SK+NA - / waue w nnt A f SK,NEO ~•o.~, nu, 7„ Howard R. A be 1. z;~ _rJ5> ~ . D. zx 11 24 6 ~.ulwG ~ODRESS-CMip~• s~nn o~ o c.n o~ w... • suq r.r ~RS fonw 512. ~b r' N,r ~art. /n? ~URUI. CKMATqr+. RE+wOVw~ Ew~EiE~r O~ C~E~utO~tr-MNw[ tOC~?bO?+ un p~ w.,. s.•n p:aut~OVCVS .fHCr~~ ~ ~ ~~.T ys.s,:, Burial j., Beth-EI Cemetery ~K Fort Lauderdale, Florida _ ~ OAiE ~..o•.r... o.., nu~ 1UNE~AI NOMI-~UME!?~O ~DOHSS ~ sr~u~ o~ ..o . u~. m~o~~, f~•u. t~r~ :b~ zvors~_de M~n. Ch~ae?. 7.6480 N.E. t9 Ave, PJo.Pliam~ BeachtFloride fUNEf D RE IS}~4{- AfUR[ D~t! ~ I~rlO ~r 1O(u tty~lt/~~ ~ ?so ~Lt% / C. li--s- t ~ % • ( ~ ' . . IEe ~ . -al 7 j ~ ~ ~ i . . ' ~ ' . ~ - . ~ y , , - ~ ~ "'~~.~•~r••r• _I y_~_ .i. ~w~n , . . , . . ~ ~ , , . ~ ~ ~~•~V ~~~~'~~S•/ ~ - - ~ 4S1611 f~L:B M`:C ~tl.uru.U ~ s itoGE(t POiTR~~ n ~ _ . CERTi I~ i T:D COPY ~Ef Cie~"~~~ _ Q .;.,f`....~.:. ~._Cfi,C . ~ /~~y~` 1 hereby : j ttl_?Q abo~ve to be a true and correct copy of the I.ocal Regis~trar s , ~ , ~r~~.,~.~~.~ ' d County liealtl~ Department at Fort i.audcrdale. Florida. record on ~ '~'1~:~1~'~v~ . ~ : 'c (Warning- ~~sed seal of el;e Br~ •ard f~ nty ~.alth 1~~ t. is affixed.) ~ ( ~ -1. ' ~'?~1 . ' ~.~;a` - ,1.~,,;. ~i 2 ~x '1.+...~~!y. ~ ~ , _ .'f' ' ' 3 ~ ~ ~ ' ~~S ~ . il-ZS~~g ."ti.:~. " t' , ~;y~}•.,~~-~-'t~; ~nunty Nealth 0 ficer and Local Resistrar = ,r ~ ~si : . _~~~M~~ ~•I s~ ~ K . ` r f ~ ~1 y ~1/C•C'~ ~ . [ . ~i~t~~ :'.i.~~ ~~T~;~ ~ . ~iK . , .fr~.'•~•'~~~ ~ ' Chief eputy Local Regi trar PaUf • - , ' ~,1K h - - - ~ - -r ~ . . ~ . 6"' -Z,-~ - ! - - - -