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• CERT1'tFICy4TE OF bEATH `~~~5~ .
QlyerlrterN ~ Ikelt6 ~ {tetu~liliglire Sef.kee fTAT[ il<! NO.
lli~'IVON or x/.AI-nl FLORID A
Ir?E. OR 1tlNT e?f twrerswrven'r«s RttiltT~AR•! NO.
?IRMANENT INK AS[Or-NAAI[ rlyt rreeR ust SER DA/E OE DEwtM trot.., e•r, aut
5fE 111u0100E E01
~ RAYp10ND L. ANTONIDES T. Male May 23, 1975
RACE .+rrr, wow. ?rfelciw rMA1y AGE--uu • t riu tr.Kee 1 ear DALE Oi RRiM t-e«s1, oAr, COUNiY 0/ OEA1N
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White ~ 69 - k ~ ?~iar. 14 1906 1. B ward
1 •Ifre cry urwf MOSMAI OR Orit~ - tr .pt r« 1.11.1, elre fryer aae rrwu t
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Hollywood Tt. ~ Yes Roll ood Me cal Center . '
StAtE O/ RIRM t r ltor w v.s.w., male IEN O/ wEfAt COtMiRY AWtRKD NEVE! MARRtE17, SURVNN(i S/OiJ6E r r .rte, otrR 1tArout wre t
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rw•t llfewct ~ New Jersey USA Married n. Ha
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weo r OfAQ SA. C1AL NYM~R UStiAI OLdNAl10N felt! ir/sof rots eore 011!1«0 .oft W RRdp OE WSRJESS OR 11.'OUSiRr -
aeewae re ~Of[r1f1 tre, M« r awlu '
r„f,rrurroe. ,T 155-03-9008 ,k Ca enter t..
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.o.uu•o«. ItfSOEN~.-S1ATE COUNTtI . C1i1t.10wN: OR IOCwT10N rzfw ca.:rut STREET AND NI ?iER~~
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if, Florida r Bra~ard ik Perllbroke Pines su Yes ta. 8761 Johnson Str
/AiMER-NAME erp wzeME tAN MOTeIER-AIADEN NAME rrsr rplf 4u
ss. Fra>31[ Anton des u., Eleanor Lane
IT~ORMANT-NAME - MAR.NG ADDRESS tftffn Oe f.?.e. 110., pn p /0rrr, ball, trt
17~ Hanel Antonides $761 Johnson Street, Pembroke Pines Florida
rARt L OEATii WA: tAYSEO RY: ; ~ . (INTER ONIY OeE GIJfE TER ilE fOR (ol, prl, AND (tJJ atirrew o
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?ART R. OtsIRDStGMIfICAITI Mi.wn..V..i/ eA11M1101q Mtlluq lO eu>„ wr 110! ffMrle /p Wie 01rM E. Nl/r t tM AUTOKY IF YES .lee nwet«sf co
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p utfOitERMw+eo trorwl.OA~ rtnr ilOw IN1UlY: OCCURRED tfrtte w10ft or r11vn w r.n 1 w.An r1, rfrl of
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1/IR!!Y At WORK •t rote, AWI, finer, eppr, IOCA~ r ftWt tle a.r.e. 1t0., ever M rover, sir! f
ff?l4?f fp W 1101 OteK! Mf16.,lK. Ie/Krr? •
~KAt~E-~ ~ OO/AN el•r r!•f ~ arONN. r11r 1b.f AMO 4f/ L1/ rM/11e! •LM[ ON 1 e+le/Ne NO. rlll/ Mt OIAir! OCNfeeO At Me ~4Ce. On r.!
/MrSIC{•N: tO r0«pf Mr rIN fOer Ault fNA lwerfl 0.4, •110, q Url N
t attfreee tw S Z~ 7s. 5- 23-1975 . , ~ or rr f..ovnrllot r
T4. OluAtfe nor TIR tk. '23 7S ~ 1 few 2 : 20A M. ?0 eu ewufflft sr.
CERiWG110rt-AtEDICAE EltAelafER : 0« ire en/f a t1y 1tOM W el•M ire efpeert .y feOrOYw(le else
ef•retArlo« a tee foot •.1s/a rrt t«rfsrle•.1o«, w w o?11.0«, no/rr ear rrae .Otte
a.a ooaffw tt« 01f O.4 •/te eve q AR e•1rt11f1 fUrle.
171.
IER~NMIfE tnr~oe w1n ~ /L • f1• ~ a4Ke a tnu t7c 21 f
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tlE. ADDRESS-CERfKL ~ V
tjo...e....q. `r a" a' ~ ~ O r~ ~~G~ t. ~
3 a 7
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:ter uE?ut1oN. REA10wAt CREiAAtarr_wuuE louTeoN an oe 1o+.r - un
rtc B :a. Dade Memorial- Pa Mt. Fl
- E r e•?, teA+e /U?eERAI MOMS-NAME AND ADDRESS 1 ftntt a e.rA. 110., em oe to+n1, f1•n, sr t
~ May 27975 FRED HUI~"TER FtJ~'ERAL HOME INC. 6 1 TAF T ST. HOLLY4t'OOD. I~I.A,
Y• S. 8612 /IINWLL OR-Se~NA REGISTRAR-SeG?eAT~tE ow elu:re sr icasreni
R • r, 1970 ~ jc.
RIs. tA. jJ ~ ~
• ri ;,;~(~!~h-~ ~ ~`~R~iFIED COPY
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- I hereby cert~~y the .ab$iie~ ~q,~ a tale a>id correct copy of the Local Registrar's
recod on filefR th~,_~i~'d_.County Health Department at Fort Lauderdale, Florida.
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(darning -Not ;vast~id;utl~Is~~~`i~f"sed seal oft Bro rd Co y H lth De .is affixes}.).
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~~3 ~ ~ 29 Count Health Of cer and Local Registrar
8-1b-74 ~ ~~i ~ ~
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• a,~~Nt ~ Chief puty Locae~l,~Regis tar
~s+~~ B~KJ15 PIGS