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HomeMy WebLinkAbout2911 4b34.3'7 ~ . _ state of Florida CERTIFICATE OF DEIt'H Department of lleallh and Rehabil ve Services trTwrE: flt.[ !!o. viT,~L s'rnTls•r~c~ F L O R I D A RE(:16TRAq ! HO TYPE C1N VRINT OECEASEO-NAM[ „.oo.• +•,r SEa DAI! Or DlA1N • wo»rw. e•., .t•1 IN EDWARD _ JOSEPH KLEIN 2 Male ~ November 15 1978 rERMANENT ~ - BLACK INK twCE .w•r1, wtc¦a, ..t¦~c•r ..1. AGE r.fr c»or~ ~ 1.1 ~u»c~¦ . o_..__ CAT! Or ~ItTN ..o,.~w e•., CCIUNTT Or OEATN IrC • Yltu•. 1•¦rr0 .rt•¦f. raf fr•f ~ w0u1f ~ ..N rt•¦ ~ ' r _ White « 86 ~ _ _1 _ k~ !6 Nov. 11, 1892 Broward ~ MITT, TQMM Of LOCAlIC1N Or pE A1N - - - »sro\ V•• \¦•nf ,IOSHTAI Ot OTNEf NS111UIgN -NAM[ ro .p..« MM1, W+1 1r1en •.,1 rurlu i VI(.rr rlf 01 r0 - ,b _ Oakland Park Yes _M_anor Oak_s_ Nursing Home _ STATE Or ~1lM .r ..or w• r f • . »•w1 CIh1EN d w?ut COVrtttr MARR,EO. NEvEt MAtR1E0. SWVIVtNG St+OVSE .r .vt, ewe ,..oe~ .~...e, r' cewrlr . R Germany , USA o Marcie~_ Eo ~_~"_r~~ Ethel N. Klein ,.rc N•s SIXuI S!C•ItITT PA/Mllt USUw1 CKCV?AtIQN .c••1 ¦.»o o• ro1¦ eo«I OW.«4 rou Or [WD p WSt.ESS Ot INDVSIRr - - occvnm w .o¦a...p ury, M« r gr.¦10 ~ •r,ot»(,11•a.. 066-05-6823 _ _ _ Manager Men's Club ""+1O« RESIDENCE-StAt[ CCWNTT CnT, iOvv,l. CN tOCwnCIN ~~io1 can ir~ry SitlEt Ar.p NUtr~Ef ~ n•tar. ns w rro~ F?orida Broward Fort Lauderdale Yes 4100 Galt Ocean Drive rA1NEt-NAM[ r.11r r~1p1 l•lr MOTNEt-AUID[N NAME r,11r r.OWf ufr rs Edward Klein t6 Not available INpRMwNI-NAJM[ MAtMJG ADDRESS +vntr o1 ¦ r s ro . ur• W +o.w», U•ry, tr, • Ethel N. Klein „ 4100 Galt Ocean Drive Fort Lauderdale, FL 33308 ?wti 1 OEAM wAi CAUSED RT ~[NIlR OPltr ON! CAVS[ 1!t !trlE rOR Eol. N1. ANp hll • "o"~ N,rs11r Ow1t1 •M N• rt \rW OUry C•Yf~ .1 / O corano•rf. •r. ~w.(r c..t u11 ro 111 ,rrtlurt c•ust ,a• w~ ro; w •1 • co~ltow»c1 a - - 1r•rlrQ tq Yr•H- \•rr0 c•Y1t \•N ?wti N/1]/ //O+tnE! SlC,Nrtl~?tT C•OINDIi1CwS lreo«a-n1o\..f eo.nu¦vn«a w oe•rw wr ror uuae ro c•uu entr ..¦r r rm AUIOrSv q TES .t¦t nro~wes e. ' CC. C~~ ~ [ 1 l L ! i L 1-t ! ~ ~ ~ _ ,.If d "Or M ot~, w'• Nry¦r,r,ra U: 1--- ~ ; .1r t.. (i 2 ~t 1. c 1--7 r f t t ~ t r , ,9, ND ,90 ~¦!oey~I~~I AC~(Ip[NT, fVI(:ID! Oi A~E ~~r0«rw. M•, •f•¦+ ~ I11D1•K16E, q Il,OEIEtU\INlO ~ MOW INlUtT OCCURRED +ecru wrY11 Or rwvn rr •.¦r , W np r, w1r 11r ~p lfpc.iy, tI - 24+ 10n I~ M 1200 ~ IN1UR/ AT WOtR KACE Or INA/Rr .r wort, r.¦r, frrytr, r•nw•, IOCAttON . sour w 1 . e «o . un o. ro. r. n•ry , .f•Krn •If W war prK1 MOG.It •snc~n, Q` x 2a r+o CERTI[KATION- ro,.n, o•. rw ro»a o•. •«o ufr f•r wr.iwt¦ •u•1 O« ae/oro «Or ••er tw ptArlr oeeultto •r rw1 •uc1, o-. . 1M•S,Cr•N: TO ra.,rw O•• ryV 100• •rr11 q•rw ..pu¦. o•r1. •«D rn n.. . t7ov. 15 78 r ~ 12:30 M "'"°`P~,' ~ o1c1•f1o nor Q ' 1 ~ ~7rn 2,c ~ 1 I y ~ ~~J ~ 2r0 r^ I,o +o rwr c.va •1. I - ------1- A+ - CEBNKATION-M[DKAI EawMINEt CMt CCltCMlN o» 1 \•vf o. rw1 wow o. N•rw rw1 etclN«. r.f •¦a.ov«cto 01.0 - 1¦•rr«.r.o« a •w 1co• ..,oia¦ rw1 .«•ISrw••o«, o•w..o«. DI•M OCCV\¦fD O» MI D•rf •r0 OYt r0 Iwt C•v1t+1r fI•ry0 rpwrw O•• •1.1 wOV¦ i 12• M IIC _ _ , CERTjhEf-riAM[ mn • ~~w.r~ S,GN~~VRf ~ Nwu u ~.nt DATE SIGNED ~"o»°.. c+•i•tu. 1 ~ no L f lift ~ t! ~ zx ~ ~ / (r D E MAMWG ADORE SS-C[Rirtrtt 1 snu• o¦ o Upp- w •oT»~ - , _p. f,/ f "mss rdm sr2. 2''~ -3 ~ . 1) 7 1 " 1.. t ~ ~ ((a t i 1 ! t ~t ~ CC ~!l i t E u"• '9'r III? RUtIAI, CREMAIIQN, RE MOVAt C[METERT OR CRE•uIORT-N•M[ IOCAiI(Ni c.n 01 raw« fr•rl rc•f O~CVS +s•tun, E~ ' ~•-S.S,2, 2„ Cremation 2~pCarl F. Slade Crematory 2.~ Hialeah Florida [ DATE- - ~ r0«rw, O. r, rl rUNl RAI NQM! N•Mr •N 4 [ S fI1Ir• O¦ ¦ / D C.T• . rOr», f•••r ~ 2~November 17, 19. 78 JORDAN-FANNI~I ~0 N. FED. HG1~. F4i'. LAUDERDALE, FL 33308 I~ ?UNEtw OItlC7CIR- GNAJYN _ R[GI RAt- • j' S+GN•tutY n o•rt uctwto 1. \OCU acsn•a ' - - - ~ ice" _ ~ r - ~ ~ - , CERTT F (I:D corgi I I here~~- ~ _~~y,tl ~ above to be a true and correct copy of the local Registrar's recor Aty a Broward County Health Department at fort Lauderdale, Florida. . ~l (hiarft~ns ,ucrless raised seal of the Brl,•ard r'+ ~ ntv r -al th 1`+•~t. is affixed.) ~ 46343'7 • , 7 Z,,. 23 . • C~rli,ty llcal t~I OI f i cer and _Local Registrar ~ $1 (_tTr1i- ~.\::,-'.r.[ aL. V/J1E ;Q/C/R-L .Q Cli~i,'tttR_.R::~''=t~ Chief eputy Local Regi trar ~ : `j~ 9 , ~ L1iR?Y fit, , t.l~