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HomeMy WebLinkAbout0108 .r 5tatr of Florida y CERTIFICATE OF DEATH '~Va7SG~r ~ Ua•par[mcnt of Health and RehaDilit:ftire Services 1tTATE FILE NO _ _ - Y1TdL STA7.ISTlt.S F L O A I D A AEGIfsTAAR S ?.O DECEASED--•+wME rco<\ ••1• ,SEa ~GATl 01 DlAM wow,w D•r v s'E cIH PRINT Sandi Fay ~ Newberger ' ~ Femal e ~ ; December 29, 1978 1.y PERMANENT bLA~K INK LACE ~w,q •.,o.. •wn...w .wc.... { wGf .,v~ ~+wr-. n.• _-T...o.. w«,» D•'~000?+If Of pfw~M ttC NK•n. pt+..W• q.ti.; r0) r-D.rf nO.U .w .e,e. ~ - . W_hi to _L 68_-T__~, _ _ ~.o Aug 31 1910 Co_l 1 ier C,T, 1(1WN O! IC,CAIION Q/ DE AIn I ••>•D\ t.~ \r•rf ~NOShlwl OR Olt1E! NSi~IUT+UN-NUNf »O+ t.•„• e•., v.rl• •aO wrr.N+ ~~c~ 1.,:.r. •I1 Ot n0 N_aples_____ _ _ Yes 1,,, Naples Community Hospital _ _ _ Slwtt Ot pt?n wc,l D s • . •-~U41ttf OE wnAT CAutfltr - - I \,u~t1ED. wEvEt MwttrtQ +SulvtrwG 1rpJ3[ • ~~.f. G..t r..Dl......+. - ' Oh' o coww • i n1UOwE0. OrvptCID ,qc r1 , . • • \t\•\~~~~ ~ 9 USA _4li dowe_ d _ 1• None _ .,r , ~,.,w SOCut S!C',RIT, ,~MlEt USWI OCCUMT,ON .c•a a».o or •.off oowt ouawc .wt. or Ity+p QE WSu~EE SS O! IffOUSttt ° 267-20-7786 - _ Sandi Fa_y Realty •'"'J'~' _ _ Realtor _ tESIOEffCt--SratE - ~COVIVt>r rUTr. TOwrf. C1t ~CKw1,Wa •r+?rw on ar~n-TSItE[1 wN0 NUM~Et - - ~r,flp•1 q Oa rq ri ,,,Florida ~,,~ndian River (,ac VeT•o Beach `,ao lfes 3902 Sabal Palm Drive EAIMFI NM•E .,oa, MO1pER-MArLfw NAME nnl ..oaf \•v „ Lee Rowe j,6 Edna Park tNEORMAN/-NAME MAMrN(i A[1GtE SS .fnur Ot t r D wG . cu. or \Orw_ \••t1, fDl Mrs. Miriam F. Koster 1„4239 Third Avenue, South Naples, F!_ 33940 rwtt c • • o.+.. GtwT?1 wAi CwtrSEO tr i°NEEt Offcr OM CAiIlE IEt UN( /OR 10.. 1DJ. wr'~D I•,; q,. \,w owtf+.rro Rf •t. ,a ----r.wfoun c:wi - • • M t cowoe•ow,, a •w• ~ - f .rrt 0..11 t•Yat .o+, } 01N t0, Ot A, . COwflpWrr(1 W N•hw0 trt v«Oft I \flwo l.Y,f \•,1 [fl 1 Rwtt n OTHER SIC:MEKAEtT COf+Drt?O?+S ea.ano«I eo.nw°u«e ro a.e., wl .ol uv.ru w e.~lt w.f...» ..tr • ,e, wUTO?SR , M YtS ~m •...orr.aa eo.. f _ ~ • 1f, M w01 MNfte •w'N tftrlw,M6 (.VM ~ a Rf•,r IF.Is?1.) wCGOtNi- LJIGiOt d ATE INl , «O.rlr. w•. \I•~+ r :MOW IM~UR1' OCCUItEO • /r.ry....IYtl o1 ....Vt• .w •..r . o. .au ntr .t t •AMK+ f, CM u1rDEfctMIn10 t~•41 `F ; ,MEUtr wt wqa ?IwCE OE nJ1iAT »o+t. r•f+ ,tfan, t.aoc.. ~ [OCwhON . •+.u. o. fro we . cm o. to.«. a.n . •,feGn •H O.O..~.f1 MOG,fK. +?•t(.I•. i CtOUICAT,O!.- rO..rw o.• •t•t ~orrlr o•. •f•f •wo 411 u. ».~n.f? .\..f or+ . a.oi D•D •.01 r..r 1wf~olw„f OCCVa~IC rwe ..,c,. Ow w •Mf IC••N ~ ~ „ ~pwrw O•• t1,f t00• ,rIlt Ot•tw ~ L, ~ T(1 ~ wq:• 1 O•tr, •w0, W twt N\r •111 wDfD 1»I ~ / E ~ 7 w ~t .wOb\f0y1; O.It ],s otu •,fo n... _ ~ ( '=,o / ` 1 : ~ i=lc f ~ _ r^ ~2t0 • 1 Li'~ ~=1• ~ :5 dA1 ro r»e c.D,r.n /ra.D CEtT,fcCwTK>rr- s+EDICwt ttwMWER O! CCMCM+Et O•. r.t t•\n a ,wt r.OYf o. w,rw ~ •wf otcfw..\ w•, ••o»o„wuo ot.o u•.,r..,gw o. ,wf ,CO....o. o, l»t .w. uf.G•r,pw. , w....o«, ..o•.,» e.. .t>f .oYr Of••w OUYfafD O•w IMI D•,r •wD OJf •t~ rwf C•YH.{, ,r•rID CFRTIE,E/-NAME nn o. ?uwo - - -Ti~Nw1Ll~ ~-'~r / ~jeyfu p. l.ul OAiE S1G?:Eu ~+o~•~• o.• sfu+ Mw4wC: wODRtSS-(tR1uQt ,rner oa a • o u o• •o.w ~ ,+•n ~~s ,,,T =>e 8'~1) Central Avenue ~~aales Florida 3340 • +9'r JM tURIAI. CREwu/lp?a. REMOVAL .CEMfTEN 011 CREMAtOtY-nw.eE ,OCwtICk+ c..• o• +oww a-u ~'.vt OPGtiS - ' ' . NfC I , ,T ~ntomb_ment _ =.~Vaples Memor~~ :ar_dens N_ aples, _FL _ _ _ [LATE ~.c-.+». O,•, rfar-- -~EU?+E HOME-+vw AND w iSi ,rtffr of • r ° .ro ca• W to.w ,1.n, n• . _ J _ Dittman ~`uner:. Nome 850 th Ave. th Na les F Eu+f O TCIt--S.GN•EUt t[ At._ L:a.wr~R o•n t`e~'u'+'vfo t• ,CKw\ ue.,nAc CERTIFIED CUPy I heh.eby centi.6y zhe above .to be a .true and co~vicect copy o~ .the necond on ~-c,Ce ~n .the Co.~,e;en County Hea.eth Depa~ent at Nap~ee, Co.P,P,i.eli County, F.to~i.da. (No.t va.P,i.d u?2.eead .the eecr,~ a6 .the Co.P.~i.en County Hecc~th ilep~v~,tment .e~5 a~~.~xed. ) l`~T 24 r ~L~ • l.i. i _ fi:::D +tMr ' ~ i~~: si.~uc,. ccl::+' -r ~~eg-caznan o V~~ S~a,tc.a-tt.c6 ROGtR POI:::..s_ Co~i.en County, F.Zoni.da :r?.f~tc ci~cu9--~~ - , r...,, _ . 463562 Date : i~., an~. S~ 4 v~r:t ~ HZ