HomeMy WebLinkAbout1747 46464`7 ~ /
CERTIFICATE OF DEATH ~ '
Etq«Yf.:r"FFn1rM.d ab?rt.rw s.r.t...
fttA? f,.anK. FLORIDA loaf rru rto. I
tm
a rhM otcewrrr_.rrArt rtfsT Yrowe FAST sF1 art d wAM rv., s.t, t. r
MfWNfM F• Vi Liam Weldon_ Bradford
flK[ IM[ fAt!-e , . 1M+.. Krf. •GF-lwt Mr'd.r t?twf 1 1rFAf _ I1rOtf t pllr Mre d MfM /r.. /M. r..I COVt~~ •M - .
Aw, 6da.,ft ll4«J,1 /I•r-/ 1 WrS trCtuft r Y•M! nn----,y,------__JJ
tltr, rOWN a IOtwtlOr/ d wAM IIDS?1tAl M OMlf nbtIM10N-W.. / p.. W..t r1 ..~?..l It Npv Of trAt t•.n rw OW.
' Parnpp/to QQnch r.. P1nQlu~t CvRVa,C~cence Faci.G;t ~ ~
t r
~ r ftATF d ~rfM /1/.w r C1tItFN d TfIMf oar/Tn Wff1lD, NFVFf YAM/FO, tlrfvlvrrrD fr016t II/ ../e, wee r•Ir• w./
ns 1.,.....•.•wl ff100WFO.DIVOftto /trru,/
uswl fftM(MCt • 10. M 11.
lrvto n wAM tDtul u Itr wYMf IJlIMI QtgIATtOM /tre Nyd~...I..rr w'r 4.:nt nr+o wFSn+Fss w nousrn
r.an rvrtow- crvt
«cuffeo w !E 11-07-4617 F}_ ChQmi.cvx' Gl2~lZ.QQR , f~e~cUIWLGtiCi!
tIS~DFKE kr0ft rt.
•DIr ~SSrOTr flStO[rKt SI.t ~
F COI/J1r Cln, TOWN p lOG1iFON STf(E/ Arp rruwFf ~••:•O( f'Ir 1•YITS ,
-,y l=•Cvai.da t+S#. Lucie t Pv~rt S.t. Lucie T~2j8 SW Luceaa D~ri.ve ,~~~i ~ i
artt~-+tAYt nar nowt FAST rrtFf_atAtDFrr rrAYe rtf3r wowF 1•s* I
IS- ~QlneiJ Qe.GI Q/LaCt~URCt II ~ulc.e C.Ct.~abe.th AICCU•~.~LUn '
IrnOfflAt/T--raAYt /rq. r I.w1 IuNG ADDtFSS STfttr Orr f r,D. NO Utr Of tOwrr STATE tl.
Ir. M~r.~. C.Ceonva L3aad~Cv~rd t,.-238 SlU Luce~LV Dai.ve, Pv~rt S.t. Lucie, F.Lo~a
MJfuF. CtFY~rIDr/, fEYOYAI,OMtt /l,ra:/t1 CtYli(fr Of ClfrATOf1/-~NAIIE lOUt1pN qn Of rOWY srAt(
tom. F. aevwwvd Ce?nete~L rfr K/tUxvc.l,Le / ¢n~i~~ee
r •
twF.AFpr.FC,o~-Ir.....•o ~ w/FUl wYF
IKJI-r~<...r.-- L~-1. c vytir°"-- Iw kRAftR, 200 N. t edeaa,L. /lm y'fxre v l3ea
/o. FwY ft d..•A ra.•./ r t+'f. br rr 2ta o. « Ur•r .t e.r++srw rdrr ,.e 1
Z ~..nd dr. r t•'..wte1J rrn/ ~ +to.•wd w M w..r. Ir. sd O•r. W M •f N aurlN Y.M.
pAtE 3tGN(D /r., An, I..1 rID1R D~wtw ~ o.rt sK~r[D rr... FM. r..I wuf d OtAM
3= erAYE d AtIFNDIMG rtnsttutr n OTMFf ttMN CEfttrlt! I r/M r,•rr/ f ~ tfONO1/KED DFAp Ir._ Oer. 1+/ t'fOH0111tFD wAD /R.../
• ~ _
j 7Od 711. Oq 71• AT Y
E
wAYt A•.O Appfttf d Ctftlntf Il11YSIt1AN, YEDrCAI FTWlwtq IrrN7 M+r/ i
Qan M. w~tpriac. MD 201 C. spin .Ce Rvvd, Po+n Qeach f.Cvuda.
f etGbTf•f OAtt t MD tar fFGiTf•f /r.. D.r. t•./
r Cr•r7tr•ryb
1 `r' - --~urs~ o¦cr oft cID ta[ roR /.1. hI. utr /v.~; t.v..,lee
x+..r w G•Yt tt IYMtD14t[ UTAE rl /'1 t~ f 1 . ~ M deal'
q ro ~:9 1:,, t r.c
r.,,.,.,, t _ months
tl"' Respiratory failure ~ -2 f ~ 3
zr•rnw TIf( .
~~•.ren.uq wFro.dASACOrbtaxr+ud• . FIlEOAh[ •_:.~/.L_.. I'w•..tb•.w•.•...wrs..+•
V USt lrbT
M 4b46 '7 ST.LUCIECflt;nTY.fi, i
~mDhYBema RCGf=RPl~li~+:~ ~h•te...1F»ti.....,..r.•e~..wF
olx 10. a ws w Opr6FWtrrtt d. CLERK CiiiC!~IT C"; ; 1
kF r^~- _ ~
rAfT OMFf SrGtrIfKAM tOrO•tlOrb~--~G.wdn.•'~ oww.~?:wt r AI~.M t,.t .fr r+4rd r tww rw+1w r/Ut F FfF Ay1p/Sr /t,e../, W.f CASF flrtfft0 TO MFD•Ul
" to r w/ Et1AY1NFf /t .r•/r r•r r ~+I
Nv r.
KCtO[M, fI1KtDt r DAT! d tMlllfl /re.. •'ef, ir.l NDUf d trWfr wSUtl! rlOw tw>tr[r OtQlfffO
IOYICIDf: r11tOl1F1YINF0 /tr+ear/ '
••et r.... 3t t, IuAlfr At Urd[ IfNr:/r In rlKt d IttNlf?
~r I'w~/r.., Y.sw, Ispr,, dds+ YrAd4~, LOCATION :nttr of r.r.D. r.. aT. of towN 1/ATt
ro~ r/rt rN. 1
a M~w OFCIIS AI. T D.
1 ytsN i)
- 3
a
~ ~
f
ry CERTIFIED COPY
~ I hereby certify the.abpve to be a true and correct copy of the Local Registrar's
record on file in the ~roWard County Health Department at Fort Lauderdale, Florida.
(Warning ~ liot~:valid'.unless raised seal of t Rro rd Co -y H lth De .is affixed.)
~ ~ -
. -
g_g_~g Coun Health Off icer and Local Registrar
. ~iIG/'/v"V~
r~k,~~~7 P1GE~~~~J Chief puty Local Regis tar
a i,;)Z •