HomeMy WebLinkAbout2530 - . 'tea aa.la - - - _..r- -=~+`.~a - s.....
4b~8936 ~ ~
CERTIFICATE OF DEATH r°
o..-\t..u .e EE\.Er t7td w..r.\i.. t...t\..
vnA? v.rl.nct FLORIDA IOCAI rnE FEO 340
'v{' oEaotNr-curt rltst
O\r\tal WODIF lAlt L¦ 0A•E :.~Jfar.. r {-I
K..wrrt _ _ ROBERT RALPH KENDALL _ 7 Made. ~ June 9, 1979
tuc\ ra \ACEr t . wn.., tIK\, A6E-w t++e.. uNDe\ F .E/u EneE\ F wr _ wte o{ ant/ /r.. r... r..1 cw.rv c1 oF.r~ - -
Aw f•.t\~, \t l /ipr./• / I r...1 npd T[t~n -//DU\S 1 rr8
6602 White 84~~• k-~___~p~_14,_l$44 7. ~~._Lucie _
CITr, tOW{I O\ IOCArIDN Or pEAM NOtrltlll O\ Otf/Ef INSI1lu1tDN-Nro 11/ w r .r4.. M• wm aa1 ...?..1 TI .tC.Y U •Q1 ~T in..
7.. Fort Pier e _ Abbie~ean R_ s ell Cs~rg C~~gr_ _ _ Inpatient
S1At[ Or M\M I// w r CIttEENW WIMt COIL/1\r \w\rEO. NEVE\ YAMIED, SUfVtVFNG yq/SE !I/ wl.. ~.r r.M. ..r/
OS. •+W7/ tY1DOwtD. OIVOtC1D I SNs./r I
uSUAt \ELOfNC! . Illinois U.S.A, f. Married E/. Pauline Rosenber((~~
VYfttff Oft[ASfD _ _ _ _ _ _ _ .7.-_... _ _ _ _ _
IIVfO 1/ pEAM SOCIwI SEMtn tylrtt\ uSUAt OCCy?wTIDN /c.• \..I M w\ ¦uO a tuslNFss O\ ~•.ous•\r . _ _
OCCU{\EO .N n.by A/•....a .....wlf
ns.oE•.cE uto\E l7
339-05-0960 q• _ Reti r_ed Truck Dri ver_ _ s Si 1 ver Fleet _ _
At7r•SS•9.. -
\Ft+OtIKE SPATE COEMir Clf?, rOWN W IOCAftON - - - i\Ft7 AIQ /•l!•f\E\- ~ _ - - T i.:E i"... V 'S-
" t» S L ie t« Fort Pier a tb 7~. f•
{ATME\-A.A\I[ N\S7 r1oQtE II.ST 40ntF\--MAIO(N NAt1E IiK• r.DOIE .AS•
13 '
1
•L•O\IaANT -NAr! I1•,r « I..v/ ~tlNri ADO\t SS Sr\E[T Ot f i O ftp + C\ Tpy{y S'•"E
P ine Kendall F~? 3218 West L ke Dri F '
fG;\,Al. CIErAftON, \trOVAI, OTllt\ /Sr.r.ryl CFr[lftr W C\EtAATO\r -J•AYF IOCA*~O•, _ • ''.-A^u S'A'f
_ t~ St._ Adal bert Cemetery . F~ Niles , Illinois _
wa DI. ttp1.E _ _ 3015 Okeechobee Road
~ ~ ~ ~ 700 rwHAISLEY-HOBS F
700. f. IAO.... b.0~ d•Ow d0 I/00, Afy 7t Ow fOSwb.M •n0 ~d w
O/RO OIId AUO • X10 • «r ' , O[4r.~ M MO Mr, dOM aw• p.•t0 0'tl •aI b h [AY'1i ati +
DArE slavE /r. . r, /tOUf or DEATH
Q ~ DAfE SIGNED /r•.. On, r•./ rtOu\ O{ pEATIf
f
~ NAr! Or ATTENDING MTSICIAN II ~ tf1A.+. CE\Ttfl!\ IIIM r I..iur s O IM~NpV[D oE•o /r.. M. 7.. IMYAt.•.CF~ LE.~ ~r..• .
Boa • s C -~i - - - - _71a oN r. At ~
NAPE APO ADOtE Or CE\TI/If\ (r1/rtK1AN, rtOK/1l t1Ar:NE\) /rIM / M+rI
n F
\[GlS1W pAt \FCE rv[O tr rFSKTU• .r., a.. T• .
CAfpttDNi n.. /,,L..../ r?`~h~1' ~ - _ June _ 11 _1979 _ =
tr.N. =:r= - -
wN101 wVE 7• E tAFAE EL\JE p.[. o. . ~I:~:e ,yt ll.. I 1.,. I., /.,.E 1 ~ 1»...,1 E,.••....• ..r r.f T.a+r
\IsE t0 /1 `(//J
t s t f.f ~ ; , ~L'~c.f- ~
C_
1 t~~~ I,.C
j • ~.1i~L.
TArI
IINO•.\tvING ( out 1 .Ot A3 A cof6E0uE/ICE OI: ' I.wn.,; b.+«., a+~ ssw
uusE IASt J
At / 1
i ~
~ out ' As A ouE Or - - ~ 1,.:~~
f.,..........•., ~..w
/ ~ C '
11 ~A~4~'•w•~••m+\Etw•+wrMtl Ml AI110Kr /fI«.I. WAS C/1SF \f IFM. rO YED.C/ll
t1'••4•NfF ACCtOENt. SuKIDf « DArt O{ INxt\r /r.. a.. 7. , ~ ~ IN7?1r Dtx\I\E IbW INxAr acwno
Iqr K10E. r FI.OtrE\7uNE0 Is~ /
- - - -
~~.A/\, •r r/l(1f\ /s....r. 1.. /lAC[ 01 INM• a. Nr~. t•,.., _ _ _
Itt {r• SI7, ~ .t • w.. IMb•7. •tf4 \r.M 1OV~TIOf1 S/\E[t M \ f O .:e U1r O\ TOWN STarE
3 At. tIf\14. ,w.h.
~ '~141~
~ n. nE t
i
:Hereby carttty MK b be s true end correct copy of tt» l+ocal
Registrai s record off file in the St. ltxle County Health DepeA-f LED tI~ ~ ~EO
ment at Fort Pierce, Florida. :~.lU''~' ft.A.
arrn Not valid unless raised seal of the St. ludo p'`
County Health Department is affixed.) RECC='
N. D. MILLER, M. D. OEC IO 1142
County Health Officer b Local Reghtrsl 4Z1C793b
Oeto locsl ReA~~E•~.
i