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DR 618 PG 14 73 }
HEALTH DEPARTMENT -
614 EAST GRACE STREET
ENGlEW000 ANNEX PUNTA GORDA, FLORIDA 33950
PHONE: (8131 474 - 3249 PHONE: (813) S39 - 1181
CERTIFICATE Of DEATH "a" - - -
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Tnru nafr~ne~ F L O R I D A .out as .w •
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F. 7 Fea:ale Oct 14 19
,f.At.ft[tR Ru___ Elisabeth Isaacs _ - ?9_
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7D Po_rt Ch_ar_lotte_=- _ _ F_ axcett Memorial Hospital i-~ Inpatient
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~~,A:.a+esfa • Indiana . USA ID Married tl William H. Isaacs
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r~ Florida Charlotte E.< Port Charlotte r..f466 NW Crystal Avenue No
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1. Wilson L. Christy t. Pearl E. Donaldsor,
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E7e William H. Isaacs 466 NW Crystal Avenue, Fort Charlotte,rlorida 2
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W:EUI DE Ol-f!~<w••I - WE.Ai K.V[ Roberson Funeral Home
ta~ ? 1.765 Tamiami Trail NW rt Charlotte Florida `2
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~ (,,,October 17, 1979
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DUE IO, O. AS A COr3FQU[t;f Of 1 r^'~"'~ °"4
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r I hereby certiiy-the above to be a true and correct copy of the Local
Registrar's records on file in the Charlotte County Health Department
at Aorta Gorda, Florida.
(11arTling~~ :~liofllxa~d` ~ ess raised seal of the Charlotte County Health
,ti~p~'~~affixed.) f lE0 AMt r - /-uEe
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