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• ~ Palm' Beach County Health I)e artment
CERTIFICATE OF DEATH
IltrpwdswrNl of Ilr+~16 enrl k.ti+Lilildire Gnicra tTATE FILE NO. _
INSta?afltrn..+w FLORIDA
' rrr(. OR /fiNi IN Krla•lfw•RYR•Mt1 REGIliTRAR•5 NO.
f! ?lRMANENT INK DECEASED-NAME Orly rgOrl lest SER DATE Ot pEATN r roNrw, O•r, rt•a ~
stt n?ROlool Ta
nsTwaalls 1 IVAR 11LEKAhDER YLLid T~Iale ,September 9, 1976
lwCE w•rn, rt6q, •rlart•N rwOUN, AGE-f•fr VwOtt r qu Y•rDU r s.• LATE 0? gR1N rrprrr, p••, COUNTY Of DEATH
nc. r snca. r l~trro•• ~ •t•asr rOS o••s wouas rrr. •t.a ~
~ a - ;~lhite s. 8 Rr k IfTul 2 1 ~38~ Palm Beach
f-~• / OI ~ CIT1I, TOwN, OR tOCAi1pN O? pEA1N Msrat cm iron MOSMTAt OR O/NER tvSTIM10N-NAME ru r.or w trrraa. am lratr •ro Nuran r
q ~fP- Lake Worth ,,n~Yes ~ 230 South K ;;tree_t
STATE Of RIRTN r a Nor rN Y.t wrt CITUEN OR V/NAT CCNI?ITRY MARtlED, NEVER MARRIED. Sl1RVIVNCi SOUSE ra rat. Gnt r•iotN N•Nt r
couNm l WIDOYVEO, DIVORCE r srtcrr r
olu.r asroe.rct t Finland U.S.A. _ i~iarrled II T ne Luoma
ww,lr oect•se0
,,.IC r se•rw SOCIAL SECUtlTY NtIWER VSUAI OCCU?ATKIN rwrt arro o. rpaa ooNt owrwe roar or RIND Of RUSwlE55 CNt INDUSTRY
occuato w. C48-07-03 14 lrN, ~t Baker ~ BakerV
E ~tilnWrrD•f, GM [ IA J
les,wNet aroa
•Dri1SrON RESIDENCE-STATE COUNTY CRY, iOVVN, OR LOCATION rsrot crn rr.» STREE! AND NUMREt
r 3?tGrr rfi W rlD r
,w Florida ,balm Beach Lake ~•Iorth des ,at 230 South K Stree
EAT/IER-NAME na3r ..roof! uA MOTNER-MARIfN NAME Naar r+00ft Wr
„ Berman Ylen 11 Emelia Stenman
1PMORMANT-NAME MAR,lNG ADDRESS. rsnetf Oa ..,.t. No, cur W rOwN, Sf•n, rar
„a rlrs. Tyyne H. Ylen „+2~0 So. K St, , Lake :~Jorth, Fla. , 33460
?ARi L DEATH WAS CAUSED 1Y: IENTER ONLY ONE CAUSE /E! IMIE fOR (ol (0). AI~Q (r)~ arrttN o«stl •rre a
,R wrla.a ewse
~ t.l - /l'yA~. .v nom
cowerrrprs, rr •rR, A ~~'(/l~^1J+/ - IC'/Gi/~~ `Ir'-W
rwrcw o•rt oft to ( 1
r..frru. c.r.;:.r,:, I awe ro, a As • coNlfUytNfa w:
at•rrNO rw! YNota•
l•INO C•Yat U11
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?ART M. OTNER SIGNItKANt CONDIIKNVS: cofornows coNrarar/rr.w q ot•ra aw Nor aorta ro c•Ytt omw w rur r ar AtfTO?SY if YES rttt rrworNDa c
rns a Nor sroaare ,N aenarrNwro c•
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1?..6eMdj 1RtalT~I~OR A rNpNlw, o••, •e•ar NOW INAIRY OCCURRED f trfna wtua W INNa7 IN /•at 1 w I•a w, atr ra r
1w Dr M. tM
INIURY AT VVORR RACE OF RV111RY •r turf, rear, sratT, r•croa•, LOCATION r spar W a.r.e. NO., an oa rorN, s~•n r
I sncrR ns a .for oirrrp also., ta[. f sreca? r
Rlr IM
CER11iKATKrN- rONnr O•• ri•a ffprM D•• 7!•a •ND 4Sf s•r wW/MEa •lM ON r CrY/OrY .ror •Nw tra O[ATM OCCUlaEO •1 Mf rutf. ON n
?N131CIAN: TO rONnr Y•• •!Y aoo• •rna of•1N. rwprf r / o•n, •NO, ro rra
r •n1 NOtD r"f 4 15 74 Tu a • 15r' aNarrrou
n• ofu.seo rqr resent TIf ~ 23 76 TIt not TI M ro rwt uYSarsr s••
~ CERTYICATION-MEOKAI ExAMINER OR CORONER oN rwe a•srs or M Nona a a• rwf oecfoaNr r•a raONoY..ceo oleo
fa.ur•••rgN p rra lOO• •NO/Oa rra rnlSrr.•rrpN, rN r• pwarp., rD.rrw O•• •f•a rfpYa
i Ot•rw OCCYaatO ON 1ht O•n •NO oYt q rwt C•u3rrSr fr•r10.
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CERTITIER-NAME rmf w rlr..n SK,tdATUR /~~r~ ~ ofeafe Oa rrrft GATE SIGNED =+OwrN. w•,
Tl. Ro]'E'r a. Cre{JS,~. D. r"'C~? J1r
h~A0. wl1t1RESS-CERTUttR Bran w cr.o No un a sr•a ra
930 Forest l1i11 Blvd ?.,lest a m Beach F ida 33406
BURIAL. CREMATION,.REMOVAI CEMETERY OR CREMATORY-NAME ~ IOCAIION crn w row.. sr•n
r sreca? r
2••_~urial r• _ ~7.necrest Cemeter T« Lake worth Florida
DATE rrprtw, o••, n•ar FVNERAI NOME-NAME wNp ADDRESS r s»en oa • r.e NO , urr w rowN, sere ru r
Tat wept. 7 i 76 Paananen Lakeside Chapel, Lake ;'forth, Fla. , 3346(,
S. /612 TUNERAI ,EC10R- LURE REGI AR-SIGNATURE • y» I ~D .FGISiRAII
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I HEREBY CERTIFY THE ABOVE TO BE A=:TR~$'-A~.~ORRECT COPY OF THE REGISTRAR'S RECORD-
ON FILE IN THIS OFFICE ~ . • ~-~;r : • _~'_t.
(Not valid unless the seal of• ~
~,Re P_ •'~~ach"-County Health -Department is affixed)
September lit, 197b ~ • `t;-
- - ~ : " s Bt back, M. D.
-
Local-Registrar
' ` -'I Bureau of Vital Statistics
West Palm Beach, Florida _ 1
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a i ~IRIrNr~
~ LAKE AYE
3.2 3 P~y,~. 1133
LAX( WORTH. Ft