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HomeMy WebLinkAbout0159 • 4'7820 - 4~~8~ 1~~~0 fc8 22 Aft 52 SI L R~! COUHTY i``A. iTODs:ft I'OOITR:.S CLERK CIRCUIT COURT ^ 14.CM!11~'ER!r!~0 ~ ~ _ ~e STATE OF 1:1.ORlDA r - ~ - DIiPART11lEN1' nl' Reubin [)'U Askrw, t;ovetnor Heaith & R~hab~!'stativ~ ~arv~ces - - ,i 'i. DIS'fR1C'T ELEVEN UA[IG COUNTY DENARI'MENT OF 1350 N.W. 14th ST. PUBLIC HEALTH At1AM1, FLORIDA 33125 - • [ r I HEREBY (~RTZFY .1135. 1~0 BS A TRUE COPY GF THF. IL)('AI. RE[;ISTRAR'S RECCRD OF~DEATH• , ~ R;•.t~i~ i - ~ x,77 ~ T S r` ~ c~~"unless the raised seal EPUTY RE I R + E t. ' L _ . T'~~~'e~~i~ui ~~'.iiai Sia~isLics V1'1'AL ItECUttDS UNIT ~ A MIi~MI, FE,ORIDA - . s ~ CERTIFICATE OF DEATH tarttnentytH - 1 rhea, - aTATE FILE Nu _ , .."f vt =fi~A <<'~ FLORIDA ~sl~~ _ t. `T DECtAStD-N E . ' ~ p • ~ a - [ •a :F ¦ .UAiE 'Jf O[A!n r.. , ! ~Frarices~~ I _Bender ~ ~ Female December 28 197 j - - - _ - - --1---- - IACE-a+••••f, ••w/~ •rn~:••- •»c~.». AG( -••tr e. ~ (v••_fs + o.• ~ [•[E of R•itN .-c»•» o••. 'COUNTr Ot GfAnr tithite ! 5(• '.s Jan 12 1922 Dade _ _ Utr, TOwN, OR IOC Al10N Ot p(AtN ~ wt.et ;en Ir•+a ~NOSa1lAl O! OTN(Y ihSfl/UTKNI NAMF - 1.•••U.:•••t •'.•t•.•+s +•t•: ,D Hialeah_ Yes _ liialeah Hospital S1AiE a 4Rt?t »o• v { .-tiCIT[iEt! C:f AthA• COc;NTRr •tARR1E0. NffEf AtAtCgD. ~SL•tviv,NG SP^tiSf .•r . ~r c~.a r.ol•. eow...•. wlppwtD.D1vORCED vec•••: Ok_1_ahoma USA M_arried Charles W. Bender [ I~ S(xt~{ StC7flTr NVM(tfl ~USUA? OCCU?AtICN ,c..l r.»c rwa Do»r Dv~»[, rct• ; cIND Ot SS Ott IraDUSTR - - - ,•rt. r.1» a••.ID j "~orsemans '~eneVOient Assoc. , 499-16-5114 _ __l„ Exe_c_u_t_ ive Secretary_ 6_Treasure>E H. B. Association lfS1Ot?KE-STATE ~c OUNtr Clir- iCi1•`N. GR lOCwt10N r••{.DI cm [.a{ SitEtT AND NUMiEf t Dade ~ ..,`.r.Noa. ~D ,,k Florida i~tiami ` ~ 1033 N W 101 Street j fATNE!-NAM( r.7D1r ut• MOThlR ••••+JtN NAAIf nlp r:Dpl us• •s Jose h Narrin ton ~,e tdar aret Stulta - INlOtMAttl-NAMF Or •or», tr.tl• N: 4 w~:![NG ADGlf15 trap o• a ~o . c.•. ~ ff Mr Charles i.'. Bender ,~b 1033 ~i W i01 Street Miami Florida ~ BART I DEAN wAS UUS(O {r ~fNff• Oal r OH( CAUSE ?(t IrN( t;R ior. (bl. •Irdr .[;j !•[[,wlcr orsn Arrfl N•+w ,,q .w•ao• WI t /,f /I - - ~ ~ Imo' _ ~ - - - - - _ ~ Y Y f • t rwrcw o•.t n{s to (bTj{ ~~V~l_ ~S!-5./--Lam!'-"Sl ~ - - - -{~~~'R~~Giit;oF~SL- i ~rrlll •rl UY,{I r01, DV/ r0 t O«SIGW• t W {r•Irw4 trr Mir.- J ?wtt ¦ TAVT0?S1 ~ t(r OTetER SK•NIIKwnrt CGND!lu7NS •o••ar:o•+t es;• r ot•rw t.: uuno ro •.)1 [ r•c »o ES •tlr+wDU.[is ccr• W M r••6~A, -•f - - - , _ - '-7 W O1Ow M ttr•r•rf8 oust , l7 ~ I f , Cwoci. fIPC~D! :>t t~AT(~ suvlFr a,,rra •r••~. (rtC'1R ---.T - - - - - - f r,.rnrClat• Ol {Ir0llt[t{,wlD f ~ h+,w !r•,:+• [ OCCat?tL t»:[• .r.r~.st ur ...r r o• r.tt ntr [ f ' !MJUfT AT J+C>fIR i.ACf CK WNJf~ a4••1 -••r- t al: rv ~:.r• won ns o• •w• on•tl {,D : , trc .sacs.. ~AnON , s•~n• or c on w •or.[ N•rt ~ - ?x Cft£T1?KATgN- rp•.r.• .t•e w»nr c.• •«o u{• •»tl •.+.1 O•r • ro .•ar •:tr r»t DlAtM OC:unlD •t rw1 rlKt, W :•r1 j rwr{KIAN. C 7 ro..•w D•• qu • [ •rq• p•M .w.,, D•r1, sup, p rwt NP T - r •rtlrrOtD rwl L O 12 2S 77 ~ ~ Js r. fs•(Y~ItDGI, O,rt _wtel.su_ now ~ ~ _ •Y ` - - ---~1-r= ~ ~1 - ~ ~ ---isr 12 s 55 M ro rrr e.u+tu, st..ee CERTYKATION-MlOKAI 7 ant.El Ort COtCNSR r { •.{.f h1 W Of Nw ••f DIUMwr aU rr.:MGV»(fF il•7 - Irur••I•pw d rwt •00, •w, '•-1 •»•I41+(i.•C. • Jr ~4», rorTw D•, wO~J• J---- _ _ _ _ 'f•rw O(CuN1D O•'• w•/ D•rl •••G DN :af (•utf f t •I4 ~T; - . CERTI({(t-NAME :r•a c. rr-.• ' SrGNATUr! Dwttt [ DALE S!GNtO :.~o..rw; e••, a•n S_her++yn 4leiss, F.D - } MAti MiC AOOR(SS-C!i[N-!s - - ~ - - - ~iue+ o• i. c - [o -~-7 ~r,~ t. 1025 E. 25 St ialeah Florida RUtUI, Ct~MAi1ON. Rt M(}\A{ ~(MEtEir 04 CIt MA!OkY NAMF ICk ATION c 'r w wa« V•rr ?„•`r~• Cremation Van Orsdel Crematory Miami Florida DA1( • ao»•.., c•• •r.r, rt;•r.f tA; ~a;.•[ • A :C• :itt SS t:raf• c• • r e• »o c•r• n. ro A•~e- nr . Dec_ 30 1977 Van_ Orsde Gra Road 770 N W 119 St Miami Florida 33168 - ~ iV1El1Al TG!- 9Gra• sF h ~/f G!yj SfGt:•t:/I£ DArt 4 I(C•. 1 I;tGtS1lAR l~~ ~ _ ~.~-uC ,a.<,<. mot: ~t C ~ _ _ ~ - g~326 QA~ i59