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HomeMy WebLinkAbout0841 ~ ~ • i NILLSDOR+~3A1 CWNiY HEAL7R DEYAE'Al3NT , 1105 E. 1QO~OK BLVD. ~LTdlNOC~R Y! 2-63' 0 TAMlA, TL~tZDA 33 b02 - '~~i~ „~„~~t,, ~ CERTIFICATE OF DEATH Y.YA..T..MTC, F L O R I D A Nu 024~1~ ptgD[NI-..«Yt ~IIEtI elms . wooiE sAU su CATt 0i DTAp1 /xw, DW, r.J Velma Lee Roberts :F a twct-.-a.. wu+ t~om,, Act,-[.a e~+~ wxa [ t[Ae vota 1 wr EAU of uan[ fr.., wa, a.J awNn w aA1N M w+4 Mt.S f~Mhf1) f YwJ YOL OAtt L ~ Ta. ft. t tt. t ~ ~ 7a. [7TY, TOWN « [OGTqu Qt TItATN ii06t,TA? Ot OYlta a~l[hAK,N~,r.r t4 w r Mw . W r.a W r~Mrl nlY. d Mdi. i1.iw. ppWG1,, j St . J h' s ital In i j r•A7t Os iiiw fY r• Y 4112eN a rwlt mM[d wea[o NtY[! YEm[D. Atv[w+4 aroust i[l.:l., r...:+......1 ~ - Rv~ w•+•+71 MNEG~Wtd, tNVOeCtO flM•i~l T0. ied T[. J hn aocuu uan[r wrote usw? OOOIMtt0t1 ft~. wr N...s 1... awb of tusritss a uauaTer 414 09 5832 Housew~~e .Own Home ats~Ea+ct-s[ATe oouN[Y an. wwN oe [ouno[[ ratt Aw wrE[e NaroE aTr truce t4 Florida. T4[1111sboro~ig Tall>~a fl..sY! r.. r ll. 916 B. 109th Avenue Yes Fw1Mta-INYE tMti WEEIE IAS[ Ma-YIUOEN [MY[ [iKt YIOOtI [AST William A. Roberts Ta, Lena Rin N+-+~t fn~..• wwl [wa AEO[us sruo ae e.t.a wog aTr as TowN sTwTE ss J hn L. 916 E. 109th Avenue Florida, 336 2 - wwa. arn?TtOM, e[YOVA[, on+te rl,••;t,~ txrE[cnr a auwTOeY~cA..E [ouTaN an a Tow,[ :tiuE T~ val Taa. Greeualood Genets [«.Hamilton Oaunty Tennessee w[taA? Nora ? Z _ . ~ [».F.T.Blount Co. -5101 Nebraska Av. ~r.~ryry~, Flor 4 M ?.Y d r~ r..A /~wt~iv .M w 17~ s ![a 0. ~M lrw N..w.w+~. Jw r N a~.wW~Vr.~. ~...wdM ; rr1.1 'I' `r 1"~",% rY_ ll+aw«...f>w41, •~?v../![R.wr OATE W.AXO~/x/w`, I~rSy~7•J ~/f NOEa 01 OUSN ~J~ ~ patE fKq[0 fx.. Aq, fsf 1C11a OE OtAn[ ~ Set l- "rJ ~ ! ~ 20e. IO • . - - ~ - Y 711, ~ Te Y 2a t.MME os ATT[IOY4 n[ruaaw u ow[e TnaN aarv~[e fl,M r++l ~ EaeNOU¢[o o[iw Ix.., ay,, r.J [aDNON+icttl EEAD Iw...l „l Cx llt. A[ '~fY [MME AIO ApOtttS Of QlT1[IEe pgTS.a~ YEOICA/ E%AYE.Eq fl,N r 1~+1 ? ~ - _ .~I _ ~r~ w` ~ ~ ~ O n t~u~nne~h S{~U-h M- ~ iq S Worn 7-~ r.(, 11... V,. ateanAa / EATS aturv[o h eErasTaAa fr.. M. r.J ss.. fsr.+.../ -....-O' - ~-Y~-7Y ._t'7' /f t~ ~s.f~ ~ K [MMEELATE G117SE tts'r[l fAYq 2 t'/Yft /[t 4Y! /tNt /•JL faA 1YI fy) / / ~ IrM.d M.w.~ rw,..! rwi ,te M M C f rc Si-uh i. '~C~t4 ~ i l~mu l-+~`~ -`'y i ~ M°1'!!~ OYt TEI, Oe AS A d,d[OIItNCE 0!s , Lrwal M,rw wa r/ 4A ~ 1 M 1 pYE lO, Oa Af A GDaa:[OYENC[ OR ' Ireiwi lr+nwr rw, ~ i.i ~ Id I I ?An OflEa s[aat><Awr odOli~0E6-.6.LMY~ erriNq Mi EM r1 wlw.E ~1.ww. yw. i. EAEI ~ Ht AUIOKr flNri/~ WAS VISE a[[EatEO TO YEMCI~? ' Y ~ T+r w/ t7UW1,1[a fl.rih •r r/U - ~ 110Y WOK E~ v IIYET[O (lYrq,l DAtt OE WJiRt /xti Iy. i.J IIONe Of WIYEY 0[iCIHE [DW EiIYtY OCQItt[O Jfo.. 9?. Y yl MYYtY AT rYOEL lllr./l Te. IE/{E Ot INJ..!? ~ ~b~, .~ww. berT. .11n SY14r, IOGiION Sia[tT Oa e.f.El Nw Oir CR /OWM STATE 1til pa AL E. ' - ~ _ I HEREBY- Tf12 ABODE TO BL A TRUE ANb CORRECT COPY OF THE LOCAL REGISTRAR'S RECORD~O~~~,Tiie ~ILISBOROIIGR CWhTY HEALTH DEPARZMENT - AT TA1rlPA, FI,ORZDA. ~ >~s f . < ~ 1' A ~::~;•t" }i7,1,;;~:---,~ - Helen A. Moore, M.D., M.P.H., Acting Di-ector, ` • ~ ~j~-)~j~'' ~d County Y.ealth Officer & Local Registrar y . , (I1flr p/~f3~ ~ -1 ~CAYSED SEkL ,/f ~ ' " • QF TH&. $I3~.52>rc~t ~ OUNIY \/`->'-~i~.ta.a~ ~ ' REAI.'i'~~~l~ AFlIXED) ThereRa M. Luppens, Chfe Deputy Resiatrar ~ - F cG i '?;Q Ft~ 27 ~ 3t~ i 5[ IUGiE CC~I~I Y.~LA. RGGEr~ PGITitAS CLEFK CIRCUi1 ~J~~ # t 4'T7295 ~ 8326 ~ 839