HomeMy WebLinkAbout0713 ' ~ j
uw o~csys
. ~ ~ 8~ - i 089 49 484585 a s~o«o~
~ . ~ . ~ . , t t ,
CERTIFICATE OF DEATH """r"' - ~ _ -
. ....IEM•[ ~ Il........E.d..E[[» fIE~4..
' YEOI. n.o•nc• F~ 0 R ~ ~ A Itlnu tnY L _
liii OlCtplM-NArt IItSt ~ r1001! IA[,t 1EA4Gt7E[wTrErr.tau.w/
I`i H1Ht
„„,~„t,~ 1. Ethel M Bernato _ : female I~aa 7 lq?9
t:KC lEr, aAtt-.• t . w?,.. w.a. AG[-[w F.+~er[ vott E rEU v+oerr E oAr D?T[ w WnE Er._ w... [.J ea~EEY or Ex.wl
A.. w....K [ tsi..rt~ r ~~-T-wirt Houa L ~ _ - - '
r?hite s. ~ k.. ZL1Y 1 t 1910 Isz~oarard
! I r.. ~ enr, tarty d IoeAtloN a I1tAiN lloti11A1 T)t oilEet naunnEON-aa.,,. Iu w...+...+ ~.r..1 N.a~ [tt ws1 ~ti.r~.~..
A.w Ey _ ~+n.n.rlt~iME
Hallandale h.Hallandale Rehabilitation Center x i~a?tieat
suit of wttN pE.r:. tnu[N p vn1At CplNrtr EAAteI[o. irtv[t rAtel[o, slEtv/YEi[G raw /r ..N. E~
~ Y .1,~ 1 ME1001rE0, pVOtCED Etpeh!
tom,., .[y«N[[ o • ~o11I3a U~ .a married 11. Arthur BeZT3at0
wH[et otctASEo
DYED Ei pEAM SOCIAI [t(IN1TY MErtlt tEAMI OCO{IAl1j0M /Gr. W N w.a My vni Eop Oi MRMyB., Q IIt11i11er
M6lClryilpN. WYf 109 to `~1'~ flaitres•Jwy+1 W ww Y nwd! m~J YO~Yl611t
tEyDEHCE iOft it. vIl 1}.'
ADr "S'ON. t[LDtNCE~tATE CO{IE1rr Cllr, tONM Ot IOCAl10N TtE[i A.p NJr•R - Me f,[1M y}Ei
llP~.
Florida ,y EroHard ,k Hol]yKOOd 37 TT~omas :toad No
!AM[t--H11rE Not rlppl[ tASi M[-.Mtb[M iMr[ f16T r~~ S~
gene Williams Dora
E s.
NMOWAWI-iMYE /[)M ~ Evw1 IING AOOt[[6 STettT Ot t.i.O. i0- CITr at larEE e7Mt1E t~
iH. Arthur Bernato t~37 Zhomas Road Hoilyxood Florida 33+x23
ttMA1, atrArwH. tEMt/VA4 oTN[e /s,«.n) CEr[iEti Ot ct[wton-[+A[E[ EoosTlor u"' a'E To"" s"`,E
t~ Entombment I~Hollyrrrood Wemorial Grdns i,~ Holljnrood 1''lo}ri~a
nr•[a «aa-ISr.r..•~ w?+[u[ Eor[ 3~~3
11i r~ 2 L Kirby Funeral Home 6107 F,irausar Ploy. Fiiraaar
x. w ..,..E .a+..e « ba Ow 1Ae lr•, .,i,~.. wow rte. W.IA
y1•t• .d d.,• M lA• •4»d. _ RM~A 1N 4 .w. M wd [Its ~rl V • twA111 A[
l~ Esw•...r ra[.r ~Y~ 1 ~ ~ ~4~ j s /sw++.r sr.1~ 2s
DAtt SECr1FD /r•.. Etn. t•-/ 11018 Oi OtATN Ml[ flvrD /r•, I•r. I.J OOIR Oi atwTw
~ ~t?. _ I Xl _ sa. 12i30A r n~ m _
sF NAY[ OE AITEEOE~ Ii OtHEI IINN CEtilNtt 11tH • ~.ir) s ~ itOtD{RCeD Ir.. 7.J i~~ AUD /rs1
? I
~ 70d ttl ON TE wT
NArE AEp'p0[ESS Oi 1[IIrSK1AN, rED1CAl EXArENE4 I[iM yr1 _
tEl;lit[At i ~ - ~ ) ~ ~ DAT[ 1lECt111m w IEt~ Ifi... k t-J .
~ ~
~ - Sub-reGistrar ,i November B
rV.. ~p GAVf 1A41EDEATE CAtRE ~[\t[t Qrli Qi[ CIRS[ I[S UA[ [W Id. ltl..AD Isl) [ •~•..E!•r_alawr~
A ~ ` i
,vlr'nEaTlAOi' r~ T M ~ L E V ~.i f 1 ~ c ~ ~ 1, r ~f-i !rt J[: ~ t ~ ~Y`
srAn..l; iN[ OuE ro. a ~s A coa[ou[NC[
os. ~ """"r"'~~~"
tro[nrlw
ulESt I~ti ~
~ rv M i
otl[ io, p AS A COi4E0U[NCE oi. 1.....t t.~~wrfr
f
w
rAtr oiEE[[ i r co.draNS=s..s•....w..s..r » a..~w I,~w ,.t.»e r 1.+. r••• ?An 11.1 AuEO~sr rs...... Iws catE r~ wraou
"31 _l ~ .'~7 ~ .~'i--I - ~ J ~ ~ ~ : _ i n lti O ~ 130
l..ab•Yrl AcuoE/+t. SUICIp[ . DwiF Oi 1NARr /r._ a... n., NQK Oi wuurr D[SClrE NDW IYARr OCCLtiED
i EIQY1CtOE. tEEOf1EEWN[D /S/,rJrl
ere n?. tx r nd
iNAI[r Ai WO[[ /SNM. in ?lA([ CM INIU•t-Ar 1.•„., 1..n,, •.•e., taa».r. eKa E.,ib.~, IOCAiION StlEfi p t ~.D. ~ Cilr A 7pwIM 7MEF
1•n 1•H if•.
,ern \ = nE •
~ -
rc ~
' CERTIFIED COPY
I hereby'"certify'the."Above to be a true and correct copy of the Local itegistrar's
record on~'~i1P'in: the froward County Health Department at Fort Lauderdale, Fiori>ia. ilk
(Warning -.Not,valid tAiless raised seal of t Bro rd Co y H ith D .is affixed.}}
~r
,ni - /r
Coun Health Of cer and Local Begistrar W
BIrCORDED IN THE OFfICIAI RECOQ0.S Bt10Q •
11-13-79 OF BRDWARO COI;NTY, FL RIGA ~G~~~
GRAHAM W. WATT Chief puty Local Reg rar
W~1[rIY /~DMlMISTRATOi~
- - ' - t 484585 ~
APR 28 :
; ~ ;3
~~rtt a~ «t~twa s
S1.UfCll; CD:3i1TY I~~.
ROGER PgTRAS
~lEilK CWCi11T CANT
FFi.6fiA 1'{R)j;FO~