HomeMy WebLinkAbout2060 •
!
a
~f
s
s1.r.EA..1r. ~~a~s CERTIFICATE OF DEATH sun au •tD _ A _ _ `
OtrN.r..nt d )In.M t•ta.?Ilttt,~ S.nEt« f
~ (n~ rr
ttr.a t..,to.c. FLORIDA ,ops nu b. "l lOr! 2~
trrt
ctrti"i DECfDEM--a~ynE (left wOp[t Wt yEA Dat[O•OEAM[Y•.p.,.t•J
rI1rANtIfI 1•
ApRI/W Patrick R_OSSO : Ma.Ce ~1p~,ie 7,1980
ttKt Nd tACE~.e . t?\.r. al.d. A(,E-ittu L'wiAp It•pte 1 •tAe Vpft 1 DAT DATE W N1T1t
A.. /wA~, tK 1 rs.~;dr rr„., •tOe M1ff IIDIteS wits. A.: ],.i [OIPfi, W aASI,
White 66 ~ ' s,. ' . 4
UTIi, fOMM 0e IOCAiION W OtAM I,OSlltlll pt Ot1tEt Ir8nm10M-arM. Eu r r wl«. r«t wR ~.N«( ,E /OE?. Ot 1?6T. Eror DOA. r~
~~j
4",~ fit... [ar. rr...+/ss.N,/
Melbourne h. Ho.~me,6 Reg.cona.~ Medc.cae Ce?utQJl.
' t fTATE O? Nt1M /y ~ C1117EN OE WIMT co11E1rtr tNAelIED, 1{I/Ee tAiltttED. SUtViv,•6 SrOlbt fy .y...r..w
fr O1-'- •~s~ ttrlDOttreD, o,roecED Is,«;h~
16u.1.ELDENCE 1'IeW York U.S.A. ID- Married II~Jo e i
wtiEt[ DECEASID
ti+tD it Dfwd fOC7Al SEC1,e1Tt IwMYEe u1Wl OCgI?AiION fcw t..I M.«? I•.. v.w cup OE t[Ri•+ESS a tr
(7C CUt tED N
;*6t;tut,ON. G,YE ~ w M w?o.• N•. V ,•r,./I
t ES~DE"CE EEIpe( It. lL- ~
?Dri}Sp•[
tES10EMCE-RATE OOEEE,iry Clio. TOWM Oe IOCATIOM tt[E7 A,ip re,IttEe tIbOE OTT lWtlf
ESn•,Jt r b]
Florida Rrevard Cocoa Beach 4700 Ocean Beach Blvd. Yes
[AiM[E-.NAY[ EIKi wppEF Wt Mt-MApEM WWI E16T rE00lE 1/1ST .
Is. Joseph A. Rosso t. Catherine T.
It•IOtYANi-NAYE /]7N «T+•t, tU•Si ADOfE>S STtE[T Ot t. t.0. Ip. On Ot IOtti•t , ftAlE ]M
1~. tits. Joseohihe D. Rosso i7?. 4700 Ocean Bch. Blvd 523 CO ~
RRIAI, tlEYAttOM, tEYOVA[• O1TIEe Es[«y,/ CErETEet Oe QEWIOer_.•t/WE IOCAT,ON CIiY Ot sun
i
~ t~ 5urial It#. Brevard t;erllOria Flori Na _
M't[eA1DN oa--rs.A.t...~ `u`utMD"` Beckman-Williamson Funeral Home P.A.. g
1'~. ~ 1430 I,E,. 1 N. BreVard Ave CO a
]Ds ii4a
..?d
rr a.,wrEJ w T~ O. r. tr..1 •r.r~.. w/« r.~ N••~ 4.u.
l1utTE StG"ED /!r•~ I.,. 7,.1 /ONe Oi OEA1N DA1E SKY•!D /?t,_, A,. 1,J IDI/ Ot OEASN
~ >a 8 _A~ril 1980 ]a 11 c 30 A.M. ~ s M ?
sr - - - ~
hwtlf W Atilvptt•t: nr,SKwt t1 OtrEt il{11N Cft7lftE? E],t. «r+rl s ~ MOr+OUr/C[D DE W Itt•_ fln. 7,J PM"OEM"ED DEAD /lr1
f i
Z
70d _ 71l ON ]4 At Y
tWtlE AIO ADOf[yf df ('[titftft lM/SKIA", titfOKA/ EuM,Nfq (/f„ «?rrr/ '
n M.D 200 E. Sheridan ~ Rd. ~ Me].b~ourrie Fl 29 s
¦fGtSTtAt '
DATE tKEtYEp a, etGtsieAe f?,•.; Iu7, 1,~
~~~tt, - - ~ ~ 9 iy Fero
.vr - M~~~ - .
H.CH may, 1rMtDUT[ t[R O.YtT O IUSE I[A 4A[ /W r•1. . I11 ~1 ~,.+•.vd «.•..wtl Mti '
n •4t TO
'u4FDtMf ?yT E.1
5 aG t11E -
inntG p,f io. Ot Af A c t+ce Oi. r t w....E r..... «.w ..s a..w
• JSf IATI
~2C ? '
~ t
DuE ro, of AS w c aufnc[ or i 1««.d L••.•.. ww/ twt at.e. ~
w ,c. t L- t
, ?Ati OTtEt StGNtItCA?n CtDgpiTtOra._t«d......w.,?.n,,,y d••~A „y...r r cwn, t..«. w rwn E EN ~ AUTO/S, ES1.s:H WAS CASE tlrEttFD TO MEDICAL .
f, ~ Ib «r) „ tNEt [S[s.1s T««Y.l .
_ ;b
P.•eel+,f ACCiDfM, SIItC.tOE DAtE 01 NUlit, /M.., a.,, 1,.1 ttOtR W INAteT D[XtttE nOtlr tw,utr OCCUt?ED ~
ItOAEKtOE. r U•AElft•ur/fD /S,.ey,1
lT•. 77? 7K. Y ~
_ i
r,.~ S12. iNAM, Ai WOR[ fS„e.I, T„ !EA(l O/ utlltt, ~e [ ~~[«w, ,w«, I•Ir•r,, •Etd w,yro, IOCAItON STtEET Ot e.r.0. OT' Ot 1Y/1MN fTA]E ,
aCK D• 771.
f
I HERESY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY_OF THE RECORD ON FILE IN
THE LOCAL REGISTRARtS OFFICE IN THE BREVARD COUNTY HEALTH DEPARTMENT,
i
1
(?:ot valid unless the seal of the Brevard County Health Department is affixed.)
4353'76
~ ~ ,
~ • X960 ~'tAY -5 PK 12 21 -
_ ~ ~ ~pgEplE
~OITR
5~~ Local Registrar
' +~R~ 9.~- lea ~r ~ ~ Y-mf,EO . ~ _ ,
. _ , f
_ f
Date 5, Seal .f ~ Chief Deputy Regist ar
GENE ROBERTS JOHN HURDLE VAL M. STEELE LEE WENNER JOE WICKHAM ROBERT L. NABOBS R. C. WINSTEAD, JR,
C~ttairnyO Vic! Chairman DtftflCt 3 Dtstnct 4 District 5 County Attorney Clark
District 1 District T