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HomeMy WebLinkAbout1438 _ _ t He~a~th & Rehabilitative Services. ~ ~ ~ TR~CI' ELEVEN •DADE COUNTY pBPARTMENT•OF _ PUBLIC HEALTH ~'{~`s: }f • t~ Yom. . rt i,~~~'• 1350 N ' 1~-DER?I!! ZIIIS ?0 BE A 1'R~ MtAMt, FLORIDA 3~125~ : ' . LOCr?L 1tECI8TRAlt~ S ttECORD ' " ~ ` i .f~ :r~- - ~ elf r ~ { ~ - N S• ~ F ~ w , t va id aulaas tha raiNd ~ ,a'4. ov r. ' v~aal of tha nnrasu of Vital ' `''•F•r~° Statistics is affiaad. QI?AL 1tEO~IfE ~ CERTIFICATE OF DEATH .f..E.f..~ N Ebb r ~a.~rEi.EE.. s«.Ewf O ...a....,..,K, FLORIDA EK4 rfu A~. r" ot~oEln-wwE ww rlooEe !mss! su Era a !>MwE w~. r.~ { ;/f MIM ,ffIM1ANf Willi8s~ Ler Fores_m_an : Male ~ - <_.,:a IK UCt~ r . vfa..f, n.ea. .6E-!«. volf ! •tY upoef ~ frr D,rE Of ~r?t/l rr., n... r. ! cO1NT. Of DEwM _ w1.. hr...rt usLrw! • ..M -T MK --Wows 1 rub White _ s ! s< ! , 1 E Dec 3. 1905. _ _Dade. - v: • a». roww a lOGTION Of a,ni npyrru a ot~ff .ts• •~-..I• ..1 •..r«, a /OEI O~ rlsi. ara.. ow. . r Miami - - - - _Mercy Hospital _ _ _ _ ~a Inpatient _ ~ ; _ fl~iE Of M[tN llfwr i,T,Zfr•d waw• C0.+.~Er rwplfp. Mv[E MUfufO. 5.: . ..:'.aSE ,r. n. ,.e ..o ~ . • ['S..f~ •e~a arOeMr1 WiDOYrED D,VOKlD , s1...•. - ~ _ fiLD!•aCE • New Jersey~_ . _ USA M_ arried lr~ Dorothy Edmonds_ _ _ _ _ { .•f ucesle - - r DEwrlr soowa s[ewm IrS11.DlE USUwE C1c(vIw]•o•.I,... 1.•I • - •n rn~•.fss c• i•cta•er " } 195-OS-0725 _ c•+.t •f /O.f 17 Truck Driver : Self-employed p - a1•J•. fEYDEr,KE-SiwtE COr;wir- - - - ~„r. ,Or?a O• Iw•••:v. Q J _ . - - - - L_~ _ _ :.Ef rfEr SLMV iworclnlualn ; !y Florida Iq Martin • r•a Indiantown ,..«.ti.r.,.c { Route ~1 Lot 441 , EIITNE[-J.,IME iltsr r:DptE IwST Y:'••E1 N• '-•VF r~K~ Y'JDsE USf 1 ` ~ IE William F Foresman • Ada Coverl a ,AaOprANT -lure rr,1. r•w •n,•If •DDffis .*f/E* ~-r - c,,• (,f +vvr•. ir••f In Lot 441 1). DOroth Foresman !'?St Lucie Mobile Villa a Indiantown Fl D„'f1,1. (7Erwflpa, fEMOVwT, OTMff,i,.<. CErfflf?~ Cffr•r~;A) r.,r! '7.-•i,.y. G Of fOWI ]T•tE Burial E Southern Mem Park No. Miami Fla - - - . ~ aa,t.E41DItE1Tp--I[yr..a! - - - - _ 770 N. W. 119 Street ? ~ .'tG~ s ' ITi. Van Orsdel Gratin Road :oe r. wr !er .a w•I.,.n. yw «.,.-ee . • r = ~ r<.. e1..~- e- « w•« „ s..•/, - = aha• r,wd sr ~ ,M mars ~ x.. •-b a• me • w frv c• ~ ea«e a++ s.w v +r tawrl!rE rased r ISVr••. wI r.W1,_- J sc ,..r.. '.'..1 t.., - DeT! S'fl~+EO :re. M. I ~ i1C\,f Oi ~ ^J'F a .r D... 1. r IQyf M Of•r+ ~ ~ , i-- 1~ ~ ~ ra 2180 8'_30 P. r. nlr n• a 1~ _ _ _ _ j g ,.~•.u..^~-!D cf •D •+l- Do 1.. I![>"gV+CED DEM •O+•I r ` ( •rnrE M •l ffrlDra,(: IMq'f'•'a P J.'Mf. fra••. C!f'1Rf IT.N I•+••, tr . Y { ~ ~ tiwrE „O •D(»ESS Or Cff,i/itf ;rr.rSK+,,. rf *~,~faar,4Ef1•T.r•~...•,. i~807 Sherif Shafe MD Merc Professional Bld 3661 S. feeisrf,f vr! ffC hvfD 1r ffasrw rr.. a.. r• I _ t ~>eI,».i....•~_~r'f !1, -~~YC-[.@.~ Sub. Reg. Fed.. ,$-,~12$Q--- - ~w O•~I iYLrED111tI GIAE~r ~~ET~I/R~/O~r~E.plo~.'e{f~arls['~IE[~I~lN~E~I/Of~'.,~.y, ~r~.. .~rDQ~~jE~j~7(~ ~y~ ~DD~ ~1sw.~.1 e~•.w+a,r.M Owl •..r F`(:••fE• I[af NI ~•7I YG 111~1\L71W1L111 11\rh[yll l~./~~ 1J.~11J11R7 lt/ ^~.•C1[u/~_~[~[~]1 ~ :SF •ei / ; ~o ~ ~ ~a.«al.~E a: -~-I~Z II~T1ntNAL CAItOfID AR'I'IItY OrF T~ 1~IDC3G:.....' d,,,.,.. •~;f ,u• i ISCt~MIC_ ~FSItOVASCULAR DISFA,SEM_AHZ~S'IIIi I~INI.Y_ BY_AMAITR06I~ ~Z1CAX- - wD1.E TO 0• wS • COrdE017f•Kf tii. - ' Iw.•' ;e..w. Mrn eM deet• 5'):'VIItE RIQiT CAROrTID ARTIRY SIII~IOSIS. QORONARY ARTERY DISF~?SE, i _ ?w[f O'~ff5,:~.,r~.•r.r ~G`d,••;r•S _ , . or~+. b.•.o..~... faii'~.r,. I. w,. CASE fflFffFD fO rf D.Ur 11 ~ ~ oeead wCOOE•••.SU(-0[ a ~De. . -s. r... n.. r i ~ _r -a ~.,nfa . ' .ai..~oDf .•w.•.f••.r,.,Ee .s,,..•. i :.r.'er •r wod[ ~sr.,.r. t.. ~r~•.. - . « , ~ , . a r c ~ -~f :pyp. - f•Lt! e. JK1S r.1 771 1>': ~ .'SjYT F • EXHIBIT A C I c~~ K~31 PAGE14J0