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HomeMy WebLinkAbout1516 G~ . ~3qy ~ SU2813 elate of FIo»da CERTIFICATE OF DEATH _ .zcment o! Health and Rehabilitative Sefvioea FLORID 1~ aTwTE ift.E EtO. t V1TAL STATISTICS REGICTAAII'S No. ~~2 - Z ~ - ~ otCE•St0-nrala, -ur• .1aa11 a.f1 SEw Ow1E OE OtwIM . rorlr, .ur a CHESTER W. BACHMANN ?Male ,November 22 1978 uCE or1u, clew. •r1a1/•r •GE-uu v.le/a 1 raa v..oq 1 k. CA/E O/ i~tiM Iaprtw, Ne, COWttY q OfrafN 11t. . MKrt 1 M,ry. t.l•aa1 r0/ Ma rOW1 aa0a. u•a 1 White 71 „ x. ,Oct. 24,1907 Hillsborough Crrr, tOwru, Oa IOCwUOr+ q f)Ewtrt aruo/ c1rt ?r.ra MOSMwE Ol OiMER trtStltU110N-t4Ua1E w col w lr.l,, ertt •IUt1 .,o rwU1. 1 feltrt tl• W r0 Tama Yes Canterbury Tower Medical Center . SINE OE a1tiM 1 r r01 ar r ! • , w•N CIiUEN q Ww11 COIJt+Ttr rtnta~EO, ttEVE/ MJ,WEO. SINYIYtNf. Sf~OUSE Ir .r{, e1w aa•1o111 rur11 " [OIr11,e 1 O. l Y1cre a e Ne_w York U.S.A. „~`arr°~°e"c~° Mary L. Russell SC>Cual StCVgEY tillataE! IJSU•at OCCV?wtlpa .4R aw of ••ou wrt awrle /b,l a IIptD q WSwESS OR INDIfSitY aspa••K. art, Frr r a[11gD a „ 088-03-6521 Brick Layer Boilers EESIDEMCE-ffAfE COiMlfY C11Y, fOwte, Oa IOCAl1ON artlot ere u.rt SiRtEf w+D NIIMaEa ' tMt • ttt W •10 - Florida ,.eHillsboroug k Tampa ,bales t4.918 Annie St. East r•at11Et-r+wME - nt{! ..roar Luc MgpE!-nurDEN MnMi r.a?e rnoa, u,{• " t Anthon 8achmannp Heneretta _ Landgreba . ~ t Npulwt~ti--kw~wt MwaWG AOpaEii auua w a.t~...o , cr. oa w.r, u.a. arl ~ Mar L. Bachmann ,,,918~Annie St. East, Tampa, Florida 33612 rwE1 L DEwtM vrwS CAEJSEC aY: ~ENEEa OttlY Owf UIJSE JTR ltfi fOt N~ pL A?r0 kp •e.toalr• ..a 3 a1t11111r Orall •ra M•M 1e wrwa~~c+wN 11 /al ~..(sMCM T'~l. 1 aow ! i COMa1l10 r{, r •re, • .¦ICr e•ae nu w hl Iwwu e•ra 1a1• tart lo, Oa u • eOr•IOwrte tr - at•11r0 fa Yrata- aure e•rN eat ~t~ • ?wci t GEMEa SIG/JYKAIiI fOt+DlflOnrS: COwtlrtM.f tOMarWa1e q M•tr aw rot aYaa t0 4rtt CaAr ar rYt • Mt A11iOfSY tf YES .+tat rlralrca cor- ; !qt Ot /ql O! Vii: ~ Nhtr/rrap t••1Y = t4a No t9o. V..~ea.a?01~r1 ACGO[Irf, f1nCroE w Y utaar, o.., at•aa ' /QMICItiE: Ot ,I/QfifaMa•g0 MOW IttJ1?tY OCCYItEO uwu Ia•Iry W alaw/n ar ,al 1 0, e.11 u, al•a ul lsP•~Ih1 ! Y.s• Xw loc. M roe. ( f utltltT wi WOtR plI1CE q e/RJaY a rpy, {talc, ranp¦, lOCw110N • aua W a.ta. ro., cIn of to.r, u.u a .lMUn eta Oa roe Oee1Ct a11ae., t1[. 1MKre/ a0e a01. I0,- . CERf1IKwt10N- rOrtr M. tl•a •10.1M We Tt•• ••1a a•B La• car/Wa YM Or 1 or/010 rOt •Mv trb fKatM OCCWa[O tl 11at taKt, Ow .p srts/t ~mraro t.t t0 .1o.Ir 1o.~s nup ,oet .nu o/.Ir. 111ow1 A o•n, ..e- w .1t n{t : au au.•lo tw+ ~ ~ 11E. 11 ~ ~ ~ TG rM+ 10 21e ~t ~10~ 7te. 7: 15M- ao w c.u~ftru~ft.~o CERiMICAtIOet-MEOKwt E}w•lwER OR COtOr•ER or t•s1a oe w a1pr, Or ar•r - /.t twtrtww .u.•orol•.tao N.e ~ !¦•r...11p. a tq aoe¦ aw/a w .•./a?IC.e1or, 1r oerllo.•, .o.nr at n.• ror• ~.1. occal.•w a alt a•a ~11w IWt w w uat•el tr.leo. ~ : I f" A a+1 ?2b. N d ? ~x/ O') f . CEaflilEt-. rtK M ?awr • SIGNwiWf M ~.~a hh atelll a aut CJafE S O a Ir. a•t,au•1 ass Uwtooe~ Iv,a. 1` ° lirr? rye ,.,.~ytt~e. H .1~ •uttr+G Z 1 OEttr+f~ . O 6 uuu o. u_o. w t.n q 7 1 ,~`b _ _ ,se •ualwt, CtEMAtIpN, afs,pvJlt E•1KtEt1r OR CtEMwtOtr_t~uME aOC•at un o• torw s1•It i a,ntre e 1 r, Burial ,.,.American Legion Cemeter ,G Tampa, Florida owtE IrOrar N! nu. fWltRwl bOME-NAME •aNp e0[Jtl Ismu a a ere a wrr •a•rt, tr a Nov. 24, Y978 Jennings funera~ Home, ~i~0~]' Neb. Ave. , Tampa, Fla. 336.04 tYNER RECi ~ Y - I~SKrNatUfE Wa1f at t0 at {pLy uGlsttu j rse E' ' Ems.-iEV ~ s'w. 7 /9 7 I AxCEt~'C THE"`EM80SSED SEAL OF-.TES :REGISTRAR OAF 'VIT~LZSTAT~S?7LS. x °I hereb -c+ ~ • . ~ is a."true and correct,:copy.of a, cerLifitaate.on f3.le`;?~-~- in=th-' _ - eg-istrar of~Vf"ta1,~..Stat~stics of t~ieSHilisboTbugh = .Y , County'. ..s _ t_:~:_; ~i _ S E. Xenne p -Blvd., -Tampa;- Florida `•~3602`-•~~ _ DOa~IALD~.S.~.~ ,}i. - DIR..~TOR, - - ~z - _ _ - - _ _ C 2: •REGISTRAR ' `~..~'1~t/.-e'-a-ci.~ ~U~ ~ ~ ' ' TR?.RESA-M. ~I1UPpENS, SE1 P i _ - : _ ~ DEPUTY LOCAL REGISTRAR ~ , . 5U2813 - i~0 C~ T -9 ~I~ ~l~ ~2 ~+C ~j F.;tG~R "Qtl-R~ S ~r:7X~~o Qi1JC~~~~ - C; ERK C(nC:!!igt:.^.~. nth - _ . _ ; -