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CERT11=KATE OF DEATH 1?.Iraluuul ul Il...hl..•o.l k.6..1..hMUfr ~••nl•n RATE !<Il[ NO 1,,.111,. , ~ 111 „ 111 SU'~546 FLORIDA (:a ~..r.+ rr( Pff.16THAP S ?10 rIRMaNT Ht INIt jSU Owt[ Ul Ol wtn ••r.«t.,, o•., .1.t. ,il wib Ol Ipt t a[wNU-r.M•e ..a1.a .•u Irltl~•lwrt , .IUticl~h ZahCl' dale I lk•ceml>er ?.3, 175 ' ll~ 1 ...t1. •+14.. •rlt.. •...w4.•«. A(:1 -TuwMt 1 - __T- ._`e•.~ - _ •l.. .:..;.1.. o•. Cwtl CN \uln..o...w CGuntt CN Otwt?t t•c . iH;u.. l nt,» l .a•vf. rOf D..f ~ »outf .~-1 !i}t i t~. w ~ , It~nr . 27, 1 ill 6 l~ro~aarcl Cnr,-tO,w?,. oa ?CKAIICIH O?_DtwTli ...?.et i~ 1:~:.~f MQShTAI OR Oteltt NSHt+/t1pN-N.1M .,...01 u. t.u.lr. o,r? uan .,.o ..w.l.. . i~ fru.lr •lf oA ao . n Pembroke fines Yes a 8930 S. lioll b_roko Drive vs STwft 0? t,~?H »or r« n l »..t CIIIIEH CM` ~ 1 t01lHD~ A,wtut0 HEr(f uAt4lp.~ 1SWvrvw6 S?ONSt ~w ~ut'c..i ...c.l« .w.~ . ' - cow.n.+ W1ppw plvot(l0. urn ...•.1.~1«a , h'et: .Ic•rsey ~ U•:;•A. .,R ~;?1arr1eF1 ,Tanc ~lrrot;:;mit11 ..,t•. w; S(KIA[ S[CWaY HyAI?[¦ - UluA1 OCCU?wtlpH .wa /wo o..a• 1/0«l ow...o r4f1 p IINp Ot W1,?tlSS Ot 1?•DUSttY ~•u rD .ora...O ,.rl. lyr.runrt0l , _ .•R, 4.rl 17 - - - 11. 1'orema~i 1'uhlic St.'rv1CC (gas F, }ilectrt'. nl.l«n uwtr _ .o..ff _ tE11OtHCf-Stwrt ?COunltt ~CIIY, TOWN. Ot IOCAT1O1a u•?.o1 l•e ..r~.~ ~Slll[tt w?aD NuMt[t ter. j .f..an .n ov .a. ,.1 , „af l:~~e~ lest Orange ,tt 1'es ,t, 2UU Ait , hlCitSllilt ?AIN[R--NAME htp r.tpal l•f1 t•pt11[t-MAIDIN Ha••t t,rfl .•oo.e wl .1 ~,ull ~~tf~cr i„ Anna (llnobtainahlt tN?ORMANt-r.A,NE }rwwYwt, wGCff l1 n••rt. or r'. o .w. ar. d. w•», fl.• 1. INt --'11•x;, .l:ll~e :'.anc'r ~ 2i)(1 ~It. I':ca~=an. , ltr•`L nranl;e,\cc: .Tor~c~ • 1 p[witl WAS CAUSED Ft -rt•+Iff (?ntlr CX.i ~.a:AE I!? tu,E ,.•i 1•,, .D:. ••.4 . .•••n•. •arru« orat. II tryDu'n ~•Yfl _ _ _ 1.1 Acute Coronary Insu:ficiency ....D.l.o..,. cw G.r/ .t,l Ip lel Arteriosclerotic 1?cart Disease .NrlD..u uuat .o., w? ~o.-a`a •-io.:uow~~ o•- 1t•IIw4 lwt Y4Ol.• attr0 (•Yf1 1.11 1• ) 1Mt A OT?IEt SIG?lY1CANT CONDITIONS COrw.nOrf t:0•wWyt.•10 t0 N•1. 11111.01 yu/t0 t0 MWl Onlr .w ••n . tel wU10?Sr r YE S ..nt nro.«4a . ~1 •a a «o, srDlles wutrwlro u. 01 Of•IM _ Irr No Ib ! ACU~brt SUIUOE Ot~OA~E-~W1Ut1 .~p•tw, M., rt•.. ~M(K/t tnCiW :!i:;;AY OCCUtttD •fM11. M•!Yq M u.Wb u. ?•vl 1 w ?•n n, ntr If. N_ N:Cr~E1 GR YNO[Il1iMINlO , • ~ •h? + _ J01 ~ ly. M 1 ~ IHl„tY AT WGt.-Tit,?CE O? wwnr •1 «o.t. ••.r, flrk.t, I.no.r, • ' t fgltn of O. «O. ~O.1.(l MOG , tK. 1 fH(.Ir l I IOCAl10N 1 fqU/ W 1.t w0.. C1n 01 tOru, u•n . :~1 Cltttt~CAt10H- rp.11w wr •t.1 rorw w• .e.1 •110 1.fr s.s u:.n,e...,.t Or . oo/Dw ..01 .~t. 71.1 ot•t.1 oeewlEC .1 n.ct O« ?11•fKt•q To ( a0«11t O.1 n•1 1001 un1 M•*w •n, «D1D t~l .rOYU O•tt, .«O. 10 Ii• otgalo no- !711 rflt o. w •..O.uc..1 IH 74 M 10 rwl C•Yft q1 f*•'. _ CEatl?;CwtlOn-. •+tUUI EaAw1,HtR OR C(MCl.+H o1. .aus.f o. rwt 01 q•lw 1wt otaiot«1 . f r io ct•D 11ww.•l.o« 71 tw1 WO. •wG/0/ IM .«rlfrr •r.p«, « r• Orw.Ow, _ .p«+r O•• 01 •rw OCC WtfO O« 11.1 O.11 •«D ODt q 1M C•I+f1.1t ,11•ryO - •1•r p . _ It. App 7: 30~ aM,:rf Dece~3 _ 1975 8:52 a.:-.. . CEth11EF-?:AMI -1.1e n.«•. - ' ~ p~~ moo. ~,,,t AiE SIGHED •+or.rw; D._ Asso. l~~eaical sIGH~rtu[ ~ ~ „r 3oselr:~ 11. i.mbry, tl. D; Examincr`r>e ~ `-t-! 1-.-~11L-~ / Dec. 23 r 197`', A1w1aWL ADORE SS-CEttBt¦ fnit~ ur r • c wo 1.!f or ---~.---rrtr„"`il - .r 53D1 S.l;. 31 Atrenue-~ Fore Laul3ertlale F1 Yida 333)`2 R~•ilAt. UEwtwtl(yH, REMOVwI CUA[tERr OR CtEA,AtORr~Hw•tE lOCwt1ON c.cl 01 w... al•n • 1•tC M11 _ ltr:n;•••;11 _1~•~ I,Ctit _ lsrac l - - 1''' --t~'~o_c!_hr i(1T,e, ~~c~ii .Jersey DAfE ~ • l.~t~ +?UN4. NUM(- nA~~N:J a:-!1[1: . 1•nlt 0. C ..4, ca• c• tr:•« a••tt, 1.lorlda ,lot•ttlrl. 5er~-icr ~~i<~~ `?i S. i! 1./H t ,v[' .e 1 .H . - ~ :\4 t' `11 i:j~11 a T~ 1 ~r 1 ` hr r. 1 _ / tIGfSTRAa- jie.a l,:,ft ~~r ( ~ 1 j,- ; t••'~i:.Lfnt? 1. IJ: •ec, o ..r ;4. 0 • ty ~ ~ 1 Z~ IM t . e : r /a• •2Ctii ?.li i ;.e : ~4 , ~ S~ ' ,a c' , - . , . f - i I[ereby;l;'g>v~~y'~tlr ~.$bo'41lI to be a true and correct copy of the Local Registrar's record pn~f~•Y.i<ti~A>Cc£'A1~fy`waXd County llealth Department at l:ort latderdale, Florida• is (Warning-NoL~~t3i~u~tl~pAs raised seal of Citc iSroward County llcalth Dcpt(.\ is affixed.) 12-2> >5 SUR754b o ca t[ cr an oca eg1`strar ~ ~ _ Deputy ca egist ar ~ . - ~~~K 343 Pa~E 831. - - - _ ~_y