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HomeMy WebLinkAbout1266l~ ''""''"""' CERTIFICATE OF DEATH •'•" "" "° - ---- ----- - - ~.1/.w d Me.r1111r/ ptldw/.,1.. s/,./{a ..,.t..,..,.IK. f l O R I D A .............. SU95'75 ...[ O[ •/IM 'H -1lrw/i1M1 /l \C[ IN[ /Vl OIhA ' FI(/INt CO.dttd~{{wf:~...~a r••.M-^0 •- vA 6.w w re1.Yd M <ww. _.._ _ _/.Et , _ _ 11 FM ~ MI Crematory fit., Pompano Pe'acli,I'loi~~ca ..- X904 11.Conuncrci:-1- I1l.~Ei. •T:.rra~ 1 _~1'1-_, )ie 0. •n. AM~. e1 ..>+ •. eH w ...• 9s• r•. ^ ...o - ~- ...~.., r •r..w-H e• •4 •--v..bti ..d e~x. wd ~a •. h ra~n.l~ rr.• j Z !~.{•r.•. .•/ r..1•J i• M/E L'..aD IJL.O... T• 1 w%.. OJ D[aa 3 _r- _ _ _ :t~ .. ~ /eO.10NNClD O[.D 111. /1.., 1../ J+9•.CIt1^L[D CVD • M . _ - 7H. ON )~. .1 _ ` [ . -ti: ,Ilan .•:. ...rr i'.r tp uFp~. tJ 'F Iw1 r..E ^l~nvG ~~. s[ i.St JI ~~ KN1, 9M WE « D.tE O/ Nul/Er {r. , en. -. 1 11011E 0/ INAiE. _-__.-_~- ~J6.- ___ - __ _ _ ~7Je M c++vi 011[ b. 01 Af A CJNS[OUEN(E O[. M oV[ t0. a of • CoNSEOUENCE Ot. b naeclr~u1.11v.,n...1 •_ .1ti1.:31 , 1')79 .{ee _ y'qr• 1 041 _ D\IE OI E111M /Y., f•.., I• I ffliy.il CN W.IM MY~ NWK ~ VN4 _ s<. ' _ No~.2:3, 1903 ,, Itro~mrcl ~1---- NDSE11.1 OE OIIIEE 1NS1111JIMW-/r...,/!/{r.\.M{... M. M.... M/Y•..1 .-.-____ ._- ~-. V' ff •.'t > 1.,.. {- -. ,Goz r~. ». 48 ~r1y __ __ _ ... .. - ------ ---t:, - - - - V4//~tD, Iq Vi/ Y4e/110.~- SUEVIYINi S-OIIS! /IJ {./. { ~ ~...\ y~.l - 1-.Ot1'IYID, dvo/c[o I,~..y,- .1 [. Married t1. Ro3e Aiosch 1 uSwE oMrwtloN /c«. a.d fa r../ ~... w..y uv0 d ousi.llu l)• ~~.o~Is~u --- - -- -- • - • ./ ...a.{ u.. •... ~ ..r.IJ I~ Steward y.I'an ,Unericai, .lirli~lc :; uw. ,owN d IourtoN - t/[n ..,o ~NW1w -~---------- - - ~• ~,.: „Y,.- tk Tamarac 1., rG02 Nif ~I ; 1.': ~ ~~• , .. ,.. •. ~r MOM(E-Y41pEN NAME fiK} Y•Cpll !-Si ' i~~- ~ ..~~ .~ ~a1.'~i . •iri~: ' .~ iri: 1-. /77•IL. ~ :.J'~ , : ti `1J~o ~~' ~ ~ t - ` , .' i Aa! III 44 - . .. ~ ; SUSJ 15 sr'. i~ c~R p,,`,(ii~ ~°A. _ . ~,- Roc -b - • - ; ccc~x c~~ci,~r ccurl~ J; ~ ~ . _ • ~; - CERTIFIED COPY ~ ``•^• ' ~ i?'(" .O ~ _ _ I hereby'~ertify.t~e~~bove to be a true and correct copy of the Local Registrar s reco.;d on ~~f-~e ~R ,~t~igo;Broward County Health Department at Fort Lauderdale, Florida . (Warn_~~iot._~a~unless raised seal of t Brow rd Co y H lth cz .is :,f fixed.) .~J.~.. .nr ~ .. +'._.,. ' Coun Health Of icer and Local Registrar 1-25-80 ~~ N J Chief D putt' Local Regis rar ~~~~ 7U y~ _ -~.~e~ ~• ~t~l~ct L4W OFFICES ~•/HOFFM/A\N & KUPFER 4500 t~~. C^f7?^,"r,...;~C.~i F~I.~rr Ft. Lau,;erdaiQE F,~, ;,_ ~ 'l • ~ t ~ ~ ,.~~, a-•_.., .-.., ~--; L , L 4JtCK, rc,.. ~^ X.S (.S! ,t+11:+p i•~ A•Epl_.l- - ~- :\ _ - -_ / ,Iow I•IJW. x:u..eo r _ _ 1• s~etr a ~ r o rr - -- - urr eE rcrwa--- sr.r[ a»~3~4 ~~~i~?66 ,~ B ' 3,