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HomeMy WebLinkAbout0920511.1.'45 ~ ~ CERTIfICATE Of DEATM -ou~ nu iw. F L O R I O A ~un au rs. ~m p Mu~ .~ auaM-«.w ~wt ~i v~t~ u^ wn a a.a rr.. w.,. ~..~ M.~.M ~. NOLAN MESSER ,Mule ,Mur.25,1980 wa wc uce~ ~. ww. wa. +we-~..• w+w. va. ~.iu w-0e. ~ w• 0-11 p Wiw IU~. Ar. -• ~ cow~. a a•rN - 1I)~~~ rs.«w~ s. ~~~. ~ ~rod-T" w.s iou~s~ ""n~ • M(~• ~i 3~ 191 ~ ~~ li Rfl6 GTt. tOMN O~ 10(A/ION q plAtM IbyIIAI Of OIK2~ M411Ty11ON-M~w Ill w w wM~., w~w MI ~ I 11 ~qS- pI ~h6t 1' 00~. ,~ Eustis h ~Waterman Memorial ~lospita~ °"`'~~nGr1': ~rit'. • • s1A1! p Y~Mlp ~r r u~ue-. a ww.~ cowur .~...~m. ~ti. .~+nuo. fWY~WNG YOlal 111 w/.. M~ r.1.~ ~rI ~,,.~y«~ • Fla_ .. ~~•_~..~.,, USA ~~~.arrie~~'~ ,Juanita Blount ~.~ ~~.~.~ uwo n a•n~ focu~i uaKn..,w~e~ aw- oau..~aw a». ~..~ .~ .~..... uw w ws~wss w~wusm «~~ „ ~:. 264-03-7?09 ,,, Dmglirt~'~~'1~t~' „~ Cortstruction ~ NS~OtKl,tutl QOWIr Cnt. lpwwp ipC~TqN ~~!!t u~p wr~tf ~~MOf U~~ ur~t3 ~«. Fla. ~.Lake ,k Leesburg ,yRt. 4 Bax 379 ;.. ''~o_... /AfIKM.liW~ f/KT Y~lOpl~!/~~ 1I.S1 MQ~w(f-4AIp(N ~Mly ~~y~ ~~I~~S.!~~~y Y1001! Wt • ~s f.MMY/WW~~ 11. NIi~ili{/WIi ' INlOtY-M--qY( !-1N ~~~I INNG -pptf3S SitRI p f/.O NO Ut~ Of IOWN NA/~ !M ; „~Irs. Juani ta Messer ~,~Rt. 4 Bax 3?9 Leesburg, Fla. 32T48 S lU~~~t. (tlWilOU. ~[MOVwI.OtNlt p~wy.1 CWl7tt~ W ptwip~r_.I~YE lOUl1p1+ Cltt q tOWN 1t1~! j ,_ -.._ burtial ,. Pine Cyest Cemetery ,~ Sebri~g, Fta. $ """ ~ . . t t'sh """" "°~amlin mul Hilbish Fune~sDirectars ' "' • 1'~ ~~- 226 E, Burleio-h Btt~d_ -TQvares, Fla. 32778 ~ ~ ~o.,t~ r ~.n .~ .- w.wsr. a..a «~...w « ~. .r..w. w ra~. w «.... tia o. +~. ~e.•..~ ..a~..w... w ~r . « ~r .w. ~ w«W~.wa --- - ------- - - _ rwww...rwer+ti~«w~o..rN r - --- `- IyWr.w*~ ~ s~ taw...w*r ~ Ji /~,lK~ ~11.~. : = wiE wc+KO ~v... w... ~..~ w~w w a.rN ~ wn sw..eo ivti r... i~~ ww w a : ~ ~ ~~ ~.. -- - ~ - - - --- - --"- ~ ~~. March _27 1980 „~. 8:45 _- - - "- --'------ - ` s~ W1M[ pf A~TEW~HG ~MS~C~AN t/ UT/!f IIMN CEfllll~~ f1rM ~YWI - s= . JML[D O~M IY... /y.. I..I -MNOUMCID OEaD I/~! a L ~ ~,• aMarch 25 ~- 1980 __. ~ •T 8 :45 A -- -- " ~ --..~rtwwwoa[uo~ce~~~r~te~.sKw,...[au-[a~r,atn~-,r~r.~~ ----------- - - - : ~ „ Wm. Shut~ze M. D. , M. E. P. O. Dr. s, L eesburg, FL . o flGRtU,! ~ .~ ~ / p~t! tt 1VtD ~• ~lG~StUt /Yti /1~. f..I ^ co.al~aa ~. /S ~~ __ ~///.! I/'~/l~ ~/~~r~ r< ---- - - - ---- "° ~~~h~~/) .~ 7 / % :; ,'} ~..N. wM~wve ~ H. ~rwfDuNE tA1RE tc~rcR o.u o~c uvse rr~ u~c ioe i.~. ~~~. ~.~ i• ~- --- --- - -~---- ~w.7~ .w•wa..~ ux +o ~ ~' ' ~" "' Ac~te Coronary Insuffici~t~sy__ ~ Immediate St~la+G M - -- -- - ---- ~~~~ - OYE t0. d AS A Cp6EWfNC[ W. ' Iwwrw~ Mtiww ~wr ~+i ~~ ~ Arteri oscl eroti c He~t Di ~e,ZSg ~ , w..~l M~.ww rw• ~./ i~~. ~ ' OU[ 1D. O~ AS A COr6EQ1ENC! Oi, ~ ~ r~n or~~ sw.wnuwr co.~aT~o•a-c..~e....,. wa,,..~. e..~ wn..~ ~~..e .. a„» r..... r.n ~ w •urois. n.Kr. ~w~s uu ~treato w wtaui ~ p 1 „ ~ ~ _.., I ~e~.,,..._.., y 1-w~sMl KC~OEM. AKME ~. wrE os w~~ ir._ o.,. r..~ ~ w nuun ax~nt w.~ wur. aanro wn~no[. • voEteern~co re..~.i,i n.. a~. ac r nr ~QS fw SI~. INJU~Y Al Mp[ lSr~ed~ 1n n~c[ or u.M.-a. ~.... ~...~. ...... r.~...r. .NO r,+a~., ~ou~~a+ s~n~r p a.r.o N. un a~owrr sr~re en ~1f~ P~- ~l~l Mc /flw~hl ~ V~~1 \ »~ 71~' • ' _` ~-1 Z j~': ~t' ` :t ~P~•a~ V~ ~ ~ ';' ~Y: . s~ ~ ~YY ~ ~ t:tl~ 1 ~'ya . , y '~rs~,,~ /~~ .- ... ~ ~ . . ~, I NEREBY CERTIFY THE ABO ~ ~~``~~,TRUE A,~°q~CT COPY OF THE LOCAL REGISTRAR~ S RECORD ON FI Ilf a'f~l ~~y~~A1C'~ HF.l~,TH DEPARTHEHT AT 421 WEST MAIN STREET, TAV '~ ^ ' ~ ;,:;~ . ~ "' ~ " ~Y ~ ' :.-1 • T.. . ~ , • 3 , r.r , 5 • ! ~`~~.~` _ ~~' ; r • /~ /!~,/!.~_!!-fiv .~ I /~'s ~' !•:," .'; ,`- ~•._-,r, ~ ., ~ ~!.'.. L . ~ / - r ~ ~ ~~'~~''~``~~ ` ~ - ~ ~ ~ ~ ~ ~' • . . ~ ~..~L(/"lJ ' ~~ CREGISTRAR OR DEPUTY R~G $TRAIt) 51~.145 a ¢ ~ -n~ ~:~:::: t~~ ~~ ~ I 9 A!! ~ I~ 06 ~~~ cc ~MC FccoRUra 51.l.UC~[ CO,'~ Y.F` A. ROGER POt~RAB CLERK CIRCU~T CCuR: ~ - ^r,R', ~•, ~~~ .. ~ A ~ - 73-~ so~ 345 PaGE 9~.8 - _ ,~:,~~ ~