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HomeMy WebLinkAbout1019 / ~D/,~6'o„J~S 5~~1~03 ~ `~~ GERTI FICATE OF DEATH ~ O~1~M d Na~ ~ R~L~I~M~t .Sw~Iw~ RAT~ /ILt NO ' i awooNa.~.xtn FLOAIDA ~ w~+wwrw.~~ N[OIA~A11~~ NO. fOtC~ASE~-NNM[ ~w~ ww~ ~~~~ SEi D~tE V~ OEAM ~ row~~, V~~, ~~y~ ~ .. Jo2m M Fht,~reon : Isal,s ~gget 15. 1971 tAC! rnrw. weoq. -W~~uu www. AGI -uu we~ ~ w.• I~.a~ ~ w• OATt O~ W1N ~.omw. w~. COUNir p OtATN ~ 1 ~tC. ~ MtCM1 ~ M~M ~~ ~Wfl ~pt M~f w ~~. e~ ~ MDVp rK ~eee -. r~u~ . Ik I , ~.b. , ,, ~Ilt, TOM~M. OR IOGATION ~A~ .~w cw u~w ~ M03~1A1 Ot O1ME~ NSIItU MM~E ~N w~ ~. ~mr~. ww ~~a~r ue wrn ~ -wcn n ~ w no 90. P~sade~ -. 7es H P~Iss o! Pasadr~ Dslwa Car~ II~ct! . ,~. si~~[ a aRn~ 1 M MOI M Y~ IL. K...~nn:e+ or wnnr couRar wuuEO. wrce wuu~o. 'swviv~ sw~nE ~..,w. •~..~.~o.. «w ~ cowsn L~ad . II.S i.• SooL WD ED. 0~ wc+~ ~ O~rta~vds Bsrtls~~ - . N~arrio~" ~~ . . ~. ~ SOCuI SKUbIr Hu~YEII US1Jnl OCCtNAT~ON .aw w a.wa oo..a ~wwo .a~ a twO 01 MlSNE31 OR p~Yiltr _' ~orwo an. wew ~ ~ts ~ 263-50-l~Db9 " ~~ gaahinLst • _ ~ xaohtas ~ . ~~- ~ . „ RESIOEHCE-S/AfE COYIRr CRY. fOWM.JOR lOCA110N wuN cm uras S1~EE~ MW~t~I ~ Wtw rn o~ w0, ~'~ IM ~~~ 1• ~~ Ih ~Y.~ y~ ~r~~ ,~,~y ~"Y ~ 1~~ Zsa IN 26CV •~(fi[l ~~ti ~~ 1/Af11E!-NAME Npt . r~M~ uM MOIMER-MMDlN NM1E ~Wt ~r~oa~ us~ .,, John iwOlGw+t-nNaE ~;. A~aat:s~rd~ P~t~raon /-~u~ ~. oewn~ wws twus[o ar: u ...«.R ~.~,. ~orMno.~, n •w~. ~w~c~ Oavt ~~~~ q ~r~lOl~t~ CnYf~ 1~1, st.f~wo trf ~M~ft- \~~M6 C~YN ~Ut hterson ~. IInlmanm ~u-.M+o ~ooass ,u.~n o. ._.,. .w .~a. o. w.u. v.., i., ~ ,~~.262o-,STt~ stres~ so~ttb} onttpor~~ ~lortaa ~~,7oT ~[ME~ O~nr OwE GuSE ~E~ iwE !Ot (a~ Iet ~v~D kH an.uM a.s~. •w M.. c~, ~~~~~ :~• ~ ~~~°~" ~~_ ~~~ • •-AR ~ O11~R SK~iN/KANT Ca~1TIONS: tOuM40~f ~. .. ri ~D M~r W~ wOt Y1~R~ W C~YY 4w~r ~r ~Y~ ~ N~ AIfIGK~ If rES ~~~~ /IM~~MG~ CO~ ~ n- a ' a~i:ii~ a~~~••~••«o uw~ ~A ~ ~w NO~ Ot WD~iEWM+t~ ~~o.n+. W. wr~ 1~ • MOW IN1WIf OCGU~~ED ~ e~~ www a wwr~r w. -us . o~ r.a h. wu. ~~~ ~a ~ ~. M JY 1lUIJRt wl wO~R NAL1 Of NJ1RV.~ wo.t. ru., ~.a~. ncan. 1OG110r+ • ~ sn~n a~~~. ••o., c.n o~ ro.., s~.n ~ ~NlC~n 7~) W MO! ONtO Y~G.fK ~tw[a~~ . ' 1~. ~. ~+ CEt-~Kwi~ON- .anw _ r~y-~ •/'! w.u ~ .ww a.. ew ..~ utt~.. w.~»e..i~n o.. INYfK1~M: ^ ~71(/ ~~~~ rO•A O~~ t~u ~~OIMI~ ~M J 3 r•.«~, . (,~t~ 1 S Tv '7 n. a~~.w...o. ~+• ~ ml~ m~ cHtriCwi~OM-~Kwl [IU~~Nt~ Oa cA~Or+E o» sr w.a or .~~ .ow a fa~Y.~hW W M~00~ YM/W ~ MoMnG-n0~~. w s~ O~~wP~. Ol~M OCCV~MO OM M MR YM ~M q Y~ (/WYIH 14M~_ Y~~ ~ CErn~R_wwE nws a ...~s ~ _ »,, ("j . e 1txE ~'1 OC~M~{ ~'~, rs w-awo ~uo~ss_ cnn~tr ~0~'~ ;; - y-:~S ~ 6r A~ ~~ ~...r _~t ~`f_ ~r..~ lwu~u. a~ r}ia+. rE.~o ',- - - . -~ ~ MKU~ . tM. o~ w ~ ~1 lOCA110M K ' . w• ~W. ~ 't Ik J~,u~r ~~~o w. o: w.. •~•~• Ht. umn o~ ~.r • w. cm o~ w..~, sr.a. rr ~ . ~~a_s, . . : : ~"~~~,., l~ w~ .. .. w,.,. _~...... `~ o _ , ~ ~ _ _ 7/ ~ .. ,, - _ .~. .-...~~ ~ 'y~ _. . •~ .~ _ - ~_~~o - ~ ,~ ; A CE1tTIFI~ ~06~'Y'; _.C~Rk'~:1'~:~lBOSS~ SBAL OF THS BE~GIS11tAR OF VITAL S'UTIS?ICSr,+ , t . ~~, : - _ I haraby c~~ : `'~this is a true and correct copy of a certificate ° on file in the office of tha Local Registrar of Vital Sutiatics of tha ~, Mnellas Couat Ae,alth Departo~ t, St. Yeteraburg, Florida. ~~•. .• ~ . • - ~'' ~ Nov 7 , .-1980 , Deputy Local Begistrar ' . ~~; ~ , ,. . !~ ~ - . ~ a • • -ti~ ~t ~ 'S .. , I V~-' . . ~ ~. . ~ ~'i ~ ~ ~ 511203 19~ DEC 19 P~; ~ 13 f~~(0 RNf ~:CORUtO S ap ~R POITRASa , CIERK CIRCUIT CQ11R1, ~ fiCf,FnYfqs"!4'~_ '-~~ ""- rsR~AS P4GE1~7 B1l~K z ~ M/M wM ~~t~. sr N~iw OCCWtfO ~r s~ hru. b. w WOS .n1~ Q•r ~~W.~~ O•q. w. ~D M!Y w .. ~.Q.,.~...,,. H~ Q/ .t4 ~~ M to rw tws~o. u.w i~ a.~ r~ n.~ .or~ ~ ~~ ~.:.._._~._. - ,,:~