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HomeMy WebLinkAbout1966 ~~ POLK COUNTY HE/1LTN DEPARTIIENT Nilllam F: Htll, J~.. M.~. ~.___.__ ' S1.~~4 CERTIFICATE OF DEATH ~~.,,,,,. FLORIDA t.~t fun nu ~q wn~.., w.toe..r_wr~ aa~ riooie .,s~ u. c•~io~se.•...u,.o.~.~., ~~ , MILLIAM }¢,~gy BRAY l Male ovember 30,1980 ~~Kava ~a(1-~~.~Yw.~.Ya~. ~~t--~n•~•..a~r ~•i0f~ ~•N~ _•.Jt~ ~ C~~ ~.D-~~..~~~~~v~v .i...~.. ~co.•.•.~:i~1•~H ~__'_. ._ •~ ~.a~.. ~t ~~i~«.n~ r ~.• • v~s~ i O.y Kr.M1 1 n~+4 , ' ~• ~- ' k ' 6e t.2 192 :, Polk U~. IONh O~ lOC~11~p M DI~tM Mpy,t~i O~ O~f~ ~ti3nru~A~• ~.e~. ~~~ .r r...~... % ~ ~.~......~..a......i ~~.rri- O~ ~.1~ -,~~vG[;. ~ C . ~~ v~ G~ ...~. ~.. you. ~_• . .r., ., ~ '• e Wales ~~ Lake Wales Hospital •. Inpatient ~••,e a~.r...u..... at~reti a ww~ cown. r.n~~o ~re~ ..n~eo. s....,~~~r, s.a~u ,~, .,... ~... ..,......., (' ]~• w~ l~Mri1 w1~W~D. pVOKIO 17~M~1 :.,.~~«•<t w rse • U.S.A. ~o Married ~= Barbara Christakos wrf~1 G1(tU1L .~D u q~~w lC~~~~ StCU~~tr MWiI~ -- -_ _-._ ~~u~~fL~': lMMlO[CW~tWNIar.M+1.I~..\M.w•.q f~ri~U1Ys~~•.lSSO~~•.Wl*~• ~ ~ry. G~ ~ M~..~.y 6h. n~~ .i ..w.1i ;:;;; ~;,,u~a~ ~J - 4- 811 ~,i4eehanical ~ngineer ,. Engineering ~ ava~.tt-tutt touw~~ an, ~ow.w ioc~rqM nt~~ ..o'NY~/f •.rLf :.1~ , y`•S -_ ,,. ~ .. . '•• ~•St. Lucie ~•. Ft. Pierce ~•~927A Savannah Pt. Dr. ... Yes -wrNl~-~Y! ~tlS1 Y~QOI~ l~f TW~- Wip~N rMY! I~K~ Y~ODt! l~Sr '~ M liam H. Bra ~. Matilda Claxton ~4fQ~WY1-hAY~ IhM.• r...~, ~.~+a .aaia eu~er w.~ o~~o a~. w~w~. +~.,e r~. • "' Barbara Bra ~~. 27A Savannah Pt. Dr.. Ft. Pierce~.Florida 0 w++~~i.Crlwtqp.ltrOr~i.OMtisp..r., ttrlllhrqppuWn_i,~-a4 . ~pUrqy C~~rpqwa 5~~~! .. ~~ C mati ~• . Pierce Creerato ~« Ft. Pierce. Florida ~ ' , n,.e..~ wr~ .oo.tss "' ~larion Nelson Funeral Home P.A. Lake Wales,Florid.ta ~~ +~ ~w• N 1~w~~ ~c~..yO r~ ir~ eM M.~~ owe eu ~+~. s~+rN ~vra //,7 7~• O. +. t~. ~ d ...- ,..• ~ w.f « ._ev a~• ~- • -. w+~+ iw.w e~ c. ~. ~ a• +r • .. ~~ Q~M ~M Tlrl' .X Lu f ~~ ~ s~ Q~w~ My fwy •> i M v+r .wr~•i ~av ~ ~~ G~I! S~fJ.lO ~Y : . 1. ~ ~MQ/~ O~ Dl~T11 ~_ .. Da!1 W.•.fG ~ V.., ~. 1. . ~.:x~ :~~ GI~T.~ ~~ ~ 1 2/ 1~C ~ ~ i~ . 2: 4 0 P~~ ~ • ~ ~ Yi 7y ?r~ M s= '.•~t O~ ~rrt~.D~•4..ni~civ. i. „•~.ts r j•. ~t~!~r,[~ ~1.~... ~w~ j i •Y..•: v ~. .. _ ..~ ~... ~. ~a~ • . . ~D'3Sa? . . -~ - ~ ! ~~ ~~~ i. '• •• . _.. V •.~Y! ~•O~GOfflt01C1~'.s~l~ MrSC~~L YlCK~I f\~M~Nf~ll-~~....~..~.: 7: Felix n. Cruz M.D. 441~ Soutti ~leve~th ::treet. i,d'{e ~:~ les,F~d. ~t .•S•~U . [,~•t If~ t.f0 ~~ ~r~.•:'i.l.V., f.... 1.. . J :.Y..r•'ry.S :7e I~~• • r, - _~_ /• _'_ __ _' . _ ~~ ~ / i _//f~~ _. . w ~..~ ~. . :• :MYIO~~~(~6I ~I \/f~ I~~t 1 V\I / ~f ~I I/R [I~/ /pt I~• ~~. ~\h ~.. ~ G•~N~ o"t~' ~-: +~~M ~.~~..~ • ~....-.~. ~,~~-•~~ •~~ ~~~ C~diorespiratorv Arrest + ~~' f~ . ,~.,,,..'~:.~ _ _ _ _ ~ •.Lt~...•.. ~E IO. W~S ~ CO~SfiwrEtiCE O~ . w a ~.-:~ a-~«, :- • ~, w,~ "'~"~" ' Acute Myocar~iia~ Infarcti~^. ~?~: y;; ~.~ ~ ~~ . OvF t0. Of ~,3 ~ C0~6lO~P<f vi ____ _ __ _ _._ '__ . _. _ . _ _. _ ' . _'_. _ . . _ _ I~•• ~~ 4~.w.. rw~ o~f f~~1 hrteri n~c~ Pr~ti c C:~r~if ~vaFC~~i : r i)i seaFP ~ 2~•: e r~ ~ <~ 1 . " - - ----------------- ------- - --- - - . rwn o*..r~:.v.~r.r~w:o~.a~a~a-c...~-a..<..~«.w,.,~..s..~,ww»~..~+.......~.....~.~t::~3 .~•;,a:,.,.,.•. jni;'ats:!y!~!9•~;YfD~"~. _-_ ~I ... .. . . I ~ ~V ~..1~ . .~..... ~ .. _. ~. ~ ~iabete~ ~ „ • ArteriA• Fi~'TIPTLPrI~in'~ ,.~ ---- --~E, 1~115~ --- - - _' ~ " NO ..~..we•~r~;f~ON.i.7U~00f~ P~tEO~~~u~M~~O..A..~.l M(~fW~tiry~- MX~~~tKJVIr U~_i~lO -._. ..._. _._.___._... _ .~;r~:.Ot v V~ttt~rir/!D rsi...ar ~•,.~,~• 7k ,7)~ ~h. ~ Y 7~! - -~ --------- -_ . -- -- ------- -' - -- - ---- - 7~7 .~..~N ~! wO~c isl~..h l.. •i~C[ Or ~a.._yr~. M..~ l~... •+w~. Aaw.~ swu b4-~y .rt.~rNV. S7~Hr M~~ p r~c -~rr i:~ !C.wr~ -_-_ f~~T~ r \.I Nc f S~..JS ~ i ~•i i1~ . rrcn 2~. n~ . ~, vyf~~T ~~ 1 hereby certify the above to be s t~ue and correct copy of the Local Registrar's record on file in the offfce of the OIVISION OF VITAL STATISTICS, at the POLK COUNTY HEALTH DEPARTMENT at YINTER HAVEN. FLORI~A. ' . " ~'- County r_an ocal egistrar DEC ~ 3 1~0~ ;~~' , ~`.~", .~~~.~ti ;:" _ . D . . ~}~.- ~; ~ ' ! L i , ~~~ ~G~.I~ ate Issued . ,k,.;~;~ ~~ A•.,',~r• Deputy Registra~ .- • , _ ~~r'~`+`' 4,. ~...~ ti r~ ~ ` ,~ WARNING: NOT VALID UNLESS t~ - tME OIVISION OF VITAL STATISTICS, POLK COUNTY HEALTH DEPA ~;;jS A~FIXED. . -,- :~ ~ 511'7'74 1980 OFC 29 P!~ 1= 10 FILEO tNC FCCCK:-t G s ROGER PGITR45~. CtEf~K CIRCt1~1 ~:'URS n ~T v:tCR.^ . ~' - ~ ~3~5 ~~i9~i5