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HomeMy WebLinkAbout1634 1 ~ tiL~l~~rf I~I~~rid~ P.•parlment af 11~•alth .~nd K~•I~ahi!:tati~•~• ti~n•ic~s STATf ~~LE NO -- vrrn~. ~~rn•rt~•rn•~ F L O.A I D A -- r.rc~~~awq s tio . {'F OR PqltJi ~DlCl~:ED--~~~Mt . .. rr,~ ~.~~ >! ^ - iCu~~ r~~ r,i a~~~ . .., ..•_ .-. •~,~ ~ ~( Rh1ANF NT '__ _._ _ ~5~~~ ROBf:~J': ~'.nRRIS0~1 i r tiale ~, Februnr,~ fi, 1978 ffIACK INK ~~C! ....~ ..~G~~ •..err~.. ~..p.... ~ ~:d .v --~wn . ~.~ .•~~ ~ e..-__T-- .. _.._.. ...- -'-• ---- --. ~, C~~E 01 ~~~n~ ~,.. r.. ~COt;e.tr Q~ p~~t~~ ~•c , ~ru.~. . ~ ~ . .- .. .~.~t - : • -- ' -o,-t- o::, :~,.., .~-i •~... ~ White ~~. ~8 ,• ! ,, ~ ~Dec. 21 1~1 ~,. BroWerd ~ -~---1 ~ -------- ~_~_ ~ ~ ~ Ctit. fOwN O~ lOCwhL?ri pt pf ~~.i ` ' ~vo~ t~~+ ~r~ri HOS!q~l OR OM(f lISflT~T:O-t - r.a.1[ .,. »~• .r ~.~.n. '...1 f•q~~ .-ro •.•,..~U • //_( ~f/I(~~r ~IS O~ MJ ~ . ` Pom ano De~ch / ~ n P -_ _: ~ ., ~,. Ilo ~,~ 4201 '1F.. 12th Avenue , - - - - - -- - Si~tF O~ ~t~in „r «o~ .+ o i . •~r ~C~t~l[~~ cu r.H~i ~p;~-~Tlv ,M~iR~tD -~E:t~ r~~RRiED. SVS~~yw . S~US[ •• -~,n. e~.e ...o~. «...~ . co.,..r.-r ~w wfO.Or~O• tO:v~u.., I ~~+~.»~~ , Connecticut ~. U.S.A. ~,~~tarriec~ 1!ar DeCarli r oauseo ~~, 1 l ~ y ~~, ~~••. SOC SfC~liiT11 rK;+~lFO ' VSU~~ CxCU-arv - - -- - - ~ - - ~ - - -- - - QH c~.~ .~..o n. ..o.. pOy1 DW~tif. +GH c~ ~K~•~O C~ eJ5'~+[SS G~ 1-~D•JSnr ~n~e ~.. ~ .w...~. ~•.~. ~.w ~. n^.m : .,,_~w~~.~.~.~ ~~ 041-0 ~~L Repairman ,H ..,•"°•~°", °,.' 3-5858 Ar.:ericen Optical - -- ------ -- - - - - - -- ---- ----- - -- -- ---- • ~~~ne.. ftS~Dtr~CF-ST~r[ ~COU-+1v Crtr, tOwN.O~ tOCwT~O~+ ---- -,~~•o~~c~n~....~n S-iE[t ir~D ~+Uy~E~ ------ ' ~ , s•~c~•• •~a o~ .ro ~..Florida ~~~~ ProWard ,., Por~puno IIeach ,,,, I~o ,,~}+201 ItE. 12th Avenue i4Wl~-N~MI .~~~~ .e~ce i.t• wO7N[~-MIIJINffAN( ~,.v ~~cr,~ ~.~~ ~s Robert 14orrison („ Mna Sharlan3 IN~O~INAN1-rI~ME ~rI~flIN('i ~DG~tSS ,~n~n o~ ~. o »o . c:rr o~ •~ ~.., t•.r~. t~•. ' „~ t~rs . t•iary tdorriscn i,,,1~201 'iF. 22th Avenue, Pom~cino Aeach, Florida ~~A~i ~ Df~tN w~S UUSED er 'lN~f1 ON(r O~~[ f~uSf M~ 1:~+[ ~O~ for, fDl. ~~~D (~i~ ~'~~~~~"~~~ ~~~~" 11 - --- ----i...io•:.i ~::,ii -- ---- _~-° ------- / - --- - (ur~uti o..i~~ •.o e~. ~o! ~ ~ ~ : (' ! j ~ G' ~/~ ` t J-~-~~~', -~..~` /-t ` , i j ,~ j' ,~ ~ rf C L'='? I •_/~; !/l=;J o•~. ., . ~ .. . .,....a~.... o. . ~' - / . . ~ I ,.. :.~o.,.o~ :. :. ... ~ ~ ,-. , ~/ : ., ~ -. I - ~[r . re~~er~;i (M : - ~': - ~C '/7 /~~ r'.//.~. v .j • ~ r.~!•' !r~_''~ ~ ~ ir'/-r . ~rr~a•q [~vs1 :o~. - - ~ - - - ' - ---~~-- C-J---- -~ -- -- -~ ~ ----" - -- - ' ~ - ------ ~- ----1:~ f - " f L -~~, 1t~~~~.G Iw~ YMOI~ Ouf ~~1. O~ ~i •«.~.SlOUtw~ O• -- ItING (~Y11 1~1~ i - ' ~ ` ~ . ~ . !, r • J ; '- - ~ .' , . _ ; ~ l~l • ~ i~ 1_ ~, . ,y' .. ( .!. ~ ; ~' . ~, ~ I ' i . ~ ~• .~~/' - . , . 1 ( t t~ ,~C . ~~~t n OTM[~ SKiYt~KPNI [C:r~ m~ s~ .- vo+~~s cc..~. .. «~ - --- - - ~ - - - - - - - --------- ,T - - ~ -- - - - C l S ~~r. ~o m.,. ..~i .~- .n.•~o •., ..se : .e,. .-. ..~. ~ ~o. ~UiO~3r ]-~t rES -ue ....c~..~~ r ' ~ •ey n. ..o~ 'I s~c~~~n •.. een..•r~..r, t. ~il ~ ,: / i7 ~' '' •' `f~ i "r•r li:i~ ,,l~ ` J• _ -t~;~ ,f )i•, /fr~~j_~j.I ti'j0 ~ c• ou.. _ I"_~ ~~ : • ~ • '~w n~~e~.i .cc~oetir: xn~~c[ w 'b.t - -- - -~=---=* -- -------- --- ---'------ - E Li ~r~/C'ci ,rb».» :••. n.^~ ~Np.»_` ~HOw+ ualU~r OCCO~fE~ ~~..en ....,,n cr ~..w~• ~.... . NCM~06E. OR bNOEtlW~~+[D ! ~ ~ o~ r.n ~~, •q.. ~~, ~ ~; '4' i ~ , ~'~ -- -__ _ ~~~ _ ____ `__ ~F~ M ,I~Y - ~NN~r wt wC~~ -:~CE O~ '-i/~i~ .. .._,..~ .... t~n~. ....~•. : ~O'.wn r~ - ~ tnon •es o~ ..o, o.~~u roc . nc ~ s.rc~... - ~ 7 ~ rm• ~.. .. o , .. c~ .c-... v.•~ ~ ~~ ~ 1 ~ ~ ''~S ~ ~CEttiri~~r~0-~_ ..o«•. o.. .u~ ~ ....~.. r.. :~.. ~ ...+u~• s•' '..''e. . ~.. : . ~. ~ . .. rw.s~c~.T - . e,y.~< < •.o, . ~- ~-~~ous~ o~cr~~eo . •.~ ...~~. oy . C~` . . ~•.o~o ~..~ 7 %: ~ ~ ,- -7 ~O •~.•. „o.. .~.-. ~uo• •.~~ n.... ...::. r.•~. •.o ro ~ r i p ~rp -i -• . i:,,% ',~ •~•..o~:~cw~ `i tt~ oe-~.i~r r.n.. / ' 17~~ 02 --~`'~--~ U f~'~- ~-• `•. (-- - ~ +~~j-.,~ , _ i7;.-`----M o .~ u.u~f~ sn~. CNTU~~wr~Or+-~•fD{~1 [a~M:r.EC•CC ~G~Ovfo c•. •.e u~,~ c~ ..~ _~-~ - - - ~~•r~...•o.. o• *.r r-,:• ...o~o~ r..r ~...n..,..-rn, ~..... ~.~..~•. ~ou~ w cu... i r..r c~.r.r=~~.~ •o•.~....uo n~.c C~~r•• CtC1.~~1~ (,v ~.~ 0~•1 ••~D DV~ 'O •~I f~U41•ar ~ , ~ [~• •~~~ 'CVt 1' ~'1 C lif ~ ~II/~E~-N4N1 ,n. .~ .~~v•~ - -_ _-_.~S~Crut~r~I=.__._ __ ~''1:17f __ .,-_._ _~. _ . (1 . _. __ __ _ ' i ~ -.'i r~~.ne -. .. ~/! ~~ D~rE S;G~.tD` •-o.... c.. .~.. . ~:1- ,,+ti, ' I- . • `,. :~'~ 2N _ `t~ .'' ~ - .'r~~~/ ~ ~ L~! `_~`~(~•_~:i. ! ~ C'~ ~ ~ M~fiit~i ~UD~fSS-Qc'~n~f- ' ------ ' "-- '^ !r rnt~ i:~o--„ '- ~- • --- -- :~r:.» •n:~ ' ~~~ , f ' • , - . ' . . ' "" ~ ,.~ r _ -- --- ~' . --t,~:t---- ~.• ~~ , ~~ ~~ " ,, ~ •i .~~ ~ ~. ~,.~,~~ j_ ~ ,~ •'':' % ~~ ~u~~~t CREMAI~Or~, ~EMOw~ ~ClMEiE~~ O~C~EMArpqr-ruMf ;~;K~ri ~~ ry~~i. ~~ ' 0 C~n r.t rV~•. S~~r~ ,~. Removal ~~~. St. .Joseph Cer~etery ~:~, :I. Grosvenordale, Connecticut ~ ~ ~~TF ..r• . c. _ -r.. , ir,~;.:.~ ~~^.rE _ .~i :•• ~r.D aD::c(y n.• -;~ .. ~ ... . ac• ~ . ~ - - - - -- -- -- ~ •. . • • ~ . • tn.~ t. • ~~+ Fehruary 9, 1978 _ tn. P. Jaf Y.raeer-a199 t~:,. 3bth Street, Pompuno IIeach, Florida .' ~ ~r612 itH+t Al-DiSECifH--S~r_ftalVOl -, - --- i[G~ST~~v ~:;~~a*~ra~ ~/ ~ r -j '~ ~ , o••t ~ec~vio ar ioc.~ •~c~si~.^ < <~e,,. ~,~e I/ o . l ,.,, . • , . ~ , ., , ~ru i, i~~%~ ~_ ii~ .{, .. .. 1,13 r; - . . .. f: •..-. ~ re. ; »s - ~ . , , ;~f ~ :~g~ : . '~:~.~.yat,Y,; j' '- r: •. ~ E~ '.~`'~; ••V ~~•-!•i~~.. I) !i ~,I:~\11 1' 1 ~.l) (.1~1~'~ - ' • . ~ ' ~ ') . ~ '`I~{~ie~~-E~h;%c23,i~if/ the ah~~v~• ~c, E,e a trne and carrr~ct ce,~~•: r~l the I.~cal !;e~,istrar's . nr„~ a , ~• . ~~record on "fi:~'e`' in ~ _ , ._ ... ~ ~'-~(~,iaXniw~-plCi~ yaTid ; -~,. _~•_ -i ~-~, . _.. : ,. :•~ . '' '' " f ~ `'" f C R . - .; ~ ~~;; ~ • •t~:1~0~~~`,~, - fi ., ~. ,. ~ /~' • .R; -'s .513301 thc Rro,•nrd Cc•unt~ iie.~tti~ licpartr~enl at i'~+rt I.aucic•rci:~lc. i'1«rida. unless raised seal 1981 J,~"~ I 3- AR; ~ 38 'ttfC ~-.(' ~~COi+ll(0 SLLU~If CGU`1'Y.F(A. ROGER PCIIRAS ClERiS C::?r!!!' cr.t~fit p ~:'._~OR~: . . ~ T-- $~x 346 ~~~E 1~30 ~~~_ ~ . . 51.~301 CERTII ~ ICATE OF DEATH vf tie Er~•~ard C~~ nt~: '. _~iti~ ne t. is atfixed.) ~ ~~~~ . ~ ~ CounCy }lealth i~t[icer and I,ocal i?ef;istrar ~ Q~NGGZ~~ ~.Q ~ _ ~~~~ Ciiict ep~st; L~cal c,,i(ltrar ~ . , ~. _------~