Loading...
HomeMy WebLinkAbout0076• . ~ ~ ~ . 51~1i2 . _ __~ CERTI~FI ED COPY ~ • 514152 19Si J,t~~ I Q h~: :~ S~ ;- ~~LECahi '' ..:i: ~ S/ IUCIEc'•,y' ~.F, .. . ftOGER t~r,:lft:..; ' CLERK CiR! • • ~~ ~.; Q > . _ ..., - . . , , .. Rt ~'~n ti~CR1F1) ^ ~! ~ : . . - ` " ~' i _ ~~~x 34? ~~E 76 - 1 N[RESY CERTiY TME GOPY REPRODUC£qBELOW TO BE A TRUE AND GORRECT COPY Oi THE ORIGINAI RECORO ON ~S`_, ~ T-~iE_.~BIINFtAU OF VITAL STATSTCS Or THE S.TATE OF FLORIOA. DEPARTMENT O~~•MEA~~'~~; ~f.Ml1BIUTATVE SERVIGES. AT JACKSONYIIIE. FLORtOA. ~a' ~ . • • ~ ~ ~ • • `~• . ~frQt YA40 UNI.[tf TM~SIA``pI.T1I ,~j~,p/ I~~~A. O<~~ATYINT OI M[ALTN ~NO 11[MnS1UTI1~1V( ~[IIVIC[f. 1{ AIIIi[O. ~ ~ ^ ~ ' ~' ~~I Q lL ' ` -~,` ~ '} ~ r~c ,_:.; `, `~T(= ~`~"iO~~ - ;'; ~~ . • .;y ~ , s~ „ ~ v~~a ~asn~f~~ ro~ •n.t ~~~on~c• ~ wrNtr[wr oI w~tr ~~e ~tw~ur~nN . ~ •' `~[YQ~ ~ ~ ~.7W •.~ ~ " • - .a ' • i !.~ . -`;t .~ '~ ' h~~1 ~[r~~• ' ~ . ,~ C[t~T1~ICA'f'~"OF DFATH ~. Cu 0 6119 5 ,~ra...ur ~' O ~ ~ _ ' -~ ~IO~IDA / xax.+_,...e .~ar a~w rru r rmou ..n -. wv~H.•.,~..w.... ~ ~II.i.IL L~.:. KIt7d ~: .MaI.~_~~~TULY 18. 193(f .~... .. ._~ ..-.>.._<. • >. ~:.....,.. ,... . .: , .~.. ...~,. . BI.ACt~' „ 56 ,. ' ~ °~" ~ ,',a'° ! ~ 1. lt~ZCH 9• 1924 PxI.y 9i.,1C3 ;.... •a.. w .«.,a. ~. ~..~. ~.os..~., o..~.. ,v- -~. cti_ ...~ ,,. _ ..y~.... _.... ~......., i ..cv c. v~ ., .. ~c. ~ Pa.`iC1C:~ .t,1f~iGL::.:::~ ?! ::OtZaI. I:CS?IT~I. ~p ~-• •_ , . 1 .•.~~ :.. ~•~,,. _ ~ ~ ~..,t~. a ...: .o,..•.. .. _ _ -- D.O. A. i ...~. . 1 xr~o : r t:;~ ;eo f~.....~ vav .n ... ~.. ..~.....- ~ FI~OaI~A ~• DSA I~~, MI~I..D'^.... V~2A Y.aE u.~.~e~ZS Lw ~. Y.b~ ~. `+.~M• ..L: UCl~rQ'-,• .~ . , ._ _ - .c •. w. +ess u : aa•~ ,: 265-52-2766 I,> PA,~N .;C.~iC3t` .. . ._..• •. FA.~::I:'>3 n~oe~ce-s•.•~ cov.•. c...-~c...~.nc••y, - --~- ~k~.u...i.•...ua Ivoe-.~. .~ ..FLO&I?A '~~ P~I~4 B"r:xCH f,., Px:iCiCa:. ~..169 1. 4y Ja.L'...~'T ~,..Y~ ... V~-v~~ ~•Kr ~:OJ JY )+~~ .~~Jiti -.~M ~.q' ~OC.! ~l• .; nsvE Knaa r ~ ~~ - ~.vGb~~•_MN,r...~...., ~..w.r.v ••ue~:.~. ._• i~ o +o • . -.s-. r.-i t ~N~. Y-~"'tA Y.. K"..*i(; , 169 ~. 4tt ST~:::.T PA:O~i~ F:.C~:':A 3;y7( u.. u.r.-ri. n.c..~ o-r~ ......, e.ev.~a a..~~.. v.e ~.~.c.- i. ,~.c~'c.. ~•'t . BUa2IaI. _ I,. P03T P'.aYaCA C:L:~3tY . PO:tT :~'.AY.~Ca , FL03:JA ~' ~ ~~~ •.. , K« ~u ~•t~~~'~u C".-~~~-~..--/.I,+•T.1:i:A~ e:It:'r~xI, n0: ~ P~ 0~ 90X P.SR B?.i.~ GiaJ~~ FL1_- Y~r+~+~.~.t ~., r..i ...,.. .w-.,_:... .<-. s~ r. t~~''»~ Li.~/~~~.tlt/~-/~/" t :.'~ , ~.•~. . a. ~ .c.w :.. oe.' •~ i ~.w .. ~.. y o.. w ~~~ i ~'y - .2~- - ~ ~ ~ ~ , A ~ j! ~ A . ` ,. ~ D r. _ ~ • 3L: ~- . r• 'l ~••f•L v. ~.F~ ~.. ~ ;•.!~' '- "11• ~ t~ I.~. , r.r ~ i 1ritw.'c!: _t~0•.. n. ~ ~'.M~.`~!O ~1~0 . ~~.. ~~ ~' . . - ~ ._. a 7- ~r~ - r d - ~~. ~_- - ~, 3G •+ - v.e •.o .ones :..u' •.u ...y~.u. .ew, o.w~.er. r.~, ~ ~.,~ , ~ n.'~.~4ZI0 S. 3.1F.GS~ 2~.c~ICaL ::t.:'i.~~ GI.dD~ .^~ ~:~:.L ~?CSl-iT,iL B:x.I.:: GI.:.^.:. ~L~_ ~ 5 ~ - ~J .~..-u~.~~ ~.~-~.~.`. f; , ..~. •JUL ~2 41~0 / :. ..eo-.~~v / i.r.~.. ~r ... ,. v ni a..e i~• . ,•. •.~.. ~ ~- - ~ - i . .. - _ ..r,..~ ...' ~ ~i-vzf~~ , L~~.'-~~~•~ ~Lrc~/,:'tC~G'<,l2 _ - - -L~~~a.~n ae c .s•~ xev.~ -- . ~=: ~~ X ~ f~C ~(:,L v L/71_~~~'-.:;~-L`.,z-c7 , / -----1-..~...~-......~ ~ ~ - - - -- - - - - - - -- --- -- a.t .o a.... <o+a~ax•.. --- -- - ~~..~..~ r...- a.. ~ ..n:~~e.:~...u.,-,ria•~rs-<..a•.«..--.-~.+~..~.~.. e._.,.s..-..u ., - - ;...;is•~....~. ~.•sc.x.e~t..~oc.~c.~- -- ' ..._... ...-... e _ e.....+e ... ~ ., ~ „ NO „ Y.::, ~ -- - - - --- ------ - ~ --- - - -- ---- • .• s.,~ oe . ~.•e ~. :w. , •_. w..... ~ .o,,~ ~. +.Nr. ux. r c. ...w. oc-:.~no u<oi ~ iee•e...e~ , y~..n. ~~-~ ~1 • w..r.o.. •-.-~..... ~~ - -~.. - -~A_--' ~- „ -- - --~~--- -- -~-- -- r~u~U -G :,W.-r ++ r- wr ~sw. w~ -+i~. ~io4'iaw t~Nr w ~~/ rr un w qw ~~•r~ R i~t~f ~r• Ir' ' f ~ R ~ " '" ' _' '_'' ~ .. - ,- . -. .=. .. .--' ``^..,.r~