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HomeMy WebLinkAbout2131. ~ ~i ~, ' , ~~:~, :: ; . .. - S15444 , ~ulm bc~cli Couii~Hc~ltl~ De~rtment _ titat~ ~~~ l~unda CERTIFICATE OF OEATH Ik~urtmeet of Il.~~lth and ReAal~~htat~re le~r~u•. stwte nu wo - ~•rr,~i. n-r.~~~is~ru~. F L O R 1 D A ~["~~ C w~a~s~w~w s wo t r-E uN M~Nt ~wu.:+o-. ~w~ •.. .w.~ .•r iS1^ ~DNf O~ d~M . .•• ~.. . .~ -f11MANENT --- ARLII~ R. DIVIKTID ~,F(II~a1C ~~SenCQTibel' 1Z~ 19IS KACK INK t~Cl .~.. - '-~ . .~.• .~ .~~ .~ ~ ~:.1 ..v ~~.. .~.• ~ wu . ~.. --- f~11 d t•~tw .a.•. •.. -!-'-- '-- ~~t ~ w~~~. ~ j ~ r.r.. .~.w ~,.• ~ e..~ ~~,.po~~ ' ~ ~COw~1~ f~ Ol~tw . White ~,.52 ~, ,, ~~~' ~,~1pri1 1?. 1J26;,,Palm Beach ~ O ~, ~N• ~~»~a O~ IOC~•~(1ti p 01 ~~w ..•~~ ~.w ~.~.q wpf-~/~l O~ OIW\ M~qytp~ Nar! •r .~.• .~ n~• ~...~ ~~~r~• •r ~0~11~ . ~.~. ... .n w .e ~ Delray Beach ~,. Tb „ 1914 Palm L3rxi Drive ~ f~~4 d Win » .~• .~ „ ~ . ..~~I(~rrlU~ O~ w..~t ~q~..tN ~WMG -!N~ ~u1~10 ~SU~vn~aG S~R • • .~•~ c~.~ ..«~ +.r. - - -- c"••••• w ~O IO.w.<... i ..«, «~«... ~,ie~v York +. l;. S. A. ,~~arr c~x ` ~, Albert DiVa€,~no ~yr Nf~~M~ ~ •• N w.~ SOI~~~ Sf( •h~. r+,:..~~~ t~l~~t nC(V~~r,pr ~..~ •.~~ o. ~w. w.~ ww~~c «n. p `aW p Mi1M3S O~ M~01Jl~~~ n.e~~ r ~c~..... ..~ ~.~~ . a• ~~s • :;. ~ »b ; . 125-16-2~91 ~ ~, - t~ameimker ,,, own t~orne .~..s ~ 1tSW1~.l! - S~~!f iCU~•.i. ;Cn• ~urr~ p If?C~hON __ _' . ' ..~n c.n ..~..~ lqfl/ ~~ NurK~ _ _ _ ' _ ,., Florida ~...~Llm i3c..~ch ,.. Delray Hc~ch ~.;~No~~~ ~~~..1914 Palm Land Drive r.~~e. N.w .,... ~~e.. ,... ..o+~~ Y~OINM~W .+.. ~.w~ ,..• . Albert tiassener !„ Lil2ian Lutz ~~~MOW~Nt' ~.ur( ' ir~~MG ~OG~t11 ~~~u~. w ~ . • .o ~.•. e~ •o~.. v.~. ~~. , Albert DiVagra j,;~1914 Palm is~uxi Drive. Delray I3each, FL 33441 ~rur ~ q~M w~3 C~u3f0 ~^ • - - ~--- - - - -- ~--- - --- (INr1~ OrM r O~! (~uL N~ ~~! W~ !~i !~l u+D I.q r..N. a.y ~ ~~ ' " ryNM t~vN ~•~ /YETAS7AT~L . C/OeG1~!(rinA LT LuN(. ~6'N .T• ia.lio.~:. i ~ ~ _ lal _ " ' _ ' ' _ ' _'-_ _ '_ _ ' "' _ _ __" ' ' __' __' -~\t • OIMl~ SK.NUKU~t CpU~t~O~+S <or~no+~ tw~~~.~+c w w.ti ~rr ~o• w.~h~ •o a..u c~.~. .. ..~. . y. ~{ROS~ ~r ~!S ~~sr r.~« . A~ O~ b~ ~ YMM~ r NI~ ,~T10 ~N... N.Mry ~ KL~q~e. SuK-0f t~ D~1! ~ N1Yt~ ~.o-.~ w: .~.~.- Mp~ ~ MOw iN/W ~ OCCU~~tO ~~•r~ ..~.~ w tiw~. ... ..n . e~ rw w. w~ ~OrK~01 p 1I~~tIW'MD ~~ til /` • ;h Y I~ . INIU~~ ~t wpa_ -_ 1h~C! O~ ~Mr . -- ~ ..r. vw~~ ..c•w•. i IOC~~~ON . vo~r w ~ . • .o o.. . aec.n •~\ W~O. . O~f~ MOG .~K .. ~MP.~ r o~ .o.. s~.w . + ~ `- {:^o +Cl~IrK~hd+- o•. e.. .w ~ .o-.~ o.. .... ` ~+~ ~f• M~ .~ ... .:. :w .o~ :.~i.:~..~ r a•... acrw~ .. .......~ sw•f~t~.^ r~ ~w,. ~.. . ,.p,~. ~.w r .~.~~e •-. ~~I ~I ~ ~., q / Z ~e_ 4 3 7j • ?~~ : lr'J p r o r crn ~ :~ ~ •It~~NC ~M~ ~" _ ' _ _~~'_! - _~ ~ '-_ _ W ~~ • . Cllt~K~tiO~+ W GC~1 la~r++f~ W C(NOti[i c.-. .n .... o- •.~ .u.~ a w... •-r iara.. ~.~ •wou~[u n.~ • ~ ,~~~~.~.0+ O~ ~V K~C• ~y' W ~V r.~1•..~•rJr ... ~. W+..Q.. t ~p~~~ ~~~ ~~~~ ~~ N1ti ~x(~M1C T+~ !~1 ~~O O~M "J '~ (~.~Y 1• 1•~•~D M,y h ft ~q~ w • - - - ---~~S~-.N~tU~I - - ---'- - wc«~ a .,..~ Sb~ -- ~~~w ~y.M f! 1~G-t0 •o~~~p • %V ~V]I/11~_IY./~.~~ ~~1~~~- -- - 1~c _ Ab»~ - ~- ~L[a./`~.. IN~n. ~1•/~-L Warye~S~ (~~/ •~ »~ N~I.~O,~~~~~ -~~~ (~n M~Nr V~y M ~ws r,.., s~r n!1~ 11. C. OI Fi S~E~ ~~~~Y DrAi.M. ~ YA N» ~w- NJN~I C~tw~~i0~+ VirOv~t Clr~ttfr O!C~trwiq~-rr~a~f it0(~r~ c.•. o~ :~.. ~~•a N«.. o.c.s •~-~-~~> ,.;~ritantinent ,-.~ paln~ Beach Memrial Park ;,., L~ntana, Florida r -- - ~ O~tf •. r.. .~.~ __ _ ,/uM~~: .~Crf a~~wt ~~aD ~PMlSS ~•an c~ ~. c ..o a... o~ •o.~ ~~.y ~• '_ ._.. ___ _" _ . lN S~~ _1~, _197_3 __ i~ ~O~"Irelar.d-Pbtter, 32C N.E. Sth Av. ,n~i~y e~n, ~ ~v+l~•~ Vy1Crp r~~fJM ~tcaS~u~ _ Lu.•rwt ' • e•n ~a~.~a ~. ~'4 . . ~x.~ nanu~~ r'` r; ,.G ~ _ ~~;:1(' fi,~i /' ~~=-. . ~ ~ .-/• ~i-., ~~, .e 1 . .!y . , ~:.~...o.~ .• ... ~t~ G~~~ ~~N q ~~1 ~~~~.~r,- ~ Y1= '~•. I M q W ~~ ~ tO~NYM~(~ O• "' _ ___„_ _ _ ___"_ _ __ _ " __' "_ __ '_ •~ ~~~i ~ •i~ i [~rM ~~l~ ~ -,~~; :.-- I HEREBf CERTIFY TNE AEOVE TO BE A TRUE AND CORRECT ~ ._ -'', .G~PY OF TNE REGIST?AR'S RECORD ON FILE IN 7HIS OFFICE i • , -- - (N~t valid unless the seal of the Palm Beach County I - ~: Nealth Department is affixedj . i ''~_ ~''` - `i~':~ ` ~„~~ , ~i~/ Tr ~~t~'I~ ' C.L. Brumback, M.D. _ September 20, 197a ~ Locai Registrar - Bureau of Vital Statistics , SEAL • Mest Palm Beach. Fl~rfda , `~ .GU / -. t OaD~F1lT RBO . i l ~ ~ w of ~ j0omer / + : . , ~ . . _ - o . .. . . 11~ ~ , ~ ~l i ' . .+ ~ _ --__, ' i ~ r' ~ ~, rt 7 w ~- ~~.,: , . _ ~„ ~.~.~~0 ~~- _ ~' '~~ ' ' ;' ° :: + • : : - ~ ~, ~ , , nE C u ~ ~~ ~ ~ ~ ~ i 6~:.~d :i; ~ . . 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