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HomeMy WebLinkAbout1100~ / 5181y3 CERTIFIED COPY 1 N[R[61f CERZIFY TM[ CO~tt R[F110W1CE~ia[LOM~ TO ~[ A TRUE AND CORREGT C!OrY Oi TN! ORIGINAL qEGORO ON . M~,`~~-~7AE/~U 0I V1TAL STATISTCS 0- T~+E LiA~[ Os It,OR10A. DE-ARTMENT A y_iy~~!~"~y ~"-'+{~~~~~ TATV[ SERVtCES. AT lACKSOn:YtLIE FI.ORfDA. iN~~- " ~T ~ti G~j ': . ~ ~ rtNT O~ M[~~'N •ro •[N•a~l~r~nv[ ~NO~ YAtlO YhL[~1 7Nt ~l~~ • ~l~ ~ ~~ • •' kwr~Cp. N~~natD ~ a r~ i~ ~ f~a: • ~ ~ '4~ ~ ~ ~ ~ ~ y,`~-~- ~~t: Zra4 ~ V - . . ~ ~ ~...a...... .o..,... ~..a~,.<• . wr.~..~.. o. ..~.... .~c ~~.......,..~ {• . .~l~ r~.+ca• _.... ~'~~ _ ~MEr~c~a JAN 2 3 1981 ~=s ~~~' + ~ ~s'd~ DEATH ,.w..a,. 764 ~ ~ . . ~ 'T'.~ ~~tQ R 1 D A _,-~ .... ~ / ..c~x•o-w..c .m .~aae ..n v. . . .. , ' !~ Nanuel S. Fink ~: Male f• Dec._211_~98~ - -•: .., ._ ... ._. ~. .... _ ..~.. ... . ~.. ~.. :.•, ... _ . ~. .. ~ .•. _. .. - r .yn.ti. ~.1 7 1.S ~ t~A] ; ~N ~ ' ' ' ~ ~ White :. 58s _~ .. ; k , ~. feb. 25, 1922 ~ St_~~~ ;...-.~..a.a..a..:.y.•, ~f~,.,~._.~.~••:~,,.......,.._.~ __~_~.' .: . ~ Fort Pierce f~- Lawrrdood Medical Center ____ ~~ ~~ ,.~.;,~..~,«..... •.te.a.... ~..,..~....~c •........,~ ~ ..~..u. --- ~~ r~. I: ,~. .x ea>. ,., '. ,~..`..,.~.~.- ~~nsvivania ~ USA ~» Married ~M{at~Qgylin ' ~,.~.~.,...~: fg3-~6-~F~~~`=.._~_...~r:~w_:~. _.., ~~_--..,.. -.-;,--- _~.-~ t-.'~~: , --~'~L~Ye5tt9dS9r• y ~ . . _L. City Qf_ Fhiladel~hia : . ~:~flo~'ida ~,~ St. Lucie ,,,, Port St. Lucie ~„~1312 Mohave Street ~;; Yes . ~~. ...~ . a~ . ~.~ ..s. ~-,.. .. ~.. ,..~ . e- . x.~ .,~ ~., Samuel -Fink ~ena Peacenan T iurl .1.~. ~ i.a . v~ ^ .3 S'1..• J/ a ~ ~ .4 . a ,~ f".'< . ,,,Mary fink I~, 13I2 Mohave Street,Port St. Lucie, ^Fl 33452 ~~ ,~ . ~ ~...., ..~..'tn •ew:.: c'r. .r •. -..~•~.. o.:....~.~. ...r~ '- • c. ~_.•. c.•a „ Removal Burial ,~ Crescent Burial Park Camden County, llew Jersey ~ ~• /~;%: ~.~; .~ T /~~ ~1~._ Yates Port st. ~~ie,~os s. u ~ =i ,Po~-c sc. ~„~;as~~ -.. ~~ ,,,..,,ti,t - -N `~' j .. ::~.~; ~ ~::.~: •~ ! :L;'v ,~,; (_ ~~i ~.-~ :.. _ .. a. .. ~K,~: . ~..,. . ~~ .. ~,;.«.._ .;''~ t~ ~~.. .:. dRL•`:ni^;CFD ~= ~.: .^..~.,,_.~<....~..~'",. .<. ,..._ _. ,~ '• 12-24-80 • _ 4.00 A ~a ~ - _ .~ ,12-'[1-~50. ~-,.. .~ 4:00 A - ~..~..~.:,~..,.:~:~.:....~.u.,.,....~...,.., .. ,__ _ ~ n leonard ualker, N.D.. 1700 South 23rd Street, fort Pierce, F1 33450 - .t~..-... , , ._ .. .. , ... . • ~, .••_.. - .~il~~c..t ~ .~~ .8/Q ~nE~ecr.nber 2.1, .1~50 w!:.~~•~ GJSi iI~III.)~i1 :i~I . ~:f~ II :~ ~I ;i1 .~. • ~~~ . ' ~r~~ r~.~ r~ w w~ ~"" "ACUTE NECROTIZING HE"10RRNAGIC BACTERIAL !!E!`I~+STI'iAL ABSCESS i_ _~7C"~T-?!~~ j r.f '~i Y•1 ~ ~.:+:t,.lv! _~ ~~/y/~ a.~ i 1 ~~ ~ y~~}~,' 1 ~ , ~ STA7US !'i1ST -,COP.OkA~~_ARTERY BYPASS C°.;~FT$_ _ i~1;F`tjY.'~•±'i?-~ x~ ~ r .~ . ~U.,,-~..~~, ~. ~,.. ~ .,. ,~_- ~~ ~ CURONARY ARTERY ARTE°lOSC~EP,OSIS i YE~.?S ~~lT . H1 . ! • ~w ~.rG ' ~.l ~f .r~ s-~ ti '1 ~ a~~ v ~ ~ cti ~ a. ~ . . ~~~ _ r'~A• ~~S ~'I • ' ~ w ^~~. .t• ~I.~• ~ t~~~. ORGANIZEO A;dTERO-tATE^.~L t'IY4GAR~lA.L IYFAPCT, ~.YES ~} YES ______ ~ :i s Y'~ :~ ~.:_i• •. ~. ~. ~ .p,~ J ~:A• ~:~Y~ Y <~s ~.N• :J =.~~•> 1 <w ~~/•~ ~ tf•Rir •.e~ ~~+...r { :~ NATURAL ~`. !~fq ~, N~q . ~,. ,y~A , _ . ~. . ~ ~. r• . .._ .._. ..._ .... - - , ~„ - - - - • ~ ~ j ~ w : 1 .ari ~ ce srw, a ~ • c .. . Y ' r~'t \--.• FI/A '•.. ' I~ N/A b. +~fA ~ ~ ; ~`~~syt,~:~ !~ r~~ - ~~ ~f,~' ~'?n~! ~ ~„ •~~~ ` --.`~i . r L ~- ~ , ~ `~ ~ r ~ ~.~ ~ ~ • ~; fi,, ~ .,: ~ ' .,L ,. ~~,! ;. . 51~31y3 ' j~ 3~ ~ ~ 43,~ t :. ~ ~ ` a. ~- .~ i~ •~`1,,~• ~~;'. ' i'(~ e • ~ ~~ ,FiG't - -. ' ~/ ~ f ~~ ~ ~~'~349 p~~E1101