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HomeMy WebLinkAbout1420~ i , ~. STATE OF f LORIDA . SiZ1S6:~ ~~ ~ i ' . •, j~ ~ • . • . . . DEPARTMENT OF ~ ~ ~ , wbew~ b~,wR ~„e'~, ~ Heaith & tt~habilitative Services ~ DISTRICT NINE • PALM BEACH COUNTY DEPARTMENT OF. ;;`i 1 HEREBY CERTIFY THIS TO 8E A TRUE COP'Y PUBLIC HEALTH ~~` ~ ~'`~ j~E WCAL REGISTRAR'S RECORD ' r~ a- 901 EVERNIA ST. wL ~ W EST PAI.M 8 EACH~ FL 33401 . .4 Z -,1 ' ~.r~~ - -~ ~."~'-~ L-~ t~. ~ ~ . . .,~~. r- ' tl'r BuryY of Vital n_ ~ _ ~; 0 • .. ~ ~~ G E Is ~~'L[~.! . att~a4J ~~,~~ -. r, -- ; r ~ ,. =~ ~ n ~' ~ ~: - CEPUTY R~GISTRAR `''~ •. VlTAL RECORDS UN1T _ ' _ .r ~ . - - _ - .- ~ -- _ ~ CERTIFICATE OF DEATH ~..e ~ou~ nu wo ' 3~ F l O R I O A n~n ni~ wo pf I~~yl OICtDfH1-NAY! f~Ki Y!7pt! I~St 1!• p~tf G~ Otatw/V•.0... ~. i n..~:.,~~, ~ G~rtrude MILLER ,Female ~'eo.12.19$1 .,.~.,... :;« .,. ~,... .~~. .~t_:e.....~,~. ~•.~~. , .,.. .~._~. ~ o.. • ••. ~~n.a~.. •w 1/s~mhl ~.. ~ p,rE O• s:~M ~v_ . b.. h i COt1.1. Or PF~rw M:'iS 7 D~~s ~ry.~{7 - _~r~.~y _ I . +:i~i Le ~, ~y „ ~ k ~ ~i~+iar. ~ ~ i yi i ,, Yalm Beach Utr, tPwra O~ tOC~tip~ Or p~~rH M7Y~t~l M u~w[t ~ti1~~•u~rOV-~+e+~ in .,..• ..~~.•. p..........~..~~..i ~Y W•ti1~ ~~-~.ov O[~• ~b G o o~ Boca itaton ,, Boca Raton Community Hospital ~npatien~'~~~ ~ ~ .~~ SI~Tf O~ ~~~!MI//~w.~ (IIi21~f O/ W~MI C~ ~li• M~~ielD kFYl~ M~iti(~. SI.~YlY1NC SYn.S! ~I~ ~.I.. p.. w4~ ~+.r• _ _ [' S 1. r.. ~~v.r/ Mt M!D dv0lClD ~S~V./ US~:~l~IS~Dt~Xf .Penna. . USA „~arried George Miller v..,E~c uce•seo -~.lD ~~ GE~IN SOCI~I SfCU~~i~ WM~Ef USU~~ IXGU-~I , ~ •~.q C V r..~.lSS G 1'AI.K'~• O!Ct~~ED ~q ~p+li_... ~..I.~...~ ~o. s.... r ,•a~~rwro... c~~e ..~... e~.. .....r ...,..~, ~FSiOR~XfN~O~! ~? 197-01-2 1 „~ Inspec~or „~ S.K.F. Industries .o.,,u~ , ~ ns~er.ce-sr~re cow.,. c,r. revr, o~ u,c.~~cw s~,Fn .•.o ..;..~~• ~,t -.,.,,~ia . ,., Florida ,,,Palm Fseac ,.,Boca Raton ,~279 NE 30th Street '~"'Yes'" . ~ ,.. lATME~-'MM( IiK! M~(`,iE l~Sf MG"~41_ y~~DF~t •J4~ /•K~ YiWIF l~5' ; „ George Schumann „ Lilly b7cidullin IrJOIM~41 _h~ME i7.r... -...., .~~~in.~ •~e55 S'atir r;~ ~ r C aC t~n ::t !Owv S!~~[ t~r ,,,George Miller ,,,279 NE 30th Street~ Boca Raton~ ~lorida . . Ml~~AI. C~IY~TI^~N ~fMOY~I ~~ME~ISI~r.!.I C1Yf~F~~ O~ ~~l~r~~G~.. h•~rf Itraeer ~~~' ~.•' ~~~v C~ !'~N•~ S~AT[ : ~ , ,e Crematioti „~Calcinator/Cremator;~ ,k Pompano Beach~ Florida _ ru•.El~t DnlC~M-ii.~.r.~ ~/ I i~,-.fui ~G~r! rDO~+[SS . "° - '• _~ _ '~ ~•-~- ,,, Kraeer ~ 13,3 No . Fed . Hwy . ~ Bo ca Raton ~ Fla . _ rh ro »: t~.• oM-ti ~ro~ycq~. ~srow «<~...M o• ~. . eea o.~e ' 2 [ ~lla. .~. W~xf oM -~.e b •rf 71! n.. .~e C-`~ ~' ~. . .. ~• v~9"'Y. ~+^I sD.~.~r M~~A aa .•H o• Mr ~+w~ o-.N~s ~bY) :_ MMOT , ~~ ~ 1 i/ ~ .t •r~~~, e •~ ~ IS~Mu NV - /Ci . /! [ '!~1 ~'J~ : i ~S+M~w.r r~«.~ ,.., . ! ~ - ~ D^tE S•r.~.lD / V.. 0... 1. I u... 1. ,..._ .. . - ~~. ~~_ ~KJUi Ov Of~M p~•E Lb•.lU.v., . _ _ ___' _-_ s=~ Feb .13 ~ 19t31 ~n 11 K A - ~} t.~. o~ ~..,. x.e ' '~ q~rf Gi niE~ ' ~f •• •; ~ ~:~ ~7~< - ---- M 4~•X. MrS:<u.. ~r G'nt~ 'w~q Cl~nr,U /l.r. «~....~ ~ e s~7~:~v`.CfC GND ~ v... ~~.., ~. ~ Ih:Y.~a:KfD Df~D INw.~ . ~v ~ i T^" 1: e c .. ., i. = t - - ~_ - - - - - - - -- -- - - ~ r.~~rE ~r+J~r~lSSOtUIr/(!~ u~IS.Ii~N. MED~fp_}l~~M:~vE~: il.~.«s•..•, ~ _ _-.__ _. __ _.... _ _ = ,Ste hen Babic, P~iD, 399 i~lest Camino Grdns Blvd. ,Boca Raton~Fla. 1 ~EGiii~e . . ~ ` ~_ G~~F ~fCE~.!^ !• tlWSi~~~ ev., D.•. T•! «.;:.,.~.~ »e ,,.,.~....,, _~ _ ~~~~ ~~. ~ ---- 1~x FEB l 71981 •. -"- _.. _ . " - _~ti . i - _ . _ "..__. _ _ : . . _-. _ _ _ ___ _- - _ yy f~if ~Oyf ?I ~MMIOI~iF CI.USE ~1.\~IR O\I1 O\/ ! 1(~J~ 7/R //\! ~I~ ItF-IIi. •\D Ir/.' _. _. _ ' _ _. . "_ .__ _. _ - . _ - -_-- -~ _' 1'.'ry01 bf~W. Mi~~ M~d O~O~ 'VMfD~~lf ~L~1 bl ~ ~~~..~.~_ '~ . U~sSE ~c; 1 /~ - ~ / ~ I ~ , S'~r,,~. ,wI __ ' L I ~ _~~~1~4~~- ~ _ !-~ ~~)~~ [ Lc' f i~' `- _-~ ',Z l.•~ ~1 -__ __.~._ - '___ ~'+Oi~rnt.G ~ O~E 10. Wlt ~ COyjFfa:F~4f O~ ' Uusf ~~5~ i /' ~i .. / ~ . ~~ti..,~ w.~.....~«~ a.a e.e.~ ~ ~er ~ , _ /~~ l~.~ / ~ G~~ ~~ 1 ` _ ` ~~ --~ - / I - -~------ ----- - -- - - -- ~ -- --- -~-- ------ -~ j -wr~o'oe.s~caara:iticFd~ L ,~---,-=_--- r ` ~,.,~..,~r.....,..w.«de..~ ! ~<~ •, 1 ~ ~ - -- ' - - - - - - 1 • -A~~ OTnl~ :~C1~~f1UNT COr.~?~Cb-C r! bv~..r y W M W~ ro~.~b'~A tiaen~`•w.~ .. ~~tT i tc. ____ '__-_' ___ •Utpa~r ii~...r. AaS f~St ~E~f/I~C 10 MEOfUI {I uI I~AM:~.l~ /f~~ ~~ /~~ ~. ~~/ ' l.s N~..« Je 1\O f-.xod.l att GF~. S.~C~Df e ~o~r[ Or iwvar ir.. a.. r, i Nr-sr Or ~wu~~ ~:Y~~et ww ~.~.u~. ~~c~a:«uqE~e.n..fo ~s....v~ ~ ac~~~[o Po .. ~Ub. ]la _ _ _ 4. . ~7'~ M~S io--~ S17. IN1V~~ AI WqS /aI''.l s~~ -I~CE Oi IN~I'\~_.4r ~.~. 4~n. ~r.Hr. Ip~.~.r. ~NU W~t~f~p. ip(rIV;N1 -~..11~!!f p~ ~ i O N~ C:T~ Q~ tQVYN sf1iE /e~ ~^.!V I!~ ~ ~~c /SI~~./rr ~ owc..~ 71~ 7r~ ]) v ., . .. ~~ - v . _ _. .. ~ . _ . - -~ . r j . ` _ t ~- ~; ~~ _ - _~ ~ ' _. ., r- ~ 52~.S~i9 1981 h~t~P, 27 !`: 3 3S -': ~C ~nc ~: LQpi F: ~, ~ Ucr~ t:.~~ ; v.) t .t i~('Gf~ F'1";lifil.S L:FE~ ~~• ~:',. fG,'~; /~ . _, ~r ''~ 351 Y~E 141fi 6'?'?[