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HomeMy WebLinkAbout17205~~UU~ ~~r{.~r1me~~t u~ ~k~l~~ •n.~ R~~~I.~~~I.II.e ~rni~ts III~N(~~ IN 111.\I 111 w~t~a w mr I~.irf~1 FO- . i~ n-.r a n r~ ' V L R (1"liJ IA~~ ~w~~1. ~+~GW. ~~I~.c~.~ ~..o.~v ~tc . v~un ~ ' ~ Whi[e C117, fOWN. Ot LOCA11Qr OI OEAIN „ Tanpa, Florida SiwiE Os ~,QtH , u..o~ ~. v s. ..~ cu..n. ~ , ~fichig~-~n SOCuI SECUhfY ~wy~t ~, 367-30-6624 << - --- -- --- - CERTIFICATE OF DEATH FLORIDA lTATE /ll[ NO ~/ , RtG16TRAR ! y0 O~~~O ^ .ao~~ ..~~ 5(a ' ~OwtE G GtwiH ._.•~. a.., :.~. ifiLUUt3K~ S~LTZER, JR. I, ~1,ale ~, May 7, 197b ,iGf -i.t~'- .,..o.• ~~~.~ a cu ~ o..--TC~iE Q/ ~ Yi11 ti.'~--~_ .... 45 ~.e.~s~ .oi o.~~ . .u~.i~ ~.., . cOVrriY Or OUrh ~- +. s. __~~, J~n. 26, 1931 ~ NillsborouRh ~~• •~+~o~ cm .....s NpshTwl W Ol-~tt HSiRilT~pea-ww( .• „a. .., - ti-~ta s r1! O~ NO hM~, 4M 1~w1' ~.o +~yf~ ~ ,. No ,~ Veterans Administration Hespital CITI2EN Of WNAt COllNttY w~t~iEU, N[vE~ wutEO,---SiAtirv-+G SrOUSE ~•~ ~~.~. ~nn .~.oe» ...~~ ~ ~-- W~[+Ow[~. pN K10 ~ w<~n ~ ~ USA ,~ ;tarrie~ ~„ Yoshiko Asaki USUwt OCCU-iiK?~a ~Gq ~x.0 OI p~~ OO~M Ov1u+G r01~ p~ -~ _' -_ _ _"_ - .~ouw: u.e, n~w ~~ nn~w ~ [w0 01 ~uS~ESS O~ ~WUSifY ~,. Military „~ D. S. Air Force .SiUEr+CE-Slw/E ~CO~.~-iiY Cift, iOwN, OR tpUt10-~ +~Lw cw..~„~ S~~EEI wi+0 -+uwtt ~ f LOCiCi3 ",; ~ ~_.-._ ~ vec". ^~ e' "o. j~a:,• :13tE:~.. P • i.. aO ~ A S~-t~ ••; ~n.• ~_ _ 1.4 ~a~ ~Tn~acil~'uTi ~~ ~~ G f. ~f.~itici-ta~MF .~-~- . ::4 i •- ~a ~..uc nr_$~ ~~nr au00af u-1 MDiMfR-MAiO[N N4M( Irt~t - rOOI~ W ~ ., Ed,~ard Tl~eodore Seltaer, Sr. „ ~ary Lei~hton ~ ~ r.roctiur~ r _ Hw~.~E w-lu+G wDORf1S ~smc. w~ ~• ~q. cm a~o...., ~..~. r~. ,,. Mrs. YoshiE:o Seltzer, Wlfe ,~218 65th Avenue k•est, Bradenton, Florida 33507 ~'~~ ~ oEwm wws uuSfo ~r: ~rNrfR avir o++c uust rc~ ~r+[ ra r,,, ,~L ...o r~H ....=.:.,.-, ~ e„~ 1~ Y~VOy1 C~Y3! -'~--~-` . Yfblfti Owfl~ ~~O p~M ~•~ CARUIOYUL:~SUhARY ARREST • • YOWK~ COMO~f10Ms, ./ •r~. ~w~Ca t~vt ~~f1 ~O ~rreo~~t! C~yf! ~o~, ~~.u..c r~t ~..ou• a.~..c c•uu us~ ~`~ HYPOXIA AND SEPSIS OW ~O, O~ ~f ~ cOwYqRK~ p: __~__ ~~~ BRONCHOPNEIJ:,d\IA AP1D PUL,*tO~ARY HE`:plt~~HAGE ~wRt II OINER SY,,Nttl[ANT CO-rOlilOotS: co..anp..t co.n~r~n.,~ rp p~~M ~l'i rpi nUryp fp U:)i Y~,F.~'.,r~~ILIARY ,~t a'„o, ~ rw ~e ...~a•~~. ~~ W u ACi1TI: ~tYi.I.U`lUNUCYTIC I.EU:CE:~iiA; 'iH~20_`~?30CYTOPE;~7IA; SItiUSITIS ,~ y~s J*~~•~^ y~s r.~E,,~J ~~~irc~GL.t. St;CCE Ot~OT~rlf W1UR7 --- ~~C~bf: Ot ti-OFflw~r.tD ~ rowrw. M~, s~~~~ NOvR MOW IN1Ut11 OfGUtfEO ~~~+e~~ rrn~ w~~ ~~`~hl ..~s~ ~. ..r . u ~.n ~~, n... ~~ ~ ~ ~' M 7Y :i~:lUlY Ai wOCK IIACE Of IrvIUQY.~ ~.uW, ~•~.., tre~~, i~crorr. IOCATION ~ fNt~n qi ot ..o~ OAK~ MY.,~K ~YeC~n~ ~ arqR W~ ~ t ~O. 6n O~ ~o.n.~ tr~n ~ -~~ ~ ~ ~ C~Li1l:G11pH- .~4+cw O~I 1U~ ~ ,(MVS •N: ~~~ ~1 •(~1 aM0 u1i Lr rw~Nfl ~l~f fA ~~ 001D~0 ~]t CfA.'M ,, f0 "oiO~ a•- nu wx .~na u•ti M oA[u+tD .~ w.~ w,c~ o. n~ ..~.A.~ ..~Apr. 9 1976 ..o,,.~ o.R. ,,.o r .,...~~ :~. «.u~ ..~.. . ;:~~`~~% 7. 1975 ~n.~'`~3y 7, 1976 u.. .....-.,x,.:~. ~(RIt•vj~flk.'YM-Mf!JCwI f~AMrrtEf OR C ~ri~ ~ld 7i 1.~' ~i A e........~r« c• ~,.~ r,o. ...o: c~ r.~ ....~s~ OROti[t o. ~,.~ us s o~ na ...u~ o. a-,. ' n.t oec~w ~ r~ ~e ~ e..YCy e+a cf.rw OCC~~~ID b. Iw ~~ ~Ow• ~• •~ bw8., V~b'~Q.'~(~O Cl.o -- .. l O~A u~0 01rt ~O ~M CiVlt~f1 1~~7~ ~~ Yr •~~f ~V(~Y~ ' Cf~fif~Ft_N.vwFln~tJl~~iMt1'-_______'"'_'-___._'_"'_ S J. M~ ____ ~_ _~~~ ~~1.1976 y. ; P:ICliAlit. E. SWEET, :i.U. ~,,~L~ ~ ~ ~,~ s~~o,.~..~ = :~..~- r-. _ ~ ._r~_b.~" -7C . .+.aKIwG ~DUCEaS-Q~~iHN -- -'~~w~r o~' o ..o - -- -- "1 r- ~f~ :3r .~n c~n .v ,ti. 1. . , .~ t~~u~. Ut+~wr~-~. -E~+O~a~ ~r ~. ~ C ~•...~ rj ~ ~ ~ :..~fi ~ I• ti•K~n. CU+ETtRY Oi Crf~MI0411-r+~wi[ '~~~j~`y,~ C'n `~ 4~~ st.-T :~. Creriatioii i.~ Griffith-Cline Crematory ~t~, P. 0. Box 9-._0 r~rc --- ----- - - - -- _ _ " , ~racen~c~n, F1. : ~o«.., c.. ~.~. fUt~Ef~t nGa.f -vw~.. D DJa. ~ - - -~-- ------ ( ~ May 11, 1976 ~ e ..: . ~ s ~•.~« a. . o , ~,., ~ ..-- ;•: < <•. ~ -- ~+ ~~ ~riffitti-Cline F.H., P. O. ~B~_c ~~~' ~ :Iorida 33~05 I . . _0, Brad~nter.. ~~~~E"~t C:•cict0~-S~G~+~~V# ~:~.t~ ~s oEG~~gr~.~a~~~ a,:,r.,r~~E c.•e .e . ~ ` )M\.~=~~. {.,~ ~J~ ~ + I~/~' • ~- _ \•. •tG.)•~•f , • . . L-~~/ //( -1~ -~ [- .~~"Y / -:. c ~ ~ /~ A CERTZ~~ ,~j - ~,~,C~.. ~Y THL F.~';FC~SS~D SEAL ~ _ :C I~er~~ ~~~Y4'~ h~s is ~ QF TH~ R:GI.~TR4~ n; i'?T/!.7. .:T~ ^T~ i Tr~ in ttr r z'° '' ~I- a true and rorrect copy of a certi`;car_~~, o•i file ~ Coui: •~g~~~ ~;A~~ ~+. ', cal Reg;.st:ar of Vit:il SCatistics of tt~e 'I'' H, ..~"li ~~e~s87[~' ttt, 1105 E. Ker2ned~ Blvd. ~ ' 1llst»rc~f~h ~~~~ f , '~aro~~a., :loric,_c ~?~C~2 ~~ t .fi ~ ~ /`f/J - UO`tiI.U 5..-1SW-y ~1•U., p~.P.j[.~ UIK.~(;TO:t CO:I;~ 1'Y ~~~aL'r~~ER_ t4 lAC~13. R,: ~'." y. ~~ GI. , tL1R \~~_ .J~~ -~~i ~, , Tii"r.~~.:A i{. Il_~ `'~:vS ~~ J DEFIITY L(;C~',L T~::GZ`'^F:t :Z J _ ~~~ ~ .. „ ;. J ~: i,: 1 5~;zU0~3 I~~N; p~~.~ 27 `;: ~ ~ I - t ~ 1 RN: ~f ( °;=. ! :: ~ i ~i .'F t'- vV' +. f : . ~~: (j{ f: s~~:l"-t,i:. ' , . .~ . ..`' : ' fJ , ~~/~ . O : ,M 351: ~~.~171fi