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HomeMy WebLinkAbout2039 5~1'76 ~x.~ nu ..o ~~ '.YI . -~ 01`.1:...: ~.~ti! 1 ~l' Y.'.~':.f 1~1' . 1!~ L~.!;~t•!~•n.V..L• 1- . 1 ~t.yi ::» ~ ERNEST GUY IAFP~tT I : tila.~e - , Dec. 41 19k0. . _ .,,. ~,,, 1.~.~ ~M ~~ii -~ ~ M~.r ~:x •_ ~..,s.o~ •~ 1~f~... • ~ _-_- .1 vo~~ ~ 1.. . • - ' ~ i . - ~li ~ •1~~ :•.:.f~ ~ W ~ W/t il~ ~'~'.. rk Y.JS ~ L~~1 r~..'a:~l 1 Y ~ ~ '~ _ _~__ . U~. 1. (.~ •i~. /~. ' ~~s t ' ~ w~~- ~~ ~ ba 1 St 1~ •~~. > > . n.e~~ . 191 b -- _ - , , 1 _ i,.T ..iAt. vi .'JCa:... Ji ..:a. ----- _ ~l.~~.. tt! l:•wt1 ~~.af.r~~l+(ri- Le-,~ /I... ..._.~. ~.... ... w ~.~1... .~K15~ ~ '4' ^" • .. ~ ~~ ~So 6 .. ~~~o~.~t ..-5.! DlGt~SFD . .t:~ if pf~IN ~~ED v. .: ~0~. G~vi : ~~.ct urae ~ ~.~ ~ ... ~. ~. S .. n.. ~ ~~u.c .~ e~„•e ~at . ' LY ~H' .,n~ ,.sT .. ., ':-fK . - .ss•+n ~ Me£bowuTe ,. Jamea E. Ho.Pme,b Re ~.ona.e Me.di.ca.P Centeh ~~~ I{~pa,t,~en.t ~ i..~~ e~ ~.~..iu..... ` c,c~ie.. o~ vr..., car.~.. ...u~ec. ..t~~~ ...~~~~a. w~~w~..c s.ant r~~ .,~...... .......... ~ . 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She~,i.dan Road, lNe,ebouhne, ~.~on.i.da 32901 ~, C~•1 if'E~ ~n ~• ~EC,~S'~~f /Y.. 0... 1. . .~:.s„ , .~ ,, // ~ y ~ys~~ :~: ,...~ _ ~ _ ~_ ~~. - '/' """ ,~ --- - ~ _ - -e -_ /J w., :~ ~r~rFD~~tE C~Vit 1/~lli l~1~ o~~ ~~ .! I~ L~[~~ ~. r• . ~`--'~~_/~~C.L.j~ ~ ~i. on a M~sraM . / / ~~ r,, rut u~ ~t~r0 IK~Fl~h~ Qu'~~~~fi_~-- ~ -- _ __- - --.~ ~~ ---- -- - - - - ~. ~~~ - - ~ N 1~T~' t ....~ .n n~ .c ~ : rwasn~s~.f1 ns __ _' _ . . __ _ . ._. - 11..YM• Mww~.. rW o-~f 7ra•w I ~! ' ~ . ___ ____ .--_ __-____ _..__ _--_-___ .. .- . ~%'tc.:%; L !~ - --- ---- - -- - _ _-- -- - - - ~ J ~ ~ wt To. ~s. eaaeout~.ct or • ~~~+,p~ a~`/ ~~^'~ o.~» ~r' f t ~~.i!'VJ i k, ,~p wt , ~^ /~1 ~Q/~ Y ~_(~_ _ ~ n F _..i /' ~ --1 ~-w- -- -. --~~----_---- - ~OKr i3r•<. ~'~'~.S C~SE 1E~EnfL TC Mf~.U~ ~~~5 Crr~F :~r:~si •it CGai7~0 1-Gow.~,e~ <a-~s~• ^f ~ a~o+~ wn ~.~wwf ~ aw.~ p.w. ,., n~T : wt ~. ~, -- - ..Nv , 1~...,...4„~~ . ,.... .., » » - - -- _ _ -- -- -- --- - - - ----- - - - - - _ -- - .s ~oow.i ~cc M ~. si;~c:ot .. w~t v ~~.~GI~ /~I.. p.. ~ ~ ~.ou~ o~ +a.u~~ GfSC~ ~! MOw :~.~Ul~ occw~ts wM C~DF • V~~FTf~MiNfD ~f~.r •.~ b ~J7p 1T~ Y 77J .. • _.. ____' _"."' .. __ .. . _ ._ . '"_ _._.. "_' "- .__'. ..._ __"_ "' ' ir.:.~r ~t vNJ~~ r~n..r• 1.. ~-i~CF ~.^.t ~~.:~~•-~. ~v~v b,-~ ~+w~• ~wn ~~'•c~ b~,.N^G. ~tOf1t~ 1T~[ET O~ ~ f D ~.e C~~• O~ •CMV S'~TF . ~.~ K is~«d.~ -- n~ 7~a I Y.EREBY CERTIFI' THE ABOVE TG SE A TRUE AMi CORRE(;T COPY OF THE RECORD Oh F1LE 1N TFiE LOCAL REGISTRAR' S OFFICE IN TNE BREVARD COUNTY HEALTN DEPART~fr:hZ'. (Not valid.:unlts¢ the seal of the Brevard County Health Uepartment is affixed.) .` ,_ _ . _ ~ • '•:~ • ~ ~~~ . ..: ~; . . .~ ~~~~~~~ D , ~x~,; ~ ~ Local Registrar ;.: ,. . ~' ~ , ~~ ~ ~'~~4~ ~-`~,t~~.`I~$V ~ ~'~I i . „_ . , ~ ~ _ ~l~ ~/ `-~ _ ..~ ~~:.~- ,-,-. Date & Seal • Chief Deputy Registt'ar D G ENE ROBEHTS SOHN HURDLE VAL M. STEELE LEE WENNER JOE WICKHAM ROBERT L. NABORS R. C. YtlNSTEAD, JR. ~~;,Ry~ V~u C!~a~rman O~s~r~ct 3 D~strKt < D~sir~ct 5 Count~ ! ttomey CIe.1c D,stntt 1 D~ttncc T DOUGLAS S. FUTCH, AAm~mst~at~vt D~recto~ 5221'76 19g1 wA~ 30 P~1 ~2~ 3~ F~I=U tkt `~,V ~~.f~: S:.ICC~f Ct NC~GEr~ rci ~ `~: ~ y ~ CLERitL;r::c~ c:..=. .. • ~ ~ ~ ~ 1 G ;~K351-~~~E Z0.35 CERTIFICATE Of DEATH . . ~\~1~~1 FIORIDA • ,,.,~~~~~~