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HomeMy WebLinkAbout2136 rk~..~~,..,~ ~r ~i~.r~ti .~ R~t,~~„i~~.~~.~ c~..,«. ~H.~~r ~w ~~~.~„~~ • .....~..........„~, 522230 . u~~~v• ir.~ + `[ti• ~HK CERTiFICATE OF DEATH FLOAIDA lTATE FILt MO R[61tTRAqy NO. ~/ ~ , -i DECE+~SFJ-w~F ..• .~oa.~ ..~ 'x^ ~D~tf Of DE~iM , .o....., ,. . ._. .~~ Ks , ~LIe~,}, V- (~ r t~mbaCYL. 1~ T~a t n ;~ .Z!]rie 9, 1 A 7 F, ~~Cf ~~.•e .~cw. .~~.~c.~ ,.o .~. { ~GE -~.s. ~ »or~ ~ .~._~ _r~+oN ~~ CATE Oi ~t~M ~..o..r.. e•.. Cp~~tr OI DE~tN PC ~ trlC~~r ~ ~ ~~Hwo~. ~ rf~H ~~~..Of T O..f . ~Oo~f - ..~ r~•~ ~ • Sr"hite _ .s•--5-8-T~+! `~ ~ '~ 10~~ 3, ? 9n7'-• Indian River Cm •Cw!.~, Ot tOC~t~Oi~ O~ DE~tN .~~oe c~n w,y MOShGI Ot OTMft NS'~iJT~Or.-w~.+'f :r ~.o• ~.. ~~e~~.. c~.~ ~nn• ...o .~.~u . . s.~c,.. .n o• .o ~ -- ~. Roseland ~~. No -~ Sebastian Riyer_ Medical ~e~t~r_.-__ --,_ __~ S~~tE O~ 6~ftN ~,. .o~ ~.+ ~ s• »~~~TC~'~IEr+ O~ wH~! COVN~RY MIIRRI(D. NEvER MAtR1ED. SIJ~~iVn~C_S~'OUSE ~.. ~~.e c~.~ ...~w.. .+~+e ~ tou~+n. ~; ' w~DQWED Drvpt:fD ~ vetr. ~ ~ . ~. - ~ ~ !~ew York '• L?SA ~• _ r~ar~~~d ~~ __G.~ara_Vanc~ermark . ,' ..,•,~~ .• ~~ SrJC~A~ SE~UhTr ^KiM~~R ~ 1 VSUA~ «CU~ATIQN •G~r! ~wD O~ ~a~ 00~~1 Ou~~~+G +01~ O~~KWO O~ WS~NESS O~ INOUSiRi vnpfa~~f t~~1. hfti ~~ ~fristD ~ ' ~7 2F?-'24-757 a'~L Ci t~u~. Gro~a~r ~~„ C trus-_____ ~ ofkJf~+.f-S'~'f ~OUNTV .~~!~, ~!QWN. OR IOCATi~N ~wt~e~ Un u.~rf~S1~EE~ wr~0 NUr+~ER -~~ ~ ~ s.u.r. .es o~ ..o n ~~~,F~(lY? (?.l ~~~ T1'lCjl a1'1 Rl V~3' VPl'(1 Rna~1, ~•• !~Tn ~~• ('ti'?Pr~"V i~CZZe_ ~a'`~[P ti~Nt •~ttr ..~p0~1 uf• MOINE/-MAIDEN NAMf r~~f~ ~~OO~f ~ ~ ~ • cnf' -~„ Frank Gr<<~^bach ~ r.u0.n~G w~eESS ,~-r__ _-'___ t ~•iwG C~Vf! t~lt . . t~1 ~~ J( ~ ( ~~ ~ / -! 1~ / \ " c(,~:~ rl-~ Z 4~`? i ~ __ . . .~ r ~ ~AfT r~ ~~NE! S!(~f11fKAN~ ~Nfl~T1~NS CON7nprt IO~Q~~~Vt~~G ~O Of~M ~u1 r0~ ~IUlfO ~O C~Vf~ Gnf~ ~w r~~t ~ ~O~ A~as~ rES ~~~! ~~~+~~N~ { CO+ ' 40t~~D •+ a/1~+~+ G C~uf1 ' ' t I ' . ` / ~~~t d~01 , : O~ C~~Iw . '~ ~~ . ~ ; . ,. r.. /. - ~-~r°' i`/ `'" l -'1 ~/: : ~,.1 - ~ ; ~ ~.,~ ~., , ~ ~ r~ ~..Yes ~ ~w YF'S ~ ,-~ave~.: :c~i~i~i.- w~c~of o~ -Tb~~~i~i~r .o«•«. w., .~.., !~oue Now ~..w~~ ocCU~et o ~ ~~M~ WtYN o. ~.~~.. ~ . .... , o. .... „ .,r. ~. , :.~iMK,ee. o~ ~•~oe~ew~tico 'o.~•til ~ 'Y'° 1* ~ Aa M ~ !Y _ ' ~ IHfJ~" At WO~K ~ ~ MP1R~ ..o~e ••~.. f~ntr. ~~c'o~• ~ IOCAT~N . iq~~~ O~ ~ r e w0 . Cm O~ ~0~.~. f~~t~ ~ ~ f~fC~r• •!f O~ +O: ~OHKf MDG .fK ~ 1~lC~n • ~ ~ ~ CrO~+D~~~OMt. ~• •y~ ~ ~ ~ ~ - I 1 .c.. e..e nf~ ro ' ~e' f7~~1.._.~_.1'...L1i__..~~._~1~ •~, _j~1_,~c~•.'~~ ~ ~fD~~•! (~Yl~ ~0~, '•, iti1 •O. G/ ~t ~ COtil!'Jf.fM! M l~~*~wC. 'w~ ur0f~~ Aanes Schubert ~,..~~• o. .., ..o. ~~.. o. ,o._. .~.n. ~.., ~~,. ^iara V. Gr~ti^~bacr. ~R Rt. ==3, 9ox 203, Vera Beach, ~ la. 329F~~ + .~.~ *~ "~~" ' Of~n~ wwS CwtlS[D 6r 'E~+~[~ CWtr Oat C~uSf -H t'wE ~q~ ro;. (AJ. •r+0 icl; ~~..u.. u~u~ •••.•~••r~ -- - - • _ ~~ ---- --~---- ---.~:.e~~.-~e ~ vse . tei \ }~ :' ..•~ ~ ~ ~•~~ lc. -~ ~,~ '/ .~- ~~~ . • ' ~ --1- - :~T~S~i~CD~..uo,Tvi c"TT'-" ~ •+ - ~ -- . ~((Tlil~/1TI~Id- ~fiM~w O~~ •!~I ' ~OtiM D~• •f~~ ~~~O 4S~ y~r ~r/~~1 ~t~~'f W~~ O~O/O~O MOI V~t~ ~w~1pl~tN OCCUf~~O •t ~Mf hK/ O~ M ~ S C ~ ~ +d+M D~• ~N• / II~M ~: ~ f{ / ~i ~. ~ T~ - . ~wpy~ ~ O~I~. ~r0. q~W Nl~ ~f~1 '~OO~ ~~1~~ O~~'w ~ ! O~ r~ ~rp~~lOG~ oW ^~refO ~~! , ~~It ` ~ a` ' .'1~•( .~ ~71~~ •' Sf01~0~ ~ ~ -' ~ Ti• ~1_:- / f~` ~)11 ~l~ ~71~'?11~PM f6~w~C~YS1~\~1~~_D , ~ . ~1_~r~ .. . 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'_~_ _._ _ __"__'-___ '. - S~GMAT ~ - ___ _. _ ' ___-' __ eee•n w~~ru ~OATE StiGNED :~o-•~ o•• ~•~•'~. , ~ , CE~~~t'E~--~+AME ~me o~ .r:..r, ' ,, ~' K 1 Ki G "' 6-11-2976 ~ ~l D ,k . e so ~n. - -~ ------ . ,,, MAtI~NG A'JDRfSS-CF~I~/isf •:~tf• O~ ~ r o ~~ C~n el n r? a t Bl d S~ R eOr.. f•~ry ~~• 32957 . . os :u lnse v a !l;9'Al CREi.U'~Or~. vE~.pvw: CEME~EN~ OO ~~F/~MfOft-NAMf lC1CATI ON C~"~ O~ rO~r t~~'1 S~~C••• Cemete ~~~ tl w C ~ l i Ver~ Beach F~a 1~~ ry _a n__ res >.. ur .a . . ______ _ ~~tE ..... ~ o•. .f.• ~s~~~;~~~t ~!O~rE-^i~Nf u.0 aD~ESS fnrr. a~ ~. o«o c~.. or .p~.. ~r.r~. t~r ~, ._.~.~--) ,.. 5-:2_' 976 ~~.~~~-1~ ~ -- _ - .,; ~ -- R ~, ~A~ . - - . •• - ~ ~riF~~: ~v«,.- 'S:, :.•.;aE ' ' " ' ~~ - ' ' '~ ' ;'_' ~', 7 ofG' -5~:..~'.:of . L.•e ~t~f~.t~ ~. ~rC.. ~t ~.~ -~y- ~~. ~ ~ = •- , _ . . _ ~ ~ :., ~~r _ , 'i NEREKY C~RTIFY T'ttE AEiOVE TU (;~ ~~ [RUE AND CORRECi COPY OF TNE LOC~.L ~: GISTRAP" ~~COpn n-; ~;~ r j~; T . :~;nja-i pr ;'c'~ ^^ ~ ~ . ~q~ n: ':',: ~ ;' .~UC~ BFN;:;, ;;r,:;~~;:,. "~ : ~ ; ~, "~OT '1A1~1 D -~ -+,•,~t~ R11I S~G ,';Ih'; R;VEP. CQ~_ s~~ ~~VIT IS ; ~ L• ~` ~i ~r : : ~ `~ ~ ,. SEAL OF TH~ AFFIXED. S;~~:~U is~~ ~~.~ 3 i~_-+ a 4~ ~,~t~`,:~, _iti. :•F'.~:. J~~l; ~~~- ~:~;;c~:.s y~l l .. ~.~ ., _ -:1- n .,\ f fi '_t \'. , ~ ~ ~ r _ ' ~ !.,; ~ .~ r~ . ~,,-,-~` ` ?YJ ~--{---F!_~}OG, i~.--i~.~ - -- _. COt;,1TY NFAITH DIRFrT4P/P,~GIST-~Ap ~~~~~~~ ~~ ~ GEPU7Y REGISTRAk -~ '- !~, ,, .~~ ? t:~~x3 r,~. _1`3;a