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HomeMy WebLinkAbout2157 ~~'"•" CERTIFICATE OF DEATH "•° "" "° _ oy.rrr d M..M .~J b~.-.~wqw S~MO. . ^,......~...~. FtORlDA ac.~m.b ~M Q~~t~Ni-J4Y! I~tsl YljlplE l~'Ll ~S p~ I~ItiI ~~ ' ~• Clara Ellen Grumba~h ~ Female re...wr. ~_ ' '" IUK[ 1y[ f11C!-~ ~. MAw Wd. ~L!-l~~ -• 1e~ lX-D~f 1'I[~^ u~+DFf 1 OA~ WIf W 4~M IY~ . Pry. Ir I !OWn' O/ 0l~M !/ . C y ti. w«. ~e ~~s-...r., ~ r.. ~ -.~p~ -'T o~vs _.~Q:n-r r~MS • White - - 1~ _71 --_ ~ S. ° k ' ug._ 16~1908 ~•. India. un, row.r w~our~o-: o. ot.-~ -~osnrr i o~ o~w~ ~.ar.ru~~o•.-+~.-~. iu ... ., w~4. ~ r.~w y~aaM•~ ,,. Vero Beach ,~6815 33rd Street ~ ~f4T! W 4~M /I/ r r TClill~N Of Vr1MI ~CQJMT~• YA~~1lD N!V!~ W~~1(O," - SlNV1Y1~ y(71bt /II ~~I~. ~w +~~ ++~1 U.SI...~..~..-.I I -_ - w~DOwEO.dvO~CEO/f~+.h~ • N York • USA ~o Widowed ~~ nLa W iF Os D[wrw !~• . w~. ...i ~Aug. 5, 1980 ~r.ov. ae np. ~r++w~. O~i6.r. ~.. ~+~ Ilr•s,h~ ~~ n/a aw..o~oe-+a ew wmne oKe~sta ~~.~ s:cu~rr r+ur~t~ - -- -- - - - _ uw~~ occw~ria+ ~c« w .~ ...~ ~... r.w _- ~--- - • .o d wa~.atst o~ n+an7n reo ~s oc.m JCMlkO IN ~r N w~~W Y». w~~ ~I rwr~11 * ~y'IfVT1~~ GYl 1? . ~~~~. ~ ~~ __ __'_ '__ "_-_- . ~. A~ home ~ ;t:~~~t ~~.~ 07 Houser+i fe ~~~ss~a+ - -- -- - - - -- - r~Eer .w wru~ ~wot an iuun ~ fFLOtNCt~i~t! [OU+:~• C~r• r~w.a O~ ~OUt~Cw IfiMh 1~ r~.1 ~.vFlorida bndian River ,k Vero Beach ~.b815 33rd Street ~•• No ...~,,. ~. I~M~1 -riW! I:i3: 4~OOlF ~.U1 .n~~--~n~. w • .~..~: -~ ~S Unobtainable Unobtainable ~a ~n.c~~r...r~urr .nr. «•...., r.~~~•.c .oo+Ess i~retT w r r o w ~~n o~ •ow~ stiie t~• ~~dVorman Seel ~RD ii5, Box 159, Lewisbur , Penns lvania 17837 lVtu~ CefW.7~0". ~frrJV~t. OrHtf rs IOChTWq :~^I d IOWM S~11ft ~..~.r.~ ':rerE~~ Oa C~EwrOA~.~Mt ~~ urial i• Crestlawn Cemeter~___ • ~« vero B . . _ - - - --- ~,.. t ~fC~Ot-+7 - ~ ~t~A~ ~MF Cox-Gifford-Baldwin Funeral Home ~~. ~GZIG-tt.~545 ~w T3. r.~m. f.v .r .~. ...~~.,p. <_ .. ~• +~. . -~. .~o~. ..~.~ 7~ e i ~.r -w.. .• ..wm !« r ~r w ~« ~ c~ ene e~.~ ti ~M .o. . . .~n . .~y . +r .. ~wY M~~M. ~ .. ~ a ; s.~,..... w1 i.W i, s= I f.f~/v~ r1 Ir4 ~ ~ --~ --------~ ---- --- - -- -- -- -- -- _. D~'! f~..~.e~ ~r.. o... r. ~ l•c.Je Jr p!•rw ~ ~ owrF ;~v~to rr. a.. t. ~ MD~M O Um ~~ ' I 5-7=80 r_ und ~:4~J ~ ~ ` ~~y r V 3 71• 1~ ry~rt W~ttF~.O~ti[. ~'T~Cr~r, ~I C~•nf~ I.Ma Cttt:1~l/ IT. '-' "~ ~ s~ .Kr.ar+ceo oe~o ~r.. ar.. -. / M~+~~ ~~ Irrl ,. .. ,...., ~Z t~ J~s o.~ 8-~J~8~ ~w wc 8: 4 5 A ~' ~ --...,.~ .w.oo.ess o~ cn~~.~c. t....s,c~:~ wlD~Ul I~IL~NIf~ II~H -,-.-:, . . e , 1^ ., . e i ca xami ner , ,,.District N'neteen) -37th Street, 5 ite 6-105, lfero Bch.,Florida 329 wn nce n uasrw ~r.. w~r. r•.i ~eom~.~ • - » ~ aara~~aa ~ ~s........~ ~ • _ ._ __ - - -- --- '~•"' 1. iw~ta [ uust ie.-c~ o•u wr uva[ ru u.r io~ r.,. n~. ~.o r.,.i ~ ,~~~~y v~nw0~ fJVf ~ ~iSE TO ~~ MI ~~t~~.T~ Cardiac arrest ,~,,.,~.,,r_,~ ~w ~ s..n.~c rwe ._- _------- ---- -- v.ou..~.r. oue ro. o~ ~s . co.acweNCe w ------ ~ cwse ~.sr I ~ ~ ~, Natural cause _~Non-violent~_ ~ - t ---------- - -i ~ ow ro o~ ns • coraewe~c[ o. -_ - ~ ~,....~ rr...~ «.r.r 1 • - kl _ __-__.-'-__-_' _-___'___'_-_ _'._ _._-_-__. IY7 O'NII W~I~HUNI !~O~11QN~Cfd~•M~ ~~nw~-..' W N dwM~ w.r ~+ •N~Y~1 ~ a~y ~.wn .w I~~1 ~ N~ ~UTO/~r /11~YI wu CAt! ~ A r~ C~- u n N ~/ ) ~( Be i n t r~a~.~d_f4~' hy_p.er_~Qns i~ n a~dia v~.-e~.i ~_C~otw~. Ynt~oe r :c••[ o~ ti:;~r ~r.. n... r, i ~out or ~M~t.y. cexi~~t ~ow x.wM• oCO~H~tD ~yK~~( ~. JfQ~TIfYINfD ~~/w.~~r { • 1 ~ _ i j)E _ _ _ . ._ _ :7c_._ __ _' "._ .-~. _ n~_ __ -. _ _- _.__ 1 {if!!f C~ t f O ~r Ury ~~~~ ~~~ ti1V~t 111 M~~[ /ll~•.~• ~•• ,~~.~fF i ~..'..~I-.J~ ~d~V br.w ~nM~. Mxw~ oHU ~•i1~ry. 1OC1710M M~S tiT S:l « •. w ~Sl.r~r., yn i ~~~ 4 rs O~[yi ~ry ~ 7~~ D~ h..+ vSi~~ A "I NEREBY CEP.TIFY TNE ABOVE TO B't A TRUE AND COkRcC7 COPY OF TFi~ LOCAL REGISTRA~'S P,ECGRD 0': ~ILE I'~ T~~, :';~;~N P.;VEP C~: .. ti~ALTF~ ~'~; ; H" ~dERC~ ~~:{C-+, F~-OR.IQA_ , '~~?S IS NOT YAG~b • `, ; THE RAISEG SEAL OF TNE i';DIA~; RIY~~ ~NTY H ~H U~~I7 IS AFFIXEO. - _ - " ~~ : _ ~ ',~ ~ -~ ~ `fi • , ,. i ~ ~. f~ 6~ x351 ~~,E?153 ~, - ~' ~s~ ~ ~.,__. _._ i C. C t L~~D, t. . -- --- CCJF:TY HFI~LTH DIRECTOR/R~GISTRAr^ ~~i~/~/1/JJ ~ '~ --- ~ ii DEPUTY PEGISTRAR