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HomeMy WebLinkAbout0550i 1 516244 ~1 CERTIFICATE OF DEATH • ~ O~y.a.~..~~ .t li.~.1~6 .~d R~{~.I.ilii.~n~ G..~.~s ~rwTC F~~c NQ a~1wR`- ~ r~ra~.iu F L O R I D A /~/ A~ rr-E, OR 1RINT IM - ~~Y~~~~ RCGI6TNA1~•• NO. ~TL/~Q r[eMwr~~MT IMK 4~CEwStO-aAME nn~ ~ow~ a~s~ S[= Owl[ 01 Of~1M ~~M~+, o•., ,e•~~ !!f w~rp{ppt 10! ' "„'~"'"'s ,- Sar~uPl ' Zahnle Sr. ~I4ale ~ J~~ne 1, 1975 twCE .~wn, «ww. ~r~~K~w wNVw, wGE-~•~~ w.e~. ~ n.~ ~.a~ ~ rr~ O~TE Of ~VM ~.~o.nw. ~.•. COUttTT OI O[A~M ~u_ ~ sra~n~ a~rw.. ~.u.~~ ..oi. ~.n ~o~w~ ...~. n.~~ ~ klhi~E-`:~ ~ ~ ,• ~ ~ P 2 a~393 ,. I~'.~ ri ~n 5 CIiY, IOwW, OR lOCwiION Of OEATM r+we cw~ ~rn~ ~MAI OR OiNFt 1rtU11pN- ~ME ~r w~ n. ~~r«~~. ~.~n a~N~~ ...o rw.u~ ~ shcw. •es a ..o ,~ Ocala ,. Yes ,~ ?fimroe J•Senori.al Ho9pital S1Al[ d~htM ~w «o~ «. u.s.~., «•.~ ~CRRkti Of WMAT C01MitY MARRILO. N[~-Et MWbED, SUl11tVNC, SrOVSE ~» ~.wt. o.n ..~wN «.~~ ~ ---- ~- towm ~ O, O i wu+r 1 ~ V~V~~.~.~..K. .. New Jersey ,_ U.S.ti. ~arri°e~" ~~_ [~atherin~ F,. K~~ ..e.r oece~~e SOCuLL SECIMIIY ~Nl~E4 UStlnt OCCU-wt~ON ~o~.e ar.o o~ wwe ooMe ounre rosr w [WO d WSM+ESS Ot 1NOUSTtt nln ~ q~M occ u.~~o w ~O~~fi un, ner r n~e~ ~ ~~-,.,,~'.°~. ~^~ ,:_ 143 14 ~052 ~~.. Sel i' F.mn7 ~vwd „~. ~+41 Drive inn .. ~.o,.~, ...a. - ~ 'O"~ tES~OENCE-STA/E COUFITY CIIY, TOWN, OR l 1tOH "+~ ~~* ~Wat SftE[i AND NU~ER G~t ine svi l le - ! ~ Ocala ~ ~ ~M~V.o «~~ ~.. 4n10 t~d .A. p,~ ~.. FLorida ,.,~iarion ,.~. fwi11ER-Nww~E ~Nf~ r~ uu MOiMtR-~wAOfN NAME ~N~~ r.ep~ usr ,,. :~'artin Zahnlw ,,. Hedwig IMp1~t~,t+I--'uME MA~I~NG ADOtESS ~sou~ w~.~.~..w., ca~ a ro.~w, u•a, tr~ ~~• ',-;rs. Y.3therine F.. 7,ahn1P ~,: O N,~:. G P v' 1 ~ ~ r~ur ~. o[wn~ wns u~s[~ ~r. ~rr+r[e aar o~ uust r[~ irr[ ror teL f61. ~-+o kll u. .... ...a N~-~!r O~Ol1 ~r0 K~AI 1~. rrwwR Wrft • ~~ CO~c(%lnt.~ ~lr~ ~$c~ r.Q.c ~ADcf ( ~l'.Q'O~Q Yl~~f.'S/Q.S ^ . . • r, r~ - ~OM~IIIOM~. ~~ ~N}~ • ~ w~~tw O~h uq M ~~ ~ ! ~~rNUt~ C~Yff WI, Wf t0. p~1 ~ C ~ ~ K~ p: {t~t~MO ~M/ Y«~!l- . l~Mp (~tlN lnf~ I ~ `~~ ` fAti ~. OTMER SIGNMICANT CONDIf10H5: <, , ... to.w~rvrw~ io wa~r Mn rp~ aunn w u.ru a~.e.. ... ~.~r ~ w Allfallf K 11ES •~~r r~rr~wot ea+- If~S W MOI MN~fO ~M Oltt~r~~~w. Cll:ft ~ p O~atM 1*. VPS If~ ~~ ~ pw6.~y wCCJOtM fiMC A ~.q.nw, Mr, ~~~~ ~ MVU~ NOW (NIUt~ OCCUtIE~ ~~'O~~ w~wt « w+r~ ~N ~•~i ~ o~ ~S~r u, mr +~ ~ j IbrK~O(i OR 1M-D~1fRMM~ED I 4SAd~/~ 4 ]D~ !M. 70~. M !Y IH/URT AT WORK RACE OI MlUtti.r w.e. ru.., s~n. ~~nps. IOCADON ~ au~n o~ ~.~.o. wo., em p w.n~, n~p ~ ~fNCM'/ ~tf O~ MO/ ONK! M06.~~K. ~HKMf~ ' ~„1. }~. ~ CKT~f1UT10N- .wrw e-~ ~eu I .a.w wr .~u .•w us~ u.r «w/.ra .~~re o.~ ~ w/o.e «m .K.r w~ otwtM Otew~to .~ r~ ~uce, w Mr tllTfK~~M: T~ ra+a~ o~~ tW MOr .nq awu~. ~MOO~~ e~tt. u+o, q M Nil ~~n~rNO t~M M r~ arO+~leOGi. Ouf ` 71a Nce.see r~ou ~lH. fk. ~-- tl{. 1k. $:~~- ro w[ ewww su.ea. S CEtip1UT10N-MEDICAI E7cAlwMEt OR COlpr~ER: o« rw~ s~s~s p t«e ,wu~ a oe.n~ ~w~ ~ecea.~ .~s w~o..w.eee we ~ fur~r~f~ON M wR qo~ u~o/Ol tw MrHhGaNW~. w~ rt O~r+~oy, C~ r~lw O~t n~~ ~ wOW ~ O ~~e.w~ ot „ . o.. s~e wn wo eue w ar u~n~ srwno. C~ r n ~ ~. v~ ~arn VV~ ~ ~`77S M CERtlflf2-MAME ~+~e o~ ~~w1n S URE ~w~n p r~w! OATE SK.NEO ~~o.~w~_ pt.~, t~ui ~ ,~._ Courtlandt D. Berry I,,.~V~Z' lAN • t ~ ~e ~•! _ pc ~ ~,,, ~C~,~ w~ ~ ~ ~ ~aR+c, woOR[SS-cF,~tiK~t s~ .~.e. wQ. cm o~w~. ! J~-a~~e % ~s 1~00 S`7t~w~l~,aQ\~ ~y Q~~W~lon1 O~~t ~-7~ 1 l~ ~ ~ 2~.7 ll ~~urut, ae~~w-noa. R[Mov~t [wETtar oe u~~u-tORr-N,u~[ iouno-+ un o. ,o~.~ .u.,e ~ sreeN. ~ H. Brer.~ation H. Roberts Cr ~. Ocala Fla . ~ OwTE ~ rw+w, w~, nu ~ fUNERAt MWYtE-1VU~f ~ ~~ ~ r s. ..o.. c~n w wrr, a+.u. ru ~ ~ H+ J • ~n.Robe / ~ ~ 2h~Q ~ •. S, s6]? fUNE OR-SK.N~ U f i o~n nuwe ~~ ioc.1 q~~yuw~ ~ ~er.1970 +)H /Y.~ ~L%(i r ~ : " ~ ]N ` : ~~ ~ I' i • ~ J r~.-, j. s~~ ~ j=~. ~ ~~ ~ ! :~~~~=, : . ,~ ;~~. , _~ s. I hereby certify the above tb~; ~~'~ue ~an~~o~~~ copy of the local Registrar's record on file at the Mariori~v~d , Healt1~~Jni{~gi~-Ocala, Florida. ! > . .- ~ r:.~• ,''`: = ~ (WARNING: NOT VALID UIdLESS THE••~'~S~D'9'1~~:;O~.THE M~'~RION COUNTY HEALTII UNIT IS AFFDCED.) ~`y ' • ~ ' ~° ~-~,, ~.*' . w , .~~~:''_ (~,~ ~ ~` T,' , ,' • i981 FEQ -9 ~ ~ 22 F Ch f Depu~y Registrar ~ NI 1Ltc ~~:: «ce~;:~a ~~ v 4~ i ` i., Dir ctor, ion C. alth Unit 'S~~~cR~F'CNif~ASA -- -_ ~ r~ i 51~j ~ C:FPHC:°~~-"•~ C~~Ri. /~ Date issued ~ ~~ , °. ~ . ~-~' s.~348 ~,~~ ~i~ ~ ~_ tY~ }4 ':' .. . _-~ '_ _ __ _ . _`_ '.~.~_____~'__ . _.___~.~.~~ __~_ _. ._ ~ .~ _ ~ ~,. ~ Ff-V~~`.rY ?~'•-`3._a'~vfa4$ id".'.?,Ra~.r . - . _ - . ~ ~ ~~-~, - _