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Home My WebLink About2532~ril Ir~nt _ ir--- - .s~-s.r~. . _ . . , -_ '.. . - ~ - S1~a~S POIK COUNTY NEALTM DEPARTMENT ~~ ~1 ,'~1 _' _ . Mi l l iaa~ F. Hi 11 ~ Jr. . M.D. ~_ . ~....~+. CERTIFICATI OF DEATH "'"'"' "'. ` - ..~ .~~w~-~~- flOR10A ~•4.~.~. P C' O1~ZR .....w......s~ ~+-naeaw~r..+..~.~... ~ ~ Ns a ~~ ` Oltd6tM-+wM 11A1 1/~-I w ,, DELTA M. FOD~N _^----- -• F~-le Jt~l~ 18,1979 : .....~ ""°•• ~ «~: ~ W1' 77 ~-~ °•~- "°'~ ,T~-~Oct.124,1901 ~Polk • {'~'l~te ~ ~ - w a.a+ ~r.....eo. ar. ~o.u a wvnoM a a.~ wu~~u a o~ rsnan~a...,... ~~r ... .. ...«. r« w.«......~.~ .~,. a.. + ii..rrl ~~ ~ Lakelan~ k 2126 S. Smithfield Place x ~ tt~pOrMll/rwM C~t~2lwW~tOO~M~Y w~.bv0~~ ~• ~ uAVrvn'Gf~pM/4•W ~•••~rMrr! i ~~'-~-""'~ V~ Marr~'e~ ~,. David Foden , ~ • Kansae •~ ~- _~_ ~ ~~ ~. ~ wuo.ua : 'tro e. rx.aw o~ r~un~ , ~r.. wa w~ uw.i oon+-wnoM Is~• ~••r y•••~ ~••• ~•'7 .~o ..a•u~ ~ ~ .... ....~+- At HO~ i u .W ~ ~<~ia ~ ~ 23Z-05"~23 ,y HOL1ee~~I@ ~ - - ~• r~t+eanuon + ~:+•. e N-cN ~H~r ~.~ raww~ ~ ..rr.yCM ~~,~~n ~pT f~t~. qM1 p WCI~110N lfl~M /r ~ f~/ ~'-"` Fla. ,~. Polk ,., Lakeland ~,., E. Smith! eld Pla .. yes ~• , ~ ' .~u ~.oae +~p r~net-~wr ast rww~ wt .w~r~ r. x.. w.w ,,. - John Fink • ,. Ciara Smith n.n t+ M/'O~n~Mt-aN111 lT1M r Hrl rrayw0 ~00~!! l~~ltr q~~.0. -+O~ dTT O~ 10M~ '.i ,,. David Foden ~ ,~2126 T. Smithffeld P1a~ce,Lakeland, Fla. ~,r,~ ~,n w ~aw tun ~u.~•-. aw.~ ~wwu. onr~ a,•+.~ nruK• a o~w~-+~-~ ~•• Recao - Burial .~. Pinecrest cemetery _~ ,.~ Sebrin~ Flae r ng ~.. a..cra... , - R,..u ~ow .Q, ,#547 ,,.Warren.Funcral Nome, P.A..P•0• Box 116f Fla. ~•• O~ J. M~ ~ a ~~• sd/~/ MAM'M~~. y1 1 yt~~M r~ 70. ~~ +. ~w. M w I w~'' '~ ... ~ ,,,,,,r. ~. .. .... ~.. w rY~+ M+ !. .. +~ .~.~1.1 wrl ^ ~~wMrr~ ,~ ~ M j~ ...r...•.r~r.+.~~--- j~ I~^ re lil, ~~ _ _ _'_ „/'_- " ' C~',:iV1U~M..b.r.i.~ ~~«~~TM ~ ~ ~ ~ J~a r ~ an~worr~.~•~-! ` ~`-------~ -- , - - ---- - _ -- A ~ w ~ ~ ~ ' .~wt1o ee•~ rr.. r... -•.i ~ ~ ~ - ' j . _- - ---- ~..+cw ww~ ~x_.~ ~dutl Or ~ttl~pr6 MrfKw. ~. pt~1~ fww •I~n~~l~.~.r ~ r..u : . c•. „.•t r- ~ - -- - - --~:...~..e.~a«.~~~,~.~..~.,:~ Y!~•:.1l1tAM1M~i,;.:._..., 33803 ::Russell Smith MD Watsor~ Clinic, Lak~land, Fla. ~ y•~ .ea~rto tr ~errs~w ~r.. w.,. r•.~ 't~""" ~~ '% ~ ~ ~.Jul 19 1979 n. n.•~••-- `~,~fc~~ '`/`._'~t ~-!-~t.•~__~ - - -° --_ ----_. ~__-~-,_- t_- ----- coro~l.J.4 _ _ - - ~ ~....w+'• w. w~ ~f..~+ ~~~c~ N WW __ (1~71! N t W~ ~ K u-!1 '~! IW I~~. /~i. ~I ~. 1 ' MNMpWVI , ~ {~ ~Q ~ ~~..~~J~i~',~ IrYI: ~1~ ~~ ~ . . -. _ . _ ____._ .' .~-_ '_ ' Iw~ I w~ ~~/ r/~ [~.'1 wl - :•• ..• ~M OY~ O~ Af Mp Q~. ^ ( v~~~..~+q . Uutl U,• ---- ~1 _ ._ .- - . _ _.. _ -- _' ' , ( ~rM ~M ~w -'_"- out q o~ ~f • W. i _~ _ ~ , kl ----~ --- ~•~t ~ w~ _~_WO~fr UM.~/. v~~t C-F M q r[pUi _. ~ Lf-M~ AMi 00~4~w~+Mi'1 ~ ~~ \I .~ qlrr ~ ~ww~ ,~\~/~ ~ _ _ -- ~r O !MY!M~ /l~,r ~ s.~ ' ~ » ~y ~ I i ~ w~~~~IK,/~s - - - - - - F - - • ,~, O O~ii p t •!r•. in ~DU~ N 1Y+1• '~Cf'{/ YtM ~M71It UQIM~O i+WAI KCOlM~ ~' 110M~C-0~. ~ II~~~ !)/~Vrl ~ Y 7'~ • I~ .___ " Il~ __ "- _'._- ' '_' _ S~Rt~ O~ f ~ 0. ~r Rf~ M ~OM~~ 1'~q y~J~/~ wf \IO~[ /!~• -~ It11C~ O~ itirJ~• It f~y+ Mw• ~s~rf. ~~ -a!~^~ iJr~~ y. .w•.......~1. r , • ..,: a. \ r~ ~.c~rs a. . ~ ~~~A ' I hereby certify the above to be a true and correct copy of the Local Registrar's retord on file in the office of the OiVIS10M OF VITAL STATISTI~CS~ at the POIK COUNTY ~EALTH DEPARTMENT at WINTER HAVEN, FIORIDA. ~ ~ '. Cou~nty N aTEli Q-._ ie1',~ , ocal egistrar f EB ~ 3 ~~~ ~ -- - ~ - ~~~.,c.~ ~~z.~'~m.~•~ . ~- ~~E _ ~ Date issued __~•.i,,~~~ A - D:puty Registrar - , `: _ . t .. • ~ - , - -... : } 'dAR'IIN~: NOT VALID UNLESS RAISED SEAL'OF T~E.AIViSION Or VITAI STATISTICS. POLK COUNTY HEALTN DEPARTM"tNT ~! S/tFF~ XED. S1'7315 ~ ~ ~ ~~~u-~. ....~w ~~ „~:Y~ .~ ._ Y _~s _ -: -, 1981 F~~> > 7~~~ 4: a i c; _ ^ r.!.i "-~ cu~cff:t, ;?. LU;.tE CG~J'~ "i. _ ~ rt:~ER PGI ~ RA~ ~ . -- CLE~M Cif ~l' ~ "~~ ~ 3~?~lK J~p P~GE ~~~ - -- ~-~ .~.~~~>:~~ _ - .