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HomeMy WebLinkAbout0955 • . ' ! - , tiI . . . _ ~3, , ~ s~o~ . RE: CHARLES F. WEST, deceased LEGAL DESCRIPTION: Sea 8xhibit A Attached hereto. . ~ p CERTIFICATE OF DEATH 0 3 a~ ~ ~ fIORIDA ~ ~ou? nu .~s. sr~n nu re. ~ ~rn OlteDlw~-wuit nqt M~OOI! V~t1 R[ Wt~ W Dl~Mir~. Pn. . . .W".„~, K WEST , ~le ~JaN , 13,1983 . ~~.ta u~ e+a.-+~ . w.~. wa. •¢E-~..~ c..,?a,s wot~ ~.t~~ a~t~ ~ wr o.ti a Vat~ Ir.., o... n.~ co~ra• a a~n~ _ w. w~....t ~ ~s.~nn~ n.. . ros-1'oT?r~ rua /.~0~ . White s. 61 ~ - k. ~ . MaYch 1921 Brevard ; Gl~, IOWM p IOC/~110M O~ Dt~~N NO6?~1A10~ O~~ M6111y110~i~~ 111 ~r r nJv.1~ .v~ w/ r~wJ /t IOY p N8t It~/<rr OOI?. ~ Melbourne Holmes Regional Medical Center a~"'~n`pa~~nt~~ i ' • suTe a wemru.... GTII[N Oi WIYT COWffT +we,~. ~rtvr~ .wnm. su~vMw s.a~e m..a. w• ~ ' ~ ,~;,,,~.«,o~~ . Califoraia ~ U.S•A• ~~rr~e~~~ Marie Louise Grahsa } v.~rc.e oe«~sco • veo ~r a~ni soaa~ ucuan wr~e~ usu~~ ocw•r~a+ lc... wr .r ...a +...,e ~wo a ww+t~s a woucnr 1 ocaM~to w w~..~ b.• Y.....~~ ~ ~~T~~~~ ~ „R Execut~ve Electronics .t:~o~~~ u~ 551-18-3326 ~~53WK ttLDE~+Ct-iT~1[ CONNft GR. 10iMN p liDCAt~OM t~tEt wND ~aW~E~ ' ~ ~~OE GTr ur~q L~ ~y Florida Brevard ~k Indialantic I418 S. Riverside Dri ,.,~es ~ ~.nu~--,:.rt r~~t r~ooae us* ronrt~~.wioew w~re ~ist rqac u?st ; Charles Nenry WEST Elsa {~iEBER ~Naaw.a--.+..w ~n.. « r.... ~~n+c •aaes sraet o~ ~.r.o. w. oa oa taw si•n zr Louise G. West 1418 South Rlverside Drive, Indialantic, FLorida 3290 RI~u?l, {tl~utqN,~t~OV4~• O ~fr...f.~ CErE~tf? Of (ffr+rOtti-.r~wuH tOCA~~O~+ GT~ O~ 10~MU S~~tE ~ Crematiou~ Melbourne Crematorium Melbourne, FLorida ' ' ~ tto ve. - /~Ml~l D~lMOR . ~IYd~nl ~DrE ~DOIKIS • ~ ~ ~ 596 g ~ ~ ~~11 ~neral Ibme Melbourne, Florida32901 F ~ 70. 1. +i. w +i. .r.. ~ . 71.. o. w ~ ~-..s~~.q ...7 w.+~ «o~we « u... i ~ ~ ~wM61 w~ M~ fM~t rd M r M+ cwirW ~~w. ~i ~fyrr~ W TMq , j~ R~MM w T~MI , i ~i *j _ ~ MiE SKrNEO fl1... . 1..I ~OIM O~ OE11M j W?lt f~EO lY~. ~in. 1•.I ~DIR O~ OEAIII , ~ 7:10 A : ~ Y 10l. ~ 7R. . r ?1?. Ac j~ w~M! ~ ~ YW q OM~ Tww CEai~i~F~ Ii~?~ r?~/ a j~ MON0IMCED Dt~O /Y~-. 1~... 1..~ MONO~KED OE~D ~Mw.i i- s F in 'E ~ ]0! r! O~ _ 1M ~T ~ f'i W1Yf R~A AODfEiS Of CEl1lflEf p111SICUW. MtDKA? E7/~Y~NE4 /1)M ~ M~r! ~ . Robert~C.Seelman, M.D. 200 E. Sheridan, Melbourne,FLorida 32901 , ~ rtwsieu ` MtE tECE~VEO ~'I lEWSI~.?! /~b~ IA. Janusry 14,1983 co~aT~ors sa.. is......»~~ _ ~ - w»`~a wvE x wreou~iE uus[ et o, 0.1~ ~~t~ I'u u.l ro1 ~.ti r rr~.l ( we.wl ~.~ww w.• .,e ~ !`~iO rnn w ~ ~~EdAif ~ ~ ~ Ui6E W t7i Aafl~ nM~fi OYE 10. d/3 A ~ ' Iw~en~! M•wr ~nr• rd i~~ ~ M PY ~ ouE ,o. o. co?afa,EtX[ o., ~ ~..n.+ r.~.....1...... O ~ ~ a y'O~~~K~ ' ~ ~us On~f~ S~w CO~O+t~ ser~ry r e~w~ k w w4wd ~ asw ~.w. rui ~ M _ wtOKt ff~w+f• M1AS CASE lEfEM~ W MED~GI « ~w r r1 EJfAN1NH~~r /1y ~r a. y@8 ~ YeS p,~c~1~ KCWEM. SIM~OE. ~ W~E Oi wUUtM fr~.. M. t.J MOt1~ Oi My{~t GESC~~~E ~Ow wtMT OCO~ 11Dr~K~OL v V~DETE4u?Rp /fMeUr! ~ ~ ~ y~ ~ - r v~ rrK E«el1~. INJYfY A1 w0~[ fiJr• l'w tlKt OF INJ1Rt Mc /~~1.ti ~r~r. 1.cw.f. ~~•a ~:Ny. lOUT10M • SllEEi OR Ci.O. Nw ~ Oi1' p 1dMlb fGTf Jaa t~ p~ • ~Z ~N af L I HER~BY ~~g~C THS ABOYE.TO BE A TRUE AND CORRBCT COPY OF THE RBCORD OF FILE IB TYE LOCAL AEGIS~'aA$~~cpFFICE ZP TH$ BREVARD COUNTY HEALTH DII'ARTMEIyT. _f, , ~ ,;~j~.. .,~t ( Not vay'~i,d unless th`d~.t~t~ of the Brevard County Aealth Department is affixed. ~ • - : , ~,,..i ~.,,~t ~ s . r- ~ ~ C ~ ~ ' > Y' ~ Ip it ' i ~ - ...~i ' ;~:J..; ~ G~ ~ i i~3 ~ IQ~, ~ I,~ + ) . . ; ~,,r~;~_~~ , G G ~ y .~~:G-R/s-K~/ • ~ • . .1 , •~r~~ ~r ~ r - . ~ °'°'h~ ' _ ~.~i~ Local Registrar _ :~';~''''~a~~'~'' . ~ _ _ -~co~ . JAN 201983 ~ ' . ' -Date & Seal ~ Chief Deputy Registrar " . ~ . D. GENE iiOBERTS JOHN HURp~E yql ~f, iTEE~E LEE WENNER JOE NfICKHAM ROBEfiT L. NABORt p, C, yy~NSTEAD,.IIt. Ch~irmsn Vice Chsir+nan Disitiet 3 pi~ttiCt 4 pytrict 5 County Attorn~y ` e ' ~ ~ 8~427 Pa~~ 95~ ~ ~