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Home My WebLink About2126 ' ~1AT[ ¦OARD Or NiAL.Tti--V--- ~ •URtAU OF VITAL, tTATif'f1C• !TA?t FIL[ NO. ~ FLORIDA . SIR7 NO. R[G{tTRAR•• NO. . 1. fLAC[ 0? Y<ATM . COO[ NO. ~ 2. uWA~ RctletNC[(~~...~...,.i~;~. llir~ih~r~N: R~iiwaritr~~wiai~~) - a. OOUNTt ~~EC~ STATE ~K~ D. G01lMTY 8$ d. CITY, TOwX, OII Lt)CATIOM t. K iLACE OF OfATM t. GITY, T01IIfM.OR IACATqM K IIE3tDEfItE ~ 8AY PiNES Esc~TY O St • IifSIpC CITY LIMITSt Petersburg lIAM[ Of w« iw ?oepil~t, ~it afreq aQfrul) S1 REET ADDIlESS - 'T~~o " VA CENTER 973g 54th Avenue North _ ~ 3. 1MM[ f'inf X1Ntr LeM 1. oATE Mwt? Da~ Ytn ~uusn _ ~ K • ~ _ - - p[FITM ~ . - • SE~r 6 COIOA OR MCE 7- MAIIRKC~ MEYEl1 ltARR1ED Q! DATE Oi ~111TH 9. I1CE (l~ }ta~ ? uMOt~ rW1 ~ H tieS. ctobe.r ~5, 1896 ~ ~°r~et.r~ D... xw. _ e - rmoowce D avo~cco _ IQ~. tlSVAL OCl'tJIATq11(O~/t t1n~ ~JvOrt IO~t FCS. ItINOOf ~UStf/ESS OIl IMOL,lSTRY 11. ~~RtN?IAGi (~~ft M/~rti/~ M~t~f?~) I.~fTtm! GI wN~1T OOUMTRtt - ~ frr(w~ wwf ywr4t~, r~k, ~~.~~,K~ ~ather _ Providence, Rhode Island II.S.A. - 1 fATliEll'S MAME ~ I~. YOTIIER'S MAtOEl1 MME ~ Paul Crescenzo f~race inelli ~ ~ _ i. socu~ sccuR~Tr No. s 0. WALLACE. 1R .t~w.a. ~ - _ Z Z ZO 7320 C' ASST. CHIEF. REG OIY yA ~PRAL RECURQS I{. C~1lf[ M~tAT1! [ s? n~!/ iM tsuM pt? nt /~r (~1. tsf (t).~ - . IIfTLl1YAl ~ET~[[N ~ , ?A11T L OEATX wAi CAUSED tY: - _ 011l1T AIO D[A1N ~r~rcou?rc uvsc Infaretion. - - ST.LUC~~~ ~i~)~NtY flA. - A . . . Cy+t~kiMl, ~/yq~/. OuE t0 (i) • - r i~ - " T ~21~ $ v ri8wr tt~ctt ( • • . ~ . • ~~r~=- , ~ `F~. d~thy lAt ¦sltr- ONE TO (t) s - (~fw/ t~s~t Jwf. ~ - . 0 ~MT 11. 0:~1fJt S~GMfKA1R GOFlOIT10~6 OpIf11Mf11fNi TO 0[ATN ~IlT NOT !lt'tAliC TO M( 1EItr . 1? A Y ~ f . :HJ . i'[RICIIM[D) - ~ ~S~ NO ? ' ~ ~0.. ~ • 2Ab ocsc~~tc Kow uuv~r acueeco (E~u R~tr~e ~/t~ju~ b Pvf 1 or Put 1! ~J4aru 1dJ AtCILYNT wK~oc wob~c~oc ~ . ? ? ' ? ~ !Oe TIME Oi Horr M~nt1. D~/. Ytar - _ - ` IMiUR~ f~. ~ y. n. r f m[. lKtUR11 OCCURRED 2Dr. lU1CE Of IIUVIl1 (t. ~1. -ff~t N~yst Ms~t. 2% CiTY. TpMIN. OR WCATIOM OOUMTY STATE ~ - w01lR AT ~ ~ ~R E ~ /of~. /~tie~1. ilred. ~~ar Arf~-. Nt.l - : " 21. ~ •nd~dflwd~a~a~d/rom .Z~~ . fo ~~1~.~G~l.~.,~~~~~~rl~/'~•/'Pf DaatA occurrilit ' - 62 S~ on fh~ d~t~ ~r~f~d ~bo+~; ~nd to rh~ b~~t of ~y ~no~l~d/~, l~om fA~ eauNa af~f~d. _ - NtMATIf~~~~ (pryrtt~i Ztb AVDltESS ?Zc. OATE SK1K0 t"`L ~+'~C7- - YA CEMTER, ~AY PINES. FLA. _ 2/11/66 z~•. c~•°~~,. ~?r- y WeNll.s~wn ETCe~ietecry o~r St. Pet rsbur Flsri~a~~~t~ _ - Ss j{ E 'S SlGIFRTWE a~~p~~~Te BeaCh ti- OAiE R:tD. tY LOC~L REG. 26. RE TRAR S 516N~TURE _ _ . ~ - - - ' - , , ~$f. Petenbura. Ftur:u~ c~ ~.9~- ~j- 7~ `l~ , ~:L~ _ - - . ' - ~ ' e a.! • - ~ . _ . . - - - _ ; - Q - ; _ _ ? CER1{~~'~ED GO~MUST X'.iARRY TNE EMROSSED SEAL OF THE REGISTRAR OF VITAL STATISTICS . , ~ e . . x'.S 9' : . .~-f;` yc'':. . - . _ . ~ . A : . ~ . ~C . - . - - " '~``=`°~.b~t~~ji~?certify thar this is a true and correct copy of a ceriificate . f•~c. "~-~n~tfil~:i~- the office of the Local Registr~r of Vital Stat~istics of the "PinePlas County Health Department, S~L. Petersburg,~~].~r' - _ _ ~ ,7 /"7 800K~~ PitGE~~~~ ~ - April 15, 1975 ' .r- ~ / ~ , _ Depuzy Local Registrar . ~