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HomeMy WebLinkAbout1780 . . . . ~ • ~f~-~~ ' ~V~~ `1 . , s ~ j . . . ~ . i - g` ~ , ~EdKAb ..~I~` - ~ ~ ESTA`rE ~E A~1NE E. DUDAN, Dc~cea:~e~ ~ ~T ~DEATH CERT I ~IC~?TE ~ ^ ~ ~ ; . 71 ~ 3 Q 2 CERTIFICATE OF DEfi"4 ~~1~~3 ' I~ ~ tiwe~~~ o( 1{e~l~ti and Re6a6~1' 've Senke~ fl'AT[ FIL[ NO.. ~ t~vc,x~v c~ iiF~ii?+ F L O R I D A ~ ~t T~?E, O~ /RINT IN ~i°~~u~~~° ' - RtO1tTRAR•f NO. ~ h~MAI~lINT INK OECEASEO-NM/E ~~itt r~owt SEX DATE Of OEA1H ~ rO~~N, O~t, t~u ~ ~ SEE NAN0/00[ F01 • ~n~b"~ ANN E DUDAN t~ emale Jul 27 19?0 ` ~ RACE wn~~e, Ntoeo, .wac•M INOUN, AGE^:~11 uMoe~ ~.a~ u~ota ~ o•. OATE O` NRiH ~+a+rN,- o•+, ~p~NT1f Ot ~f~iH C-. jj _-~i erc. ~wcu~~ u~mo•.~~e.~ii .ws. wri wa,~t ..r~. *u~+~ D ~ uhi s. s+ k ~ 3 roward ~ ~ . CffY, TOYVN, aR I~OC.A1~ DEATM N+~pe ~rt+' ?fOSMtAt OR OifiER HSTi iON- ~E iu !a? ~N ~~r~t~, c~e si~ee~ ..r Mwur~ ~ ! t?eun .es o~ Mo ~ t n Sea Ranch Lakes Fla. n. Yes » 8 hlinnetonka Rded ' , , rn . S1AiE Of ~IlTN w No* ~M us N•~~ C1112fN Of wrtAt COUNtRY AMJtRtEO, NfVER MARR~ED, SURYIVWG SrOUSE u~ +ne, oire Yu~otN wr.e r w ~f ca»+nr i ' W1pOwE0, ONORF~D : utcu~ ~ d~ ~ ' vw~~~eiba+e: I11 oif3 USA ~o.__[I'larried_ p*, 8en iamin G. D~i~^ _ ~rMea acewuo ~~~n V~~ p~~/ATION ~ave cwo or v~wa oa+t ow~.a rosr a KIND OF ~VSr+ESS OR INDUSTRr ~ trrp. N ot~m . . . : - . , „ ~ , MOkIli~ UM~ f1'!N Y~NHO 1 _ j: . _ '"~°"w°"~ , 2b2..62-9641 Broker ` ' Realestate revoe.~ce ~taa ~.+sro~ cm i~+~fi StREET nriD NVMtER ~ •eeuSSror+. ~ESIOENCE-SlAfE COUNTY GITY, TOWN, OR lOGT10N ~ ~ ~ ISStC~1Y ~!f Oa No~ _ - ~a Florida ~w Broward ~«Sea Ranch Lakes ~i+ Yes ~a.8 minnetonka~-`~toad•. fAIFtfR-NAME ~~tS+ au00at utt MOiMER-AtA~OEN NAME . ~ust r~OpU ~s ust ~s. - mi.chael ~ ~ Niec u. ' Constance - P~esna~"~ ~ ~ INfORMANT-t~tM~E MAtl1NG AOGRESS ~sraFt~ oa i.r.o. «o , un o~ tpwN, sr•it. tui t: ~ v. Or. Ben ami.n G. • Dudan ~n 8~linne~tonka Road Sea Ranch Lakes ~larida ` ~ A~ tOi~~u r? ~ • ?ART 1. pE/?iH WAS UVSED ~Y, ' '(Et~TER ON(T ONF CAUSF IfR l WE fCR (oJ, ~b), ANO (CJ~ :~TwlIN OMS11 AMA Ol~iN i~ _ _ ~.roun uuse ' f _ - (uI 11NE ~ ~/!t~ ~ i - . , . M 8vf'..Z . - ( coMpinoMf, u ~wr, • rM~<r o~re ~~ft ro (b1 y ~r.eo~•te e.uu ~o~, a,e ~o, w•s . co~st e~+c a: " ' ' s~~nNa ~~e ur.oE~- - ~ li1MG [~USt ~~St ~ _ ~ ~ ~~1 . ; . ?ART 11. OTkER SIGNIf1CANT CONDITiONS: ~p+anoMS cantqunwe to ot~m a~r Not ~te~no io c~uSt en[M ~w ?~n ~ ~o~ AUTOISY If YES wee3 ~~wo~NOS eeN- ~ ~ 1 T[S W NO~ LOl~lO 1M Ottteri~~MG C~u1! ; ~ - O~ D[~iM ~ • - t~ O Iw 1 ~CGDENT, SUtC1 OR 7A ~~oatr, w~, rtu~ MOW INJUlY OCCURlED ~ tMr[t wna o~ uuvn ~H r~n ~ oe r•~t n, mr ~ - q~pMIiC~ F; JR UNDEiERI~~NED ~ !M. 7k M. 2Oi. ]6~ ~ ~ . - IWURY AT WORK ?LACE Of IN)URY ~t nort. ~~~r, snen, r.ox+. LOUTION ~ snen w ~.r.o. N~.. em o~ iowM, sr.re ~ t ihan ns a~ Ho~ o~nce wc., ex. ~ urun ~ - _ !h - ~ ' / ~ _ . ~ ~y~y~j~t~_ ' .,o~,rN o.r ~:~e ..oan~ o.r .ewe w~+o uu yw N ~ee .urE a.. ~ DtD/O~D NOI ~~Er Mt DtA(11 OCCURRfO mt ruc[, w+ n.e ; ~ . ~MYSICIwN: _ - _ rOaM .~..n~ . a o.~,.~..o ~ K,~ . . ~•mMOto iwf c - TO } oe ¦w..uwe, a:~ - il~ otet.seo ~~or J ~ ~t~t v'`Z'J 19 Q tl~. j2- tt1- 1: ~t~. g i J. 5 r+?. ro nu u+~x~si sr~Teo_ } ~ CERTIFIG?TION-FAEDK!?l ExAJ~tNER OR G ONER_ ON iME ~~S~S O~ M! NpY~ W OI~M IM OKlOiMT MAS ~WHOUHCIO 0[/~O - AED ez.rw.r.ow or me war .woio~ n.t w.ut~e~rrow, v..., aw,o.+. na+rM ow~ re.e Maue , - ot.n+ occuwto a+ n.t o•te ~wo oue ro rne uvu~s~ s~.*ro. - ~ - !2~ ' . Al t21 ' 1K . CERTIHER-NAME ~nrt or rnnn S AtURE e w*+nt ATE SlGt~If~ c~a+*N. o•r, ~rKi n._ J hn enr owland r ~ n? ~ ~ J ~ ~ 2~ -7`~ _ ' 1r4AKMIG ADDRFSS-GEti~f~fR STtE(t O~ t.i.0- NO. ~ urr o~ to».+ sr•r[, uite 4001 N. Ocean 81vds ~:~derdale-b -the ~ea - Florida 3`~308 _ ~URIAt: CtEMATiON. REMOVAI CEMFfERY OR CREMAiORr-NM+E . lOUitON at• o~ ro+~ s~.*e ~ siean r - iw: t~~ Pom~ano Reach F'1 orida DA1F taorrtM, o•?, re.e~ fUNE1Gl HOME-NAME AND ADDRf55 ~ snte* o~ e.r.o. ..o., ar? oa ro.rw, sure, nr ~ - :a. ul 30 1970 K.ALIS FUP~ A H 25C 'x' e u a~ ~ a ~ i612 iUh1~Al01RECTOR-51WJATURE RAR-SIGNAiUR J OwiE tECErvFO ~Y IOGI~fGiSj~At ' Rev.1970 n~ ~ } ° t~.. ~ ~?~'-:f I~~D ~ _ . . ~ . - . . ' - _ - REOORDf01f10fF1•~1AL RfCOR'~3 800X ~ Of BROlMARO COUf(TY, FtORfDA CERTIFI~~ COPY - JACK WHEELER__ - ~ - - CiERK OF G.qCWi CAli~tt ~ . - . ~ . 'i I hereby cert~f~~the above ta be a true ~nd correct copy of the Local = Reg:strar!-~- : ec3.ci, on i ile ir. the Bro~:ard ~ounty I-:z~lth De~artcient at _~o ~ _ - Fort I,~~ttiiel~~~i3~; ,'~E.ldrida~ - c~~~ ' . . -~+E~'. - ~ (Xarnit~,: ~6~' ~alid• u~less raised spal of the Bro~r~rd County Health " ~ ; ~a 3~e:~~~6enLr1i"s ° af~'ixed. ) - " ri~ - ; , , ~ ~ . a . - "l yy~~ - ~ - y. li~e!~~t{j~)f~~.~• t' • ~ ~ ~ 'c~. } ~1~1i ~ ~ t~ 1~ ~ ~ p~-~' ' County ~ Hcalth i fi cer and Loc~l Re~i strar p-~' t • r ~ } - ~ .t ff ~ ~ ~ ~ • ~ - . / wc-'G~ (j ~ ~v ~ - - ' Depu Local ~e~ist~ar • - _ - lAMES R. ~'~JDY " - _ ~ - - Attorney at law lCt ~ U~ _ - . ~ ' EDDY ~ SPtNDIER, P. A ~ ~ Attorneys at Law 700 EASi ATLAN7IC Bt~ULEVARO 8 R~~~(~ ~~~~Q . f'Oh1PAt~iO B~ACH, FLORIDA ~3Jb0 ~