Loading...
HomeMy WebLinkAbout2343 . <i ~ ;~~n'7~: CERTIFICAT~ OF DEATH Q~e~refwuwl ~1 ~IMK M~ Q~a~1~Mthe $etrkw KAtt FIL[ NO. ~ ~ ~~~~~~n~ ~L' ORIDlI 1 FtGtiTRA11•f NO. -N,~Mt ~uu rroK~ 7l . OA 01 OEAM ~~owtN, o~~, rMt ~ ~ t. S'lt1AR? lt t RAC! ~n, i+ww. A/IfHC~H IMO4M. AOE-~•~~ ww+~ i.~ o~~ DATE Of MRTFI ~.~oa?w, a~r. CWNT1f Of DfATH ~~c. ~~`11~! ~`~"°~6•~•~~~ ~•w~_ wt~ MM Mt 5 ~898 P1ttt11~• - ~WH. L A n+we~ cm ~wm SMTAI OR O t ~n Nrn ~N a+ne~, owe irwn .w Nuwr~ ~ ' s?tun .~s o~ rro r ' South~l~~s~daaa Yos ~ Palos Of Prsadsaa Hos ital S~Ai! Of M17?1 ~ t ue u.1.a., Hare ZEN Of w?tAT COVN`1lT MAR~IlD. NEVlR J11A~It~. SURVIVlV~ 1 r wut. one .uatN ww ~ ~ Yir=is~i~ n. S. A. ~;1O~o~+~°s~°~o~~~.~w, ~ SOC~At WIIMKR USUAL QCCU?AflON ~ave i..o a woeu oowt ow~.+o rai o~ KNQ Of NlSMtSS OR 11~V31htY rW[Mq UM. !~'!H U MMlo ~ S77•36-166SA ,y_ Muna~~r Autcowt~v~ Su 1 ~ - ~ e~sEa?~-st~r~ tourirr cm. iowr~, oR ?ouna+ c~+. ~~.K. ~r~ ~no l~lorida ,N. pinRllaa Gulf ort Yes« 6100 Citlf ort slvd.. Sa. fATMER-NAA~f nq~ awou asr MOSFIER-MA~OfN NAME ~~ai weat w~ ~ If. ~~X li. ~ V ssi~l~ ~ I - ~utMG ADOnES1 unHr w~.r.o. ?w., cm a w.n+, u•n, tr~ . # , Kr. Maurics Chis~il ~n. 5913 Gr~enlawn Dr. th a ~ ~?m o~?tM wns ut~s[o ~v~ ~Ewttt oHtr or~ uusE rtR twt Ecx ~oi (b/. ~ k11 .n:.K~ o~+ ~w .u,w~ ~ 11. ~ - 3 ~~y e~,41,~~ ~~11'~+~ll~~? i . ' N x ~ COMMIOMt n wM Q ~ y-~ ~ a ~ ww~cK s~t{ ~~sf +d (~1 rw~~.~V7~ ~rrtNAN <AYM M1~ - ; . ft~aNa twa vM~/~ w~ ro. o~ ~s • tw~sewtMte o~: - r ?*~o c~vu a~t ~ k) - . _ ; Mi1 M. OT?1!R SIONIFKAMT COHOtT10riS: a+s caaw~mra a wn~ av+ wor L~~ 1O Gl4M OMM M I1t~ l l01 AUT~SY IF 1fi: wtn n~ro~ taa- ; ' 1'R1 Of MOI ~NN~ IM Of'rfYNKMO CAYM ~~w 4~ N~tN ~ R- 11~. ~ ~ rw+m. ~?r, nu ~ „~lW IN11MT OCC4RRfC 1 t?e!~ wdM! 01 ~wrvn IN ?Yi ~ O~ ?M7 q, wr u~ ' 3 ~ fw. ~ M. 1M. 1WJNlY AT WOMC sr »ow. n~.., ~we+. ~~rot*. IOCATiOH ~~~per a ~.r.o. no., cm w ro.w, a•x ~ ; . 1 NK~/~ R{ O~ MOI 01hC! MOO., ~lt. ~ MKM~ 1 - . - ~ ~ . - ~ ~ - ~ . ' { ~j~~Tl~.-- _ Mp11M M~ tlw~ MONM M~ ~W I1N Wt Mw Yw/1~ ~lM ON ~ rwio~ .a..~+ uw oewn~ occuneo ~f IMt ~Y~C!• OM 11R E ~ NI~M~~ Aor ii ~/~lI'~ t~QCT tt~ j0 h~' W~t ~RR OtwM. IMOW1 - M1l...~, +o +M r~r ~ ~ x,n.ws n~. Y iN. ta 9 t lOP o w i.~ 3 fqt~- : a. nK w~s w nr oww a oe.m nK acc~ew? rr,u woMOw.ceo ee.o n~wwra. a tMe eolrr ~/a et .~nfsra~no~, :N r+ dr.~~w. . rami o+~. . nwe wue ~ M11tw Ofl-YY~ On M! M~l Mp !Y! ~O tN! CaYNlil ts~RO. . . - . ~ rn ~ mrt w rrm a imt i.anN. a., r+wi `~:e`~~~c• ~a,~s~~c ~~c .,~,a " ~w o o r ~s~ ; ?AI?IING AoO~ess-Q~f/~t : i.: s s+~ a ~o_ w so.a ~ R.w tv - + - r,,. ~ ~ .;r N. s T ~ rt !•A-_ ~ - € ~URIAt. QE~V?TIQN. ~lMO~II ~ . i : tOG cm q ~o.~. ss•n _ _ ~ f~cin ~ _ . . _ * T ~ e a s ~ ? ~ _it' ' y{r * a~ ~'~ii=ii ~ ~t. H~. ~Ma ~ awa " ;f DA • ~`:r ` oa ~.r.o_ no.. cm w tov?N, it.,„, tN t t : . ~~t~~~: : ~ . ~ .~t~C;'~C. ~.~.a.,~?.. s. sc.r•t.=.~r ri.?. 33~0~ ~ - r ~ . ~s . - ~ ~ - -t--' ~K - (~.~~rr . •:r'[ir- fli. - ~.i~-= , , ~ ; A CERTII~~D, ~'~T THB F.MBOSSED SBAL OF TfiE REGISTRAR OF VITAL STATYSTICS = _ ~;j <+~~.i - ; _ ; y, ,z ~ . ~r~:,,:,.~-''',~,~-' ~~t.,t:> _ ~;h here~~a~tify th~t this is a true and correct copy of a certificate ' `=.ori~~fl.l~~~~~t the office_of. the Local Regiatrar of Vital Statistics of the - ~ Pincllas County Health Department, St. Peter-sburg, Florida. - 16 October 74 , Dep~ty Local Registrar _ . - - . - - _ =f ~ a a _ , _ ~_.~___....._~s__~~-...__.~:'....' u~".~~.~_ .._~~_~aar.-~..~_.~-...~~~~i:++~ _ _ _ _.~~a. - 3 _ _ - i . S . a ~ 3 , - ~ _ ;1 _ - F~LEO AMD RECOROED t~VU' - ST.tUC1E COUNTY FLA. ~ ROGEn POI7aAS ~ ; - . - cLEkx :~~u~ ~ ~ovRS - _ ~ - - REC4R~: Yi~iftED ~ - -a - ~ - . ,i~ ~9 ~ zo PN'~5 _ - ~ _ _ . .3 ~ ~ 3~i1'r~2 - ~ ° R 24~ P~C~2341 . aoox - ~ . ~ . ~