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HomeMy WebLinkAbout0962 Y.~~ : , `,i,~~~ `'-;i.. :;i; . j ' , L~ 4 ~ . CERTIFIED..COPY t~ . G77 ' I M[Rt~1' C~~A' TM~ ~~~~0 ~tI1~M ~'~U[ AND CONII~CT COM' Of , ' TML qqplNAl RLGOIIG OM 1'IL[ iN 1M~,W~V O' hTA~ ttAT1/T1C/ 0~ TM[ GtATL 01 y /~,OIIIDA, D[/AlIT1A[HT OI MLALTM ANp RL'NA~fLITAf1V[ fL11VICL~, AT JACK/ONVILL[. ~ /I.ORIDA. , . C~. l~„ ' . ~l ~ ~ a n~~~, ~~T p~ MfAl7M ~ND MNMIU~ATW~ ~ ~ ~ ~~ot rsuo u~~ , " • ~ ~ ~ .Y wRVKa. r un~u.~ ; ~ ,A ~ >M.~~, ~ ~ ~ ? ~ ~ ~ F~ ~ ~ l"?~ ~ ~ , ' . YN7~ /MI~IW 1'M MK M11~11C~ aC Y ..1 . ~ ` :.r/Y1YM~ M ~ud YN I~w~wu~~nw ~ - y~ . , r~ x, ' ~ y ` ! y'~ti~Lt•u,~~ 1~.{....~~~ I r' AFfIDAVIT OF sMENDMENT TO DEATH RECOR~ ~ ~ ' ~f~tt m ttmwA 2 ~i 2 I ~ ~~~~TM~~ M ~~ia +ru ~~xuu»~nrt v~rwa F L 0 R I D A page I N~~ENfl~ PaB~ 1~ERTIFICATE Of DEATH $~I I I ~~I q N F~le ~ FLONIDA m~MnM~r~u~f~ ,,.f~„«,~ _ _ ~..1: ~o~ ~ a ' ~a.rniro umrn~ ~.i~ ~ r rii~rwu~r. y~p r 5,1984 N~M ? 1 ! ~ ~ r~' ~.N ' _ ' 1 ~ _ ~A/~0 ~ LOC 10• ' PAT ~---r-- - le J, Zaocara 84~112748 ~ J. , NL~le M ' _ . 1 MMe~p~. ~ w~~~~ ~ o~ Pat J. Zaocara NWcPascNa „ ,o,. . FOUT~ x~, 1 • M 4M~ . . . _ . _ ' f_.._ M ~ Y . une 15,1909 ~RaLn_Neach ~ West Pa____. 7m B~~! r ~ t ..l_' MNS ~ G~7L OwiM (OVM`O ~ . 'Wf~Tte ` ~ y~~," of Palm B9dCh ~ Ca ; y - nr, I n Ha N o~ ~ p~~tN NW~ 5~ 1984 _ W " r ri. . ' ,p ~ w M~ wnt~r~~ ii~~~~la 4tI t W N+~+r "n . y•"r,~~, i ~ N OLA X C[ 11/ICF1( ~ OW~ ~MOULO ~K W ~ T p M e . y . ~ . f ~ rn 1 ~~t ITLM 0 IRtO 011 I LII 0* _ ' - _ - "y • _ . West Palm Beec~f _ St. "tauy_s H ital, nY, V N~ ~..,M,~^. ~ _ P a t J Zaccara ~ ~N ~ . ~ ~ If'71M'MMM~rf iM'~r M~~~Il1M1VIPM~~NfI` ~ ~ wm,wrnrnvnwrn".. a ~ ~ ~ MdTT1E(~______~_._DCVl(~d ~I~fQC~tli. _ • Fat J 2accara ~ New York j_ U.S.A. ~ • _ _ ~ ~ .Hn~vni,iei~.:n~iwouoin. j~,'~PJ1t~8 Tk'11(Q ' xr~v~~„~y _ _ iRU~I iYl.t~1 !~N ~M~nf,r~,~ . . . ~ i w•..~~MI• ~I~~~r~.~~...~ ~~A~„i,~r,rM . ~ FR~17~OI1. ~ _ ~ + D2V0~1 PCL~.~X1Rt_ . ~ ~n -Y---'-- 28-504Q l~°--5~ ~ , 41 ~ ~ g Devida Pelleg . ' ' ~,,.,~~wac~rY~~~M n~~vnw winu SUN1V11'ICJ _ . . . . . . " ~IV 1 .iiM~r N ~ _ . ~ _ _ ~e ~ s ~~..~~7~ pell ini M . IJCYUUU . ~ „~~_4lestwaodA~.- - _ . J--- p~ - T ..w~~? Devida Zaccara i _ 4 ...i1N 4~n~MNAU1 i,~',t Nt.(~~I l~~l~iau~1. ' ~ ~ ~ WW 175r WIM~1/ iIt' / ( _ Y1~~N . _~.~'..wP'~.-. - ' _ , . f!',iu 1 N~ ADDI1l0/ f ~ G ~twwy.~y~ A~ ~l)~ I/ +~y~~ _ ~ .y~._. . 1 N~~1~Y Of[~~~I fXAT fM1 ~~OY[ ~f11~YlNI1 ~~I tllYl ~NO C0~11fC\~ ' _ _ „ . ' ~ » - ^ ~}~r~~1sta Fla. 33458 J ^ J ~GJ bl•vw . " IV/011MANT 1 ~IONATUIII Q~(i.~;~_Q}~C~~,'~ 1 r~~~ ~io J,A I. ' ~ - - rr~imH ri nn~-wa ti r . . ~ - ~ r~~ / ' ~ O~ NO ~ iui~ of 1iIW'~!N ~IVw4 ~+rwl~ 5/Arf l.141lINrM1 MMI 19r N~4f 4. fy~/~~~ . M,1ful1~ ~ Cs~tion ~ lle~y Ctmnetory I Lake Worth,Fla _ _ .~..~,~•~a•~~ "•`~"I . . f, ~ v 14 'a , ~ ~ ¦ . ~ .y ~ i[I~PIS. _ ~NIxM~~i14f o~u~ ~ ~ ~.r w, Y4~ , rr,M I..• ` ~~I~-p~ ' Villaqe way ,ru~iter,ei. ~ _ . . ~VN L OIIIICIOII / ~M / ~~J~ , , 1~6 ^C039~L1 N / / _lQ~+_.. ~ ..~dT`~~ ~ COMMI~I e.r a nrv,.M~n. ~ t,i, ~ iow.r ~ . ~ ~ ~ _A _ I " M ~0 0~/ Mt OM ~ OI~ ~r S~I~~ OI nw^R ~ _,T . n._~ „i e~~~t~l~i.~ or Mol~ Lvr~ll[~ r~X ~rw•_.., I /r, ~W^M'^MiIMI~ 4~ ID~MO r r~~ r~uvr~.r r ~i ari r~n ; ~w Ir~ ~~i n.M 'n ~ ~ ~ ~ r 0 I~~~IIC~Mf 00 MOI W~Iff ~/LOW iMl~ lIM1~ ~ii I ~ 11:15a.m ~i ~ ~r ~rw~u.+a+ . 1 M__„- j~ nn"yrni~lnt~ll.n 4~ r,, rn-~NniMrfltfilAli~r.~~., IV ~ ii.~hil ii~~~ ~w~Nf.111rifilR ~rH~~, ni.~ir~ ' l~ r.w ~ ~ ~p - ~/~TII~CT Or /U~b~11XO CVIDIN OAi[ O~IOIM~I ODCVMIM~ 4 ~ . ~ ..i l . . . . . WA M~ y~N N~ ~f'!W \ 11 ~ 1 ~~~~v~ ~~~p W Ihf,~l f V~NIN, r~~v ' tf Henry Shepiro, H•~~ ~ 3395 Burns R~Ad ~~u1~C L"~1 `81~ Beach Cardene, FT, 33410 M~MI 1M0 ~~Mp 01 COCU~IMV IIMCIYpIMO MMON 1~1U10 AMD ~ r . - . _ ~ Pf~IJl~flvtNlt AN4rtiir..___'_' . ...._..._..vv~- ~ ~ . _ q • ' . ~ . • ~ rY1 S~11p.~.__.__ ~ , , u.~,s~,~,~.~,s`-,~ - _ . ' . . ~ n~~MM~ , •H ~ M~a~r~ n ~ . Yli „I ~ YM ~~frx~V Iy(l~n /-~i51r1 hl~ri . ~ ~y~/~. _~~PkO~A~~~hA!k1..__.-. ._.-L"--~`."" IN/DIIM7~110M CONCl11NIN011[OI~TII?N~ A~ /TAT ~DCGUM[N/ 0? CO~~[~~ONOINO NUM~ ~ ,~In, S ~ NM . a~ _ . y- ~ J_ . yr~Yfi~iw~ - . _ . ~~.,..r....~,~..,~~M.~, ~ _ " 1 - wv,.,nwaeri ~i ~ I . . ~ - ~ ~ . . bm..nni...~~~«i~~nn~~n ~ . r~~~ MdN~?1~ I OD~110MALINIOR ATION _ - ~ . ~ ~~lr~io run~inwi ~ . _ v~~~ r, ~i~a~w~iv~1~' - vu~N.~ ~ . ~ ~ , ~ o~ ~ i 'M n+Nrr~.r~, .n~..n .ww. ,..~rv,..nn... r... ~a~ H.4,N ~qr.< r,., r~.Mw~i .r1r~r r t tlr~i 1ho1 1 40v~ ~.amMO i~4 r~~~r. c~ r w~u , ~ 1 _ ~ ' ° iu. daum~nh r~for~0 10 ~ rnn~ . ^ ~ - • ]i~..~..~+"~ 1 rrr nnin ~ ~ na+ M~ rq una . _ . Nv ~ c a r n~qroM~rw,Ynn~, ~~~rn,n ai n~ e1u~w ~ onE ooWa fn M o ~r n~yMVr~MYr4nr'fN~v T " «r~rrrr r ~M'1•I~MM~'T'h I n 4 JA - I' . . I r. ~ ~ , , . - ~ T~~~ ~ , I , ~ ..i M . ti " ~ . ~L_.._..__.. . ~