Loading...
HomeMy WebLinkAbout0985 ( ` o.~ -~~_v`• ~O , ~ `~416~6 ~ q ' . i - ' • ~ ~ . - r.~ . . _ ,1+ • ~ . ' ~ ~r .L+;."~''n: .,4 . ~ .r ~ . ` ` ~ • y~ , . . . i rMi~ _ s.~+ r • • . DAD~ COUNT'Y ~ . ~ . ~ DEPARTDdH3NT QF PIIBLIC) H~AIlrH Y • • ~ 1350 N. -W. FOURTEEN S'TRBBT= . ~dIA~I~ 1~`LORIDA SSl~ ` - ' . - . . ~ ~ DEPARTMENT OF HEALTH ~t REHABILTTAT[VE SERVICES a. ~ • ' DMSION OF HEALTH _ ~ ~ . - - ~ ~ ~ ' ~ ~ r t.~ I~'~~ I ~r~~TOM s. swsu?w. Mo. M~+. o~w:cTOw • ` . • } ~y -~-y-,. T np- f~ ~-}p - M. ---~~p.- T_ M_ .~+Ta. - _T- _~-~p- -_•Z•_T-~..----•t- • - ~ ; ` . Z Ao+acWi ~i~i ~+S ~ DO O iiWi7 ~..V~ \/c ~ 1/lML ~iSii~fi~'S ~ 4/Y~ - ~ . ~ . . . , _ ' - . . ~ . . - ~ $ - . ~~~5 , - ` 8 -;(Not valid tuiless the rai~ed seal ~l"Y ~ _ ' ' l~ ~ of tha ~ureau of Vitai Statistica - nI~ ~T . . , L - is affixed.) , MIl~MI, FLORI~ ' - - - - ~ - . ~ • ~ • . . - ~ - - - CERTIF[CATE OF DEATti • - ~ ~ ~ ~ pcp~rtw~ewt ~f Nnh~ ~ ReVbl{q~tln Ser.kc~ *TATt IILt NO. • ~sg~~.~ . av~c~n oF r~w~m . F L O R I D A ~~V /6ra) - ~'~~"^'~R`10'° - 11[OIfT11AR•~ NO. _ _ DECEwSEO-wWE nm r~oae ?~i~ Sfi DAfE Of OEAfH ~ rort~~~r, reu ~ C ~ , Thon~a s ' Ma 1 e Au u s t• - - IuCf .Mm. wte~o..re~wu+ wsuw, AGE-u~si wee~ ~ w ww~ ~ e~r OATE Of NRiM ~.~o.nw. M~. tOU1~T~ Of DEAiH'~ ~;.3 tK : ~ Fwn u .r n~uf i rot. wn ~s .u~. ~ ~ : ~ l'i " ~ ' 7 ' - . , W~ii te ,.~7 ~ k Dec. 2~8 ~1906 Dade - - j ~ CriT, iOwn, O~ lOG?t10N Cf OE/?M «s~ee cu+ ir.q lIOSMiwI OR O'•N~ !~S - ~w nw w~ em~. cne iw~*y~ .~.re~ ~ , snca. ns w ra ~ . V 3 r'- r.. ~ . „ tVorth Miami yes Arch Creek Nu~sina Ho~e : ~ ~ : S/dtE C?i NR1M ~r wor N. u.s ~+ue CIi12EN Of vVl1AT COIRITRII MAtR1ED. NEYER MARbfD. SUIVNNG S1'OtISE ~r ~nre, aae + - couN~n i wIDOwED. ~ trecn ~ ~ -t ;.J ~T . , Kentucky , USA N Marr e~~ EVa Greenfi.a.1 r - c-. • SOCtu SECUR111r NUWEt USUAt OCdJtAT10N ~a..~ crw a wec ooNe ou~wo ros~ w KND OF NlSr+ESS OR MrDUSTRr t~ l-: p . rOSMG tMl. MM r ~l1MIO 1 ( ~ i -1 . . 365-01-2826 A Supervi sor Packard Mbtor ~ a~ ttf5?~ENCE-S~ATE COllHTY CITr, TOWN. OR LOCAf10N Msef t~r arm Si~EET AND _ ~ vecu~ ~ef o~ ~.o - E,~ Florida ~p.~ Dade North Miami ~w es ~a 110 N 128 fATftEY-MAA1E rror r~oote usr MOTMER-MMDfNNAME ~rsr .raoie u~sr Robert ~ Sei tz ~aura Ashb 1 NiORMANi-HAME MAIN~lG AODRESS ~snen oa ~.~.o. .a., em w w.n.. s+~n. :r: Eva G. Seitz 1105 N.E. 128th Street North Miami Fla. ~ FART 1. DEAT11 WAS G?USEO ~1/: (EMER OrKI' OK C~USE IEt lNE fOf fob (b~ ANO (<)I .en.~eN o sn w.M ~ . . Y~lOUR . . ~i/ ~ • ~ . • • . - ~ core~noMa u awr, , 'r r~ I '~'pICM a.re nsi ro (N ' ~ ) t 1 ~k,: ' ~r..~w.n e~vse wr, ~ ro. ^s ~ eorstout e q ' `t tir~nMG tMf ~MYt~- . ~ I antiG CcVff uU _ . ~ V f tt' t 3h~T II. OTMER SIGNIFICANT CONOIT~ONS: Cp~Wnpn tpwwunr~ ro ptwn~ ~~n .qt ui.no ro uuie em~ n. ~~uf ~~o~ ~~r f tE5 we~e aM~~wos c~- . 1 tti M NO~ MNfRO ~M OlittiuMn+b UWM , ~1 O/ OlnIM . IA I~~ N~. ~ ~ yi~ ~ F~~bt~t ~tUDEM. A N! ~ rwn~, e~r, re.r ~ NOUR fiOW INJUt11 OCCURREO ~ E.mi .un»F u:..rvn rr r~ar ~ o+ r~n N, m,. ~ ~ - rK~!±.!Gaf: O~ 1IOEIEtI~IINED - " " . ~ ~hi • }D 7!c M. !M , . t w tu~lr ~T M/OtR IU?CE Of INAJ~/.~ wore. ru.., irea, r.noer, IOCAT10r~ ~ sm~r o~ e. Mo., un o~ +ov.w, sr.a; ~ t rt<~ rt n{ W MO ~ OwKa MoG.. ~x. ~ f?K~n ~ .i.+ : . YGa 1M ' lr'" =_S i ;1' ' ~ . ~ C4[t:i1UTIOH- .a.~r e?r nu ra.M ~.r rw uw us~ s.r ww~ue~ •~~+e o« ~ ao/e~o..o~ An' c..4:N ottwltO;~~V L~Leuce. w ww PkTL1C1?M: TO y ~,,f ~~TM2. ~l.~~R ~00T ~rtl~ 04Mr`~ a1 J}..- jMO, p M~lff ' S 7~~ a~cm.~aots~ t Z ~ 1'~ 1 ~ Z~G ~~~i~-~` S i~g a rr aMO.ueu. vie ; ~ ~ ~ tH !le 21~. ~ ~ io pa e.uaen~ ~•+eo. r;2 i fM~ MClOlM w1~3 ~~p~OUaKI9 y_ ~ ' ~ iiiGtqM-htEDfCwI EXwMM~ER W COlONf~_ a. rw w~s a r~t ,qw a a.a~ o}~p e...u.~..riw. p 7N qor ..~o/W rne rMSnWt~o./, ~ rr O?Mw.~, ro-rtw wr' •f r-.' tt.f qov~ - ~ i _+x~~ occ~ewo on w o.n ww sae a n+i c•uu~~~ sun~. - / • - } rn - • ' ; ~ - M ~fiTifiiR-NAME irna w?n.n AT f seee~~ p~ M~t. A EO ~+a+n~, o••. nu~ ~ ~ ~ 1 c~ a..f~ ~ N1~ t71 . ~ ' r . • ~ " ~ t~ . ~ ~,..n!uriG ~DOlESS-Cft? Et sirn oa ~.r o .a. • ~ un o~ rw.~ `v,~e [ [w , ~ 1230 .E. bth Caurt ~ North M ani 1~lerida - . ~~BUQIAI, CREMATIOr1. REMQVA~ CEMEIERr O! CREw~TORT-N~t~wE tOUt10N an w•o.n. s~•n ~ ~ fft.~1~ Crenwtion ~ Oelray Crea~atary ,w Deiray Beach, Florida ~ ~s.tf ~..p.~.A w.r. rt ~ FUNERAL HOME-N ANp ADOA SS ~ sntt~ w~ r o. ~o., cm oa ~orr, sr~n, i~r ~ ~ A• ust id,197 Van Orsde~ Grat~ y Road Fbrtuary 770 N.41. 119 St., Miarni, Fia. ~ ~ i:P ~ ff gi - ~4fU t~fbrl0/H_qpf~ lEG~'?~~`. J~S ~ ~ /'~\JU.~ . 9 - . j ; i ~ 80?K P~GE JQ~ . . . _ , . _ _ - - - - - ` - - - ~ - - _ - _ _ _ _ . _