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HomeMy WebLinkAbout0922 '~?'74V~:~. ~ s»•..~n«w CERTIFICATE OF DEATH ~ ' - - a,.r~.,.u 11..h. ~.A.?n~..N.. s...~,„ j1 Y~I~I ~1~t~ilK4 F L O R I 0 A ,,2/ 7.. 3~• ~•r~ auara-ww ~~a~ r~oae wt ~ r sti n.~~ o~ a,~M~r.. n... t..! oe r~~M FRANCF.S E. SANDELLO ?Female _ , Feb.S~_1974 ~..cc ~ e.c~ ~y~. w?,.'.. r.a.-- -.a ?,r,e„„ v~+w~ ~ vt~~ u~wi i wr Wll O~ N~IMlY~.. II.7. cwvi. oi w.a - ~ ?IYI1~~@ ~ (jrrj~ ~ ,'~'°L '_°"ti icti~ 1 pec. Z5~ 1911 ~O111Si8 -L L - - - k ---1----~ _ - un. iowH oi iou~aa w a~~w wsnui a or~~ ~?smuia?a-+aw iy r r.w.,, p.. ...a«~ wv o~ uar. u,sK... ow, paytona Beach k Halifax Hospii:al Medical Center ;~~er:`~`~~~~ ' ' s~.~e a ~en~ln.« r cmrtw w w+uT carnn wnieo wtvt~ Mun[s. wewvv+o vouee (r~.v.. a~.••~+•••.•d ' Jose h S. Sandello ..Vir~~n~a USA ,..mar°r"~e°~ p K~lff D[Cl~?S!D - - i~v~o ~r otr.M focut SeM~sr w~?K~ uswl OC~WrArqM ftre u.I M•••~ N*•6.y uw Or Mn~Ktss o~ iwu6rRr OCM~tD W wVV MN. r~w Y n~in11 ' - Hous ew~fe Own Home .es~oe.+ce ~lron A~~ ltSKs(NCf~SiAT! ap{?Rti CIfY, IOWN p LC(AIICM itEfT AND M1M~Et 1~41Df CIfY IIYIq p~ Carolina Wayne ,k Pikev~lle Rou~e 2 ,.:~'no ' IAM(l~AY[ /I~{T MI(~pLE u{T Mf\.~-MAWEN K~1l~ /Itf\ Mlpp~/ lA{T Tom Clarke Ella Rohads INIOtlU/J1-?IM~E /7~M ~~~1 IUNG A~pES SittET O! 1i.0. N0. UII O~ :OYYN f1AT! IM ,Joseph S. Sandello Rt. 2 Pikevi~le, North Carolina 2 86~_ ' ~Nt1A?. C![WIION. lIYOVAI.OME~ /fryei/~l CIYEIEtI' O! p(MIAiOIII-JJI1Y! lOCA110M Gn W TOWN itAT! ~ Removal ~.St. Vinaent Cemeter ,k Madison N. J. _ m ~ ~ Haigh-Black 103 Broad y Day a Beach~ F`la; ~o.: r. r..r ~ «.y.~w r» e... .r t+.. o, .r ao.~..~ . «u.. ~ P~~ ~b du~ » ~M ca.r ~ aer/. m~ ~t M ~nd • ~ ~ri ~ Js+a~•e r/ luMl } - j~ fl+i~r.~ wt TieY1 ~ M/E S~GnED lX... On. 1•J M01J~ Oi OE11iM MTE f~GMED / aq f•J NOIR Oi OEw1N a x~ r rw 2-8-74 r~ 5:29P J r s~ NAME Of ATTFHDING lNYSICIMI If Oi1SE! 11MN CttitNC! lfsN ~ Y+U j~ ~d lY~+ ~"t. 7rJ flwr/ ~ ~ r~a+ 2-5-79 5:29P " rurt iua ~eoetss os amr~te t~s~cuw. ~+[wc~i [wu~mo !?,r~ . s~1 ~.Arthur Schwartz M.D. Courthouse A~n~x Room 303 D s. o+~tt e[tt ar etr.~sruu /r... ~.r. r..l /~..y ?M. lsY++~•/, r ? 2!. ~ • ` p~ l- i yy~j~ w~ !L WYEMRTt G1lRE Il77LR G~17 OMi CAUfL I LlXt lOt I~1. /?1. :lRI (e1.1 ~ Iwn~! b~n.w~ ~ra~e ~n/ d~ai - IYMfD/ATE W ' ~ Px~imary carcinoma of breast ~ U?OEt/tNIG DlH TO. Ot Af A QOfiEQUAKi OR ' f.r~wl l~~rr~ ~rwf wr d~~ GI/f[ 1/1fi ~ M ~ ax to. ot ws w oo~atax?K[ oI, 1 Mr+.l M+~...w w.e .d bM I i Id Hlli O71E~ SK.MiKAMi CdO~2101~6--CrdwiM ar~iueiM dw~ Yi/ eM wtirrd ti m~r ~iw i~ ?RfT 1 W AUlOIf?lfN+ff wAS GISf eEiF2lfD 10 YEDOCAI ~ f~ ~ r) FXAMM/f2 /f~.ri/7 1~ a I~/ " ZSt+~ :1?. ~r~ ~wac~aE+rt. f111CwE.. OArE Or Uulrr /r.~ 1A.7.,! MOIJ~ Os uulll Of3OC~~[ NDw w]1xr OOOJtlID ~ Ip fGOEs ~r IMOETEfY1M[D (YIR~hI A. 7!? Y 9/. NiNlt'I AT 1M0![ It~+~ ?LAR Oi INMf-A~ lir~. las. iM.w~. 1oaM. ~MSa h+~r. LOfJ1T1011 STtEET Ol lFA. Ii. UiY Of tOM~l1 tTAll ~S h~.~ SI T. ~ r.1 ~s. ff~..Y~1 ~ ~m A.. ~vss ~a v"' at. a CERTIFI~D COPY = WE HEREBY C~RTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY OF THE ; LOCAL REGIST ' RECORD ON FILE ItJ THE VOLUSIA COUNTY HEA~,TH ! ~ P3EPARTMENT ~'P;, r, t NA BEACH, FLORIDA. ~ _ ~ t^~:-. ,.a,•,; (NOT VALIA LTI~LE~S THE SFAL OF THE VOLUSIA COUNTY HEALTH ~ - ~ t ` DEPAR'r}~i$~'I' I~?51~FIXED. ) ' ~ ~ . - ' y`w'~K`"'/ ~ " ; - , ~ . - l'( ~3, . S ~ :r E ' LOeAL REGISTRAR ,AL ' • FEe is ta7~ DATE ~P REG STRAR ~ ` 4051 ~ ~ ~ ~ ~ ~ A9 :37 ~ ~ ~ FILED . ROGER F~ c~;; f ~ ST. LUCIE C~;;; ~ a~5Q9 ~ 92t$ ~ ~__..._.__..ti~,.~. . ~ _ _ _ _ , r~., U.~ ~ . _ _ . ~ , _ - ~ _ . _ . _ . _ _