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~ ' • • ~ ~ OFFICE of VlTAL STATlSTICS • CERTI~I~ATE UF DEATH ~ ~oc~~+~ae ko f34 9 F L O R i D A / l~kC,t~tHF ~NAf~tk NH~t 4~DthE IAS~ 5E1I OA1E O~ OEA71~~4b. D~v Y~ 1 :~~.5 j, G~RTRiJDE Atd~lE 5~+15 a F~emale , t 28, ].987;_~ 3 ~ HACC 4 VY~•q B~K• ~i;E - l»~ B:rt Sar UNOER 1 VEAH UNOEN t pAV OATE Of H~RIH~,?hj. par n! COUMTY01 pEA7H ~ AT.I~rYJn.l1[~Clvc•'~~ ~Y~tr uus nn.s ~~uuns , U~NS - - , ~t@ . 54 x• x e ' (:~1Y ipWNOf~IOCATt(Sfrp{OEATN NOSHIALOA07Nfq1At5i1T~O1QH-qyrry(t/rqt.npl4N.p.NNM~NMnumDN1 I~ItOCV ORINSI ~tn.M7~!CIK3A OV,QoMr t.,n~ inptr.~N15MC~I1 •~b P r.t S,~ 'e 6 S Lo Si:~iFUf81RiH~l~nOr..+ ~ CIt11ENU~ WHATCOUNTRY AUqR~EO.NfVERMARA~ED. SURVfYMIGSMUSEli~r~M1.q~v~.nad~nnirnq _ US~1At. ~an.reour~rr~ tl W~pONrEO OrYCNCEOtSpre~~ - ~ w e Zyy~ ,j,S 9 V.rJ 10 ~t SOCUI SECUR~ tY NJMBER USUA~ OCCl1~ATiQN(Lirn RenO pl vp~~ Oyy AWrr~Q K~lq O~ BUSINE55 Qp IkDUSTAv mos~ d.ar~my N~. wr. n.l rM~MI ~ . _ 3 0-~6-8$09 ~~e No ita?1. ~ NE;K~ENCE-ST~tE C011NiY C~TV.TOWNOR~OCA~fON STitEETANpNU~IgER M1S~DECIlY~WIT$ _ _ a~ ~a T~~ ~Sp~c~y Y~a cv Np) ~~QrICIGl ~ !1D ~7 LA-P..l~ lk. 1 M / FAtNEN-•NwyF ~~RSi • MtAp:E /A51 MOiHFR-?UtDENN~4AE FHIST tNlOOtE LAST ~ ~5 Orren Moore ~a ~NFUM4ANT--N~NE ~ Trp~ pr R~nt; MA1l11JG l1ODRE55 $TqEE ~ ~R R f U MQ C17Y QA TQWN $TAiE 34983 Z~P rta J S t7. $lI[LS >>t ~J • BVtiuLCREMA)~ON REMOv~L ptHEq~So~n!ri •CEMEiEAYORGREMAtOHY-PU4E • IOCATION C~TYqpY01NH STA~E . t6e t], tE0 ~ 1!C • FVNERALM ~C~--19gnifwt/ fUHEMtHOME 7~VNY~v LyyfL~ ADOFIESS l7Zt..\Jl.l\ i M'L.i ~ t ~ io tM m~ ~Mw i cV tQ M M! . Oat~ • e On th~ ^+~F d tt~RUnatwn MNor UltpipatMn. in rr~y pp nqn O~atA oCturre0 il M~ - ~ •o tn rsll!) ftaeM tur4 paN N~0 pGo! iM dv! t0 1ne GuxU) StNec1 ~ (S~W~ ad W~~ ( ~ndTr?1~ pA7E S~G -6 . Diy. Yi r~OUR OE~Ttf ~ D~TE S~GNED 1un. Oar, r~ ~ NOVSt Of DEA7H ~ w v Xo pOc ~S~ 2f0 2~c M ~ j~ hAME Of TENDiNG PH SrCUN li QTNER TlUN CERT~T~EH (1~p a~ qwf =3 ~ONOUkCEO QEAO (4b. Diy. Yi~ PRpN()UN(~DOEAOYHOw~ r- t ~ ` ~ 20a p76 ON ~fe AT y HA4E r1ND A^uORE55 pF CERTIFIER {PHYSlCIAN 1REO~CAL E%AAttHERi(l~p~ Orq+nt) ~z A ].lin M. D. 1701 SE Hillmaor Drive Port St. Luc.~.e, FL 33452 F REG!Siqu,R • ~ OATERECEIVEOBYREQISTR11RfYO.Da~.Yr) - ~ ~ S~ tember 1 1987 _ i~ i1A4E0i CAUSE (ENI AOl'~IYOrJf CR FA~t f I~I !O). ANDJcJ J ( WNry t,etreenp~e(~nCC~tth ; n ~ ` ,:.:L"-~---{ ~MT f~) I_ Di/E TO AS A ~NSEf3VENCE Ci ( t) 9ks IiiQ b Ci,lK Is) - I..6t URdMylnp MtM.a~ OPhrlen Oru~t aiM dath ~ ~ ~ UuE ~O OR AS A CONSEQUEN+'f OF ~ IMenae p~rwMn ary~( ~rW d~~0~ • ~ ~ ?JWi c `--,,~f~wl ~~t,a.ti' CtY.is~Y;~.S- Gs~S.ti: a: A: •q b:r t.,^ ^n :ycw.:e ]T^"~ARt f ial ~AAi ~1 S fFY~:E KAS TMRE A •~"~M~ :l:<. RFFtF*~L 7~ VF(1UL Y t~ ,1~.- ~ FAf:fJ)t'Y?iThfvr5~3AKXM$' (r~sr~Y: cxaVlF_N!5~-+sr,Y~S.+Mi ~ ~,Jv' ~ ~ .4 •Propsc.'.+ ACG~DENi SutC~pE a DATE ~Jf tNJi1R1' {MO . Day. Yr) n01iR Ot iN.iUAV O£SCAtBE rtQW ~NJC;RV pCCURRfD r+04tG0E. u tML~E~'_RR1~!if4:Sc«•1~! ~ 2?• ?'A ?lt 4 170 1~• ~M1VAr A/ V/vRK,S:,ec,r~ Pi~CE Of iNJURr -qt A~xne. rLT, streN t~fory oteKe IQCA~TtpN ~TRFEi ~R A i D NO C1TV OR TOWN StATE &t ~ rre rrN.~l oa:0.nq et: !Syy:.l~~, . g IIr 71! : I ~ _ 1 CEP~TlFIED COPY ~ THIS IS A CERTIFIEd TRUE ANU COR ECT COVY.Of THE OFFIGAt Fi~CORb ON F~f.E lA! T`li}gpFFICE " ~ , r ` . ~ oFiHE F ~ °C~'~~ OLi~ .H. $O R o~, BY: ~vN i 1~Ga~ ~ -+n, Stat~ l{lgFatrM ~ y ~ ~ ~y OftiCS 4~Yit~l.Sta~t~CS a ~ : S ANY PEF'ROOUCTiON OF TM& DOCtA~flVT t5 PiW1YBtTED SY lJ1W,~~Q"!{Q{`:\ :~•~1 . Y ~ ~ ~ , il+ W A R N I N G: ~~j u~ess a+ sECUnnr a~aEa wnrH E~O cuafwr-s~t;~ 1 i~ E~satE v', i s ~ Oi ~LORtD•~1. Al7EHATtON OR BlA9URE YOf05 7N1S C~ATlFICATtON. •.0,. . t? • , ~ . ~w~ ~ ~ ~y . h N6y*~r ~t 4 ~ - ' ~ ~ ~ ~ ~ '9'~ I NRS~am1S6411/eT) I 'Sg ,IAN 12 P 2 :52 ~~L~ 1 J' DOU(:`.. BUOK ~ I~ rn~E 9~8 ST. t_?~ k, • . - s~wr u !