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HomeMy WebLinkAbout2198 - • • . ~ ¢ f, . : . . . - - - - - - OFFiCE of VITAL STATISTICS ~ as lh~ _ DD~OH - - - - - GERTtF1ED COPY ~ g~: ~!_~gt L~d~ ty - ~ ~ Ox Tax s_...._ Clerk at G~rcn ~ocau F~e Mo. ~TM Iat Tan S_ isy ~ oeceoeHrs~t~.~.~~oer,c.~ Tutal s ~ CsRI.TON ' A• NERON ~ MALE 3 aiE O~ [~A7N (4a~N. DM lrar) ~ SOCIA~ 3ECUR~T11 ?'1t1/~BEfi Sa- AC#-lp~ ~fr SD UNOER 1 YEM Se l/MOfJ11 ~ Pt~ac~ 27, 1989 U93-28-56y3 `"~'~i5 ^ a o~ oF e~rn r~+o~. ar. : ewrnrr ~~r•~o sw. a~w~ c~a?n a~ ceoE*a E~ v~ FEBRUARY 1924 ~UBA ~ awc~ oc ~aN rcx~.a~ «yr a,.: ~ o~ «n.. zar aa w~o~ cmr ~wv.so na . itOSWLY:: ~~p~ f; ERIOHp~oMl C~ OOA OiHER ~ NwMnO tbnN C) R~s~OMC~ C.~OtMr f~) ~J r~, f' 9~ iAC~lt7Y Pbl~IE (0 nd /K4~~MOw. ytN a~7Nt ~n0 nunEM! 9a. dTV, lO1MN. Op lOGT10k Of OEATH ia OOIR~TY OF OEATM Pt„IW7AT I ON GENERAL HOSP t TA~ Pi.ANTAT I ON ~3ROMIARI} . w..oEC[DEHtSU6trKOCC~wWn ~oaKn+~OFeuSwESS~noUSTttv n.r~~.,,.rwna~rr+a~~w.~' t2.suwvwnKiSF~OUaER~rapM~.+~¦.~ri , . ~ - oino~aa tSVK~I~) s. " . s~~,~n TRANSIT UPERATOR TRANSPQRTATION MNRRIED SYLVIA UUFFUS ~ 3.3 AESWGNCE - S~TE »G OOIAtTY 13c pTY.1DINC/. OR lOC~1T10N 1Jd S~AEEt ANO MUi~tBER FLORIDA BROwARD PLANTATION 4H~ N•H• 6 CUURT ti3e xvS~DE pTV t31 ZV COOE ta MdIS OECfOEHT OF MiSVAwIC OR HArtuN OR~G~NT ~S ~ACE - M+w~un k~3an. tQ OECEOENI'S EDl7G~i10N ue,urs+ f+~r a Nn rs~i~ No o. - K y.x svscrX wr~r+. cuo.n. ewc~. w~w..~c tso.~~r w+r+~R~? a~ ~a~ ~vn~ur~ vwa ac.~..+eJ : tao jq res Jp~a~y. ~S 33317 ~A` ~~L~Pf~I ~3L.ACK h.~ ~'~Ft.~rS~) ~ t. fANFA'S NAME (int M+O~ ~asry t5 MORiER'S HAA~E (Fr~t ~~t IM~iDr~ S~r~~l WALTER NERON ANITA HENRY ,ss a,FOat~Aws•s wu~ ~t~w+R+~r, +~n ~rr~ ~ooaESS tsr.u.oo Nwne.. o~ w,r E~ow iw.~w.~ ar a. ra.n. ~ z~ coo~n SYLVIA NERON 4836 N•W• b COURT PLANTATiON FL S~S1~ ?U a taE'TN07 OF 015~'OSITtON I00 VU1CE OF D~SPOS1T10N (NarM d ewr+~rK a~brY a 20e WGSf10N - Ciry a ibra. 8t~ p?rr Of~.v) ~ ~ Bur~l G~menon L: H~moval Nom Shl~ LAt1DERDALE nEMORIAL PARK FT• LAUDERDALE, FL ' z, a SK~N~TIIHE Oi FUNEqAL SEiNICE l1CEtiSfE OR 2m llCffiS£ NUYBER 21c NA4E ANO ADDRFSS OF FAC4fTY = pE~~wa~ss'xa+ . T,M• KALPH PLAMTATION FUNERAI. HOME ? ; r, ~ ' , ~ Y ~i,.,. ' ~ - ~ ~ ~ " , ~ ~ ~ i ~t~l I+~W ~4 STREET PLANTAT I ON, FL 33317 22a To u. a n+~r ~ osy~.+d al a+. +.nn ew aaa p.e. ,ne a,. w u~. ?~a. on w ws~s d aa~rnaron aeWitx:~atp.eion. r, nhr oR.ebn w.n+ oaurua ~t i a' c+r+d(t) ~s staNe~~~~~,.,~, ~CS I ~j 1, a ~ ~M 71w ~~nd aw 4 er ca~~(tl a+d s~~~ s tWrd r~d Tkl~ ? J ~ ! ~ ??Il D/?TE SIONED (11q~D~ ^ 28c NOUp OF H ?~D 01QE SION~(Ya. O~ 11•1 2Je NOtIR OF OE/~H `T 1~ O~ O: Z~f~{'1 ` M M 22d hAME OF AT7ENWNCi PHYSICiAN ~F QfMER TMAN CERT~FIER (7yps a P~+fy 23d. PRONOUNCED DEAO (Mn. A~t ?t1 29a PRONOUNCEO OEAOWarr1 f ; !r~ M NAtdE ANO AOOFiESS OF CERTIFIER (PMYSIpAN. NE01G~L EICJ?1MNEi~ f7j'v~ a+~J $A7Y P• S1NGH n•ll. 33s r~•N• AVENUE NLAN7ATI~N, F~• f ~s. suac~a - pm `,/t ~~t,~ zso. ~oc+w c,~srww- s~cruTUae ~sc o~E ~sr~~ ~PR 5 1988 za ~Rr i. ~,rw n~. aa.as.a sua+s u+.i ~w•w u,: as.n+ ~a o~e n,oes a ay~. wcn a. cua~ « a?,oc~. «n.an ~oao.,nan ~o.nd a+wa t~uw+y on auw.na . ~ . ~ NMfD~RECAUSE(iwl ~ ' ~ I ~ ~ seass ar ta~ortion ~ ~ Q- r (A t a.' ~ ,2- _1 ~ C ?-e- ('1 YY-M ~ 1 r a.wwn~g ~n Ce~tN) ~ 4 ~ OUE W(OR AS A OONSEOIIEMCE OF) 1 y 1 f ~ ~.rt •::illy 4a1 OOnOrt+Oni. Y' C ti~ ~C'?? G L. i~ VA~ ' ~ ~ - ~t y,~r.~ead~tp b xrvf~EqiM b ~ • a, ta ENaL'NOERLYING ' OIJE TO (OR /~S A CONSfQUENCE OF) ~ _ CIt~SE Itha~atl or Iryury ~ ~ ~ !!~a~ veNahQMNS V~,t ~ C. C lr..l 1~l ~t~~ h L• ~ ~ •ea~.K~~nd~au+ILASY ~ a,e to co++ ~s ~ a~escou~r,c~ oq ~ I ~ ~,~,Z. l h C. ,.-„n.C. ~ ~ a vPAT ~1 Oc++~• v~ruhcarm tondt.wns controutmq b Cea1~ti Du1 not rssu~tuq ~n Me ~a AN AUTOPSY WERE AU10PSr FlN'JWGS 2~ C/~SE REPORTED s aMB~M~9 cwa y~vsn in PaR 1. PEWFORMEO~ AOlAtLABIE DR~OR TO COhAP1.ET~ON TO MtElk('•Al ' (ris o~ NoJ OF CJIUSE OF OE/Qlf~ (11s a No1 D(AMN~ER9 ~ ~ ~F FE MAIE. ~M~IS THERE A JOs iF SUHGEitT ~3 NE1If ~IED fN PART 1 or N ENTER C~D(T10M FOR W WCH IT WAS PEi~OfiYEO. 30b OAtE Of SWIGERY (~lla. Oyt 11e~if PREGNAN(,Y IN TME VA3T 3 MC31~T?t,!? _ • YE8 ; . a0 ~ 31 .'R~J9ABtE MM~kER OF ~?a DATE OF tH.NAY 32~ T11AE OF 32c INJUi3~1 AT MIOnK? 320 OESCRIBE HOMV INJUfl1f OCCURAED DEJ4'N (LialM. Ua~c 11w) IN.A1R~ (Wsa?i~ ~ S.'~ec'~hl ~c.oe~. surc+ese a "•~r+rude. or ~~ndele~mined. M 32~. QtACE OF IWURY - At Aane. firm. 3?1 LOCATION (SVNt tnQ kwM!• O+ Rwd Rh~le MrnW C C~Y d 1Ewn, Stm) x-; sUrM. tsctory. etc (SpecJ1'1 ~t ~i' -.~c 3~Y... x. = 1021Z9d - ~i~F~ ~~co: ~PR 6 1989 8001( 67~.. l~~~~ , S1~ I.UCI ~tG~DHI Y. : ~ THIS I A CEaTIFlED 7AUE AN~ CORRECT COPY OF THE OfPICIAI HECOAD ON FILE IN THIS OFFICE ~ ~f=r~'q~, O,y,w, 0~~,~i'~"~~~~ ' ~~,Y ~ OUVER H. BOORDE ~ BY~ State Registrar ~ ANY REDF.OCxJCT10N Of TYNS OOGU6LE117 IS PROFf8ITE0 9Y LAW p0 NOT FCCEPT WARNtNG• V~eSS ON SEGUit7TY PA~Eit WITH COLOREO BAGi((3ROUN0 ANO~'fQLDEMS~JSSEOGREAT T' ~ ~ ° SEA! OF TME STAIE OL FlOf110A AITERA~fON OR EAAS(jSE YO ~'~~.^A y,~n .!'z •J ~t r~ Fc~+.~ t ;saA ~a ae; _ : . . . . ' . . .T--:~~ ~ , F~ ~,.a:.~ rti~sb.n .a~ ~ ~ - . . ~t~f~ • • • 6 ~ ~ ~ ~ ~M ~ ~~~h i