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HomeMy WebLinkAbout0075 'r~~ ~ ~ \1~~, _ `t~~! ~ ~f`_ ~ - - - ~ . - _ . . . " - _ . . . _ - . ~tl ~M ~ - ~ ' - DIlCOIt OFFtCE of YITAL STATISTICSAiil1~• p~q, De~!!ft i............ tb CERTIF~EO COPY Int'!~S ~~yy ' x _ _ _ _ ,f - - - - - ; '1'alal f ' ~ ~2~ - --~r ~ ~ CERTIFlCATE OF DEATH ?pUL i[LE NO ~ ~LDRIOA ;~~'tiL Y 1 [)ECEhENI & (frS7. ~~doH~ lwstl : $ fX ~`j~''`.~ P}ORASAN LEVINE Male ~~`t r .i OAIE OF OEAlN~Abrxd, Dw; tibr) 1$pC1A~ SECl1NliY NUMBER Se J1C3E ltst BirN+day Sp U1d(~p t YEAR St UNOER 1 Day OYMt) D~n ?~~rw~ .-7" u....~ ~ CEMBER 3. t9R9 n~~_~~._~~ai ~ ' 6 W?IE Oi B1RiH (MorMn, pq, lrirj ~ BlRitiPIACE (C!y ~nd 5[s!b or ~ortipr Co~,ntry) b WAS UFCEDENT F VER tN U S • Ai~Mf D FOHCF S~ f~s a M I e teo~b 10 I920 Sronx New York No :;.,~,''~i Pc ar:~ oF o~r?+~cn.~~ya»::e.rsr~n~,.s ~ amw ver~ 9h It1SfOE CIiY IIMIlG~ IKs ~v rx>i '~f +~osP+V1t t,pat,,,,1 , fLOutp~,;e,M {3 pOA arrfER- t 7 tJw~:g r+om. ( 1 Res,de~+ce f ioa~e, t5p+chl Y e S :\1 _ 9c EA~C+I~SY NAMf (MnW inMAuLOn.4NSaLtM~ndn~mDa) 90 QTY, iOWN.OR lOCllilbN df ~A7H 9~ CO~;NIY Ot OF~t~i ~ LAWNS~ibOD RFGIONAL MEDICAL CENTER ~'ORT PIERCE SAINT LUCIE ~ :~t naOE(~TIENiSVStlA1.OCCUPATklk- tQbK4300F8U4WfS37tH0U5iAY 111~A~ilTJ1LSWltS-Mr~rd. t26U~N~VNiGS~OI~SE;Cx:~eg+.w~:a~e..ne,-~et ~ ~ ~ NYwr I+IartMtl. VY~daw~e~. Diyocc.~d (SylCAYf F~"~ ~ f~ . Qy~ne~, Aid S les Married Mar aret Lfttle ~3a ~+ESrDENCF. - StAtE 13b Cpt1N[Y t~c GTV. TOWN. Qfi IOCAT~ON 1]d SlRf@~ A[Vp ti~Mg£R i 1$ ~~i ~ ir lor.i a S. cie ort P rce 249 Be o?uda Beach Drive dr v.v yi91QE CttY t3l 21V GpOE 1~ W~IS pECEDENT pF H13PANfC Oq WUTIAN ORIGIN~ t5 RACE - M~ntaq 4dhn. 16 pECEDENI'S EWCw110N y 1d_ 1 MRt f S~ ((~M a M"J lStxc/Y ~h~o d lb! M Mt +vac7r ~ G.Gan. 9~ack. WFree. e1t (SL~~A' ~%Y M1~'+'st q~s0e cc~+p.+Mi ~e~ ,~R ltouein. A~.1o R~tan. Mt 1 x'1i t~o r~ ltlt Spetlry. He+rwvsccord Co~rq? n. k c.~ :.'s~~ „ Yes 34949 ~~r White ~~'a Un~ n ~ Fnr?+E~ s?~rue r~~. iu~r~?. u,r1 ia eavt?+ea s w?~ ~s.m. ~?o~e. ,?r,~ee~+ s~m...~.~ a~.~ Charles i.evine Lillian Wittenstein ~ t9e MippW1H1'9NA61E r ~ ( l~v~'~l t9b MA~LING ADOFIESSl~~ a~d NuMe~ w Rurst Roub NrrrDe! CdY a Tn..n. Sr~rn. IY+Codx) ~r~ I~ , ?inr aret Levir.e 249 Bermuda Beach Drfve, Fort Pierce, Florida 34949 ~ c?aoo oF asPOSrnoN aoo ~ or asPoscraw {N.~,e ~c.~„~e•x ~..m~ w 20C. lOCJ1tlON G1y o~ (o~wn. State ;.ti'~~ _ g~da1 f~ Cromstion f ~ Remora! ero~.~ Stab °0~' rJ~'~) = i i~3~,,~ ~'~b^ „aa~~rsvK+r~ Haisley-Hobbs Crematory Fort Pierce, Florida ! 1ts Sffi11AT FUNEAAL SER'ViCE UCE E OA Q16. CtCENSE NUTABFR 2?c NAME AFIO AD[7RESS OF FA~.IUTY ` PE ""'~'~ss~'~" id~"~'•°11 Haieley-Hobbs Funeral Home ~ ~ - ? ~1406 ~gr~ ~ ei~e°b~ R ~ G7 ~t`~ ~ ? ~ 1b Q~f hes10~ ~tY Re~t~bOy~. Math ooae~red al !M t~ne. dNS and phce snd du~ ro IRe 27a O~+ Ine E~sb ol fi~bn ~rdbr invsfSqatnn. in my n deam a c ur r•0 M ~ i' ~ D~ caufl(i) as af~le0. Mb lwn~. daM wd aM dW b the t s} and m aa stak0 ~ ~ ; t.,v~ > YR Md 1lw ~ Md 71 ~ ~ ;,q~P : a 22b DAiE SKiNEO fAh. Dy~ N J 2ic NOUR pF pEATH 7.~ OMtTE S1c3/~OM~.. DA: 1f) 23c. FK)Uq C`F CEATII 4~~: ~ S3ECEMSER 4, 1989 5: 20 P~, , , I! ~ s a~ 21E.NANEC~FATTENDR1GiifYSlpANIfOfHERTNANCfR1lFIER~lypoorPri~l ?3APpONOU1tCEDOEAOpt/o.OKYc) 2~a PRONOUNCfODEA~IHCti,~) ~ ~ ~ DECBMBBR 3, 1989 5:20 P M 2A iJAME/WpApDHE$SflfCEq{IiIER(PHYSfpAN.lNEDtCAIEXAMfNERI(l~orCitN/ ~ r~s9-bi2-E F DERICK P. HOBIN M.D., M.E. 2500 SO(! H 3 TH STREET, FORx PIERCE, FLOR A 349$1 + k :?t,•~J~,i 2Sa BFiEGtSTHAR- ANOQATE 25b.1 1 p- t~Jfi ? EREGSiF~F[1 ' ~ ? ~'G~~ - d~~ 12-5-89 . ~ i i ?E MT I E~ter v» , v+jwws. a oomo~cMbna ~t+a~ caue~d tn~ doMh tb +rot etia nade d . fexh as ~r~iuc a ' rfay Nrn~ . o~ wart ~ 'y"~~": ~ ~ Ia~U7Q lat JNT Ortt cJ6~9 ort Oac~ iiM ' Apt'o~~mat .n~.rvy 8!WlQn el aM! e ~ .;~s~ + UlaM I - _ ~ ~ ' ~Mt,~EV~~TE C?~USE fF;ns~ I ~ C~+na~e a condxvn ~ ~.S~~~Mv+~~? ARTERIOSCLEROTIC CARUIOVASCULAR DISEASE ~ ' 'w a a , \~i f WE TD (OA AS A OOk3EOiJEMCE OFt - ~ - i ~ +,~f `~+a~+oat~rtis+wno~tvns. , . ~~y.'~6adrg W kN+iedial0 b ~ cause F.Me~ 1}N(~PLYING QUE TO (OR A9 A QOt,t$EQUEkCE pF)' - t,e+uSF ias~+~+e a ~h+~y 1 ~ a- !~at vrhffirA ~vents - ~esuk~nq in d~aNA VlS7 e t ~ CAIE i0 (OH IlS A COHSEOt1E/iCF t7st ~ "~i ~ 'f' , - ~ e I ;~,~y, _ ~ ~ ; ~t:;,'~'~' PMT h OthV ,y~gn,fi~¢nt CoM~tqnt eaNr~put~ng M deaM Wt KM ~esult~nq.~. thr 27a YJRS Af~ AUii7PS' ?Ib 1NER£ A11T~PSV FtNOff1GS ?8 GIiF ~it!'(>r.! ~ ~ ~y ~ PEFifORLtE[» AVAftABLEPRIOfi~O(.'O'.APiF,tIQY tO1.~Fi~%~'JAl '9~ ~ ~ wx.'c~iy~ng!a~ttr giMn vr Pa.1 i ~ ~.r . - . - . - - - - . . _ l1tSG[lioS _ . ~ - flPL'.AUSEDFBFRiA'r(1hsO~Ro± EXAMi~FER~ ,i.r - i~~ (~~s d N^) ~ , - - - - - YE$ ~ : 3 ~9 KfEUrIE.Y~~~St:~tT[A ~a tF:itri'A£f~v!SMcNftpltfDMrAF?Iia~+ENiFR(:CtZ~fTlpP~ipR1YFi{G{tf WlISFERFn4t1~ED 3Db MtEOFStJS~(=ERV~Ato Da~• x~a~~ ~ N, _ ~E(3~lAHLY IN tNF P0.St 3 Avpt~I~tS~ 1'ES t` NO ;';,,4%~i ~t PRL181~NL~ 41ANN~R Of 3?e. OAIE Of MtH1RY ylb 7MAE pF 3?c R1,RJiiY Ai 1MpFiK~ 32d pE3Cl~t8E F/OW IPIJUAY OCL'URREO ~ r, OE~TN (MM+tlr. L~ay, 1hr! tNAJRY (YKOr f~ ~ i~[~vt+"~)/1ccklPnF.saneKieor ~ '~:~:+t~a. a un0eterrtm~d 4f ' ~ J2x F'lACf OF tH.lJiiY - At hom.. 1a.rn. 32r tOCAitp?-/(Street e~M N+~nOO~ r/Awa1 Ra~re MumOe! G7fr o. Tirvn. Siew.l !a.eel. ~a!'ary. erc (S0~''h') ~ NATURAL ~ , _ '90 JA3~t 2b A1 ~ :1 b ~~~~~°~i~ 1 21 r,~ 'E ~ ~~~'~{r'' G R n K ~ ! ~ ~ ~ E - - ~ = aOGli t17~ i'~Gf O7a/ hC'~UG! `3 x~' - ~ ` S~ i ;s:~:= : : ~ ~ TN15 iS A. RTIFIED T E AND CORREG~ COPV OF THE OFfICIAL FEC !lE N 5 OFf~CE ~ T}i E t i~. 1 ~ ~ ~ ~ ~ Ar!A~ ' ! ~ F_ ~ , Y~~ `I~ --t OL1VE H. E ~ ` ' ~ B~ State Aegist~ r ~ ; q ~ ' J._r f~F - ~ AvY RECROGUCTtON TtMS D6('.iM1EN1 i5 Ffipfi8(TED ~Y IAW. pp NO~ ACGEPT ° ~ I~iIARNtN+~~ w"`E5S ON SEL"~lTY P~PEQ WITH COLOAEO BACKGROii>sC Ati.UG^ADE1a6CiS9EDGaEA~ . . • ~ - - - - - - - r ~ cFS~'~rx* or w~ u r+~ ,ro - SEAI Of TNE STATE Of F~OHIDA ALTERAT~Ofi OA ERAS.Fi~ r... 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