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Death Certificate - Brooks, Nancy Ann_5/31/1996��'��^�.w Y��+'�-/... `3.t',5.:.`�'—s\WS.��I fl�I�l.c�dS 1 iI I�.�' ; _ ... ... . _..__ ,,.. ; . 1.IMRm� .le. I�IEPryfp M11. ...Y�T �,L J'�� � � _ + � � � •�� � �J/ L� � .' , UFFICE `of-VITAL-STATfST�CS - _- _ - - - _ � s,� �� q�^ �J/� z r t•� aR' �' r'�s ;g-a. ,� �4 P ��s�� � 4�OGlA�,.Mv.. �.. �a..{(f � ,.� ;� ,�y �¥} � �% i y�� _� �, GERTIFIED�COPY :!� 'n�caunw,�L - � '; y � r, ir.,". � 3" aLsJ (�'a 1- x� �,� ` a;Fi. 4�: i�x .M��bCOINTV I f _ 9 i'__- f F �%4 �'if$C" � �1�£ � � - �����wl�Cr�mi/i..i ��� I. > � �- �� °�� . 1 z;.�� fi4 � $ l� " "y. �— -• . . �'z .� .�.., :. ,ij (f A.0..�19 � _�. < �� 4 3 G CERTIFICAT�OF DEATH "-- _s h.M y IOGIFILEHO. ��. � '�:„ FLORIDA "' ' ..� ='�%�+��.t ... .-f<� F �� I.OECEOENT'S NqME ' -.FIRST ' MiDDLE' :% y � UST .. �'. � ° � yy- ' .,,tt ' -,i,. x.SEM _� Nancy ; Ann, `. x � Brooks Fgna.l.e `: � ]OeTEOFDEATN(MOnc�0y�5bu) �SOGnlSECUH1IY�NN�pER� x£�. Sa.nG6LapBvU�Uay" �SOUNOER�YEeR Sc.U��DERIDay �I b. Y, May 23.:;'1993 ,• %r� ,t.' ��� a:_��x- '� �°: �� 46; '��M�• om. Na,: M�« 6 OATE OF BIRTH (MwW, Dey. riu) �=- Z BIRTMPIACE jGry �nd Sleu w forsyn Cowvry) -"'- - B W/5 DECEDENT EVER ul US _ '.. �� [v]aY-zl� 1C�4'� � ' ARMEDFORCESI(YUSar/oJ � =�= ;...Zndianapolis,,;,..Indiana �o ;f' f 9a.GL�GEOFDEATM(LnscA.onryon� s��oswctimsonotM�ayuJ (` � , ./� • ..:. •.. .. ,. : , :[ .j�{: �.'; SEINSIDECIttUlAIiSl(lbsalloj .�. HOSPIULL�'oaliron� ❑ER/ONDUwa QDOA ��THER::ONws�pHOme- ❑ResaaMa�'^.�dnerlSpeceyl' j�e5 � 9c FAGLITY tIM1E (Yirol ns41u1M, pM S! peNMw pg f :� p- 94 qTy, tpy/N OR LOCRION OF DEATH 9e CAUNiY pF DE�il/ � 'Florida Hospital ;Soiith� ,; '� ` ` Qrl'ando :; j Orange °` IOa.DECEOENT'SUSIW/KCUPAPON ' IOp.NINDOF9U5W�5511NDUST(iY 'IIMAqTAL'STATUS M�M;, t SURVIVCG.,POU.,E(G..neq�romaqvnnama) _ ...__... . _.. , nw' � NOrM.MLn1E. W�CWaQ a ti ,, .. . . .:" - � ��w.oa (sPacJVI ' . . : !; �' Hanemaker 3 F , Hane �x� > Maisied ���,�� Robert Brooks ;; qa RESIDENCE-Si�TE t3n COUNiY -' �x'CITYTOwN ORZOUTtUN� .� $. s 5q?d SjREET�NONUMeER ` ���.i: �i - s.' y y� i � i .�.'�i ;� �2 � �s. r .�L ~`� �3 �ai i� '� �.�,� sx .-: .; . .- ��r. I P � Florida ; � ' -0ran e '� �Orlandov �� � „� � a � '1008'Casasia IIriye `' '� �]aIH90EGTY �]LZIPCODE- "u.w�DECEDENiOFHISFnNIGORHAIT�NORIGw 3 ;.�5 RwCE �a -e�icanlneian. �6 DECEDE�R'SEDUGI�ON L�MITSIpuvMy lSpac%NO«Yes:' ups rMC Har - . : ✓Y M1 LuDi . Blac� Wl�ilo elc (.`roc✓� oNVnSM�I qr.tlecc+r.�W�WI y�y .. . A1 . PoortO NiC n elc l-: b'] No O Y S p. �-_SPO �I'. " �. �' . �.. F, . Ekmuu� � p i 5.� -`. � no 32835 So^�� • White p m uno�� i n�l e , �)FATHEF�SNAME(FSIMiq1�a.Casq 5 tBJaOTHERSNAME(fntMqole,�AfartlenSem�me) . '. �� ``�Daniel R Johnson }- � � �,Margaret I Jotinson �' � �9aINFORMANT'SNAME(lypNP�'vu) g t90MAILINGADORE55($fiortetlNUmDSrorperalROUfeNUm�etGlValarn,-Sb�o,ZipCOde) i �; - Robert; Brooks:-: �",` •; �,.' � 1008 Casasia IIrive,r30r.tandq,; Florida 32835 �` ;� P(Ia�AETHO�OFDI5PO51T10N "( "^ , N1UrP�EOFDI5PO51T10D1(Nam��dcemeroryriemafOryo.�� 2(kLpp�j�OH Giyp�fown,5iaio -� wnn. �ca ,n� � _ ❑Bwul ❑G�malwn � Ramwai bom S�ue iF"� �',� Ka�"i+' � �'�`.z�'�"'��'-� �':-,t.� � � � . >." �•' .- . ."�`. �. � ❑o,�,��, aom. �sa��vi �Fa�sview Celnete lY Linton, Indiana �� Ib51 JAIL(IEOFFUNEFALSERVICEUGENSEEOR � �2�ClICENSENVMBEq 21�NAMEAHDADpRE550FF�GLIiY �� �$ R50lI n ING AS SUCH'. � 3 = +s -# Id lKansoeJ f.N � . 6 a x� '> �`� ��� -: r� :� �,,� n; r id "�<z £x x� �, 430 �. 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Yt _: �j _. }` 7N PUCEOF.INNRV �qtpme la :Rf LOGTION($ae�aMNUmDe�orF �IRO (ONp Da Clywlq.n,i�ate) � N���� s, s� eM �acmry e�c (SpocMl �t a p �„ .2 � i`n' 4 . :�: � . . -_ .' u� _ . �`a : w. 1-.:=;- = .�� ' '�' - ' :tF - . _ �' �THIS IS A CERTIFIED�fflUE`AND CORREGT COPY OF.,'THE OFPICIPG RECORD:ON FILE W THIS OFFICE Er < t s f � � ,-----_�-• -- ------ � ' / � � > � . ti hi � BY.�^' -���'!°"�"`� 5�., � `�' f� OLIVER�H BOOqDE � t'. �� CHIEF- �CPUTY RF.GISTFtRR � } �' Stato Registrar j . �(1'] � . t� >. :y � .' ': Ixx�: � � � �:J � W A R N I NG . UNl£SSPONDSEC RITYO PAP RDW THALINESSAND SEGURIN WATERMOAR��� CK I y�,' '� -- " �AND COLORED�BACKGROUND AND'GOLD EMBOSSED GREAisSEAC OF�THE,STATE OP � �� �; �4 �a� q�� Q '- FLOFIDA ON£ FRONT t ALTERATION OR ERASURE V0106 THIS CERTIFICATION. r„ 3 �J'O O V O � � �g �� � °�� � � � q�j �" �;' HRS FORM:156aA (7911 . i �`�`m�sl�"�'�i rss •3 : i: .. ,. . <. ,.,. .o ,... s«- ;���` .} . b> . . # .... 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