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Smith, Eleanor Randolph . MOSS II fu~{}21fJ}s w-- .tK yI" ~ P.o.Box 60, Clearwater, FL 34617 JULY 12,1995 TO: CITY OF CLEARWATER CITY CLERK OFFICE I, MARY P. DEULIN, HEARBY ATTEST THAT ELEANOR RANDOLPH SMITH ,ie DECEASED, IS THE RIGHTFUL OWNER OF LOT 49, BLOCK B, CLEARWATER CEMETERY. THIS IS DUE TO THE FACT THAT SHE WAS THE ONLY CHILD SURVIVING AT THE TIME OF HER MOTHERS DEATH, ELEANOR O. RANDOLPH. ~~Pfd; d~v Y DEU N SWORN TO AND SUBSCRIBED BEFORE ME THIS 12TH DAY OF JULY ,1995. ~... ....- \ /~~ 0.JLW;,,-,~ , NOTARY pEt~ . \( (813)446-2375 FAX: (813) 441-3061 , "j- .,). --il'I::::~'!n..-'\\\:':'ili_ ' , _:,\,'~;\~h:'\\\"'::;I\I...-~m:::-'i\'; ,"l~,"':,' STATI OF MEW I YORK . , ~ \ f ~ . \ ( 1 ..4 .. \' ( . ,t f f ~ f \, . # - J { . . , .r:\~!~/\~',\~~:\(\~~:';~\v~;~r~Tll~l, " )\1'1/;:\1; DEPARTMENT OF, HEALTH "'l.11 ;.'\7:::Vt:'. "i,".'CERTIFICATION OF BIRTH . "\, \ ::;:::" ~ :.~~; : . ., . , '.; :\'1'\.,. '!!,'" j. ': i'" DISTRICT NUMBER ,.THIS IS TO 0: CERTIFY,: that: :the person " :namedon \ this certificate": ~as' born on 'the"Jdate:and atiithe place ishown' and. :;.' l' _ '..' .this::reco~~.'ofbirth;was filed~with the "._h. ,;:...Registrar~ol'!'J'. .yjta~IStatistt' Cl 'I' !: 01.:: this ~" , . l~ " ' " ." ..1 - I ~ , J .'. - " . I' 'R' . "'0' ..~.~Ul"'-\\\~--\'I" "'.., NAME :, .;. e.glstr~hon., ,Ist.ne ,=m~:;';" -;:: J1i';')i\ ,,' ,_~: {\:, ,,~ ,',I -~"',~d,:-:"",,:~~\ ""::F'\::,'_-:':h,~',, -; - \ j 1,\ : 1 j d , ~ ~ \ ~ ,- .- ,I,f I......' .1 - ,"',' I! f ,I) ... .'. '.:';~~;1;.i\\~"}i~:"'.':' .. . ':;',2'\i'm~)v.ikill~::',':;, I . . ;;! 1).:':::\~\.~~;; \! \.:;':;::.h~:;'-:J) )-;'" ::' ,.....\{.\ .....,I<I.,__.jl.\ __ . ',\..\ . ,;. ~., :'.; ,..,-, 11' i " ,..... ) .......- J" ., .", i i 1 i,.:;..;n~ \~i:,;,~,;;\\l~:'; 'I (\:..;;('i' :;~\~:~\,\~~~ii;(~!.I!\T!- 7';' '. '.. " i; ~ 5901 : d.~ .... ,.....\~ :': "" PeekSk.t.+.~.:::; 1\ , ~) ~ ~ REcaIEll'RAR. .OF;~VIT~L STATISTICS .' , : DISTRICT. ":.~I,II'\:-' ;'\'.\::;::::1\1'::-;,;1._._\\( - " '\ _..~.. f ~...)~ ..\~ I' I .. ':'" '.,' , ~';\~;~':\j.::~-,:~:,;.~~:W.4.RNlr!.c.",ANY ALTERATldN INV.1LlD~TES,tH!S.c~~flFICATE , ""/,,vsJ.l,O 'REV."8/7~ ..l)j9QM).kA~LJSSllll.~" " '!l, -11)":'''':,- ;11 '1' \\ _ ,\ ". :''1 -" .\\)_.:.~\\; __,'oj ~-.)\, " '." -.) \ ::.:-I;\j~--::\\\:::;::\\\~:~rl\)C:"':::I'I: ~ u! .~':. ,.!~~ :,'":~U, -,;...".~\,,(.~:'::~,q,.. '!~ '" II. _f'I_ r~( ~~') \, Female PLACE OF BIRTH (COUNTYI Westchester ... FILING DATE' AUgu~;t. ~5 ,.1911