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Cuerly Baler
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the ag
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Filed 04/08/2024 10:50 AM - Karen E. Rushing, Clerk of the Circuit Court, Sarasota County, FL
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To whom this may concern
BAEC
I have known Beverly and Nick Del Mastro for 6 years. In that time | have found out what truly caring
people they both are. The best neighbors, they always looked to make sure our hause laoked normal
when we left to go out of town. And they would cail if they noticed anything out of place. The way that
! would describe them is to say that they are kind, always with a positive outlook, and a smile on their
faces. Totally trustworthy, of fine old fashioned moral character, and enjoyable to be around. Beverly
has a wonderful way with plants and flowers. Her place looked beautiful !! Her home a showplace of
good taste. Nick, a wonderful friendly person, fun to be around. With lots of positive attributes, | can
only say how lucky anyone would be to be in their company.
Sincerely,
Vera and Tony Rapisarda
Dire
‘ZL
ph age 770-EWE
9 6S 170 - LF
"RECORDED DISTRICT ieee
7 DEPARTMENT OF HE,
OS70 CERTIFICATE
.
"REGISTER NUMBER ) st husbend
oz OF DEATH
1. NAME! FIRST IDOLE TAST 2 SEX: "GA. DATE OF DEATH: 18, HOUR:
MALE FEMALE
BARRY LEE BAKER 1 2 1_|i qui Qe Fm
RESIDENCE “4A. PLACE OF DEATH: HOSPITAL HOSPITAL, NURSING HOSPITAL
PRIVATE OTHER (Specify) v
(Check only one) OA ER OUTPATIENT HOME INPATIENT
RESIDENCE 1 OATE ADMITTED:
1 2 3 oO 4
‘aC. NAME OF FACILITY: (if nor acilly gwe address) 14D LOCALITY: (Checkone and specify) 1 4E, COUNTY OF DEAT!
NCHS ' cury oF VILLAGE OF TOWN OF
7789 Potter Rd. 1 1
‘4F. MEDICAL RECORD NO: | 4G. WAS DEGEDENT TRANSFERRED FROM ANOTHER INSTITUTION? (I! yes, specify institution name, city oF town, counly a “stata)
t Ne
6. DATE OF BIRTH: 6. AGE:
TTF UNDER 1 YEAR | (FUNDER T DAY 7A. GITY AND Sa (OF BIRTH: (Country 17. [F AGE UNDER { YEAR, NAME OF
MONTH. pay YEAR months days _j_ hours __minutes HOSPITAL OF BIRTH:
52 r T
1
T
'
T
1 t Sodus,
m8 16 uy . N. Y.
@, SERVED IN U.S. ARMED FORCES? (Specily years) ‘©. RACE: (Black, Waite, afc.) 10. HISPANIC ORIGIN? (if yas, specify) 11. EDUGATION: (Check oniy on6)
¥oO NO 12 1345, 18 ite
7A ° 1 White oe Te 3 Os
12. SOCIAL SECURITY NUMBER: 13, MARITAL NEVER MARRIED OR 14. SURVIVING SPOUSE: (i/ wile, provide maiden name}
rATUS: MARRIED SEPARATED WIDOWED DIVORCED
78 T-BAR 1 2 3 4 Diane Homan
5A, USUAL OCCUPATION: (Do not enter retired) 115B. KIND OF BUSINESS OR INDUSTRY: 115C. NAME AND LOCALITY OF COMPANY OR FIRM:
Factory Worker ' Electronics Mtg
L iT.ReW, Auburn N
T6A, RESIDENCE, STATE: 1168, COUNTY: T16C. LOCALITY: (Check one and specily) T16F_ IF CITY OR VILLAGE, IS
1 Cayuga 1 ' ony oF VILLAGE OF TOWN OF | RESIDENCE WITHIN CITY OR
New York 1 1 7 Throop 1 VILLAGE LIMITS? i... ves TINO
160, STREET AND NUMBER OF RESIDENCE: 116E. ZIP CODE: 1 IF NO, SPECIFY TOWN:
10 1 '
7789 Potter Rd. 1 i L
17. NAME OF FIRST wi TAST 18. MAIDEN NAME, mn LAST
FATHER: OF MOTHER:
Unknown Baker Pauline Wood
9A. NAME OF INFORMANT: T79B. MAILING ADDRESS: (Include zip code)
13021
Diane Baker iRd # 6 Box 381 7789 Potte
25
‘0A, BURIAL, CREMATION, REMOVAL MONTH pay YEAR "208 OTHER
PLACE OF BURIAL, CREMATION, REMOVAL OR T 206. LOCATION: (City or town and state)
(OR OTHER DISPOSITION: /Specily) DISPOSITION:
oO
IA. NAME AND ADDRESS OF FUNERAL HOME: REGISTRATION NUMBER:
Nicron Funeral Home 225 Sta Aubu
Fa 722A, NAME OF FUNERAL DIRECTOR: 1228, ee
PSDIRECTOR: RE ‘RATION NUMBER:
aT
Michael J Nicpon 03798
eye af £,
IGNATURE OF REGIST! THB BATE Rav BERMIT ISSUED BY: 7268.0, iT Year
hessabd:
FILED. ISSUED:
38 Woe. DL, at I th Lit 2 oY
ITEMS 25 THROUGH 33 TO BE —on— ITEMS 25 THROUGH 33 TO BE
COMPLETED BY CERTIFYING PHYSICIAN COMPLETED BY CORONER OR MEDICAL EXAMINER
OR
‘5A. TO THE BEST OF MY KNOWLEDGE, DEATH OCCURRED AT THE TIME, DATE ‘5A. ON THE BASIS OF INVESTIGATION AND SUCH EXAMINATIONST CORONER
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AND PLACE AND DUE " THE CAUSES STATE \S | FELT NECESSARY, IN MY OPINION DEATH OCCURRED AT A
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SIGNATURE: Sa pay YEAR TIME, OATE AND PLACE AND DUE TO THE CAUSES STATED. Ol PHsician
SIGNATURE
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258. magento THE DECEASED
Ave ZL CL? 3 Tye] AND TITLE, MEDICAL
EXAMINER,
T25C. LAST set ALIVE: 2 5B PRONOUNCED DEAD 25C,HOUR: ‘25D. DATE SIGNE!
MONTH DAY. YEAR MONTH DAY Year! '
MONTH DAY YEAR MONTH Dav YEAR ' \ MONT
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27. MANNER OF DEATH,
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UNDETERMINED
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26. WAS CASE REFERRED TO
‘25F. MEICOR. PHYS.
LICENSE NUMBER
NATURAL AUSE ACCIDENT HOMICIDE SUICIDE CIRCUMSTANCES InVESTTOATION ‘ZA, AUTOPSY? 296. (F YES. WERE FINDINGS USED
CORONER OR MEDICAL EXAMINER? | NO, YES | TO DETERMINE CAUSE OF DEATH?
1 2 3 4 5 6 Coro Xi ves o On TF ono Cives
| CONFIDENTIAL SEE INSTRUCTION SHEET FOR COMPLETING CAUSE OF DEATH CONFIDENTIAL
30, DEATH WAS CAUSED 8 (ENTER ONLY ONE CAUSE PER LINE FOR (A), (8), ANO (C). ) A. ‘APPROXIMATE INTERVAL
BETWEEN ONSET AND OEATH
PART |, IMMEDIATE CAUSE:
tA) tA Ver CA hize—e droit he
DUE TO OR AS A CONSEQUENCE OF:
(8)
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PART Il. OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO
8 QEATH BUT NOT RELATED TO CAUSE GIVEN IN PART KA)
BIA. iF INJURY, DATE: HOUR: ‘318. LOCALITY: (City or town and counly and state) ‘BIC. DESCRIBE HOW INJURY OCCURRED:
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‘G10. PLACE: T SIE. AT WORK? | 52. WAS DECEDENT HOSPITALIZED IN ‘SGA. IF FEMALE, WAS OECEOENT 7 338. OATE
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GAL ENE NOP, FLORIDA CERTIFICATE OF DEATH
rR Nae
Last Su) asx
BZZzAll t ee i Rene Michelle ‘Baker: : Female
ia AGE Bay Menthe Hove "a [&.OATEGF DEATH (oni, Day, You)
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i Decs er? 13, 1964. 46 March 23 2011 es
Se IAT AMBER "BIRTHPLACE
(Oana Sita or Porgn Gaur) fe cOINTVOF
‘i ra Newark, New York Lee. ge
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SS anon HosPyraL: espa Fact uesng HomelLon Teen Case Facty Decadent’ Home ‘oer tSpecty) i
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S&S fe 26Memo:
lemérial Health: System-IMH Ft. Myers Xie Na
eee "HARITACSTATUS (Speci 7 1a! SURVIVING SPOUSES NAME (ate, gho mado naa}
arid ui Separated Mowe Dvowed Never tariod
SAE Fb. COUNTY ae: GHY, TOWN, GRLOGATION
AW Collier |- Naples
i 46 APT. NO, iP COE Tig: WSOE CTY ANTE?
in ‘it 3321 yyitani ‘Lane’ 34119 ves Kino
SECRDENTS USUAL OCCUPATION (ale tp of wt cana ay ato aria Ma) 7b WON GF BUSNESSINDUSTAY 4
iS Gustomer Service Representative Food Distribution
REDON S AE Gon tor sn tao ail ‘Move Wan ane ace my Be speced)
‘nie 5 lack pr Altean Arian _— Prarean nano Alaskan Natve (Spey te)
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DUCATION (Sngat/ ie decedent ignst depres arlavel cf echoa! eomeleid at e of dea) 19, WAS DEOEDENT EVERIN
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238. ci oF fe, STREET ADDRESS TP CODE
if ‘Osprey. P.O. Box 97 34229.
Sd ieari POSITION pane of cameiery, cum, raha aCe), a OGATION- STATE [5B LOCATION CI OR TOW
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INLLIONNNNNNNNNNNLDNNNO
DONNA NNNNNNLNONNNNNONNNDONN NNONNS
New York State Department of Health
Albany, N.' ¥. 12237
Certificate of Birth Registration
This certifies that a certificate of birth has been filed under the name of:
Barry Lee Baker, Junior
Sex: Mae
Born on: Juey 7,1970
At: Newark » New York
Name of father: Barry Lee Baker
Maiden name of mother: Beverly Rhoda Aumlin
Date filed: Juey 10,1970 Local Registration No.: 424
Date issued: February 27,1985
i>
Registrar of Vital Statis
Address: 00 E MeeLen St
This notice is void if it contains any erasures or orrections Newark, New York 14513
SOUND NODD
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Preview
u qo24ce 2040 Ne Cuerly Baler yr wia 2 pélient ° he Crnece Beha 0202 Megt tt fidaar the ag om ALM f Nae men tih Kee fa my fot Deresa 533 Spreprte , p/ 3yzazto gl = hs wa te cen Lenin phe Bovey boker lame te omy Heme oe te 2b© of Marek Aoad anh <2 bentenually, lagging IVE With he Vf sole Aer pup Aeacclenit, Ntattuck gb ILE -Let3- 7903 “K argrtee . rn Sc J EVER Jog te Laboh [ecdone D5 Teo we £323 Laraponts L a etn none A” “7 Filed 04/08/2024 10:50 AM - Karen E. Rushing, Clerk of the Circuit Court, Sarasota County, FL LiocA je t= yer ) wee herey veri Conf Johen I ment Fito i tf meA hs D mar bf ton. dct: fate Ort Prbucdtey, fn. muek cm Raw 2 af wh hk Cash me Lt cera Amend (5 Danmel pete raakrm , ot Saeke 2° AG a Lae 9 em S srk roman prc Jrrcstcle »- tetera Codrc? Ire ake Quad Ade Vong anki pd & 9 do nak hob Pe Ch no tebe A hua bord i Onepen am & fro? brig Oe oun, Hey ~~ — Presrce Neplee,7 And 9 Lise ard hy fr COn le ble? Napk, 9 beak 2 Aang" Ly J Card be +s Lirler be deccecee ughJanghte. Keowee J apr’ Vow Vy an BG ¥ Whe pues fe Caner duarfs bree ner Ard GD fine sponded Jl. dest nate mg AtteKan kk,tot Ba bond Wom Ying dffentt b f phre Perth bey’ ati oF Leth, Lp When vem Lint traQ Prentgdar hao dren ye OhadLuchink het Ft eu Mar chwunt Theyyorwile fe mele Pte. [Porth Hat, Pog Pt ard ° ,mee He. Mo Cor pet Cmver- Compl Dermat. 0a eke or Aveda my JS tegen fo [hk fou mente bn diey2 eo [et with Bom and Ofe how he featly Wee Not x pecs? Qe 9 su are Tle, Wem orn Carmgy jy me [be middle jf, Hea reght whl Sb trmen Dem nil Q Arvble mathe a puteana he Jaa How ferden yma go J kt Mag ¥ bck dud eborg WItrg Cap rg 2k tr “4 3 Lop auseth aad 9 Ee ard aeseg fw wired hear cand eee and [han What my “9? hawNa Dhan D Luas So hurt) Dhis Maton Lie peg qe f) pet waa Dok ao Y | KRonten Honest ” ie /to Was WET ar IRA ithe waq A To whom this may concern BAEC I have known Beverly and Nick Del Mastro for 6 years. In that time | have found out what truly caring people they both are. The best neighbors, they always looked to make sure our hause laoked normal when we left to go out of town. And they would cail if they noticed anything out of place. The way that ! would describe them is to say that they are kind, always with a positive outlook, and a smile on their faces. Totally trustworthy, of fine old fashioned moral character, and enjoyable to be around. Beverly has a wonderful way with plants and flowers. Her place looked beautiful !! Her home a showplace of good taste. Nick, a wonderful friendly person, fun to be around. With lots of positive attributes, | can only say how lucky anyone would be to be in their company. Sincerely, Vera and Tony Rapisarda Dire ‘ZL ph age 770-EWE 9 6S 170 - LF "RECORDED DISTRICT ieee 7 DEPARTMENT OF HE, OS70 CERTIFICATE . "REGISTER NUMBER ) st husbend oz OF DEATH 1. NAME! FIRST IDOLE TAST 2 SEX: "GA. DATE OF DEATH: 18, HOUR: MALE FEMALE BARRY LEE BAKER 1 2 1_|i qui Qe Fm RESIDENCE “4A. PLACE OF DEATH: HOSPITAL HOSPITAL, NURSING HOSPITAL PRIVATE OTHER (Specify) v (Check only one) OA ER OUTPATIENT HOME INPATIENT RESIDENCE 1 OATE ADMITTED: 1 2 3 oO 4 ‘aC. NAME OF FACILITY: (if nor acilly gwe address) 14D LOCALITY: (Checkone and specify) 1 4E, COUNTY OF DEAT! NCHS ' cury oF VILLAGE OF TOWN OF 7789 Potter Rd. 1 1 ‘4F. MEDICAL RECORD NO: | 4G. WAS DEGEDENT TRANSFERRED FROM ANOTHER INSTITUTION? (I! yes, specify institution name, city oF town, counly a “stata) t Ne 6. DATE OF BIRTH: 6. AGE: TTF UNDER 1 YEAR | (FUNDER T DAY 7A. GITY AND Sa (OF BIRTH: (Country 17. [F AGE UNDER { YEAR, NAME OF MONTH. pay YEAR months days _j_ hours __minutes HOSPITAL OF BIRTH: 52 r T 1 T ' T 1 t Sodus, m8 16 uy . N. Y. @, SERVED IN U.S. ARMED FORCES? (Specily years) ‘©. RACE: (Black, Waite, afc.) 10. HISPANIC ORIGIN? (if yas, specify) 11. EDUGATION: (Check oniy on6) ¥oO NO 12 1345, 18 ite 7A ° 1 White oe Te 3 Os 12. SOCIAL SECURITY NUMBER: 13, MARITAL NEVER MARRIED OR 14. SURVIVING SPOUSE: (i/ wile, provide maiden name} rATUS: MARRIED SEPARATED WIDOWED DIVORCED 78 T-BAR 1 2 3 4 Diane Homan 5A, USUAL OCCUPATION: (Do not enter retired) 115B. KIND OF BUSINESS OR INDUSTRY: 115C. NAME AND LOCALITY OF COMPANY OR FIRM: Factory Worker ' Electronics Mtg L iT.ReW, Auburn N T6A, RESIDENCE, STATE: 1168, COUNTY: T16C. LOCALITY: (Check one and specily) T16F_ IF CITY OR VILLAGE, IS 1 Cayuga 1 ' ony oF VILLAGE OF TOWN OF | RESIDENCE WITHIN CITY OR New York 1 1 7 Throop 1 VILLAGE LIMITS? i... ves TINO 160, STREET AND NUMBER OF RESIDENCE: 116E. ZIP CODE: 1 IF NO, SPECIFY TOWN: 10 1 ' 7789 Potter Rd. 1 i L 17. NAME OF FIRST wi TAST 18. MAIDEN NAME, mn LAST FATHER: OF MOTHER: Unknown Baker Pauline Wood 9A. NAME OF INFORMANT: T79B. MAILING ADDRESS: (Include zip code) 13021 Diane Baker iRd # 6 Box 381 7789 Potte 25 ‘0A, BURIAL, CREMATION, REMOVAL MONTH pay YEAR "208 OTHER PLACE OF BURIAL, CREMATION, REMOVAL OR T 206. LOCATION: (City or town and state) (OR OTHER DISPOSITION: /Specily) DISPOSITION: oO IA. NAME AND ADDRESS OF FUNERAL HOME: REGISTRATION NUMBER: Nicron Funeral Home 225 Sta Aubu Fa 722A, NAME OF FUNERAL DIRECTOR: 1228, ee PSDIRECTOR: RE ‘RATION NUMBER: aT Michael J Nicpon 03798 eye af £, IGNATURE OF REGIST! THB BATE Rav BERMIT ISSUED BY: 7268.0, iT Year hessabd: FILED. ISSUED: 38 Woe. DL, at I th Lit 2 oY ITEMS 25 THROUGH 33 TO BE —on— ITEMS 25 THROUGH 33 TO BE COMPLETED BY CERTIFYING PHYSICIAN COMPLETED BY CORONER OR MEDICAL EXAMINER OR ‘5A. TO THE BEST OF MY KNOWLEDGE, DEATH OCCURRED AT THE TIME, DATE ‘5A. ON THE BASIS OF INVESTIGATION AND SUCH EXAMINATIONST CORONER Le AND PLACE AND DUE " THE CAUSES STATE \S | FELT NECESSARY, IN MY OPINION DEATH OCCURRED AT A fang SIGNATURE: Sa pay YEAR TIME, OATE AND PLACE AND DUE TO THE CAUSES STATED. Ol PHsician SIGNATURE as > 258. magento THE DECEASED Ave ZL CL? 3 Tye] AND TITLE, MEDICAL EXAMINER, T25C. LAST set ALIVE: 2 5B PRONOUNCED DEAD 25C,HOUR: ‘25D. DATE SIGNE! MONTH DAY. YEAR MONTH DAY Year! ' MONTH DAY YEAR MONTH Dav YEAR ' \ MONT ‘cop Aeronce eG TEL) | [ToL 72 28D, NAME OF | Tet 9& pacer f | 127 oT 93 ON mi ay YEAR TLICENS? NUMBER ae SGHATURE OF CORONER OR CORONER'S PRYSICUN. OTHER THAN CERTIFIER: CANCER) a Chi — 7B NAME AND ADDRESS e are a et 27. MANNER OF DEATH, th UNDETERMINED [0 5 le SE Aenfenya 26. WAS CASE REFERRED TO ‘25F. MEICOR. PHYS. LICENSE NUMBER NATURAL AUSE ACCIDENT HOMICIDE SUICIDE CIRCUMSTANCES InVESTTOATION ‘ZA, AUTOPSY? 296. (F YES. WERE FINDINGS USED CORONER OR MEDICAL EXAMINER? | NO, YES | TO DETERMINE CAUSE OF DEATH? 1 2 3 4 5 6 Coro Xi ves o On TF ono Cives | CONFIDENTIAL SEE INSTRUCTION SHEET FOR COMPLETING CAUSE OF DEATH CONFIDENTIAL 30, DEATH WAS CAUSED 8 (ENTER ONLY ONE CAUSE PER LINE FOR (A), (8), ANO (C). ) A. ‘APPROXIMATE INTERVAL BETWEEN ONSET AND OEATH PART |, IMMEDIATE CAUSE: tA) tA Ver CA hize—e droit he DUE TO OR AS A CONSEQUENCE OF: (8) ‘QUE TO OF AS A CONSEQUENCE OF: (oc PART Il. OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO 8 QEATH BUT NOT RELATED TO CAUSE GIVEN IN PART KA) BIA. iF INJURY, DATE: HOUR: ‘318. LOCALITY: (City or town and counly and state) ‘BIC. DESCRIBE HOW INJURY OCCURRED: gEBF mt ' 1 1 ‘G10. PLACE: T SIE. AT WORK? | 52. WAS DECEDENT HOSPITALIZED IN ‘SGA. IF FEMALE, WAS OECEOENT 7 338. OATE uf LAST 2 MONTHS? NO Yes PREGNANT IN T NO Yes DELIVERY: MONTH av’ YEAR 33 Yo By o (ht 6 MONTHS? 0 1 ‘ DOH- 1961 (2/90) VS-60 5 wo: Ist hove Ye el valiant rea ancer, ack mer] of it to-'che h hei ved ‘childre’ rett, eve er: ingswoi ‘un: les; specic = survived ice ate, ougl: ‘Dell ofBi whe e cer. She © 80) ib m:7:7:30pm: RAL; re: mpass) los: _— aa 180 18 lanager | Hor ab [Sze < ie: = Zo =a So W i MO) mad ke) et (0) 1S nat i a a rans eee > = ae — ey opatkten ine Bi Ie OFFICE of TEALJ sTAristics hsMeze i l Airifi CERTIFI 5¢OPY a me 7 fil! bie Sy a And hora sNe Li Bie. A ayKee MG GAL ENE NOP, FLORIDA CERTIFICATE OF DEATH rR Nae Last Su) asx BZZzAll t ee i Rene Michelle ‘Baker: : Female ia AGE Bay Menthe Hove "a [&.OATEGF DEATH (oni, Day, You) ea i Decs er? 13, 1964. 46 March 23 2011 es Se IAT AMBER "BIRTHPLACE (Oana Sita or Porgn Gaur) fe cOINTVOF ‘i ra Newark, New York Lee. ge ul EOE wOsPrAL alone Eergency ReomOuapatert ‘bad on tal SS anon HosPyraL: espa Fact uesng HomelLon Teen Case Facty Decadent’ Home ‘oer tSpecty) i [ 10! STK NEL met oe Tia CTY, TOWN, GAT LOCATION OF DEATH ib SOE GY UNTET tf S&S fe 26Memo: lemérial Health: System-IMH Ft. Myers Xie Na eee "HARITACSTATUS (Speci 7 1a! SURVIVING SPOUSES NAME (ate, gho mado naa} arid ui Separated Mowe Dvowed Never tariod SAE Fb. COUNTY ae: GHY, TOWN, GRLOGATION AW Collier |- Naples i 46 APT. NO, iP COE Tig: WSOE CTY ANTE? in ‘it 3321 yyitani ‘Lane’ 34119 ves Kino SECRDENTS USUAL OCCUPATION (ale tp of wt cana ay ato aria Ma) 7b WON GF BUSNESSINDUSTAY 4 iS Gustomer Service Representative Food Distribution REDON S AE Gon tor sn tao ail ‘Move Wan ane ace my Be speced) ‘nie 5 lack pr Altean Arian _— Prarean nano Alaskan Natve (Spey te) iFHi iia Fano apavesis Korean Vetnanese mar Asan (Spey) Hf i Suan. Siamarian of rae Sanean Loin Pacts (Spe) Loner (Spaciy) i SDEDENT OF HSPANC OR HATTIANORIGIN? Yes (tes, spect) Ki No Mescan Poona ican Cuban \Conuaout Aenean ie Hel fn) iotan § “ ea Ler Hispanic (See) DUCATION (Sngat/ ie decedent ignst depres arlavel cf echoa! eomeleid at e of dea) 19, WAS DEOEDENT EVERIN (US. ARMED FORCES? i afios Hoh acho at plana K reonaepiinor Et Soba oi ese Categecepree (Spe Assoxite Bachelor's estas = Decorate ves Kino oi ae EATER G NAME rt nL Sty. 21, MOTHER'S NALE (Fit, ka Walia Suara) Ey i eB itp ii i Bak LBaker Beverly Armlin *y INFQRNANTS RANE ine [ae RELATIONSHIP TO DeCEDENT a: RFORAANTS MAING STATE Hi i verlyDe- astro Mother Florida 4 238. ci oF fe, STREET ADDRESS TP CODE if ‘Osprey. P.O. Box 97 34229. Sd ieari POSITION pane of cameiery, cum, raha aCe), a OGATION- STATE [5B LOCATION CI OR TOW mG gage Cremation Services Florida Naples ral t f OF DISPOSMON: © “parat Eriomtment Kceenation Removal ta Suto ine (Spy Ee {228 ee MATION. DOWA 2 UC IGENSGE OF PEREON ACTING AS SUCH wal VAS MEDICAL CAN Ss iy We eH ieee FRAL FACT. oO" ley 2a FACS MALUNG- STATE De wi¢ral..Home~Cremation Services. iva Florida > {h 2) ie1 ‘cry ate, STREET aad DP CODE 34109 i SS, ia cenmei = 16: Ridge. Rad Wenee eat fy dat a place, and ii ta cue) ad iets. (oiecone) adical Examiner -Gn ho bass of examinaton, andr investigation In my epiien, death eccured a he i, daar place, teh causes) and manor sated. ® ei a, (sanamureaa [ae DATE SIGNED (mn seypm [32 THRE OR DEAT (2h) ] 98. MEDICAL EXAMINERS CASE NUIEBEN a 3(esIn 0103 Se bs} SS TuCENS NSE ee Sep: CEATIFERSRAE Fr THAME OF ATTENDING PHTSIGAN (oer fan Cea) pas ‘Asif, Azam MD sms ‘ORTOW [iia STREET NODRESS [SEE EP CODE FI fa‘. ts ‘Myers 2776 Cléveland:: ‘Avenue j ‘Rm. #9208 33901 "SUBREGI un and FLED BY ISTRAR (Day, y ZN rf aes Hee | ey Ae bepbeoy.Ara 201 LANIER OE DEATH The nan Be wer ta rion Ae ec anna FSET RESTA ie i) ze es i ai at oe alata oo Sy aeeeet 3 i: a Z SS.te Ee ES fi He a v ee Sov) Heo Bone Can can / INLLIONNNNNNNNNNNLDNNNO DONNA NNNNNNLNONNNNNONNNDONN NNONNS New York State Department of Health Albany, N.' ¥. 12237 Certificate of Birth Registration This certifies that a certificate of birth has been filed under the name of: Barry Lee Baker, Junior Sex: Mae Born on: Juey 7,1970 At: Newark » New York Name of father: Barry Lee Baker Maiden name of mother: Beverly Rhoda Aumlin Date filed: Juey 10,1970 Local Registration No.: 424 Date issued: February 27,1985 i> Registrar of Vital Statis Address: 00 E MeeLen St This notice is void if it contains any erasures or orrections Newark, New York 14513 SOUND NODD VOUT UIT TOUS OOOO SO OUT UUUOUIUSOUUUUONNNNISO A oH SS EG os EAR ea a6 3 qi eh a NG a ROW0 ORG) ST LA Ke iz aate a a M4i CRS FNS) y AN i NsSS