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HomeMy WebLinkAbout2714 CERTIFICATE OR DEATH ?k,. \.- ••••• • .*~» tna-tw otr IIRAL7M wRtuu ot- f>fTAL R~ ~AT>< Nth 110 l.S.l ...- !LO>tIDA .. .k.R ~r./.rl~ •a...t.a 1. (KAM «MAttl OOOt 110. ttottxa (wtwar.Mt,IMi ououtT~r •• a.ta..wt~•.rl.ea a lTAR ...:,11 ~ 001""" . llorida at Ludo .. ,1.... ,. ~.-- txrY, ff)wx. Dx uotATON e. • a ~ * t. C11Y,1Ow11.OR 1A)CAT9)M .. _ ~ ~ii.~` Ytn ~ or~r Piowo !'arL Pierco Y asQ O _ (~~ ~ ~~ ~ wM ~' ~ t~Ix1N ~ lTKIT AOOxt.~ 011 A /AxMf C wO~ITAt aw Y[9 ^ MO ^ 1'~ Yttrt N M'01 ` aNli/ jM . a. DATE ab.rD+t/ n ( .rplM_ 'rhOra H. Drlaooll 0 ATY $e • 7 17~ 9Ex o0tax ox xAU ~. MAIMR[e xEYEx MAMwO DATE a IIxTw AiE ( UOS 1 TEAR IEIf. AMt ) Ar..lr o.w ~... rr.. . r , t . Yaks white woDllrs olvoxeEO Deo. ~ 1886 - o l.l.l / t1.. usvAt oocw-Tloll ((twill NRa yr.-t . KIIID 0/ 91),111Llx 011 wou9nr . MIITMfaACt ( r port t.sh/ 11101 or .wAT ofwlnl •,tk ~.r- R•••Rt Ati/Rl.tt wrttRl ~y~lN-ta) ~ mil ~ er U.S B D~ Balti.~are lid. U.S \l..k 1st iATll[x'9 MAIIE Wxl[II ~~ tn.:r,t.r Deeaie Driscoll Eit~MT1De lr~tOII ( wAS oEaA9EO Evcx w a: ARYEO toxusf 9oaA~ 9Eta1RITY fla >t~- ~OYe ,. Driscoll Ir........w..) w,,..,.;...,...a.r.,r...w AOn~ ~~ Tu.r.l 11. fAr9x M xfAf'M LtiY- ... ewlr;a M (•). (1)• (e). xrtgvAt x[TwEEM 01wET AIID oEATw a i r.. t • r TART l ouTw wA9 t:A1gED kY: •r.t t,1• ~~~~ f~lllE (a tk• •.r- a • pyE TD h) I f AI t\. •ltk p r Y/ My t•rat ~. •,tY,R T9 ~ TART M. OtN• lIt101CAMf 00101/101 OOMIRIIIMRIt 1D 04TH /IR MDf RaAw) TO flt tnlrRrl DItG~ OolOT10R tilf0l M /Axt Ne) . w A ' Y ~ KRrORM[Of -.rT • • t- e.r a..e- ~ Diabetes to tia Urolithiaaia TESO Mom •r .•ter. >q.. ~. DE9CRI/E wow 111JUxY OOCYRIIED. (lhtw R.1.lf yfy.r/ tr Pert /.- P.M )/ ykts I/J ^.kl.; •.~ AouDEMr sulaDE 11oY1t1o[ _ t,.R •t >br. TIYE Ot llwi aGM1A. D.I. Y.~ - -.dr. MUURY .. MI. ~. s. 101. wwRV aocuRRED mr. /lacE D/ MuvRr (.. /j~1~a v.e..t M.r. MMI. K-.If..wa (ila/., da) fi-~ mil- u*v. TDww. oR uou-Tlow oouwrr STATE wwR2 AT ^ MDT wNR.E ^ . WORK AT wO11K C .Aih on ~~~ •Md I..t wr ~ 21. l •tN+dr tA. d.o....d /rom . to a+ n/ to tA. b..f o/ atTr Awo~Ard/.. /rom tA. uuw •t.t.d. i d o..; . . D..te oo.urnd •t won tAr d•t..t.t. •11 1 t.R. ~. 910M11TYIIx (Dn/nr M ttrtr) jjs. ADDRESS ?2t. DATE SK11ED •r• t• -• e..,l.t. • 8lchaid F. Sinnott Y.D. 708 3. 6th 3t. Ft. Pierce 10- •eerr a t.. ~. wwa. CRtyA1104 ~. DATE 21[. MAME Ot OEY[TERY OR t:REYATORY 13f. LOCATION (CY/. h1rw. M e...tl) (~) '~"°""` ts''"1~' Ft. Pie ):ce 3t. Lucie ~ Florida Y.S. /S19 2L. ~~ ~ T~ ADDRESS 2S. DATE RECD. n LDCAL REG. RE6KTRAR'S SKMATURE x...1966 liiltOn ~. Baird Fort Pierce 9-11158 A~-a Lee Denison d r . _ i i