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HomeMy WebLinkAbout0321 ~..~~~c ~u i z, y3 ~ r.,. .,AT~ ,o,.~o or Ms,?i„~ CERTlFICQ?TE OF DEAT~-1 eo~~~ • ~U11tAU Ow YITAI. ttATlrl'1Cf fTAT[ i1Li MO. 1. FLQ1tIDA r •~S , n . ~~ai~rt+A~t•r ~ r.~. r t y t r??r.~ w~usw c oo ~ wo. : vww~ r~s t r?.. h.w ...w,~ r~r... rrw «r... r •a~~~t~a / ~n7y e STitT( Cou«r~ rill 5~,~ Lucie ~l~ S e. ~ i.... - - - -F1.°' l~ a CtTY TO*• CM IOC~IiOp r~S ?l~Cf O~ O[~TM t. C~Y'1. Tp~M.pt IOC~TCM f. IS ~SKRNCE I~Id( CI lIY1T31 IAS~Q CIT'1~ l~1 ~ FL. Yierc• rcx[~ ~o(' Ft. P1fI~Ce rtsp ~o t~~.. ~.rc ar iyb.~c~sa~.~r.r.r+.e.n.r.saw~ . uu:TM os t sz~cci ¦oaic~s 0~I A/RMIt hpy~tAl W fTAr ~M ~S MISTITUTq~'t. pierce Me~ori,al ~ ~ 4700 aarcelana ~~e. Yr+C] ~ot1 ~ W~ r1 f-IrY AIf1/! ~.Yt ~ DATi N«sl~ (1~i Y!I 'rir•~hn Juin Cristopal Fmere oi T~ U+c. ? 1959 , f[7l i COL~ 01~ aACC ~ YAllll~[0 1EVLR wAR11d D D~T[ Of i~!ttM !~Gi Ilf /NI r tti[~ i T4e 1/~ M 1~. v_~y~? Nano 21/ ~p7 f~/Av~l Yi G~M yb. • t t • ~1y~C wiLL Y~ 1r100~[D -pVOiRCYD ~ ~ 1~1\ 2~ W Ufuiu. occW~~~oa (Owr Hw1 Hr~r! Mwr 1~ K~w00F /VSM~S9 ~ 1MDUSiRT 11 ~MTNRI,C[ f~~f~ A~Mr~ rw~~) 1 P?1~11 C/ O~MT ~Rl'T tt ~~r- ~ a~1 l1~1 w~~ l/ rrtwrB) .....e iTav~~ator ~ 5tandard Cil t~nirey A W I Nat. U.S.A. ~1~~Y !~t t /ATi0E115 M~ME 11 rOTM[II S MAfbF.M F11~[ ly~e~rlt~r P.iCh6t2`d r:mel~ F~e11t8 GbalOi 1 wU OSU~~G CYFp ~w u s.RrEO ro~cci~ +s socu~ xc~R~r. nc ~ww?rv~ ~.~.01dE ~tCY'S t!'~r. r. r~~l ~ ~f! ~w. r.w' wr ~ Irw N r.~a.r - _ ~6?w Ft Yier Fla. I~a~r~l t• iI141K M KwtM (LSWe~ wJt s~et r~wr p+ tfwr M t~)~ tA;. ~~i (r~ J Ih'TimNt'~Y4i /[riIfCM ~J~~ac~r r~~r i at.tH y~su~xo.. Bil.~tez°al lobar_ pn~wionia 4 Va~A soot r~t. ~rto+•*c r~vst - - t?• s~?- iirs~•~. c~~....if~+r. ~ ro - _ _ - - - - f!t\ tM• ~~~c! /vt /r/ t~ ~ - - - - ~ - (~1. 1 • ~ • 1 ~Y ' r~`s~trar w~i"~ a" ~ m . Chronic_con~eative_heai-t, fa:_lu~ ' ~.~Ll~fla_ r~~.~ r..r ~ - - ~ 1 L\ l• T 7 ?AI1T ir GTIY 5~i~f'ICl~pt C'7~IOtTOw, CprtfMUffIA t0 C[>Tty pJt N0~ i1CUl~TD ~O ~'14 Y'E11~~hY O~Sl~i COrlpfbM I(t) . A t~~r• if- ~ iy ~ ~"I'lM~7RM[Dt ~ ~..~r.~l ver~ir:~~ ald healed qocsraial inf'arG~lon wis~ ~00 sr ?~fsr• ----`!~y, p{}~R:~E MOM .~1~JRv rxC~~~SO ~b~tr. s~tarr yiaJrry i~ ~'rM lM l'~rit ll y iM+~ i1 ) " r~lf~~ ~ AC~IOCMT a:~K~D[ NOMK~t7t ~ ~ ~~~osl- ~ ~.1 L~ ? ~ ~ • ~ . r - - - - - = ~ Zo¢ ,;~5 :,s l~.u, x.w,~. wi. t~... . . , . - _ : .sf1. ~KJ:,1lr • - ; . A . ~l ' .a,._~-_._ ~ YSl/ Nu~~v OCIURNED s~0t K~CF Cf ~K~V~r ,r. ty a~A^a! M~wr. !UJ C~T~ Ti~tM. S7N l9C-~TIDA MTl' 3T~T2 ~r1/iE AT 'l MOT wN:IE ~'1 l~ M!K7cr~, YrtA. ~~tf 'A!~ . r:r 1 ~OMi( ~ ~T +1~lAK l ~ .i I~rt~nd~i riir i~wo~sel l~r~..n • ro ~~~7..KA _+wll«t aar h ~ ml~s~ sn `Z. D.rr~ auu~r~.r ._~1 ~a_. ~ m~n th~ d~ts er~t~rd ~br~: •nd ~a ~Iw iwt M eV ~~?~1i~. /•om rM ca~rr ~te~~f ~I l f t~~• ZEa NSM7'YMt ~ (DMn ~r ~rG: TI1D •DO~EfS~~ ~Zt. WTL iK~1ED " a. 12-1G-59 ~..r,.~. . ~ ~ n 51~ ~^e.A,F't.Yierce, Fla. •e~~rae~. Z~r w~u. cwcr?r~ew Zle o+.T[ ~ Z3c w~+~c ~ Ctr[r[~r oR C+tfa~i:ar F3/ IDChTUa SLY~.4ff. R Mwf/1 (iswl 1 5~ I Ft. Pi.erce Ft.Pierce Fld. Fiur a1 u~c y...--------- - _ Y.f.~6:~ ~~i~+E~~:~i[~RlS~6~?T~~I[ xrw~css ~ D~rc~tco~titoc+~w[c ~K ~EGt~faARS-Sjf.~Uf~U1tf "••.'•'6 '411ton ~i. `r~ir~ Ft,i'ieres :~La. ~ i[tlii-~9 ~ Anr:a Lee Lenis~~t~ ~.r. i I hereby ~ v ~ECORI3ED c rfif th;s to be a rrue and corrert co4y of tfie o~ Registr~;'s:re~c~rd on f;le in ~ne St. Lucie County ;-iea;~•.~ Depa~; ~ ~ B~OK ~1t et ~~ti,f'iprc., F:or~:i~. . : , .t~ C `(Wamiilg: ~f`~'o? vL~id ur"ess r~;sed s~ ~1 of r~e St. lucie ~~5 ~Y 2~ f"i'1 3: 2~ " ' Crunf~~= Health D~l~artm~r.t is af~:.~ed.) ?1 ~ . . .~.l~a~~1~ jl1 ' N. b. M!iICR, D.~. a. ROGER Pul i RA~. CL~t(FC ' Coun~y Health Gffi~er b local Registra~ ST. lUClE CqUNTY, ~ ~LORIDA ~ . " ~ L~ S ~ . . t, ~ , ~ ;..~~.g: ~ ~ ~ . ~ ~;..r-.~.----. d pep~ty local Registror •r . ~n~.~~~