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HomeMy WebLinkAbout0526 i ~ R,?r~ so~uee or Kse??.r~ C~F~TIFICATE OF' DEATN i t; ; r`'. ~ 1~ ruw`?u or vrrw~. R~n~t~ca ~r~rt ?ns ~w. r•a- lLO,t~JI •r~ ~M¦ ~ r••~•~~r .~..ra.~ r6Ats ~1? w~rn coos Mo. ~ Ass~~l[t...~.......,~ ~l~v.~..~~~ A.r~..wn.rr..+..) •11! ~'~r ~i...~ tuci~ ~ lr ?~r- Cmr.low~. o~ ~.oc~ra~ r~s ru?cs ar a~r~ a. c~TV. Towe ol1 1,ot~T~u~ ts ¦~~~rt rMS~a C~Tr uri~r ~~0! CfT~ I.MN~ . ftl~. YE~ MO P't_ P~t2'L't KS ~D 1. w?al[ OI ~E/ ~ w~/~. /ir~ ~rswt di~+w) mt[Y ~a0/~7~ w~nvu cw asm~rt~ 7 Md~ M ~?~r ~IWr L.w 4 oa*c ~4.+? D~ Y.r N/~AMl1 0~ ('!~'/r U? /riyt) OU~TN t]I: C iycy.. . 4[X { R7~OA OR RK:t 7 MA~7t~8 ~ 71[Yill 9tAARf[D MT~ Of M~TM ! W~ fh prt / 1 twb. ~ ~MWI Y~~ D+1M l~w MM. r 1 t• Ap,p~ p~yp~m i~ i s ~d~. ~sw+. oc:MAthoA (QMr tiM y.reri MOe Kir~a oF wswcss oR ~anrnr ?1 wrw~.~cz t M++r+ ~ws) armw w wwr ao~an~~ • s t~ r- ivly ~re y rwMy sh. ar. y?rr+.r~ •s~~at ~ 1~~ t f~t 1. rA7K~'S ~y~ 1. MOM.A 3~a~CU~ MMt s? t~r~rrit~r _~1~~~ ALhsr~s~n ~,~,1 r~s oca.~sco cvc~ w u s. ~wso rowas~ K xxu,~ xcv+?~Tr wo. it ~i~aa?nw~ DAn1~l Colli~s 'i Y.~, r. r~.r U/ u~. rw w~ i4. ..w.1 . .t/~~w ~ ?~~~P~1 1~ Swr/R M~J1T'M (L1UY? M~ ~ww 2ra ld~r /w A1. a~I ttl. IMT'EM've?. ~cT~ltvl ~ i r•• e• r l~~T 1 autl~ ~A1 uus[~ *r, ObEi ArMD o~ATN ¦e~t f~1• wriows~ C,wsE (U __~AL.1tL~_.~ll.@i?Il3Z"~- ~~o:.$-- - - _..~1~Lt_ t~• •~r- s~rt..a. cy.t~t..,,. V~a. ou~ ro c+1 __----_A~~~?_ - rtsr t?• .~;c~ /a~,. . 1~ - ~ - - - - - ~ - ! • • • 1 ~Inr rsrw~~1, r~~is~r~r I+lt~I Yr r~de+• Ot~ TO (~1----.__. - - ~ ! t \ f w T i ~!r'p e~ {~f. ~ - ~ - - ' ~ = . ~er~ •f- ~ ?~#T u otia ~s+v¢rn Gmrrr~s oa"w~rt~ m ourr ~ur ao~ ~wu ro n~ rt~nw? O~at Ciartoia l+ro~ w?prt q~l. `l . tK O~~tf i , , ~ •r ?~P•r• T oesc~we ~vr ru:M. oct~~ara iAtirn ~~eww MhMY ia Prrt 1~ 1Ari !1 yfsen 1~.)• •~i[!r~ ~ ACC~O[Mt w~[~ot ~aK~f![ I sen . •t~~~~t- - - ~r a f ~ ~ - - TiYi OF 1lwv J/qN. Dlyr. Ys~ .~J. MUVRY r~. - . ~ - ~ q. . _ - . ; _ MJtlII? OGCURA[7 ~r RI1CL OI IIItUMY it. ~iM" K d+wt 1~ft. ~ w/ CRT. T0~1. 011 LOtAT~Ow ..C~y~7Y..' • lTATi •'MM.[ AT ~ MOT ~'M~ ~ ~~./~f. ~rat~ ~w IIN., iu.) -~.J ~ ~AI( AT ~p11K !I . ! ~thnlsd ttw dw~s/ /rern . - ,t~ , ~~.5.~._ _ . to ~ ~ 4-~15 ~ ~naf !wl ~sr~ ~~kr~ on r AiM DaatA oeewral ~t ~e on rh• I,N rtaf.d ai~?~: ~nd ro th+ ?wf o1 s~r tnv+~l+Iy~. /POm Ms o~r~w ~f~~~I i co.. _ n. s~~?rvrt (n.~•~ ~rrl.i tse ~oars[r,~ _ 13c. aare s+s+r[o t s• ~o•,? t. . • d cr e a - •e~~r tr. 13~ iu~w. akwinw Z7r aatE Lk ~4uE OF fEYf r~~r ott rrEaaz'o~~ 73r :.ouT~ t~wr. wr+e. K rwstt~ (~~rr) Ri11oYY f Vprl ~ ` _ ____3=~L-4S_~_~b _..~.~~.sr;__._1 ~ H~ven Con:iacLi~uS ( flla ~ rllM~~AL ~ ~ S SKMATiYRt Yat~'8""l~tineral Hcxne A~T[ ~4:0 •1' LOGAI MLG ~GK111AM f 11~rM4TURC eea J 'rr Jr. P' er e~'1~ -2`-b Mna I~~ Ueniaan d ' ~ I hereby.c~rtify th~s to be a true and corrett copy of the locai ~ Re~,istrar's rec.ord a.~ f;le in the St. lucie County Health Depart- ~J EC4RDED me~!t at Fori P:e'cp f•`or+da. ~r ~ . BOOK (Warni~-±: ;;ot v.~^:j uniess raised sesl of the St. l~cie County ~;~,'ith Oepartment is affixed.) ~ . ~ ~ ~ '6~ M?~Y 25 AN 9 : ~ 0 • ~ ~ N. D. MIII~R, M. D. f , ~ ~ ~ ~ - , , - ' Ccunty Neaith Officer 8~ Local Registrer ~ ` ' ~ ~ ~ ~ ~ ~ ` , ; , . ~ ROG~ii rOI;~(~,'~S. CLERK - L.~ ow... 1e~_.L~.-.~.. ' 5 T. l F L 0 R D A N T Y. t U~ u losa! R u P tY egisrra~r r , Q~~ :~i.~ 5~,~