Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1692
~ ~c~ c~i~Eii PAGE ~~,2 ~ e1: : ~ ~iCtRp ~ I 3fl ~'M'6~J T.~• N' .rAn .own. a. C~RTIIrICAT! OF DEATH •~i~• a rN~sAY OI ~AL rTAfMHO~ RAft /1Li NO. f::~`:.:~ l~OSIDA ~ ~..r..~r ~ars r? ~w~ coos ~w. .~ra.~.nw~s~.....~....a u~..r.. ~..~.~w.....r.r+~ ~ ~ .s...~aa ~ ~ry a sT~H C~Y~r~ y~ •lll ~C i • ~ t1~~H 1 y 1. C1T1~. 'Nlwll. 0l1 ~OGT~OU es KA~i a O~IIn~ e. Cm'. ~o11R.O~ fOGT~II •yMrt D ~p~. III~IOC CR~ IMIrTl~ ~Cflr ~M~1~! ! l11~. r~f7aurr+ Rf 1p ~ ~is I~Q iMrK ar 1~'.~r 1. h.'wt. rM.rw wwl • uprrN ar a sr~r ~ea~s w~ r+M~1 '~"~iOM 1~'t'. PT~t(~ If~f. HOSP. ~ ~ 11 B O r~ M A~M M1M ~L~M MT~ MI ~r ~ l • nM ~ ~ • ~TM ~ E~ • Z ~ ~tx acao~ ow ~ ~ r~o ~vtR r.~~ r?r~ a~ t~~~,~' s~.. sw , v r~~. M i~! ~ F1j8. 1 ~ 1~BFO 7h • i f? H r- Yew~ bOtil~~"1'ION . ~cww w MIIIMIq~ 0~ wMislltY MlR1RACZ ( ar a~rd?~' . s~1~ w rw' OIY~1r~t r ' ~¦~ssr~ HIIK. STOR'E PAUI.CQI~I('i C0. OHIO USA ~ .•no~ r.+~ . ~ wu~a ~wr~ j i• n.... AI~F~?7 AER.I.s NCOURT ffi.I Z,A ~PI.E ~e w so~exs~ sot~ ~scu~rrr ~o. a . P CO 1 ~.r1,..d u~.i...+. .w~r ~w d .ww w w 1 ~ IM~r~l s~~ N ~MfM srawwyw ~ A t ~ ~ t~~ /M*T l, ~A1M ~N CA{IKO /'t: ..~t t,a• w~n e~wwc W _____~~rlaty ~otbolle~ ~ • ~ ' •r. •i~is•t?e ~ U ou~ ~ a~ ~srSosclarotic heart diaeaae _ + Irs. 1 • • • 1 ~rs ~wr+~~ •~~i~~~~r a ~ er~~~lut~ ouE ~+o i~~~ t' ~s Mf? C11~ fMl/~M? (~IfOr C~ww1AUlfq !O CrI/M MR Ibr ~Af !s fM[ 1~ML OAM[ Cwr1~ il~l b hiT i(y ~/~M p t.r ra wC] ~~l~s• ~s- ~ O~C7C1t1~[ MO~I IKJURY OdC{Mt11ID tAlw r~d1Y~ ~/M~v~ i Arf !r M 1/~Mr~ It~ •~s~~s Y?~ ~CC~RT ~NCIOL IIOMICI~ •~.~..s- a • r TrK v nw a~. r«. ~ .~wRr r1MNt~ OOWM[0 'e. h.AC= 01 IMAII~ (s. /~1. _b" M~Met Mir. ~l 6~7'I. lOw11. GR lUG4fW11 C~YlITy lTATi 10~1( AT ~ 4~ORK~ ~ Ms. A~/. ~~R. ~s M~I~. O~t.D 1'1. 1~tt~w~f NM M~~e~/ /r~~i~ . N ~ •~I /rf o~w A~ ow DMrtA ~ri+d ~t f: . .e tM d~t~ ot~rwd aM~r~: ~w~ /o tM N~t rf sK! L~+eir~ip. !f~ tAa t~sw~ Na tl 7 I ts~i ~t. pM~Tr~ (Oq?rr N fi4) m ~O~OIK~ ~1'~~ ri~ j nl. MTt f~ill[ at• t• eeo~l~ts s Ms1111A I~olkoMSky~M.D. FC?RT PIERCE~ ~I.A. 2~5-~? •s~sr~t.. lew~. ar..rv~_ a1 o~ft 2ie ~urc or arcr[~r oa C~Er~rwr !!I. wc~?noM (CrI.1..s. ~r oo.~rp (~r) ""'~lS~'~, 2-3-bk o~?xwoon c~n~T ~Mr ( sa~usxz ) aiio t. ~~lf y1. 3 • • p1Ti KCD. ~L' IOCAI Iq,~. ~01fTiMf'f 1Y~MR l~r.i~~! ~,].t.0[I W• ~L~2'd PIERCE,FA. 2~(~ ~1• ~!O ~30~y ~•I~• ~ h~,,rEy eert~fy this ta be a tr~e snd aorrsct avPy of the t~ocai F~t~A aHD RECORtaE~ ~p~r~rs ; on file in the St. lucie Co?~n~ty Hea4th CKpart' t1.i_.E..~4•'Jfi'P~ R~te~g ~ 0 K - ~1:~4.~~Se~' ce, Flor+da. (y~~¢`F14f vatid untsss raised seai of the St. tucie ~ ~-1~3e~~lth Uepartment is affixeci.) ~~5 i 8 ~ 0~ • _ ~_~~~~i~t.~ ~ N. MlIIER, M. 0. ROG~R P~3l7R'-+~5. CL~RK , ~ County Heaith Off~cer ~ lxal Registrar i ' ~ ~ g.._ ~LOR40A ~ -,1- tc N ~+~s~r.~ L~.. tt.~ a.a~- , : , ' Dat~ Depufy locai Re9istrar r • . , ~ - . • 3 - . j , ' J•..... _ A ~ '~~:.:t;~;, ~ u n Rccordcd iri Ofticia~ ~tecc~rF~ ~00k 4~ uf Palm t3rach Cr~unty, Floridt ; . << _ ~ ~.2~ 4 ~ ' o" ~ ~ ~~U~t