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1807
t~,. .~AT~ .~„~D M.~?"~ CERTfFICATE OF ~EATH € ~ ~ ~ ! ~ ! ea~s- • rYRiAU OP Y17/1~ fTATIf1C0 ~u ~O. ` ~ ~.r. r.r. 1~~.OEIDA - _ •r~ -Y~n M , ~r ~ 1 J i ~{.Aa[ M /~AYff • i~ s t~ i COOi MO. .~MAL 1~1l~fl~ l~?w Mwr If irk+v.r; Irirrr ~/Y?~ ~iriw) -lll Co1N~r1~ fTl1T! ooUMTr f• ~ _e~a l~ * s*- C~T7. 101yh. d1 IOLA ~011 t. I! ~IAGY 0/ Ot TN CITV. T6r11.0~ LGGATIDIY D, tOCMCi ¦~~w ; rfKtOt CiT~ IIMIT7/ r~ .ca ,~+N c~rtr ~wrrs+ wu~ a , r~ ,.e a..~.r. r1~r .aw «Mw«.) . rts O ~a Q MOpf7+LL OR ItNGTN W fT11[ET ~00N[S6 011 A IAIN19 IIOT1TUTq11 iTAr /1 !1 K!? ~IO ~N~ P'bM A/1Y~ Lrt 8. WTi ~A by YeM (rir. s. ~.~.r) . oriv~ .!~X i C~O?;tM OA qACI ~ M11RR1[D ~ 11[Y[fl MAARI[0 a'f'[ CI MqTM ~ JI11 (?ityN) ~ 1NN 1 11lM IP~ 1~ K~~r Dqs ww Yi. ' ° ' +r~o~wtD avoRCto ~ f' d 10~. usu~~ 4tLw~Tq~ (04r etre yr.r! Mw 16N. wo 01~ M~[is 011 M?oVST11Y 11 Mx (9?~~ ~r /t~r+M1r awwA1') ^ i ar~e Yv wMT ~tstYr • 1~~ r- darfy ~M1 y wr Rh1t Ufr~ Mef 1/ ry(aN ) : p • Cc ;dat . US/? ?la~l~ t~k 1 FATM[11 f MAY[ L~ 1• MO R S rA1Dt11 Iy,1~t r: tY?~!~~it~r . Marie Jdneen i. r~s accRaco tvtR M u.: ~~c~ rowcts soca~ sccwurr w 1. s~wrr?tw~ U_ j~ t 1r, r. r.~iw~i (U sr, fw w ~ IW~ ~rwW~ ~a ? tLlt.~ AqulJ 3~ 1 F't PierCS Fla. & .~.Y, r,w.? ~ u. w?wa «r s~TM w e..« ~.r n.. c.?, .+.a u,.l nrrcKrN. scrv[r,i ~ s r• e•• f r•~r ~ oc~n~ w~s c~vsco sr• ascT M~o ourn .~.s -t~. ~M.?toMrs r~wsc Car~~QL.~.k~d:t~~.-- - e!. :er- - tfll•~s• ~~~y~,fJ~/. ~ ~ •1tY tb• rMid +w r{~ ~ - - - 1 • • a I ~wr ewe~ t~«i ~ • u A~I f~r swMr• WC TO (e) , ~ !y'~/ ertM IMf. . _ . , : , i , . i~sre lt' rutT afr~ ~i Caaf~oM .~!*9~IRrK lo Wno UJe Ikrr Ilr[ur[o ro Tvd[ TbPYrKI OnZAlI l^D~~OIIYOII w fMt~ .l__._..__.._;_ ~_r..._ i~f ~ ~t? ~ • ?EMOwMip ' . . ' rts ? ho ? 4 •r Y• ~~r• ~ Of'iCRH[ ~KIM IKNNIY OCCUMM[0 (Eatt~r w~~W~ ?/f~J~~ 1a'lMrf/-~M /tii /l ~M~r ii.)' ••~i•- ,?«roeMr surc~oc ?.orK~o~ - ~,g. O 0 . s r - ms nrc or the. lJ.w+?, Dar. Ywr - ~ ~ Nuu~r s. w. . ~ . ~ MUU111 ORL~II[D KACt OF 1kJURY (r. i~ w~Awt?~+~f. GITY. R)wM. OR IOCAT100L~ - COIlKS7':, f7AT[ ~s++~ ~T wT wMat ,w•. f~r, xr+a. +Ma e?N.. .u.) •OitR Q AT wORff ~ I` !I. 1 ~thnlbt tM ~eN~llesm _ 1..] ~by~- , to ~~,L.,2fj-~ •n1 krt aa~ ~~•~!!ri'on ~f~.,~•.~ Gwf/~ w~~re~d at s~ M th~ I~l~ ~t~t~/ ~b~e: ~n1 fa tM bwf iw) tna~l~dM. ho~p rM qa.~N ~f~ti1 tll t~sr •r • e~ r• tt~ ~+~wrlrt (v~pe. s. erk~ !ts ~~o~ecas ris. ari s~o e.s~f~t• s •c • rr co. r~ r.,eau. r~ L1~ wtt tk ~~irc or ar ~v ooi C MA r z1s wura~ ~tlltr. r..~. K cs..~rt~ t~+wr3 (;~*wr~r~ee~ ~rcma~`opy~ ~ ~r_,i_da I.~. l t j4 N A1 3 Yi4MA ` ADplE77 DAT~ ~CCD. ~y L(YCAI 11tG. . IYEifSTRAII' l~r, l)16 Milton W. ~aird, 9~1 N'lth. Ft. Pierre ~'lA. 1,~-27-L~4 Mna LeE Der~isons d. r. { ~ • -,;1 ~ereby ceiti~fy this !o be a t~,+e and correct copy of the locai f L ~ R E C E7 E 0 , Re~iqSbr~s ~rt?cor8 on f+ie in the St. ! ucie Caunty Heahh Depart- ~ 8 0 0 K r~en1 at For-t RiP•ce: Horida. g: , " _ ~c~c.~CC-G~' , {Warnin Pdot-iaa:d untess raise~ ;,e~i of the St. Lucie ~CC ~u~ ~ ~ • Covntli ~t;e:,'.h Der+'rtment is afFixed,) ~v ~ ~~r~ ; ~ • ~ ~ c . , "l _ ~ tv. v. M!t~~R, t~~. t~. ROGER Po! i RAS. CLERK ~ ~ - ~ " . ~ ~ Couniy !le:~lth GFf~cer & ~oca1 Reqistrar ST. LUEIE COtiNTY, FLORlDA ~ r~ ' " y 1 ~ ~ ~ _ . ~Z.~.a'1?+O'~.~~ ~ Deputy loca! Ragishar d~ r, ~ da~~ 1~1 5 . .