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HomeMy WebLinkAbout2903 ~ / i ~ ' I ~ ~ ~ ~ I i i . .~a~r~V r '2 t~,s - s*•Yr .o~ii+a vr, *rrw~.n~ C~RTI~ICA"~E OF DIEATH , i~i~~ - •ur~ir~.v or ~~r~e. !"fAT10T1Cr f L O/! I D A trwT~ ri~r _ ~n ~ : a. _ . . ~ . ~ ~ . • .t-~--~---~ p ~~p ~ r 1 K11~t N M/1Tlt. C06[ 1~. ~IMFM A[M/tM~ l~~... ~w~,r aw~ p.+~s~rr ~+i~+. Mr M.r.a./ ' i . ~o~~ri ~rt. I.i~cie ~ ~ s..n !'lorida ' Lu~is • - - - 1• p: r- D C~~t tOMw.OR lC[~FiM [ rS K4C[ Os 0[RTk t Cliti 10~11.011 IdC~T10M ~ f q f17~IKL •i~~n ~ ~ l. • r~iN ~pur~ Nl7WE C~Tf Ll1~1 1+• l le~?~ pU~ 1~11?= C~TI' LIYRI~ r? i.. t 1 it I[S U 1b ~ il _ ~A~~ AO l~ 1. wMME d i// ~N iw.ii~OY~. I~ M~wl wlfriw~) ~ l[MlTM tX fiq![T ~Odlt4i . dw A/~RY~ ?553 Sv. Ind. R.~~. Dr. 3s'1`~~:" 3~5~ so, Ind. Riv. Dri~ : .Nr,...~ ~d i ] K f6+t ,iffws L«t ~ i D~r[ , D~ Yw { fT~1's~ p~tifl . rLLlt~i1 aii~ Ri~~~ O~ATN J"~'~ 1 ~,~~1 t f~ld M ~Rt ~ j XX ~ CO10~1 M IIACF J Y~IM1Ei+ IJ~RVfR YAMIiCD ~ W~f 0~ MRTiI ! AGE (Ef pr! :alf b~. ~w Yi~ 1'~e Hh1ti inaawca woo~ao A r. 23, 18y3 _ I~r ul+w. otcv?~TC~ t0hr tJw/ ys~at /rr lc~o o? ~tr3~CS30x ~wbNST1r 1 h~Y~l+1U (Y~tt ~r h+r~A sw~?h/1 1 tnVOi oI wr~ mur~wrt s f~~ a~ r lwYw ~•«r c~+t h~e. w~ i/,~rbdi ¦a~~a. CAaR~St -~earch ~'•ducation Prot. Chic~o, I.llinois USA ~ I as t i nt E~tKEIY s~rt i wOint~ s rA~OEM far[ ~ ~ OE ~ •r <<•~ Tt,ep Hank Unavail~ble ~ ! wsf OtC[b~Y f~eF ~ 4 S~RMEO rp~CEY` SOC~~t StC~RiTY Ro. i7 f MaM~ , ;r. ~ore...~ ,~rr. ~.......~.....r......; _ J.~. Y1 ~D ~ .4iMrrr ~ Iu~~t: 1 II trWt M N1n1 (a~yr~ NfRa~+rsia. ~n li+w/w (el. t~~ a~! j I~fiAY~L rR~TRyM r~Rr i siE~TK `t~~ SF~;~~ ~r ('i0I`QI18T'jl 1'hromboai e ~~n ?7M ~ls:eS.~r HtrttvWatt :avs! IU s . ~ •rIi til• ~ - . . ts• !er- ' ~~r~~•~• Art+~rio ~clerotic H~art ~isease Urknam ' .1 t, t.. C..~iria+u. slMr.. ~ ,o ~91 . a~Irc1 nN f te - - ' i 1• e a 1 ~ftiw ter~r~~!• ~ r o 1~ t r a r Itqtta~ ist tq/rr. _ . ' ~ ~ (f~I t~Mar losl O~n TO (t) _ ' _ _ _ ' _ . _ _ _ _ _ _ . _ ~ Y~~I ~t' P12T It U?~1 51GMiKR~R tai~liO~ LpR~I*/f111~ iq OGi1 RlT ND'f R'u1T[D 10 7ra( TY4~W C!9lA7t CAo~C1TYJw GYO~ r1 hR! f(a) ~ - l~- R~f l~~tY 4 ~ U~, r--i y . • ' % " No LS ~ ?~i~r• ~ ~ rstl¦}. ~ ~ 0[!t*nc ~eow ~n~v~r accu~~to ~~l.~n w*rrr. aj r~r~ h I~wt ! w*• , //y'rv~ l~}.. accwcMr w~c~ra ~+c+oc ais~,rs- L1 ~ ' - .r ` - ~ - - - .~~1. ~ kf. Y~~r _ _ !6r r~~c or Hr.. .Vau~ f - ~ INJG~Y ~ nl - . , r~ 2Qt av4wr occu?~to ~r ?ucF cx riuvwr ;r 1 n~ a.~err a~.~e, iQ/ eiT? oR ~ne~r~ow . ~r'r sr~'r[ rrMK-f A7 ~ f07 ~iTl~lt r'S In'~, lrAR/. R:ed, ssS['t NYf.. Mr ) . . t. •OIIK 1T ~C~R l..J . : ~ ' -i,:' ~ ' ~ ' t~ Isft~n~MAtlrol~c h m to ~_enOJa~t~rl~ ~ ~ ~'•j~oA Yl~U~ ~y~ q bt ~ t'iNth acaortod ~t AGC)llL 1 j ~n on tA~ d~[s ~RaE~d ~Sws. ~n/ ta tAu A~eC e! wy lewrJWM. /*bar tAs tsar~ ~tatrf ' ai : s t•.• ti. eoi+~+eTwit - ~r~ te (nN+e~nrYk~ f~D •uo~css C~WST`C Y8• iir. Opr[3~Gr~tO ~••,1•~•• J.Ei. Bstache ht.D. Ft. Pierce, Fla. 3-2-~b1 wceyraf~. ~ t-1~ R~NK C1[l~llpM j~ Q,~~[ 2Jr ~AYf ~7F C~Ni Tt~t CMt CREMA!CM~ ~d IUC.AT1611 (C'itr. fplf. M cw~Yl~) 71.Y()P~: t. tt/r~ f Remova~ 3-z~-61 Ar~izgtc~r: Ce~netery Chicago, Illinoia Y. B. / 13 J furt~?t D~~E.°~011 1~K~IAT4~1[ ~PD~IEb) v~ +?S p,tiS ~iCO ~'t l+7CAl REG RECMSTRak ! SlHMTU~( L?o7e Yates, i~t. rierc~, ~la. ~ 3-2~b1 Anna i.es :~eniaon, d.r. . I F?ereby xftify tl4~s fe~ !~e a trve and corrett co~y of tfie lacai ~~~~,~~jj,~,~ Regfstrar'a reccrd ta.~? fiFe i~ the St. luci~e County HeaEth Dtpart- ±;y._.. ~,.a1 8~~~ ment 'dt P;rt Pierce. ~r(d~. ~tlF- ~NbfRttl~~: Npi f~li:d un!ess raised se~l ~~i the St. lucie Co~nty h~?rh t~e~artmer~~ ,~f~xed.) '~5 ~J(f t ~ 9 ~ 7 N. D. Mi{l=R, ROGEH Fvi~{~i~AS. ~CLERK : C -~-~'~v}°e'~ Caunty t.=31th Off~cer ~ la_ai Registrar sT. LUCIE CiUUNTY, ~ _~r~~~,,,~,'~~.. ~~ORIDA ' b~__ S ~ ! ~ • _ • r . ~S t~ep~ty local R~glsisJ~r d•r'.. aa~~l~~ ~Ov fi