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Home My WebLink About0628 i ~ . ~ I ~ , ~ _ _ . . - . _ ' h ~;J~tllt ~~~~ti~ac(~ p;~nut#u ~-~rttl#h ~P}~~II"~Itt~lt~ ~r ; r~~. r-~YS ~OARD o* NrwL»~ C~RTIFICATE OF [~EATH : s+ ~URCAU OF VITAL fTATtfTfCi lTATt PIL[ NO. _ FLORIDA ~ S~~- ord ¦hrn dt TM NQ. REGI!'111AR'• NO p r~; ~ ~ r t 7 1 KAtt 01 ~AIN . •~erucrd e CouhTr COD[ NO. 2 YWI~I At{IKMtriw'~~..~w+.NC..N lr,r,.~,,,,,,, gry..~,wn~ww+ •nd ~ Pa17r~ Be&~h • s-•~E Florida , co~~ry F's~.m Be3Ch e. y~.«n - i lb yrr- 1 Cii~ TOWh O!I lOf~l~Oh t~S IL1fC OF OE~TN c~tr. Towh.o~ IOCA!~N ~[S~t)IMC( ~ i •~bvpt i IMSID! Cf1Y ltVtYS~ + 1 ~NS~f7( CITt l~hl i5~ 1 r~~~. l,ake ~~ori.h T ~'H PaLti Beach ~ rtSr' NO? .~.__-~--------~vES~-- . j t~ N4ME OF . ll HM ut AO~y~lai ~ut ~~~tH aidhA~ ~~T ~DDAESS ~ NOS?i Y Al O~ ~ IMSTITUTIOh ~~(~a w~rth General Hospital 2910 I~:el3leuca llrive - . ~ - _ . _ _ 3 Mw~l1t O~ E'ux VNtI~ Lw,- , oAtt :?fo~rA l~sy Y~~r o~e~~.~o ~U~~ M.ARY R~;ED o~~T~ Junr 11 , t g65 r~p. o. P.r~n S 4fk 6 CQL4R011 RAC(M ~ MARRIfD ~ ht~iRMAR~7CD~ ~~Tt bi ~~IITM 9 ~Gf iln~ta~~ K1N~a~1~tAR ~p~/~r~~y n aI~ .4wt4 M~. Mwr. ly r ~ t c. FE.'ttale Y~hite w~aowcopy ava~cco J~Cl 24~ 1~Q2 _l _ ~ p 1~1 n 1 r I~u ~SWI i CCVP{T1pN 1(iltf Rl14uf ra•k L~ht lUh KIMOOF iU5'NfSSOR lMDU51'MV 11 81RTM?l~C[ I~~ft o~ JortN~ fo~.sfrri 12 CIT~2EN Of MM~T CqyNAYr ; • 1 t C p a~ r- Ic~iep n~wl o~ rrrYrN/ frk. ~rrn ry rN. ~rtd ~ ~ - ••R~~~ Hc~usewife __c~r? _}icme _ porttand, :aidiana r'~P~ ~ Ol ~t k 1 n Y ~~rM[R 5 X~ME 11 MOTN(11 S MAIO[M IIAYE ~ u ~ or ; ~~p••~~~•r Jor~n C, e Nancy E. C~llispie 1S 1M~S OECF~SfD Evf11 ~M U S. AitYED fO11CC5~ T6 SOCfAI S(Ct~R~7Y Np 1] ~ ~Ii1iNYy~R ~ 1'~~. r r rM1+~r~~ ~f! y~~. f~w w. r{W~ N~y~i ' Na .+......z9 ~ o r!eY.a1 eu . ~ • ~ ~ ' Fun~r~l 1~ WW[ ~1 MATM ~Akttr e~li obe nws ?v ~w (UY~A?_ ~N fc~ ) / ,J IhTE~vR~ ~ETMIEIN Al~~el.e~ ?~Mt ~ p(~TN W~SC~US[Drw 12 ~ ~.~I~ eMf/ ~ _ ~~~YN ¦u~t flle ~NwtD1AfE CAUSf i~) .'Gf - ~ ~~{r-~Z~ " G ~~C ~ L's n ~ - ce. o.r- ~ ~y /1 / ' ~ •ttnc,the ConlitioKi. ~~.,r. 1 ouc ro (bl . ~ ~ _rC-~'2:C~ 1 C~{ yrt"{ ~ +L~'LL-{~ J~- ,~r.~',~, . !:s ' ~ r1KA f y _ _ 1 b t ~ l ~Ott ~ rN~~)e l( tJrr r~Rist?~r ~tattw/Ne a~irr. I D~E'tOltl___ •ftAin 7~ Z /1ie/ ron~r l~t ! . _ . . _ - . . 11our s~ t~ O i~Ri n OT SKN~iKAr~i CCUeD~/q11s (p(~iTN(~rpp Tp p(~1x p/f l~pt RELATtD f0 7rK p~~p~~~-Y tOwb~ilOM Giv[N w~ ?M~T 1~r~5 AUTO?SY ~ / ~ ~r~. ~ f ~ ?fRr011yE0f t~t d~atA s ,:C .C- G~~CC~`t'~l'C Iu~j' _-L~.._:_._: r~ ~ !~"J - f'~•r YFS~ h(~~ or D~fore y~~ F ~ pEr,~~r~ »pw ~k!~1 vOfCU11 D l~~~n rr~o r e~ Pnt / Yvt i!a itt.N f0~ •~k1n~ ~n] ~ ACCIpEMT SUICIDE MOMlClpE ,/J ~ l I r / ~ ~ y~~ lltpo~l- t~ ? ? ~ ~C"~"~C~4~t L~t.L. c! ~ "Cr~'f'i.C Gll l~r~~./'Z~.- --e-6~'~~"{ C10R fl~ _ . . _ ' _ " " a0c '~~wE oF !/oar MowU, M~, Yr ~ed~. ~ ~a~~~r A. _ a o. ~:Q/ IR1U~1' OCCI'11RE0 20e tLAtf Of ~rUV~r (t. I. N1 0!,*~0~4t ~O~/. Z11/ C17Y. TC1WM. Oll IOCATqM Cl7UMTY ~ 51A7f wM~t~' r+oT wMUt Q h~~. hcterr. ~trrd, ~~ire My.. elr.1 ' WORK U 11T YMOIIK 7+~t . T~ 11 I~tt~nd~dtMdut~as~Qtrom ,~_~~_~r__L".~_„[.-_.fo ----~ndiaafwr~~wl~r~on . ' _r~~-._~_- D~~tA xcu~r~d ~t m ort fh~ d~t~ aNtsd ~1w~~. ~:~d l0 1hs DNt o/ ln) kno~hdN. /rom fM uuw~ ~btld ?11 1t~~¦ 2~ i~NA ~ ar• to D• or tYkl 2TG •DORESS Z7r, pATE 516MED `"•pi•e• ~ ~t'~-~- ~G!- ~'iD I.~,ke ~korth~ Fiorida ~2i 1 y~~ ~ Y3~ M1111A1 C1tlM~11~OM. YL/ DATE ~f MAYE O~ CEMETE~Y O(1 C7![MATQRY 23d LpC~TqM ~('N~, tor~w. o? ro4~t~~ (SY~ffl aror r.tipr~~J/i ~ Removal 6 11~ 19b5 Hil~crest CeT~eter~y St Lucie Cnty. Flori~ia Y. 9. t61Y ~ NEI1 L D~MF SK.MTURE E~ ~~Rry ~ ~S CO tOt~l REG tG~3TRAR 5 SiGM~7UpF~ ~••.1°'e I,~ke t~orth, F1or da I HF::~;BY CEr~TIFY "'fiiE kROVE TO H~E A TRUE A?~ik;UttR~CT CGPY OF' TH~, N~GiSTkAr`t itEC~;-tr~ ON FILE IN THIS UF=ICE (?Zot valid unless the stal of the PaLu~~$~ach County Health Department is affixed) > ~ CERTIFI~:D COPY ' - ~ ~ ' R~g~str~ c , ~ I ~u~e~uti~ V~ ~~t;atistics ~ ~I.une 28 1965 . , ~ . Wes ~ •~'a~ $ia~ = i'r xori,da ~ . ~ . i ~ ~ y .'r~ i ~"~t ~ ~ ~ ~ ~<<.' I ~ i FI ~ RE~~'~ED ~ `~pp~ ,~5 e~~y~ !rt~ ~ ~ ~ ~t~ ~Z : 54 r~ o , vL:: " ~ t C~. r''-'+ i i'~..~..~, I,LCtil\ ~vci~ cc~ur~-r~r, ~=LORIpq 1~4 ~ ~ ~ . ~ . .