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• ' (/1 ~ 1 9•~ # • , Jl_~ 31~~a.~` ~r~.J ~ " r.+~l. se-. ~ rr~TS ~~c o~ N~uu.TM ERTI~'ICAT~ OF DE ~1 t'H :e~~• • ~Yltt~U G~F V14A~. iTAT1 / fTA" Irll t ?~10 _ ? • i~~sl r~e- ? FLOIttDll ` h ~r srA •h~n ~q yrop?rir 1. ~aApt N K~TM ......~~.~T..~±~~=i.~....~I+'~`~"' •a•aut•a coor No. I. vN~IA~~Na'Mrsw lr?«.~...ww.~ ?.~....K«..rr.:.,~ •~d r112' a. COVnri ~ 1• ~1~e~6 ~ ' sti• C e ~ 1• r~I- A. G f. 7'pMrN 01l IOCATION t. 13 ~LACII Oi 0[ATM t C~TY. TO~IM.011 LCt~41011 ~ t. S S~ r•~ •~osrt i~s+oc tirr ~~~ars~ nesio4 t rr ii T~i tt i.. Pler • res ~o C] 'g~ res [1 w~ I IMpAyM[1 OF ~!/+Y~ (a ~Mrlfil. /bt ~!?K! Mbp1) ~ LE11~TN OF . STR[ET AD011E3: ON d1 FAPM} MSTITUTIDp j, fTAt ~M 1~ ~ ' D 3. MArlt FH« Mlt~ Lrrt 4. QAtE 71iw~r! Dq Yta (7tiP~ h/?h!) ~YII~iH~sl~ Dri[Ll~~ S r t~'iY]~ ' 1 3 7~ ftX 6 Cpt.tlA 6A RACE 7 MApN1E0 IKVER MARkKO 0~T1E OR ~1117N AOf w~r't 1 uM`l1111 • fM~ f°Y~~' rfw14 OM~ i1w9 Miw. • r f t a C ~lft.e N10oM~CD OIVORtEO aT ~ 6~ ~ ~ p 1 s/ w 1~ 1. yw~i p~LW~taM {Ofn liw/ sJ~oat M~u ~~01liTR~ I1. /iRTMF~~L[ (~e'1 •t ~Mf/? e7stKry1 i. C~Rl~1 ~ r1MT 6~" ! • f t A r~ t- 1 rrflr~ ~wt +J ~r~rt iw1 Nls. ar~ i/ r~ti?e+p • ••¦•p: 1~yaLer C~er riter in Sbtr~r buaineee~ Illino e TJSA ?1~lt !At ~A ~'f IU1~tE 1. MO'flltll'S MA 11 NAYE •r ~ s ~~r••rs~•' A~ aL Be1rk~ uie~t ~ee a L~e.Bt name Linaf-ailsbZe) i w~s CtAlEy tVt11 IN U S. AIIMEb ?tHICES~ yocu~ sccu~~rr Mo. i w Cx~rst~1 5~rkqeuet ~ ~ Yr. r. r rw~v+N lir w+. a~r .u «~1.. .I rr+w~ tiId • 1-10-$7 ,t~r~n : ~~_.:_._a ~rn~tal 1~ tIWK ~I rtw (blofer MlI oA~ eaaw pn i ~ . (IRtR1~AL ~TM[E11 ~ir~eto~ ~~~T10(AINY/A~CAUSCD~Y~ ~ .~.e ti~. ~vMrouYC c~usc c.~ Pe~Lo t~18 ___v._- - ~ r~?'~+-_.._ sa. s.r- ' a~tse•e• Cr~i:t,Na. ~)•wr. ou~ to ~e~ ~ Pe~f~~.,ted duoden ulcetr,~----~._ ~.8 t:.r . ~ •fte sAr e»~? rt J• 1 e a• 1 ~bwe ewa ~~1. r• istNr +~~M y*kr- ' , . ~ 1/tM t~r~t 1~a/. pLE TO 1''BSS~~ hemorrha¢e. due ~~~,uode~~$1 ul~~ Ao41' ~p a~i ~ /AAT -I Oi~E~ SKIMI1CAIrt CdIqT10NS QOMINI!{,IT11K /0 TM NIT !AT RCiAI'LD 10 TNE T~YkMI DW~/1St CDW01110M s1YLM N'MT ~ . k S A~ a..tr ~ Hypertensive cardiovaacular ciisease; old xt. he~ipl.egia p •r b~lor• ~ ' t f¦ •n ~~x~~~[ NOy!' lMJU11Y OCCYRREO tEr~rn Arrre o/ I~~jrr~ tn Pat i a f ut I~ i'ew 1l.~ ~ 7 ~ ~CC~OfNT SUttiDE kb~~tiDE t~~p.,i- ? ? ? " ~ ~ ~se. er ' 7Ae tiME o~ liou. Mosr~#. D~~. Ysw se~~. ~ ~~uuRr s. - - ' y. a . • 20/ nuoer occuN~co a0r. rucc or ~~uuRr tt_ ~,.t ~+w er ~nau A~~r, ~D/ uy'r. rovr«. or ~ouTiou aour~r s_~~ MM4E AT NOT vYNtlf h~+~. f~etori. drNf. 1p~cr DJ//.. de.) ~ MOIfK ~ WORK ~ . ~ 21. ~ attMd~d ~A~ d~c~~pd /rom C~ ro- ~d --anI l~~t w~r hj~ir~ nti~~ en W~th eccurr~d ~t 2:~? p• m oe th~ r~r~ ~atrO ~io.~: rnd to eh~ b+rt af a~' knawMl/d. lrom tM o~r~w ~}aal. a i~ a i.w w~w~ lt.w?e. a r?rrs) t26 ~css ~tigE 7CL1U.E s?s. o sn swto •r• to e• ce~'I~te a ~'ie2v131 i~k~lkolreky~M.D. Fot`L 1'1e.°.'Ce/ Fl~?. ~-1b~b~ • C Ctl~ ~ t~. MMt Of CEM[TERY p~ CR~YATORY 2~/. LCCATpM {t'{ tN~1. N tNrtld/) (~~01)~~r ~~h' Juna 17, 19 Hillctest M~orial F`t. Pierce~ Fla. v. s.~1 e~' iu ~ oe : sw~ s er aob wtt Rcco. rr ~oc~~ ~c . Rca~sr ~e s~ R'••~~~a . Jeseplt W. Yatea Ft. Pierce, Fla. 6-t7-6~L? Anna L~e Lbnxaon, ~.r. rl~~~~i~~~~., ~ ~ ,'~rp~ ~tify _ thi~ ro b~ e trve anci aorrect aoPY 4f~~ ~ t.~tel,' ~v ~ N~ ~ •~N E C 4RD~ Q ~ ~ ~wt ffle in ths St. tucie Coum~r H~st~1~x- 1~• , tdr.B 40 K +J~if~ ~orF' r Flaride. - ~ ' ~ ~~~y,_ : O~~ ~ ( • ~ ~ ' - - _~-%~:'~r.• • ~ - `~-GC.. 7..~~ {W~wrI1~~~~Vpitid unlass raised seal of ths.~St.' tuci~ , sE~ Z ~ Hpalth D~epa~trnent is affixe~i.j ~ g:~ z _ . "•~s. ' j _ ~ ~ . iQ~3 ~E + , • ~ N. D. MILLER, M. D. . ' F ' ROG ~ • ~ `'3 ~ ~ ~ ` ~ l'~tmty fi~aith 4f3ictr ~ loeal" ~ ~ f'01 i R ~ p~s~~'r'' ST. LUCfE COUNTYRK ~ • . . • • : ~ 'r . ~ FLORiDq ji ~ ~ D~ De~Uty lo~~ '~r ~4 I a1 M• ° CQX~~, ( ~ - j - _ l r