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HomeMy WebLinkAbout1637 ~o~:.e:- .T~.r .o,u~o o.~ M~,,, CERTIFICATE OF DEATH i'3~~~~(t, ~.i. ? ~.t - ~u~~u?u or vrre?~ t~~nrr?t~ F L O 3[ I D A *twTS r~u~ ~~o. •r~ .b~~ •1 M R 1 ~ r 1) I Krl`t M MATM GOD [ NO. I. tl~Al MNKMC! ( N W~rrM I.M? 11.wrMiro~' Md~w MM~~ ~.r.rl • Y~ e ~ t~ A ~ OOUrt'1~ a iT~TE S COYN17 a~~ •lll ~ 1~ c~~ 1+tlCj.~- a i. CITt. TOIMN.OII IOCATqw r. ~s ru?a as oc~rn t. tITY. TOMN.OII LOCATbM . a N[sro[~a r~~~rt ~MlS~O( C~T~ UYi7~~ N~S~OE CRr i1MiTy~ r~~.. Fort Pierce ~~s ~o? F mZ] I. MIR OI~ ~ IJ rf Nt ?M/Y~f. /i~ Ih«t dd?wrl t L[11LTIt Of I. SrIK[i ~ppRiISS p11 A FAAMt #ST~TU7qM ST~Y MI t~ Y[S ? IID C~ F M li ] IMw[ K F1~M A/IYr Lyt 1 CATE aEwt1 D+ Ytir (TY~/+ ~/ri~?) RO..~ T~ ~ ~j o4Th SE1 ~ COIOA OR 11AC[ ~ MNNM1~'D Q M[V[11 YAlfill[D ~ DAT[ O~ ~IRTN ~/Mf M~'f4NI1 Y~wM~ flwr Ms~~ Yh~ . Female Ne ='o +~noowco avoecto Ju 4th. 15~0 L ~ 1~ t~ 1~ 10r tafUal OCCUa\Tqu 1 Owe liwf ~J or! M~t 100 K~wO AF ~l.°S~MF7S pl n~0itS1'11~ 11 MR7N/tAR (.~iafe a/~~rya tw~sl?11 I Cin2lr aI w11~r m1wTRV ~ r f t A r- 1 rIq ~w/ ratiy hp. nr~ 1) ?rtird) v.¦..c floa~e~t~c Private Ha~ne inc F1 •id U.S„0. ?laC~ !~t ~ATNER S ~~i[ U MOTMFl~-S MA~p[M ~AM[ es ~n•••~~•• Lannie Sharr Annie F 1 ~1AS D(tE~SED fYE~ N1 U S~IIY[D idK'tS~ ! SOCU1l S[CUfIiT• MO 17 ~s...~. . u.w~•w~~~ea Jackaon 1 rr. w. ~ w?vw, i 1I nr ~r rl.~ ~w~wl _ ~ . _ Na (inknown ~~~t30 " N Oth S F P f~A~ ~ t 1 1~ f.I~Y~[ M KATM (A1u+ w1~f~ ~we e~sat /f? Jiv N? l~1. 161. ~r! Ir) ~ IMrC1tV111 ~CT~/tfM ~~~T 1 OiATM M~S CAUSED ~V ; p1~'LT Mb OEATN irwEDtAT[ UU7t (al Urem.B _ 2 _ •rst fil• . - - t~• e~r- e:rte.c. c.,rrw,.~r.~r. aic ro ce, ~aI'Cama ef Utei'us •!t~ tM• ~ i~t b ~ 1 • e ~ i ~8++r ~~wr (i1, r• S~tr~r +~~I !4 rs~r~- . . : . ~ t~iy r~ra (Y( MiE Tb (~t- ~ ~ - - - - - - ~ - . - - - - a 1 tE! • ~ ?A~T ~i JTM! SK~I/1Wi C.OIidlqwS CGMT1qUTwC TO CY.I~ M MOT RItARD lD M T[RrtMl pY~7t COI~qTqM GKII N1Mt~(a) MAf Al. 7 ?OYf~ F t~r ~~~tM \ " ~1'EIKUIIwEO~ . 'r[s ~oLJ • r O ~ f ~ r • ~ --°---r--- - - - - • . : , . . .~tt. •w ; ~ D[SC111~ENOMIMJUII~OCfUR~Eb (EMft+~Urrr~Jt~}rrdl~P~n.tb.:P~ry irY.rNi ! 7 ~ ?CCiOEMT SV~C~UE MOrKiOI , _ . r~~~s- ? ? ? ~ . •s •t _ - - - - - - - _ _ ~~d~. ~ mt TirE O~ ilKr A/a?t~. !h/. Y'rp - - - _ . • uuu~r n ~ o. +w . : ~ ~ MJ11~7 OCCURRCO ~ 1'IACE O~ fNlUA'I (t ~j ~~w M~! ~~IM. CITY Tp~'11 OII IOCAi10N . ••4'~ ".f~}UNTX' .•~L ' ST~T[ ~ wN1lS ?T (-1 qDT wkltf ~ }rw. /~c'b~I. MrM. 1~er 61I~.. rft.1 - ' ~ORR ~J AT WpAK _ . 21 1~tt~nd~d tM d~ew~~+d /roM+ _~l',. _1Q.- ~~L_ . fo L~r._.L,l.yy,ia_ ~nI lut w.v h~'~i1i1 dn ~.~Z~. ~_L~~,,.j,~.._- Dwt/~ xcurr~A ~t .--.~~.~a - ~ w~ w+ th~ d~t~ ~t~e~d ~bw~: ~nd to tM A+rf o/ in~ lnorhip. lrow~ tA~ o~u~ ~t~t~d ~I 1 1 t~~• ~ M~IMTY~[ (pMrK a tfrk; ~ ~DWtESS ?Zt. 0+~7[ S~GMEO aro t• ~••v~•~• • John J. fsroxnin M.L. Ft. Pie e ~~~r?~t~. ~~4. ~~ilpe 2~ pAit Z3r NAY( O~ CEMFYEti 011 C1tfYATU1IY ?3[ IOfAT1pN tC1t/. lwr~. a rsr~l (~~l ~rOYK ( [!/~l Rc:mova ? 62 T _ . . i. js19 j~ fUM[11AL-~~ S 51GMATURE ~(SpRESS ~ LS OATE REfD. IOC~I REG ~ ZS 7tE613~AM S SKIIAYU~[ ¦•r.~pae Bernard R. s~bson Ft. P~erce ~ -2 -~2 An LeP D ~ , ! Cf FIL AND REGORt~E~O ~y p`rtify,ith"i~ to be s tnie snd covrrct aoPY o# ~he Local -~~~~.8 ~ 0 K ~RpMtrarj reaxd'}in~-file in the St. Lucie Gaunry H:alth Depart- ~~.~r; - sr?rnt. ~t f~rt' Pie'rc'~.~`~rick. ~_~~4~`'"`~ . ~ ~0 " ~ (Warning:~N~o~ a+alad un!ess raise:i :~al of tfie St. lucie '65 OCT ` 3~ ~ ~ . Cewnry. ~e3~th De~artmer~f is ~ffixed.) , v~'~'i J . , j\ N. D. MILI~R, "A. , D. R 0 6~ F? r s~ i i i~,15 ~ C LE f3+K ' Co~?nty Health Officer ~ local Registrar ~T. L.U C I E C 0 U N 7 Y. FI.ORt~~, ` ~ b L ~ ~ E ~ ~ . . . . e. w _ ~.L? ~ : : . , ~ Dsputy locai R~istr~r c~ 'r . ~o~K 129 438 'e _