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Home My WebLink About0792 T~~+ 6r~rr w,u~o w?+sn~rn CERTIFICATE OF dEATH i'E'P{ :or~a • ~U111CwU c]I YITAL ~'TATI~iC• tTAT[ Fll[ NO._~~.--_-- r.x.~ -<<- TLO$IDA` - ~ - orA •~.n •1 T }V R /1A ' Z,5(}-r~ yropsrlf • a e c u t r; ' KACt ~I it#Yll COD[ NO. 2 VMiAI I~Mr[MC= ~ 1?~... I..~r...t h.d ~..a.w.w f~d.u. ?q~..~...~...J •nd • t . * ~~~Y ~ YTAT[ A CO:~N~Y ~ ; 1.~:;,;~~ ' _ _ ~1-L~~i ; :!1 ~ i _ . . ~ ~ n t irr ~owM o~ ~~oc i ~ icx~ T---` - - -i ~ C K~L~CE tK DE~TH [ C!T~ LOC11Tq11 f 15 ~(5 !k NrE •anlatca.l ~ tNS10EUTY IIMITSI t _-._-•'.'WNO41,f{1' ' : ' ~ r ' 'MS'tl4 _iTT 11Y1(S~ ~11• ~~.t.,,~-.~'i+dl4c. _ YkS;~ wDU ~ _ F~a_i+~11LL~_ ~~_.~~3<d___~~ ~ IUYt Of ~!f w~t h1 ~MjHfd. /bt rfrpf N~~~M~ t ~ SYRE[7 AUDIIESS IIOS?ITAL OII I • • u j ~ n y~nnis . ' - ~ t.~'~-- _~w~c~~i..l- ' ~ „=_~•..~A i r~ or_ ~ _ ~,Y _ ~ _ _ 7 r~~?aH N fF.e .VUile ~ L~.r ~ 1 n~~t M~r~ !~y t'rer ~cu~sr • a,,, (Ttytmp+i*f) u~.1'.:t Il~.~~:'~ ~~li:;`.~,r~.i ~ OEaiH htjPllgt, ' j~ ~';•j- 5~SEX iot~J~ nr ~?tC r~~~~FO ;ay ~+fvl~u~~RiEO~ D~ Qi i~R7w ~9 ~G[ l~?sar rur~pt~+YWi uaut~t~rws 1. I ~ ^ I fyf An(~~/, r r t t. J', I ; ~ . . v..W H.w I ir+oc~c~~ anrecz~~ AUg. i.~t ~ 7~_ P~.i~ir - - - - - 1 --1- 1~ USUll7CCV14Tqr,I:{mrt~wl~/r~~tbwr!I~J*. K~~•.~~..SiMFSSOq~~JOS~~: IIvO:RiM~~~ri,`i'~f~a~ror, • i t A r~ I~ri~~ cW ~f t~attRy h/t, r~r~ ij .rt~rel~ ~ V~+ ; onRlr~: '~i U*~IIa 0~ weu!* ioURA.~ •lh~nl ~4.:PT i~:t;±C:S u:,c,er , -~,Q~.a . a - -._1._ - - . - - - - il~ek int 1~ ~~lHEll < Mer[ I/ roTMt~ S r?ip~e w~~[ nr t~r~~rlr.~t ~~:lUf~t,. " - ~'.I1 Z~ , c.f:CLi.__ PsF"~ 1$ M~S OFfGSEU tYfR iM ~ 5~11M[R ~'N~ClS~ Ti6 St7C~41 SF~~~;R~Tr ~r.. 17 N{ry~~6 ~I<NATtlrt ~ r~.1Cp Ti V~~. ~.~~j' i:~.r'~-~~ ( lr y p•iM+~w- Y~ ~~r w. ~ fb~ va.q. . dF7 ~ .l~'IH ~ ~ "f'T•r~ ~ ^~1 ~t _ _ _ ' _ /un~r~! li tAY~t SI O~ArN 16'+?(~' ~nl~ ou r~YJr (Kr Lr[ M, ei1 ~r~ j ~n`FP~A1 ii'MEfr dlr~[tcr' ~~R ' [M~'NM45UVSd:~~r ~ , ~f'.AS.p4(~TM ' ~~r[a~rE cws[ ~u ~.C, ..>t_9i'.!: C":. 'l; O::i3~ ..~'_u:. IL~>' ':.3 ¦u.t fil• tee e~> t~rs~.~a t~~,~u~ rtlM the ~1i.~'qf ~ UVt t. .Di 1 e c~ 1 ~Aa~~ : aw~r 1~~~. rtjf~tr~r IQWy (~s Y~AIr rr. .itn~n ~ r~~w~ c..~ :.a . - - - _ ~ • ~OYf • i~ 'A'T " Q!1(~ $i~M1~K.?1(t ((%i[yT~/S C7!'A~.~:!K. TO :~ITM I~T AfI~TSC ~O 1~I T~~YIY?t DiSe1L Cf1~CUtKri 6~rtR IANr_ .If AIS 41'.•Q~+'j~ l ~('rlOii+E C~ t~r d~~c~ t , ar b~fu~ • ~ _._~.1i:i::~t ~r ~.S'!.PY'a~i:if;lt:S'Sit.1G _t~a:':~ t1.15C~:~~.- - . Y[~!_: 'h~1~~- - oa?ts •r. r 20~ ~;~r~s6Ti? ~Z7a, tXi.a:bi w~w~ti~ ~r~JCr~qntD ~,.f 4 7 Q ~CtifX!e* k~!~~r~E w)MK i'~t i f~+~!rr ws~•.r or ~w ~ Iw f•t+t o• Yr•' !1 e! urn N .~.vo.~- ~ L C__ ~ c~on or ~ _ . _ _ _ Do : r. ~ 2Df i~b[ Of~ Hea~ .Vow/R. Ir~I. 1 cm~ U ir4~a. ~ w a ~ ~ ~tiJuAr OCC~11~!'~-_ i bJr ?t~ ~-.t ~M~~ ,I ~ M -~r a'-Kf ~~wt. ZC1' CItY 7~ p'N :l1C4T10#i" :(~':MTV ' . _ _ . MNiLf AT fl 1K~' 1~y~tC ~ V'm !7.-t0~f. ~~[rL o~ct Nf~ Hr 5'~?E WORK •S 7Y('~~R.__..___.___-_-~. _ _ . l) f~thn4~d th~ ~K~~~e~d ~rom . ~ ri;. • ~ . ro ~~t3~~ an~1/u~ sa~ k m•7~~~ un Y+~ - [k~tA o~currtd ~t n. or~ rA~ 0~~~ ~faNd ~Ao.e •nd to tl~~ ~e~r o/ m~ knorJ~d~r. /tom the cauM~ ~t~ts+! - ~i.t 1 ~c_{~ ~ i ~ ~ ~ r - - - - - - - - - - . - - - - _ ~I H~MAf4Rl (it~•it a• rt•:t ?22?~ IOD~F~S j ~22r ..ATE i:,:11(u •r• to _ . ~ ,:E:E..,,.. ~ co• l~t> . . ~ . t 7 ~ 1~ Ct,. . iE':'C~'' r. ~ ii. 1 l~-_ S_., t- accurat•. • ~ ` 73r MNIAt.:aLM4•Uh t1l uaTE Z.k M~w! _+:ty!'EN+QRlFE4~'!,Rv ~MO'vK V~r:/~'~ ~ ~ 7~ l7C?TA)M 1~V~. fOFM1 J~ [~NfA:~: 1.'~'~lli ~j~(~r t' : ~ - t'.-~i ~.i 1 ~..i::ii.i.~?3 ~~'.:`.pT i 1~ 1 r `~.`J~'~'@ '~~;`u ''_2 - ~il~--- r ~'.9.~~1t T~ ~i IN~ \~~'qF .O1tS5tGMATURf,,.,. j J.~fil~tl. ~ ~'S ~;~lfPf:D ~r,Cru nfr. ~~~~E4:St+~~RSIC~GMi'~IE (1~~.~)6~ . ~ , ~ ' ~ ~ e: ~l. f'- I . i~ . rF . F~-~1 ~,2'. ,~;F~reby certify this to be a t; ue and correct copy oi the Local .~I L EAp A N D R E C Q R D E D ` Regjsttar's re_crci on f~ie i^ the St. lucie Co~~nty He~ith Depart- ~,~~~~~oOK _ -~9? a€ F~rt P~e•~~ F;orid3. ---~~~L.~'' ' n z~~..~,~' ~ kWemin~: :~i u~:'~^'. re;sed se~l of the St. Lu:ie ~ f+ ' ~~AUnty F'~:;:t;: f~^e~~~iment is affixed.) ~~.1, ~ P19 C. LJ . : f . . . ~ ! . . r~ ~ n~~~.~~~ rf, n. . , , . ~ ' • Cnunty Nealth Oif:;er 3~ Local R~gistrar CL,E~f( . ~ ~ ~ ' ~ ST. LUCIE C~,UPJT.1~ ~ . . ; . . ~ . ~ 1~rs~- a.~~,,,~~ ~ FL0RIDA : ' DaM Dapu4y l«ai Rec~ist~ar c3 r ~ , • . • • ~ , . Bop~l~~, . ~~U . . , ~ ~ . ~ r .