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Home My WebLink About0724 =e1• D._ ..owno o? Hu~.TM CERTIF[CATE OF DEATH i.s.i our+. o~ v~rw~ ~rwnrr~c~ srwr~ ~u N~ j 4~~• i~~v- o~d rA~A B1RTH No. F L O 8I D A pEGIfTRAR•~ NO. 9 ~ prop~rl~ i. ~LAC[ OI OtATN CODt NO. t YfW1l ~tf10tMCR(~4.~f~w~.tM~/. t/i.~wLna t.N.rM.+.r:wi~ .i.euc.a •ea •a~~ O01NT1 t Iu ia ~~p2 F'lorida SL• IuCfe 1. ~:se•a ir p~r~ Gr.T01MN.011 IOCATIOM t. K K4CE Of OfATN e: pTY.T04M.OR LOCATIDM 6 RE'LOfNCE aas~Ot WStDE C11Y UMITST INSI lIM(TS? r~~.. Ft t'ie ce ~s~ No0 Ft. Pierce m No ~,ure oF ~!/..e a b.~ir.r. ~ir w~.r .raa.) t sT~r ~oo~[ss Mo6?(TAL OR ~ . "'~T'~"T10M 21 South rd. Street 2107 South 3~• Street 3. ~u?r[ eI Fb.e Ii/W1e Loe oAn ~[wtR Dn Yw IANZY I.~`VI HAGGARD oi~nDeccmber 2, 19b5 ~ S_ SEIt 6. OOId! 01l lutE 7. W~RItEO ~IE1f[R MMR~EO OATE OF M~'TN f. AGE l1~ i~tM~ r 11~t1t 1 Vw UNDEII u N1s. ~ dune 3, 1905 x.r.. a.. 8..~. Y~., r ~ a e. male luhite vnourrEO ? orvo~cco ~l•~•i ~ ~Or. usu~a aaw~ras a;.r tt.I yrr~ I..e wn. Kaw as ws+MCSSO~ wousTMr n. wrw~~et (s.a MeM• aw?~) enarN a~w?r eou~m~ •it~ tvW '/w~ pk.ar~i/reHreQ •••••s parks~c San~tation Ci of Fort Pierce Rentuclqi USA ll~ek f~t 13. fATNER'S wtE 1~. MOTNEII'3 MAIpEN N~rE " ~s,••«s•• Colonel ELsxorth Haggard Celeste Haggard IS. wAS oECEASEO EvEle w u. i IWwEO Foi1aS1 _ 9xut SEaiRrtir N0. 17. s NOw?Tws . 8$$ l Y~. r. ~.rtrwl 1!/ rw. w+ rr ~/rw ~I rw~i no 291a-07-2836 wW.~,. 210? S. 3 . . , . r~,,...~ fa esu.s er o~?nr trwe..r~...a...pr.a..~. c•~. c~~..+~ cd.l ~~vk.~nrccu ~i..eso. ~~T~ ournrnst~uscc~rt Csrcitloma oY Chest o~s orwn~ •~~s !il• l~ ti• e~r- . 1~~~!t::;ifi:•r,~, ~g MOS t1t1C•t• ~~.~/df. Caz'C~T10~8 OY 1 ' i ~ita s~• ' ' 1 0 • ~ 1 ~DMS ~+t~i), ~ ` r~ai~tr~r W rNer- 01~ TO (r) 1 - ; •lt\l0 ?1 = t~ ~K J~l. : O ~MT 0. O~w Sdslaw~ Oaano~s Owno~urK ~O OGrn Rlr NDr Rcu?aD ~O 1K 1Lww~ Oni~s[ Cqp~ C~~ ?lOK 1(s~ - M~- Yoar• •t- s.~ a..c. 3 Cschexia ' G=~~: ; i° ~ - w0 i •r 1K~r• _ ~ i _ •~tl~s ~CCwEMT w~qoE NOY~doE ~6. oESUnE MOO wlullt ot~WltREO. (E~l~ra s~eve y~ ti Pn! i~ !I yk~ll~ . ~i~r~~i- ~ ~ ~ - _ ' „ ti~a •t . ~ ~ ,~d~. ~ 7Ae. TurE Os Hwr ifw0. DM. Yw ~ i: il:• ' INJYAI/ f~. * ~ ~ s ~ a R ~".~i ` , j • ~ r : , ~ 20f. 11UY~~ OOCYRII[C 70t. fI.ACE 0/ 1n1Ul1~ (t. Iw M~wt wfK. mI• CITr.lOrll O~ LOGTION `~l%t:: .~OOUkTY • STATE MMiLE AT ~ MOT ~lI ~ Ip~.l`dal. Wuf. ~et 0/4•. dt.) rWtK AT 1~OIlK • 1~f t~n1~d tM d~oww~i /rom . to C' ~ ~ud i~t Nw Mm ~/ir~ on ~ DwfA oooun+d ~t 2: • a~e! tly d~t~ staNd ~bon: ~nd te t/r bNt oI aV lno~I~dN. /rom tJ+~ uuw~ ~f~Hd. tll it~~• ~ ~a~~~ ~r• s• 1~ (QM?er r tYls) tb. ~ODI~SS ?Is. oATE S~CrEo a••s~•~• a Alfred J. Cornille,H.D., b03 Hibiscus Rd. 12-3-65 ~aeYt~t~. 2~• iua~?.pEr?i~0it, f~. DATE Z]c. NAl1E0iCEYETERt01lCREYATO4Y Z~f. tAC~TqN(GYI.l~n.~raa~t/) (8f~h) ' ~ ""0~`uS~i~' 12/4/65 Ft. Pierce Cemetery Ft. Pierce,Florida ~ s. /et~ t~. ru¦ciut s sr.w? ts. wrc ~ca w Loc~ Ru. ~i. Rtc~s~s s+aunMc ~ ~ae• Jack J. 1Koore Ft. Pierce, Fla. 12-b-65 Anna Iae Denison, d. r. ~ ~ ~ ' ~ ~ - _ ...a-,~--. ; . i FrLED aND i- --~q~~ ~IKi! !o bs s true ~nd oorr~ct oopy of the loca: ?~r R E C 0 RD E D reo~d ,oa.fib in fhe St. Ltxi~ County Health Oepart• ~ 4 0 K, ~ ~,r;~~ ms~t ~ at Fort P~eroe..Flortda. " " ~ (Wa~ingi;.Not v~lid unless raised u~i s( the St. lucie ~~~G' ~ Count)i;Heskfi Department is affixsd.) ~Q 8 P ~ .;:;~~~~~";1,,~ ' !4 My~2: 42 r-~~ N. D. Mill~R, M. o. RQG~:~ ,~~7 ~ r• Cour?ty Health Officer 3 Lotal Reyistrar c~' L'- C' C L" fZ j( " V~~t COUNTY, ~ ~ . • F~~R~QA ~ ^ ~ 1 ~ -l S ~~~:.a~~ - L~~t ~ i , a ~ DaN Osputy Local Re~istr~r d~ > _ ~ BooK 140 . .121 ~ ~ . - - - ` ~~~°"E- _r.: . ~ . ~ . .