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! j ~~,~~rf) 1~.2~ss B~~K 172 ~a~; ~ ~.18 'rai. ~rwT: eowx~ o~ Mrw~.TM CERTIFICATE OF DEATH eo~~s • 6YR~l?Y Of VITAL, fTATirf f1'AT[ ~ILt N0. l.s.l r.a- FLOBIDA ~p . o~d •O~r. OIRT AO. R~GISTRAR•• NO.. ~~7 ' ~ prep~el~ 1. ?Lwtt 01 KATN GOOt NO. L YNIAL wp10tMCtIA? .~d~wt IJ:~.tl.r~ R~i~.rN1Yr.M~iwW •:~out~~ ..a .'1~ ~ °01N"~ St Lu ie 66-02 ~ ~A~ Florida ~ St. Lucie ' e. ~i.e•a - 1~ ~~r- aTr. ro~rw a~ wtnraN a ruu a ourn a cm. To+r~. oa wtaraM a Rcs~ocwcc INSIOE CITY LIMITS? INSIOE CIiY UY TS1 r,~.. Fort Pierce ~:Q Mop Fort Pierce ~ral ns No t, M,?rE os (lJ~we M wrw.l. Nu.erw dasa) R Srutr ~oo~css . ~q5?IT~i OA ~ 11ST1T1R10N Ft Pierce MEH Hos ital 1020 S Indian River Drive ~ 3. w?Mt oI FbN MNttr LNt wTE XMtl Dq Yt~r MARIE DAVIS HURST Dec. 13s 1965 scx i. aoiaR oR ~u?a 7. wu~~[n N[vut r~uurco a?t[ o? wn~ f. ~GE r..w 0... r.r. xr.. r s• Female Wh3te ,,,,,oo~~o w„w,cco Sept. 30, 1895 ~ ,l.l.i~ ~a. us~ooa,.~no~ oi.rw~y...ta.~ ~a.Ki.oaswswcssa~arouster ~i_.mTwu?acs.a.p?w.«..b.) amr,~a..r.tai.n..~ .ise >•r- t~?t~I dwr we~1/rytirt~ .....s ~ouse ~e Own Home ForesL Co., Pa. USA Dl~ok f~t 1 IA7NER^S N~wE It. YOTNER3 YMO[J1 WIrE ~n•:~~~•~ John K. Davis Celia Zagst rus otcc~s[o [vu w u. s iurEO raoccst K. sxu~ sca~mr ra 17. w s s~ow?~w[ 02'8CO • 8 ~i........r....r u~w.~:......w.,~...r..? no 271-0?-8691 .ur.« Fort Pierce, or T~?n•r.l 1~. e~?vf[ N~t~?TM [61~4r w~ awr pa fhr/r c~. q). a! ~lfruv4l ~ET1rcE11 a i r•e sor r~~T ~ oun~ wns uusco w: Carcinoma of rt. b2'E83t ~T ~~TM ~Y~t !11• IMYCOMTE CAY![ ~y j tl• e~f- ! :,e:~~i?. „~~~""".'r~~°•. ouc ro c~~ ~th iietastases 1+ Years i 1 e e. 1 ~Awe we ~ r~si~tr~r ~ c~~iar~ f~id- OYE TO (d ? •ltAf• 7i ~ . M~~~~y ~ lo~~• ~MT IL Oi~B SIf~ICaIR OO~ORIO6 OOMI~M1Ri 10 OG1M ~IR M0~ IM7J~1W TO M iE~rrMl ObfA= OOIO~110M iN01 M tY~ I(y ~M[ F c~r ~~~t\ K ~O p~ or e•r•r• ~ yDa ~ 205. oEStItME ~ww wullrotCUll~Ea (E1tn w~taq yfyv/ b P~rt I n Rre 17~/tM~ lu ••kf.~ .s~ at ~~~rt w~aot rwr~tw[ ai.~••i- ~ O O ef.. •r ~ aoe. rwc os t1~.. x..N. DM. r«. ~ l~d~. YYYR1/ n. a s- y ~ ZW. ruu~r ooanuco iDr. rucc as uuu~r p. i~ a~.t Mnr. tD/• trtr. Tara o~ t,ocwTwM aowmr sT~T[ 3 MMRL AT ~ wT wMa~ ~ l+•. f~?r. wsa..~or ay., .te.) MORK AT MOIK 21. l~tbnd~d tM I~ewwd Irom . to '2'~ ~wd /o~ A m di~ on ~ ' DMtA ooournl ~t g=(~,5 A- ai on tM d~t~ ~t~t~d ~bw~: ~ad to tM 6Nt o/ aq t+w~NdN. Irom tM uww ~t~t~d_ ' u i z s•¦. tt.. s~ow?~ (ap.a r~we) tm. ~ooRCSS tto. wTC s~e,~o ; .e• s• ~..,i.~. a @~ssell L. Counts H. D., Fort Pierce, Fla. 12/13/65 { ~i ` •esrr~t~. 27.. ~usu.a[r•na~ 2L. a?TC 2~r. wwcasarcT[RrWttncr~tatr 7!!. t0u?noM(GSrl.t~w.rcw.tp ~`emova`~~ 12 14 65 E~?er een Cemete Painesville, Ohio _ v. ~sia u. n~c~ ~s s~wnnic ~oo~css a. wrc aca nr wcw~ Rr,a. Rcaatw's s~+?tu~c { a...,9es R.C. Johr?a, Stuart,Fla. 12-17-65 Anna Lee Denison, d.r. . . _ _ . . y _ . . . ' • T ~ ~ /U {J J O ~ ~ herehy terfify this M be a true a~d cornet o~py of the locs: s• ' ti c1~ C~ ~ - - Registrars reoord on fib in the St. Luci~ County Heilth Oepart •=3 - meM at Fort Plsros. Florida. - : } ~ ~ r; ~ u:,. - N (Wami~g: Not valid uniess raised se~l =f rhe St. lucie : " '.~-.c-~ ~ ~ - Cow?ty Health Depariment is affixed.) - _ ' p~t . : . . - _ . . :~-.~'c''" ~ } ~cmi . N. D. MIIL~R, M. 0. . D D . 0 ~ . . . . . ' County Heaith Officer ~ Local Re9istrar - ' . • ~ , z n ~ - ~p • • ~ ' . • r 1 • • v ~ m ~ o m ~ ~ 1 _ ? T - ~D5'~ . . . _~1~~ ~LO'u~_ ~ ~ ~ o 0 ~ pa~ Dsputy Locel Re~~er C~?I? : . ~ ~r ~ ' ~ ~ _ _ ~ c ~ R. SCOTT ~ . . ~ y ~ : ` ~ , ~ --ORNEY AT LAW / . ~ a~ ti~ -_=~CO_ORADO AVENUE - ~ ' , ~ N _ r_ ~ I;ART. FLORIDI~ i ! " ~ . ~ ~~J ` ' ~ ~ . r7 • „a ~ . ' ~ ~ ~ ~ G ' V ~ ~ . ' . ~ , ~ , _ : ~ ~ ~ ~ Q ~ , 1~ D • ~ • • . ~ . . o R ~,~1 ~4~ B~'JK ~ - ~ ~ _ . .~v . _ ~ ~ . ~