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HomeMy WebLinkAbout2345 ras~ e~- arwTC w~ o~ Hs~tH CERTIFICATE OF DEATH 144320 t eo~~• • •YR~/1U OR VITAL RATIfT1Ct tTATt FILt Ma- ~ FL08IDA ord •?~w ~ T NO• R tMAR•~ NO. ~ Z~ prop~rl~ •:~ert~a 1. M~wst o~ ~[4?M COO[ NO. L YsYAt ~[sHarCSllrl.?f.rrrr'wL I/~..r~rrr.: t.i~...art..~iwiw~) •eA •171 ~r STATE ~ D~ ~1~eN $t. I.LlC~.C ia ~~r- dTl/. TO~M.OIt tOC~Tq~ e. ~S rU?CE OF oEATM a GTY. TO~I.o11 tAGT~OM e. K RES~oEMCE a~a~~t YWOE C171? WIITSI MKtOE CRT UYltA t i l~. ' res w? C rts ro I. Ma~E os (ryw t¦ w.~k.t. ~t.e ~aw waw) ~ mic~tr aoo~css wosr~T~t oR N6TITUTION ~ lu?r~ 0? fYqt ALl//fe Luf 1. WlR XwE1 Dq Ys~r oceu~io c~«s.~ p~,~ ~*N 1~,arch 16, 1966 s. ux t. oo~w ae ~ 7- r~uuso MEYER MA~1ED ~ OATE OF M117N f. ~cc (h ~s.n s u¦oa~ i rw u.ou~ x~ 1 ~ 5+~?~ a) u..r. n... ~.w ra. • r i t• ~ rnDO~[O[] dvORCED HOV~ y 1~ 1 O 1~ 10~, uSUAI OOCWATqN (OMt Hd ywr! M~s 106. Kw00F ~uSYIESS OQ w0115TR1f 11. NRTMRACE (9ds w M~M~ t~r/) 1 qnIDt OI ~w?T C01MA1n •ice ~~r- t.,Uy.~wrywrt~o/a.ar.yrpfre~ ¦~n~ee ' ~i~lll HOIDC N~y. U.~ ~l~et fas 1~. fATNE1IY rAME 11. Yp711E11's l1AIptN NANE tn~~rit~r ~ - ~0~. ii..wr~.:a~~1~ui ..w:~~i.:EYu~y s..w.+ . sotuL stcuRrtr ~a. q. s sl~w?Tws Q18.Y' CS Css 1-1 - 11 1 So. 27 . . erce, a. run• r.l 1~. CwuK ~?TN (61ta wl~ ~w tNw per Wr p t•L a~ (H.1 . . bfiEIIVAt ~ET~tll dlr~etse IaRTL OEATMMASCAYSEO~IIe ~.t ~~~8 ¦u~t !fl• IMY[qA1E CA11SE ~1?b011SQ1 e6• e~r- cftieas• ~7r.Iiriw.l/or. oue tu ti YC3i`8 •it~ t~• ~~k? ~?4rp 1 e e • ] ~e eqie (i). t~; i~ t r~ r w~M LM tw/en DUE TO (t) •itsiw 7~ S l~la~ daN lyt. h ou r• • f- O fMT IL OtNq SliiilGYff 001~(f1016 OoMIwMIRM TO Ou1N ~Irt MCR IIWt[Y A nt 1fY~ML O~ffAf[ GW~11~011 iNOI r1 IMt 1(a] . MA AUIO~SY ~ ~EtPD11MEp t~r d~~t~ x er O~t~r• ~ YEfLT M0~ ¦~kis~ a~~ ~ ~'/tiCt~DtMT sU~t~oE Mow~C1oE ]O6"D[SC11NErwirwlwltlOttu~uEO. {E7Maw~tvey(yv~bA~tlahr!ily(tesl/a al~pe~t- ~ ~ O ti~¦ •t ~ 20t. TIME Of Flwr ~(Mfl, MI. Yt~? /~d~• IIYUIIT R 8 r. F ~ tGt. w~u~r occu~co mr. n~t[ os uw~r c~. t¦ ...ewr a~. tA/. crtr. towN. a~ ~ocwTaM aov+mr s~sTc , ~ w11iLE AT ~ MoT.m~ ~ M~. /«i.n..asa. yke ery» we.) . M1011K AT 1p11K 2 ~ 21 •/~tbnd~d tM d~a~wd lrorn FCb. 2Qttl to ~~'C}I ~ t•}l. ~ed /wt ~s ~M~ ~li?~ on C • D~~tA oeournd ~t ' a~ on tJr d~N ae~trd ~aw~: ~ne1 te tM 6Nt o/ oq tew~hJN. /roa~ tM pwN ~bt~/. 11~ it~~• ~ ~0~~~ at• t• 1• ~~~a r~1 A~~ ??t. MTE SIGMEO `°•D'•e• • nara D. 503 N. 7th. Street 3-23-66 . e earas•. Zl.. wwu~. ex,unoR 23A. wTC Z3e. w~re os areTUir o~ tRC~ura~r t~ wu?nor coW. uw. w ~+watp la~) ~~.w.~ ~s~yr~ - - . Laritana, Florida s. isit z+. rwic~ ~s s~uunMC ~cs~th. SL. . arc Rcca ~r wc~ Rra. eco~sr~uus ~wru~c R••. ~~ss Mtlton W. Baird er e a , - t t';,~- ~ . ~ ~ . I! hireby artif~? this to bs a true and torr~ct copy of ths Locel " Registr~ri_nsoor~ _a+ file in the St. luti~ County Health Oapart- F~ L E D AN 0 R E C 0 R D E D ~ m~nt at ivA' P~grc4. Florida. , . ' ~ jVot valid unless raised seal of the= St. ~ucie , a'"~~~ - 8 0 0 K ~ ' , - - ~(WK^Lq`.~ . ~ Co~My Health t)epsrtrr~snt is ~ffixed.) ~~,C~G,~ A : s i~. ' . 1, • N. D. MIILER, M. D. ~v APR 1 P~'I 3: SS t~'~ , : . , . ca,~?~, ~nn orf~ a ~i a.fl~u 144320 ~ ~ ROGER CLERK ~ ~ N - -~(n ~ 1 Cr. _t~ ~ ~s~~~$T. ~UCIE COUKTY, D~ OsP'+h~ toc'I ReoKn'r c~ . F l0 R I D A ~ soox 142 539 _ _ ~ :