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HomeMy WebLinkAbout0322 ra~s rrwTC wuao or Mrwt.TM ~~R~~F~GATE QF DEATH 144550 ee~~s • ~UR~I?U 01 YITAL fTATilT1q RATS lrfLR M~ ¦ ~•s•i FLORIDA •N .a.~ Aa- ~A u.. Z e1RT N . pr~y~el~ 1. KAC[ 0? ~tAiN COOt NO. Yi~ ~W~f~IC~I~M.~~1a.~ ~ •+.irw~wH~.+r.iwW ~ •t~ert~~ aDIM1t1f ~a/ ¦1]1 $t I,Z1C1C . ~i...a ia ,~r~ CrTtr.?Ow11.OR WG?T~oM s. ~s KACE W oEATN s, dT?. TOr11.o1t tAGTwM e. ~f IKS~LE~CE ¦~~~~t MS10E CMyMITSf tl~S10E CIT1/ Lu11Tt1 tl1 ttES MD ? YES MO 1. ~u~+t oF (UsM b Mr~tlQ. /bs Mrat Nbq~) 1. 3'T11EET Aooll[SS ~ N06MTAL OQ MSTITUTpN j. t 3. ~uwt 0/ i1rM MtrYr Ewt a?tE Xwt? Dq Yar ~'~'~N~ JOHAN FREDRICK ~iIILLI4M BURKHARDT ~TM i~3arch 5, 19b6 . ux s. ao~o~ oR iucc rNUEOY] ~cru r~ro aTC oE ~ a~it ~i+:'iw ) x..r. a.. w~ x+~.. e.. x w ~noo~.c, oivo~ao . d t i 866 74 y i•t.l ~ 10~. usu~ oocu?~noM~(ors tt.I ywrt 10/. KYIOOi WS~Mtff OR ~t01ATllY 11. 1MTlMlAft (~dt ~?Arel~ pwtr/1 t uruw a~u aioiw~n .itr ~.r- ta?W~wtM~4Ylfar.Mrw~/MrM Illat. USA ¦•~•w~ Machiniat Boi2er Facto Germ tia~t iwt ~ /ATN[I1's N~?M[ - YOTNqI'3 ~ulOtM NAME ~ s~~~r~t~r • - ~ wns auuro tvt~ w u. s, urto roRGrn socu~ sca,~m No. n. s s~w~?r~ns ~y T. Burkhardt ~ ~r...+......~...r w....w......w.~?...iw ~;0 1 8-01-01 A •~?a~ 20(2 N. 46th. . erce a. iu~ t~1 1~. CAYK NATM [dlfe? M4 Me owM /t? Wt~? (y. (H. pI It).) tMiU1Y ~~E7~EEN Ilt~et~e t?IIT~ OUITMIIAStAUStO~ri l~~. aircou?,c w~sc W reb al Hemorrha e rg• ei• .is~ ~si. +~Y"~f'~. ~ To c~~ erte s ve Art scl Ht Dis. 1 . . . 1 .a..e a.n` (q• r~s1~t~~~ K~ ~ DuE To (e) sltlf~ 7f l~ au~e I~M. l~r~ f- ~ fMT M. 011~ SIi1rltMt OOI~IRC16 CcNl~MRlK 10 OGTN /IR MOf ~A1ED 10 M 1OU11ML Opf~ OOIi1f1011 iIYO~ M/MT 1(y •~A~OR F ,y~ Nr ~~ata ~E C 1RS19 NO? •r ~~hr• t 2D1. ocsc~twt eow wtu~r ottuiuta ~aw. s.nw yrywr a~+re ~.e u yr..,~ ¦sts~~ ~~1 ~ ACCrO[nT SYKtO[ ~rOM~pOE 1~~~~~!- 0 ? 1i~~. ~ 20e. Tw~E~os /Jw+ L(wt?. pI. Ys~r ~ xot. ~r ooanuco ~or. n~c[ os rw~r u. i. «.6..~ b.r. 7A/ cm. ~o~. a~ wuaaa aouKrr sT~Tc , MNILE AT ~ N~T MMII~ ~ N~•N~I.ONf. ~os MM. dC.) • M~ORK AT rORI( ' t~• l.raea..r d?. s«....I /,om ~ 9 ~ . ro date .na tNe... A m.w. on DNtA oowtnd ~f ~ w - w oe tM d~b ~bt~d ~~o?~: ~nd fe tlw iNt of N knorl~d(~. /roe tM au~w at~tal. ft~a• MWM (DrI?aNNMt) ?b. ADDIIEl6 ?ts. OIIIESKII[0 ; ...~i.s.~a l~ielvin Wolkows M.D. ~ 802 N. 7th. St.,Ft.Pierce 3-8-66 a~~ar•e~. 27s. Wrn?.awnoa t3~. wt[ 27r. w~rEO?cEMCTCI1voRC~c~u?to~r 2l1. wunOM<GYl.twn.was~) (Btd.) ~ur~a'~' -8-66 Hillcreat l~n. Gdns. Ft.Pierce, Florida ~ r.~.Isis u. 'ss~u qpl "FFl~'~'th. St. ts. wrcaca~rwc~~a. ~caaruu^ss+w? a...~~se ~ton W. Baird Ft.Pierce,F'la. 3-10-66 Anna :,ea Danison, si,r. • - ~ . ;~,'~i~ri..,, ~ , ti I(~~tify thb to be a mis and oon~ci oopy of the t~oul N. h~~;t ~~;~~teg s~ord on fik in the St. luci~ County Health DepeK re~ FI ~ N R E C 0 R D E D i it,r~rr Y.~.roe. Florida. , - 3 0 0 K ' z :Gn.~_ ~ ~ ..l''~'" ~ ~z- ./:~yN~initr~, ~Vo~t vatid unless rsised sesl of, ths~ St. ltxii F " ` . • ~ty'~tle~lth Oepa~tmsnt is ~xed.) . . ~ ~ --1 . ,~•r• ~ ~ ~ . : K : f '~6 APA 19 ~,~I ~ _ ~ . N. D. MILLER, M. D. ~ _ .~a. h::. ~ : - , ~.x- ~~~~~o _ ~ • r 1 : - ~ Cp{1fIfY ~~1f1 ~ICOf j ~OCA ~IQ f ' ~ i Yr. ~ cl ~ '`!k • ~ ` l~ ROGE~: ?~i:~~i itAS. CLERK ~L ~ . ~r` , , (v!o ~-L ~ - ST. LUCIE COUNTY. , q~ Osp~r~y t~oc~l i4pistrar d• r. FLO RI D A s a BOOK ~ ° R 143 3~ ' ~ - ~ .~a~ - ~ - . _ ~:;r . . ~ _