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HomeMy WebLinkAbout2611 TA1• ~w~s w~o o~ ww~n~ CERTtFICATE OF DEATH ~ 14.~35~.~ ~ ' eo~~s a ~Y~uV p~ y~~ RATIl~IC! tTAT[ FIL[ NO. FLOHIDA or~ •!~w et T NO. R~G STIIAII•~ NO. prep~rl~ 1. KACt N WTN GODt KO. L WYAI ~tIKMCtItl~w~rda tl~ A~Ywi~Mlr~~:r:w) !a~l~t~~ COIM117 STATE ~ •~I1 ~lat~~ ~ t• ~•r- R Cmr.TOMM.o~~oa?ta~ ~s i~tE as outn c. arr. sqr+ta+e tourrae s. a ~cs~oc~ct ..,..s xawc cm urns~ r~l•. y~s p prS10E qT11 LINItEt res ~.a ,urc os ~y.u r. ~w~r~. ~re.a«r.q.a.~ t sT~ccT ~oo+~css ~osnT~u w .aTrruraM X~ 1~ WTE X~ Dq Ysa ~'y""''''" I PATTERSON ~TM A ri]. 15 t 966 . SEII CMOw O~ ~ACE MMQ'.[O ~ M[V[R MAMI[O - OAT[ 0~ MRTN Ait (l~ /i[r/ t 1/~[ll l TW 11~0[! N Mi ~ fMf Nrt~y) YrM. O~N Rwn Yi~. ~ ' i a• .wo.co o~w~cc~ J 1 18 b * t.~.1 ~ ~o.. ~ oaw~no. to~ Nd y.«~ a.. 11s. ~u.oos wswcss oR wousr~r 1 t. wiTNrucc (aw.. /w.y~ er.aer~) an~o~ ar .w?~ m.r... • i e~ ~•r- taNq ~wt yswtW qk. ~n yntb~A e de Tavern t~ex York N,Y. USA i•t ~•.rnc~s wwc ronrt.Y r.wu~ w?«c •r en~~r~u• UllObt. . socu~ ucuRm ro. It. s wwr~ ~ - t~ ances Patterson 1 0 Flaito Ct. PSI, Ft.Piarce,Fla. • tl~ s~w~ w Kwn~ ~LtM. Mp.~. a~w ~a urp (a1. Iy..w (dJ urtuv~ ~rcni ~ i r•• a• • ?.~t ~ oun~ wns cwsco we OIOET Alp pEA1M r.~. ~~oM.c cMnc sc erotic heart dis~aae - ~ r/a•• ouE ~o a~ - Post-op~rativ~ atatua 1 • • • l ~lwe nw~•~ r~jlstt~r ~ ~ r~- pyE Tp !t) ' •ltl~i~ 7~ ~ M~ n~ • Y~r?• a t- ~AwT N. 011a 9i~ILYR OO~p/~16 OOMI~l~~ ~O Of~M ~1R 110~ wW1t0 ~O M 1i11MMl Oq4~ 001rnOb C~10~ A/MT 1(~I - 1rA5 0/SY • ~ KIIFORY[Ot i~~ ~~~i\ • Y[S? !q? i • r~~s ~ m.. ~onotNT sv~aot wo~~poE ocsust iwv wn~Y otcu~n[0. (EI~M *wn yl~/v~ 1~ iref I M Pwt II y 4~. !IJ .•tf¦ ~ ~~ri- ~ ~ • •t ~ mr. Tw[ OI Hwr ~(Nt~. D4. Yarr : l~l~. ~MIIMr s. ~ ~ tai. «~r oauuco ~Or_ rt~ec or wiuRr ~e. M r.Mw b.e, IDJ. Mt. T011O_ pq ~pCATIOM COUMTT STATE ; ~~lE AT ~.oT wM.~ 0 w•.f•~.?...a~r. ~«+ra.. a~.~ . l01IK ~T 110AK 21- /~ft~nMl tly d~oMSw/rom 3~~ , to 5 ~Ml~~t M~ di?~ on ~ ~ ONtA ecc~~nt ~t 1~1 n P ~ on fM /~f~ ~t~tW ~Dw~: ~nI to tJw bwt o/ knonhdp. /rom tA~ uuNS ~l~t~I. ?11 it~~• ~ ~~T~ •r• N 1• (~MartYk) t?A.ADO~ESS t2c.WTES~GNEO ~ David L. Ro~re H.D. 809 Delar:ara Ave.,Ft.Pierce 4-20-66 aes~~~s~. 27s. ~r.t~a~no~ Y~e. wte t3r- ~rtorecrcn~ro~e~cr~TO~r t31. wuTaN li[wvr. s~et/rl (C7tt. twrs. «aw~~ry) (8tde) Buria~ ' 4-18-66 Ft.Pierce Ccmatsry Ft.Pierce Florida i.*~ia t~. rwa~uu s sw~. ~ ~ 2S. DATf ItECQ ~T tOGIL ROG. IIEGKTRAII'S SIi~1A7YRE `"'i'~b Hilton W. Baird Ft.Pierc~,Fla. k~21-66 Anna Lee Denison; d.r. . . _ :1~-[.w C/~, ~ e„ _ _"r , - ~ .N.~•t1 c~• ~~~~i~•airtify-~hb to be a true and tornet oopy of ths LAUI r e. r' } • :~g s r~s6or~d. on hie io the St. luci~ Cou~ty Heahh D~psrt ~;3 ~ ~ C v m~nt~at' b~t Pfer~oe. Florida. ~ a A n ~ 5;? .(Wieni~i~!Not wlid unless nised saal of ths St. Luci~ c~ ~ ~ m Z C~ t+ e? t y Heslth ~ e p irtmsnt is affixed.) . ~ o T o c~ 0 r < o ~ . 'Y . ~ , ~ ~ ! ~ ~ ' ' ~ - . ~ Q ~ _ i: • ~ - . ~ ; ~c~; ' , ~ N. 0. MILLER, Nl D. ~ ~ ~ County Hsalth Offic~r i toul Rpi~rar o D N o . cv' G o~'*~..t~t - ` , .~.i ~ p ~ 0~ Orpuly/ Loc~l Rpistnr C~ - r. ~.v ~ 6AOK ~~~7 ~ .r . ~ ~ , - - _ - - ~-.,.~~F ~ > ~ - - - _