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HomeMy WebLinkAbout2898 ~ ~ TAIs KATt ~OARp o~ Msn~re CERTIFICATE OF DEATH 145~3~'- ~O'~• • ~Y11~/1Y Ow YRAL fTATiflfp lTATt RILi NQ l•s•~ FLOHIDlI erd •~~a SI N. R[3 A11•• NO• z~~ fi prop~~l~ 1. KAC~ N~fATM COpt NQ ~ •i~ert~l L YWwL w[NKMCi/n...~rwnrli.t f/i~Ml~...r ~r.w.r~h..~irr..) t OO~M7~ a STATt OOUM?Y ."..'ll d St. Lucie se ~l~e~~ la ~~t~ GT?. T07NIL0~ 1odT10N t. R/tAC~ OI DEATM pTY.71D1/N.OII LOCATIOM s. K RES~O[NC[ •a~~At ~KIOE C1TY UMRff INS~OC Crtll Lw1TSt til~. ~ M~ 1fES MO - i. IMNt 0/ (aM1 b ~M/wl~ Iw IOIM! ~/6Ml1 I. iT11EET A00~[~ - IIO~IIT~L O~ V18t~ ~VCl. 1 wurs M Flnt NYft lat 1. o+~Tt Xwr? Dq Y~a JOR~'iF1~ISEN ~?TN 11 1966 sac a co~oie o~ iucs wuwcc Q Kvp~ wuuro an a~une ~~~i ~..r. w,. rM xr.. r. i t~ woorco _ onoRCw Se t. 19 190 j1•i•if 10~. usu~oaureno~ (N~r.ta~y.~.ta.. ~.~cwowwswcssoRwaarnr tt. ~rw??cscsw..Aalna.aa~ i a+umarwTao~.mn~ ¦ftA ~~r- I~riya~sM~~IW~.MrsyrlN~M - Tele hone Co. Illinoia ~ USA ~laet iwt ~A7NE~'i IMyt - t. ypTMq'S MAp[w ~yy[ ~ tn~~rtt~r R6bACCa Puennsr lOCML ![NNir u0. . • M~IM AfMw . s 8 • Jor enaen P'~.Pieres,Florida • Ins~r~l 1~. fAYit M~iAfN (04r w rwMla M W. p). (~I. urtuYiu. ~ETrrctN ; ~ s r•• s~r rNn ~ oun~ w~s c~?usco w~ a~s ~+a ouTe ~ r,l. w~co,~„c c~,c w A of Bladder xith estension tAt NI~ • - ' • tlfis~t• ~ f/AI. OtR 10 ! ~ •Ita t\~ j i . . . i .a.~ n...'7.~' ~ ..si.s..r ~.etN as «.M.• ax r~ e~) .ic~~• ss h'~ 1"t. ~ ?~MT K ot~ fis~rRwr oon~rtws io outr wlr Mo? ~[un~ ~o TM[ ~nw~ Osuf[ Go~e~n0~ ~a w?w KU . wu ~uTaSr LOOf• a!- . K~iO~M~Dt t~r A~~t\ v[S? h0~ ~ o r s~s~r~' 7p~. ~?ouocrT su~aot Nowiaoc 70~. asuMC Moo wnwr ooa~uco. (is~te srwr y~ h ht t a ti.t JI yws t~J .•tf¦ u ~1~r~~1~ ii tt~~ 20ic. Tw[ or Nwv 11/w~. A~s. Ywr • ' ••e~. ~ = . ~ i 2oI. ~uwr ooariueo 7or. ruee or auuur p. i. r~e..t wnr. 201• tm. roir~, o~ wu?raM QOUIITY STATt MOIIKAT ~ O ~'••.~"•?,.,a~.yi«aa..•~~a ~ 21 • 1 ~~Hnd~d ~M I~w~+/ /~ew ~~p.. . tu ~~>-1 ~,bb ~nd lut Mr Al~ ~/i~~ on ~ ~ ! awtA ooeurrM ~f w~ ~n ~M d~t~ ~t~ad abo.~; ~nI to tM bwt o/ aq ~no~bdp. Irom tM quw~ ~t~t~A. ?ii ~a•¦s t=.. Naw~~ (arp«rwu) t1s. ~oo~ess ?te. a?TCSwtico ' t 1122 Orarige Avenua : ~ ~o¦~1•s• a ~ • e C Y~ ~ t~ • RI~K. W~Y110R Z~. p~7E Z1t. MAME Ai C[Y[TERY OR CR[MATOIIr lOG7q11 (Cif/. /A~1~. M tAi1f/1 (b~dt) ~ K110t~1(d/[[~1 ~ v. s. ~sts u, rwcw ss~c~u . arc ~cca nr?oc~~ iao. ~ccaTw~s iwuTURc A•,. ~.ss Ft. Piea~ce, Fla. 5-12-66 Mna Lae Denison, d.r. . _ ~ • ~ t.-::~: " FILEO AND RECORDEO' vl" 6irtiEy thb to be a true and cornct oopy of ths local $T•.LUCIE COUNTIr, ~~;7 y`: A~,r?~soo~d an file in the St. tucie County Hsalth Dspsrt• RECORO VERIF~IE/O ~ J,?~ ~ : `_~IYI~ ~f EdfT P~Of'O~~ F~~• F ~ ~ .~~~~~'~~d'~~~A^V~ V :~r f~~~.-.~•, (yyatnfrpi Nat wlid unl~ss r~ised seal of the St. Luci~ ~ : co,xa,,',~,~~, o.P,~t u~xeaa ~ '66 JUN 9 P~1 2: 13 ; w . _ 145~ . j~~ . ; ~ - . N. MILLER. M. D. ~ ROu:.r~. P01T ~ L Hs.nt~ offics~ a~oca~ Reyistru CLERK Ras ~ • CO""iy CIRCUIT COURT . ~ ~ ~ ~ ~ ~ . j _ ` i ~ l w,~~ ~ Y" i ~ ~S.~D~.~-- ~ ~ ~ ~~K - a ~ 600K 147 4~ ' ~w r= ~ , - _ - - . - - - - -`T'' r . - ~-~.~..t,~~, . w_.~=s