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HomeMy WebLinkAbout1693 , ~R ~ _ _ ~ . - ~ r.i. s~rwT~ ~onwo or Mr~?~rt CERTIFICATE OF DEATH ~ • ~u~swu o~ vR~. nwr~nw rrwn nu ~ro~ . l•s•l FLOBIDA 35g ; N . • . , ~r•~•rl~ 1. NwCt N~fATN COOS NQ L YwAI AWMMCttn..w.~r~i.i Utrw~.r..: t.f1~.n~w~..a.tw6~ ~ •i~~~t~~ ~ ~r a 3TATE 001NIT1 ~w~ •tii gg~t, ju~g (~(j~2rj F10]c~id8 Sailit LuCiB ~l~s~~ t¦ ~~r- ~ cm?. to~. o~ ~oa?~ ~s ruct ar ourn a an?. r~N. at wu?no~ a ~cs~oc~ ••'•`t M1f10` Fort Pierce - Rural ~ `m t,~.. Fort Pierce ~cs w O Mo ~ IuME aF (a ~6M1 WrrM) R 1tM41N OI t fT11[[T ADiD~[!! ON A sARrl ~ ~ ~or~ierce ilT ~ R.F.D. ~4 Box 457 ,r~s0 wCZ ~ w~MS K I1ne ~f1Mr l.~ an )ilwM Dn • Ynr ' ~ ~ RAY VINCENT GREEN ~?TM Nov. 2~ 19b2 ; sa ao~w o. iua w.~so ~va wuaaco wn aF .Kn~ s. ,~c tl..n.. . uoE. ~.w i.~oc. x u~. Male Whfte r~oo+rta avo~an Au . 3 190 x••r• n... r... rr, . ~is• . ~l~l~l~ 104 YSY~1lO0CIMA110M (dMll~Iy~Nr~ IM.KMOOFNIfIItli0~W01KT~1/ 1. ~MTN/LAQ(~M~R~pwtr1~ iitn6lQI~IMTCOYrRR •itl ~~r- s~tywrMy/~.~yryNn~A ~a nter Conatruction . Cartha e Miasouri U.S.A. , ~i.•t •.t ~ r~Twns wwc ~ rornus ~uiou ~?rc . •r ~ ~n•••i~~~ Albert Green Naomi ( Last nat~e unavailable) MAf 0[WSO ~1IEA IM Y. i YMED fO~CEf1 soa~ xcwrr Na . Susie en ~ II~. ~w ~~.tirw/ O/ K r w~K~ d r~i~i NQ 00-09-09 ww?«~ : ' r• 1 1l eAws M KwTw (ffle? M4 w ewu ~w r1~r/r ty. A). wt (s).) - ~ ~i~~~e~r ?~Lrri aurnwacwston~ °~T~D~ 1 w„~,,,,~ ~ ~a Carcinanatoais w.a nl. t\~ •~tl atl~ ~ 011[ 70 C - i 1 ~••1 ~ M«~~~ r~~lser~r ~htM~ W'd"• pyt 7~p (c) •it\f~ 7f f~ ~ ~••r. . t- ~ r ana sia~r ooianas owm~w ~o ourn ~ w~ ~~u ~o mc mirwti oeutc aa~rno~ awa w?rrr K.~ ' r~cuo~rca t~ t.~ a..a~ Ycs? ~o~ I •r l~hn ~ i0~. oEStR~1[ ~wv rWMrocqau~Ea (awre+we..r yry..~1. at Ia Art uytas uJ ; li ¦~tf~i Ms AOC~OEIR SulOOE 110M~C10[ . ~ ~ '~qN!- ~ . ~ .r~~. ~ mt. ~a fIw? XwN. D~/. Yp? , ! a r. • f i 20/. MAIwY OOCYYW M.~CE OF N~AMr (f. `M ~f M~f. ~ C1Tt. IOMM. OA 40C~TIOM OOYMTr STAIi f ~ ~T ? ~"TT~ Q /r+../~~..aat. My. rrc.) + ~ ,.tNw....lr..w..../Orol'a' .nf /Nt s~. ~ .li.. oa ~ ~ , n..rs eow...I.r pZ'1 ~s~ ew~ ~b ~t~td ~8w~: ~nr M flw N~t d q/ tne~bdh. l~om tM aww ~bnL ?I1 it~~a ai. M~MA7W[ (Diq1?N~rtYk) m- ~OOKlS 77s. o~7ES~C+~Eo •f• t~ 1~ •••N•~• ~ Martin G. Gould K.Fi. Fort Pierce Fla. 10 Nov. 62 ; a~~~~~s~. i7~. w~.r. arr~no~ 21~. arc ik. iurc as arcrar aR t~cw?~r tx wur~oN (C~rr. a... r n~.h) (~e) . Nov 1 62 Ft.Pierce ~emete Ft.Pierce Florida ` r.a.~si~ t~. ruMC~u ~ss~uu ate~°~ielal flome ts_ arc~rcawwcw~~a ~casrw~ss~uu?nMC ~ R...1'~s Jo W. Yates Ft. Pierce Fla. 11-13-62 11nna Lee Denison d. r. rt'1l.EO A~~D RECO~OEp ST.,~ UCIF COUNT'Y, . ~ CFf~ V IF1EplA. . . ' ~j ~~;~jir !i..;,;~~;h{ . . ?r~+~-~0 ~ ~ . ~ ~ t J ~ .',f % ~'~t~ ~9' N[ • 3~ \~~'"~'`'~'^x} f% = ~ ~ he~eby oerrify thb to bs a rn,e ana oorna cop~?' b# the Loca~ (~,l h.,0 :1"~'•. f~. _ file i~ the St kt~~+~t Health Depsrt ~~~`Z:,r,: } :r- . , { Rsgistnrs ra~oord on : ~ = 5 Y-~,t :ti. ~ ~ - ~ ~ n r~ P~. F~~. ~~ERK CIR~(~ ~ ; , .r`s ~ - * 4 - ; ~ ~ - ~ ~~=f • . };'^i ~ , g s~ ' r'~ ' ` ' . (yywrsinq: Not wlid unfess nised seal of tfisr5l~~k~T •'~",~~i`.~y;~~~_.. ~ County Health D~pa~tmsnt is affixad) ~ -r';~~ ~ ~ v~ I ~ ~ '~;''j~ ; d~Z'~'-~: " ; N. D. MILLER. N1. D. ~~r U~~'t :•r t.~: , ~ i ~ County Heahh Officer i laal Rpistrar ~ ~ I;1 ~11 '~1 ~ ; , I 3- G G aP.r.~ cQ. . . : 1 ~ o.~? t~o~ r~~n~r ~~~~0 492 ~ ~et - - - . _ _ _ - -