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HomeMy WebLinkAbout1961 tni• /TAT[ ~OARD OI Ml/1LT11 CERTIFICATE OF DEATH .L4`~151 coa~s • PUR~I?U OR VITAL fTATt~R°^~ tiAT~ ?ILi H0. 1e •1 N~- - • ~a • si 7H N. F L O a R[G16TRAR•s Ho. 1£~5 ~ v y" rawes o~ ~wTM cooc Na t vs~+T~µc~o~~ec~.w..~..~r~ u~..r~ ~.w..w.+.~.:»w~ .:se~e•~ a QOUrir T~1C e .aa .~11 ~l~s~~ ~•e- emr. row~ o~ wuT~ e. a ruec or oESrw~• e. arr. Towe. oR wu~ a Rcsroewcc ¦~s~~s wS~Ot dTr lwrtt/ wSwC Mr Lwlrn n 1.. .cs Mo res ~o . t~wc os ~q.wa. w.~r.t. i+.e.a?w.wrw) t sT~ecr ~oo~css ~wsn r~t o~ • rannrt+oN ~ IMM[ OI ~~f ~ XI/~~ LMf OAT[ XA!? DrI YtY i`rir~« r+•n Felton °fATM A ril 18 1966 SGt i. OOL011 Ow ~AC[ 7. MM1lK0 M[r[A MMII~EO OA~t OF MTN AiE tl~ ~a?~ r u~Ot~ l Twt uoc~ N~lf. - ~ ~d MNtyl X..r. o.n ~r... xr.. t t• ' }j tloowCO qvO~ttO ~ll . ~ ~ z~ y' • i•i r ~o~. usu~ oeevr~raM (owr a.r y..r~ N.• Rwoor wsooess oR ~ousrnr ~ wTwuu taw M~M+ a.yrN a~va ar .Mr aawme - .1cA ~~e- I~?hl~wtq/vrth/bA.MnllryoM~A U.S./f. ¦~~~~t t, CiCOI' & 11~~1t l~k 17. /A7N[A'! MM1[ i. MOTMEII"i MAqtN NAMt ~rr••ria•• Fe t h'illis jtiYllis socw~ xcv~rtr ~o: a s+ow~na~ ~ De t a e ton ~ 1 11 Avenue 0 Ft.Pierce Fla. M Fun~ r~l N. fAYK K KATN [iVr wtI NM ~~~M ~~1. a). M~ {tl.~ INTEU'!Al tRll[tN a? r.. s•. w~ ~ oun~ w~s cwsco w~ ~ : awscr ruo our~ w,Kp.n c~c w c Office , .~.c ru! - , 2 Yrs. :ici~ ai. ~ •~~/~~•r• ouc~oA~ e mo e or ~ ~ • e . 1 ~s c~w~e i r~aistr~t hiy~a u~l~. OY[ TO (i) ' • i c i~ t~ is ~ ?AIIT M. o~w s~cy~Jllw DoMOrtw~t oorr~IRws to oum ~Yr ~u Kuu~ to ~wc ~ww~? oeuu cosrn~ pro~ M rrn K~1 . KK~MO?Str i j YOY?• " . . . ' E t~f bO ~ e r s• t~r • i to~. ocsc~yc ~ wuuRr occu~~ca c~ua ¦.rw. y4l~?~ ~ Aw J a Prn 11 y ~n. u • ..tl.s •~7 r ~ccwcMt w~c~ot ~oriaot ' .~••i- v ? ~ • 'a~~. ~ 70t. TMw~tROI ~LwfR DA. Ytr ~ a~y w. i 70t. wNp~r aCturtRtO mr. hl1tE or Muuer (e. M r.Aw Mne. m/- Mr. TowM. oll tOC~T~DN oouNTr sT~?[ ~ MN4I AT O UOT NN~ ~ M~ ~M/. M?ed. ~~tt MII•. dt.l rORK AT MOItK ii• I~tf~e~/ Nb 1~wI/»n~ D.O. A. , te 4~~ ~ndlw~ wr ~~~lir~ on ONrA oeeurnd~t 7=~ p_ u+ en tJ?~ lat~ ~t~ad ~iw~: ~nd fe tM bwt oI w~ ~norNAp. /roin rA~ uuw~ ~t~ad. 111 lt~~• ~~a~yTYw[ (p~p[tMdNt1 221- A0011[iS ??t. OATES~GNtO9 •t• t• 1• 2~,6 • C.~. i3enton H.D. Fort Pierce, :Q1a. 4- • C~ Y~~t~• ~I~rY. C7[~iOll I7~. WT[ Zlt. IUM[ OI C[NETCIIY O11 C11[MATOII~ IOCAT1011(Cit/. N~n. M tMat/1 (b7dt) ~[YWY SAK~/t1 ~.i~a1 4_ya..bb Pina Grove C~aetery Fort ?ierce, Flor a r. ~ eis y~, nwcua o~ s s~uu aooecss ts. a?n ecca w wc~ ~ca t~. ~cc~w-s sr.~u °•'•1"• A.T. Stone Ft.Fierce,Fla. 4-2?-66. Mna Lee Denison, d.r. . . ~ - - ; . ~ : . ' a~ , , ~ ~ ~ Nj-n , he~by.urtify this to bs a trus and tornet copy of ths Locel ~~~;~1t._~eg~~rfs T~rd on file in ths St. lucie County H~alth Depsrt ~ ~t"tn ~ . ` • . 0 ~ ~ rtwnt at• fort -Pieroe. Florida. . r ~ e O ~ - _ - X~~ ~n~ ~ , ; ; ~ . ; a ~ ,a~ ~u~r ~'valid unless rsised seal of the St. Lucie ~ rn ; e J c~ r~ ~ Z ` - { ? ,C'~inty Heslth Oepartment is ~ffixed.) ~ ~ H"` ~ ~ c~ o ! . ~ ' ~ ' : A ~L+ ~ < O ~ . ~~,•r;,~. i,'-~;~ ' - co ~ ~ mCm ' ~ = --r ; _ . : ~ • = ; ~ ~ ~ 'r ; N. MIUER, M. D. . ~ ~n - : ' ~ ti ' . ~ ' . Cou+Ky Heatth Off~ d~ Local Resistru ~ n D ~ cG m ~ ~ _ _ ; • . - ~ CN . ~-q~ . . ~ ~ - ~~c~w~s• ~ ~ ~ m ~ v ~~1.~ r. ~Q- ~_t s f~ i ~_S,-titi~,. • . J ~ i . ~ ' ~OCI~ ~lQlitfN ~ . f"' . R,l ~~Q . • -c'; ~.....~i~rr~~ • ``'v'W`C~ ~ goox ~.51 ~ ~60 ~ ~ : - - ~ ~ _ - _ - yy~ sdA~kyE ~d "6 ~ : ~ 'H'.: ; ~