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HomeMy WebLinkAbout2074 tri. ~~TS ~oNw ar Mw.TM . " CERTIFICATE OF DEATH ~~3 ce~~s • ~Y11fJ1Y OR YITAL frAT1fT1C'~ lTATt~M~~ ~ ~ l.~.l...- • tL08IDA ~ er~ ~ 11 1 AR NO. ~ ~e•~•~1~ 1. K~?u M wn1 Coos M0. L w~ ~wstNOlatn..wdw~ ~ • ~e.i/.rw.v.~.:..rM) # •=~t~t~~ COIMTY . ~ ..a .ui 1~ ~l~s~~ ' U ~ GTY.TOAM.O~ t. IS OI 1N a dTY.lO~RO~ WCATDII e. 6 11ES1DENC[ i •a~~~t rlf~ot trt11 IWITit ~MS~ot attr ur~t3~ t11~. ~ ~ ra ~ ~ ~ru o~ ~a••~ ~ v+rw. ~...a«r.~w) ' 4 smat ~ooasa ~ . : .arrtvrn~ ~ l 1M1rs N • f1n1 AlY4 l~t atTE Ufw~t Ay Ye+r ~ . • °a`TM 26 1 s[x cao~ oR ~ACE 7• ~(~~yp M~p w1[ a? M~n~ 4~it r..r. o... r~ M~. ' f t 1 t• ~OrEp py~p~tfp 8 i 11 ~f ~3 ~ YsY~L OCCII~~rOM ( !W yMr! Me IO~. It~1o Oi MIlIIR80~ w0111m/ 11. MTM~aAtt (~1t w~rry~ araR~l OIIIe~ o? ww m~MIRt? ~ i .fe~ r~- ~p1y..~tyr.?uqMR.....y..tln+? , dua ahio USA ~ Dla~t lst iAMt^f MoTNtR'! w~OL111MME ~ an.~ris.. T.OtL~S~ ~Or~~ sotu~ sttu~rt~ sa - ~ sNw?~rwt wYr~ Jasea Rd. P'ti.Pierce Fla. r...r.l ~a swws N~tnn~ (a~MS «rr.•e e~w rw p? w. A).•~ kl.) artuvK.c.wca ~i.•~s.~ ?~ur ~ oum~ ~awsce~+r= a~scr ~ oun~ ¦..e tzi. ~rcoMa uiac W A = e~. ..r- ' . ; titt~~t~ ~ ysv. . f~t~ ~I~ aR ~ i ~ 1••• 1 ~1Mr t~MM~~~ . 1 P r~jf~t~~f +~~I Ae t~/n• Oli[ TO (H f •f e~iw T~ ~ ~ ~ ~ ~~•r •.t- ~ ~uiT K orw~ a~nuw mirmas oan~u~w a ouTM ~ur ~ ~ou~ ~o nic ~w? osm~ aawwow s~a w wr Ku r[~MCa t i i.r ~~.s~ - ~sO aO ••t~•s •a~ ~~a~oc~r wrcac 7M' opa~~c Now ~uwr oau~ca ttw..~n y~ a wre t« rrre » y~r.s ~u ~i.~•.l- Q - ~ slh •t ~t. T~rt Oi lJM? Jf~M~. D~f. Yur ~ N~~. t . ~Ml1111r A. • f. ` ` i ~ m/. 111NI~r ooqla[o ~r. RAtt ar w11N~t k. I..1. r M~wt br. ~ CRI.10~11. a1 t,oGt10M COU1Qt sTATt wMl~t ~T ~ IIdT MIIRi ~ M~• ~I• ~I» At.) ~ wORR AT ~O~R ~ • I ~tf~w~N/ tM I~oN~ /re~w ~~r . fe ~nI l~t ~ ~ w ~(i?~ M DwfA oeewe~d ~d~11L ja 2~ P. ~ en fM I~f~ ~t~NA ~r, ~M te tM i«t d q~ ~sw~qlN. /tom tM e~uw ~bf~d. •l 1 f a•¦• !L. sIM~Tws (Q?MK r MNr) !b Ao011[!s ltc. o+?TE s~CMEo a?• t• 1~ ~..,~.a. • Nartin G. Gau1d,M.D., Fbrt Pierce, Fla. 3 Jun. 66 •~~~r~s~. t3~- w~a.au~ur~ t!I o~1~ tk. w?rtosC[rtrt~r0~c~cw?ta~r 27t. i.ot~n0~ tCir~.~wn.~~+h) IA~e) ~`"~`md"`r~ S-~-b6 . Baltimore, Naryland ~ s./~is tA. 's . . !s. onTC ~cco. n wt~?~. ~ts~iw^s - a.+.,~•s g~~ ~.Pierc~, F1a. 6-15-66 Mna L~e Deaison, d.r. - . _ _ - - ~ - - ' 1f.~~ . . ~ eai _ • _ ~ ,,~';~,-S:_~• t~~~,~~.^` - . ~~r"tY' ~:~1.'fiirib~r, q~tify thbY.to b~ ~ trw and torr~ct oopy of ths Loal m ~ ~-~i?~ ~ ~ ~ ~ on flb: JIn_ ths St. lucis Counh? H~alth D~A- ~ ~ ~ ~ : r ~ V r~ R~~ ~~W. - - ~ ~ ' (~~~d . ~ • a~,,~ `,_`+~l_ ~-~valid~unleu rwed ~al of Ifi~ St. LucN nt~ N o~~_ ~yy«~„~#~oti. ~ ~ ~ ~ z. ; ~ Couefjr;H~.l~l+ D~p+?tn+~N is sfflxed) ~ ~ 0~0 .`~-,~~T~ . . : = r~nC~ C o :=-,~~`_~~~~1~1e'~;'~.. N. C MILLER. M. D• ~ZA 'i j-~;~~ ~ Co~+ny H.aMh Offiar i Loal tEpi~har 0~ I°'w ~ j ~ j~; ~3 : { . c iR.. o- q = - .~:•:,.,.'7 d1-b-(vlo ~ . ~ ' ~ ~ . . D~ . ~+P~y ~ ~TMK c~? • r-. - ~ , ? . , ~~~1 ~~3 ~ . ; ; ~ ~ ~ _ - - - - _ . _ ~