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HomeMy WebLinkAbout1275 ~S 14851~ ~ ~ T?~= ~rwTS ~o o~ N~TM CERTIFICATE OF DEATH ee~~• • ~URSl1Y OR VITAL fTATifHW fTATt flL! ~•s•l F.LOHIDA •r~ .l•• sl T • . ~r~~~?1~ CODt NO. ~w?~ ~p1NMCtl~a..M..~rrwr. Utwtiriwv tuY.n~...~.t~.t..l •a~e~t~l 1. KAC[ N wTN a sTAT[ OOYIITII ~w~ •fll ~,~e,~ St. IuC18 1~ r- tm. ~arM. o~ ~ou?T~ e ru?a o~ ou?rn a Cm. t~». o~ wt~noN a~ocMCt ...•.o wsrot crtr ur~rn uwoc cm twm~ rES QC Mo O rs~•. Ft. PierCe ru ro w~rc or ~ry..r ~ws+c.t. ~+..a.r.raw) ~ u~n~ ~ t ar~ccT ~oacss oi~ ~ suiw~ ~ 1T~~ sT~r w 11 ra 0 No Ft.Pierce Memo Hos i w?r[ oI flrM ~fl/4 Iw~t wTC ~fi.a D.I Yw tnrs•~« n+•n Arleatha ~ Jones °"TM Nov 21 1' scx aow~ o~ ~ucc ~o ~~cvc~ wwKn wTC a~n~ f. ~c l~. ~s++ . u~oc. ~.w ua. ~ t«t ~itW~) x~r. o.r. r... ra. ~ e t s• F@tna16 N@ ~no0rco pvo~tco ~IOY. 10 1 2 2 ~1~1~1~ IO~.IISYkOOpR~T10N (OIwtW~/wrlM~t IOA.KYqOf~Yf11t3i0~r1011ST~Y 1. WtIMIACL(9~MMAMW~/~ CIi~10/fIMTWIMI~TT •1 t\ N~/ Iul. wt~ 1fryMnQ i~~ ~`~Omes~~c House W~ork Tallahassee Florida U' S A ~latk lat 1 /~?I~~•s wMt M01M[R'S MAIOEN IMME ~n::.~~.. i~dilliam 4een Donella 9aith r~s oca~sco cvc~ w a i uu.co ro~ccs~ ~ocw sccuiuTr Na n. sww?n~ Richard Jones ~r....n...tl..~/ ulw..w.....w.d...w ~ - NO U111Q10Wf1 w~'~ r.....1 1~. iAYK M KATN (E1Wr ~ eNU /t? tu. At...a ~i~••~•r ~AATIOqTMrAftA4f[O~r~ a~r~unourn as~t it1• wrtOMli CAYSt t~• t~t~ ~ .i i~~u• ~ q••pr. ouc ro 1 • • • 1 ~wt c~wre~•b n~i~te~~ M~fiy I~e rNn• OUE TO (e) h~•r a.« rw. l~r? t' ~ ?ART IL M~iR SKiK1w~ GOMO~p016 QoMfwY1M 10 O(~1TM ~IR MDt IIMA1/0 TM[ IOrMMI OEWt OO~i~1fON iN01 M fMT 1(y : H t~f ~~~t1 p •r 1• [~e• ~ 706. ocsutnc ~ w~r ootWUEa (Akr w~ewe y1V.r~ h Art 1 a Art II ~/Its~ aJ ..k~.s •ws ~ ~ocwc~r w~aoc eor~ :i.~••i- ? D- 1i~~• •r ~~e' wuRYf i ~~i. X~. Dq. Yeo w. ~ 20/. wJlp~r oau~u[o ~r. l~ACE or wJU11r I~s. ~1.~ w tlwr M~s. m/• uTr. Torl4 0~ tOCAinM oouMTr sTATE ~K AT O MOT~~ [ O MA.IK~M1. ~M• yKS Y/I.s rftJ ~ /~fNwIM tM I~MI /rom C 11 eci aft er dsath 11 _21 ~it~ u~we w. ~N++ow ~ D~~fA eosYtnr ~f s~ M fM I~N sf~l~d ~lp~: ~nI M f!N ~Nf ~f q~ tao~l~dN. Irew fM oawN ~t~bl. . ~11 it~s• 7L. NiM11TY~[ (DeRwMfYk) TL. ADDlltti tts. WTESIG~EO •T• t~ 1~ ~ C.C. He M D Fort Pierce Fla 11-2 •~~•r~t~. ZL. ~wr?.a~wno~ i~. a?tt tk_ iurco?arcTC~ro~ex~u?ra~r 21I. wennoM((~r.a.s.~rew~.A) tg.er) ~aror~ t ~ e eme e Ft Fierce Florida ~ ~.1 si a t~. s s~u ~oo.css ts. o+?r~ ~cw w~ocw ~ma. ~cwsrwis src+u? ! l"'i~'° A.T. Stone Ft.Fierce Fla. 11-2J}-64 Anna Lee Denison d.r. ~ E ,oerY this 1o be a frue snd aonect oopy of the I.ocal - s ~ fils in th~ St. tuci~ County H~ahh Deps~f . . o:, j;fQt;v~~d u~lsss raised sesl of tM St. lucie ~ : c~ •,f~,±°~"''~ a~i~ D~partmsnt is aff'ucsd.) r .-Nj'n ~ ~ ~ . ~ . ~ : r*, ~ r- ~ 't~~~.- ~ ~'~+t'` ~ --4 % ~ p -ci mctn .:,..,y.• • -':rs'+~-,~. ~-p:.Mil1ER. M. D. _ G: :~nv ° t'~ ~".~'''_i' ' . A i'+. O n . ' ; ~.s ~ ' ~ ' •:CpuMy Fisaltfi Officer ~ l~ocal Rspistrar . ~ ~ v~ ~ m Z - 'i + ` .a - n ~ Q _ f'~'~~ ~ . A~ • -`.~''~:++5=^ `~```r/ i1?.7?is `a- J~ t ~ . ~tR~ ~ O <O ~ ~YL ~ ~ (*1 C - =.:t . . ~~u d..... ~ 1 F - o r C11 rv ?~~o u~ c F+ m' o -~i C.^• °~r" , ~ so w1 ~tu.~t~ • . ~ ? Boo~ 155 75 i O~L.AUGHLIN ANC O~LAUGHLIN. ATTORNEY3 AT LAW, FORT PIERGE. FLORI~A ~ ".`;`~~C c..- _ .,,Pd:rw ,~~~:MX.-__