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HomeMy WebLinkAbout2581 sei: De- ~TATt row~eo oF Msw~n+ CERTIFICATE OF DEATH r eo~~s • OURGU OF VITA1. fiATItT1C~ fTAT[ N Q.+_ ~ ~~6~t r~~- F~OBIDA ~ ' ord •Aea BIRTM NO. NEGIRRAR•a NO. ~ yroP~~17 1. ?G?C[ OI KwiN GOD[ NO. t YfYwl Ie~NKwC[lm.rrw..rw U:ww...~ R~:b...W.+.i.w:w) t ; :~e`:iii 001NT1 St. Iuc3e 66-025 Flor3da ~~r St. Lucie ; pl~e~~ K RES~OE~+CE ~ !O A. CI7Y. TO~M.O~ LOC~TION t. IS KACE Oi OEA7N t. dTr. TOMIM.OA LOCATIOM iMS~OC UTr UYI~S1 •~e~~t tMS~DE CI LIYITSt t l 1 ~i • ~@='C8 rE5 ~ UO ? • ~@1'C@ Y[S NO I. IuME OF (//iw( f~ ~M)it~t. fwt Wuf ~/1rtM) I. STRffT ~OO~ESS ~T~~ 116 N. t6th. St. 116 N. 16th. St. MAN~ N Fi/~f w/l/<t LMf ~ OATE ~/Mf~ D~f YtY . n,"~"~"~,~.r, JESSE FRANKI.IN OwEi~ts o~TN du~y 8, 19b6 s. scx ~ co~w o~ ~ 7. wumico Ncvu wuuro wrc os m~rn !•ac tr¦ fev. s uw ~•w u~oc•H ~+s. 14, ~ 91 ? x.r.. a.. . ~ i:. x w rnoowEO avwcco Dec. µ•l•i~ 10~. uSU~IOCCW~T~Ow(QirrN~l~J~e?Rb~~ tioe.Kwoas.usu+cssaawousr.r ~~..uTM.?.cc cs~~wh?~+~».rn~ an~o..wTm~.n.n e" "'~i"W~~ ~~•~a`" ~rucking Kissimnee, Florida USA .....s ll~et l~t 13. FAiMER'S N~1ME 11. MOTNEIIS Yu0E11 ~uYE ~ c,.~~~ss~* JOtu1 B. 0?rens TheodoCia C~ect li- SOCi11l SECYRITY IIO. 17. NI 1 NOMJ~TYA[ A~a~ 261~-01-0804 Mra. Helen Orrens Ft.Pierce~ Florida ' rua. r.l It. C~wt~ N KATN (E7Na Mf/ ~at rws /e~ ti~r /b c•1. tb). o~ (d.) uTtAVAI K~w[EM oasct ~wo ot~n~ tAATL OEATN~ASGYS[D~= ~l+e-bro vascular accident .~.s rii. ~rrca+?.c ausc t.) 2-3-}b. ' t s r i e. a. Gntirtwa. F/ ouc m c+) Ilitracr8[1~81 C82'c~ilO~ia f 2 OiG I; •1t\ t1• Y~i~tl /~r /u~ f~ ~ • . • j 1 • t • 1 ( ( r~s 1 s t r~• at!tiM t4 ~skr. OGE TO (r) _.nri~arv 3T1 Il7liQ8 . •itAln 7~ fPy t~ut Iat. O ?AIIT tl OTME11 SK~YKMR CCIID~ipNf COIA~{Jf M~O OUM ~Irt I~Of R[i~l[D i0 M TE~rwLL 01YI~Y C0~1T011 iMG ~1 f1M7 1(~ . MA S A U T O K T Aou?~ af- rE1tFO~ME4-'_ d.,~. ~o ~~7 s er ~eter• ~py. p~~yE ~~,Mr occuanEO tBu~? ¦rr.r yi+yvl t~ Prt t« Prrt II y4s. tJJ •akl~s ~ ~CCIOENT wK~a NO~~C~OE ~Iq~~l- t`~ ? ? ? cso. •r ~ mc ltrc os H.u. al..u. w.. )r.. ?ed~. V uW11Y a. ~ s ~ • W ~ STATE ~ IOt. wuu~r octviut[o IOr. n~u os ww~r tr. t•. 's ~r ~t wne. 7D/ tmr. TO~. o~ ~outnM oouutr MM~ AT ~ NOT w~IK[ Q /~~.NdNI. drrd. ~~te 81f1., dt.) tiIO~K AT OOi1K . tl. l~tf~nd~d tM d~w~Nd /roo+ •Tt~n . to ~~h •nd !ut s~~ h~ di?~ on DNfh oceurrd ~t • m on tl~~ d~b ~f~ted ~Dw~: ~nd fo fM b~sf d m~ lno~Ad~~. /tom tJ~~ ~us~s ~t~t~d. . ~11 1 t~~s ]j~. f1YNATY11t (/N/rn p ftlJt) tZ0 A0011ES5 . ?2t. OATE SKNED •r• to Oe • D M B eech K.D. Ft. Fierce July 14,19 •CtYt~t~. ~+T~ j]~. N/ME O~ CCMEiCIIY OJl CREMATp11Y 23[- LOCATION (GY/. (N~R. M pYif~) ~Sitlf1 ~ ~ '""O1" "D"~'' Ft. Pierce Florida -11-66 }iil].crest Mem. Cdns. s r.a.reis t~ ~u~caw cawss~wuruRC~l 11:01~h. St• 2S. DATEIICCD.t1/IOCALREO. 2i.IlEWSTMqYS~G1UTY11E "~•.'°6e Milton W Baird Ft.Pierce Fla. 7-18-~ Anna Lee Denison, d.r. ; I he~eby certify thh to be a ttue and tornet ocpY of the t+oce~ ? ~'Regiftro~s,tecord on file in the St. Lucie Couny Health Depart- ; ;::.rn~nt at~Fort,P~e.rce. Florida. FILED E CO EI 7'~ ~ -•3`y ~ ` ~ ' sT. LUCf , } ,._ti, (yy~rAing;-(VW wlid unless raised seal of the St. Lucie V ) ~ _ - ' ~uety Health ~epartrt~ent is sffixed.) R~CORO VERIFtED ~ - - . - e ~ ~ . ; N. D. MILtER, M. ~ J.14 I-' . s.;' CouMy Heahh Officet 3 Local Reyisiru OCt 18 pM 3~ 3 c , i . } ` . 14~Q2 ° 1~- ~olo F~OiiE f~t P p,~ psputy Local Re~isttar aG~.ERK CIRCUI TR~S T COURT BOOK 15~ PAGE ~0 . _ ~ . . _ ~~T~ 7-k.~~Ga. . +t ~c`'xt~ :"..-~x~,- w;~.'.a ~ _ °v.. ! . ~ ^