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HomeMy WebLinkAbout2848 ~ - - - ~ = v_.r , ^ ' CERTIFICATE OF DEATH 14946.~ . ~rw~ ~~s ~w. ' FLOSIDA ~R. ' s~ m+ No. n No. . 1. ~~Y1E~OF DBATH ooDS NO. U.s~~ RESID~NC! (w~w Mr~ d+r+re . ; ~ C~~ ~ tu ..i.w .wM.w r.rti .er. :va~r.? sTl?Y [i. MTMr. r~..t ~ p~R ~ •r•~• ••••w r.a.. ww svaaL? ~ . i O Tpy~fli 1'OWM ~ ; ' ~ ~ M SMTAL Ot ~~t r tiMht ~t uMlwt~. d~ M~wt Mr~r s Yw1~l STtEET 19 Ar. ~ lrttwl 3 ; M MD~S • : ; ~ INSTIfYT10M : ~ ~ NAME OR a(lfnt) lriii~) a(LM) l~lE 11~e~W tD~7) (Yrr) , i 5 DECEA86D ~TM ; o f ~ - ~ i. iOI OOIOt O~ . MW~t1~~M~ W1Ti OF i1RiN 1. ACi`t~ r~~ ~ rw w~~~u e~ ~u ~ Wt WWq) It~rY D~w ~ ~ , ~ i iN. YSUAL OOCU~AflOlkOlw !W • IN. KINO OF NK~NEtt Ot 1!M 11. ~IIiHM.ACi NaM ~r ~wNS wnsl (i I~TIZEN OF WHAT ~ p' rr ~r wt d~~dus !~u? ~ r w11w~1 0{ISTtY OOYI/TR~t ' ~ IL FA NAM~ - K~iHit'f MIUOiN MIWi i ~ ~R wns oEC~n s. rotc~t w. soc~~u s~cuurr n. n+?ou~uwrs s~aunr~ j ~ a.~.6 ~r.+....~ ur ~.Mnd.n.wl Uoi. e - ~ ~ ~ noneeu SU8 Ave. . . erce ~a cwusi oF oEwM ~ YBDICAL csR'i1FICATiON w.ovw~..a,.m ~ i. DISfASE OR OONOIf10N . ~ s.+. wr qau;nr Lilla~a ro od?n+~ D ow~e* n.. o~?,w ~ ~ e ~ 1~ fa (a1. (ti). , f~ ~ ""~CAO~ About 2 N'os. ; ~ 'w~i~d « ~"K ~ ~w.~i..i~jiy. ~:'~.~eM-DOt 10 ' ' ~M~, ~i~. ~M. lt ~rw Op! TO c , ' ~ aD ~ +A~ k 11. OiMlil fICNIqCANT CONDITiON~ ~ ~ ~ Cwlfliw Nwfrf~aiw/ M t~ l~t~ i~1 fM . a «a.+:tt~w } N~. pATi OF Ol~~11~- I1r.111110t NNDINGt Oi Ofi~AT10N x AYTOKYt i ' .~.0 ~ ' i. : ~ l~~b) !IklLACtOFIWORI~i.ht~s 21o(CMORTO'WN (~~Mnl (nA1E) , E ~ l1~. wee~oa* ~+ti Ir~ I~Mws. ~ew~{. ~r M~. dal • a~d. M~r fvLLl i ~ w~ao[ ~ !N. i1ME 11~~ 1a.H (t.rl (~f 21a IWYIY OOCYR~ ' i ~ of siuua ~sr~ru ~ ~ INJYRY ~ tMt ? ~T~ ? I ~ n. I~ ~ o~uiy ~ot i 2 e~. d.c+.o..d Jrow Avr. ll~a~ eo Mg.~~.$~ ra~2. urec 1 lae aov e~. dsceoad ~ ~ 1 t3 ~y a~d ellot deatll oeao..d ot 11 P t~. oar.c. o~d o~ e1u dat. atalid obovs. i ~ B 9 n.. s~awwTUtt~ cD.s••.•• ww r~. a?ns+aMio : m H.B. Goodwin Jr. M.D. Ft. Pierce F I~ !4. ~ U R 1 A L CRE~IA- 7~. OJ11f !k. NAM~ OF OOIEiEtY Ot CtHU1TOtT 3M. LO~'.ATIOM (C14?. M~a. K eoae~) (BtaM) ~ # nO~u~r -2 - 2 Pine `~rove ~ ~ ~ DA?t RFG'0 ~Y ~~asrwY s~au?tu~ s. wu~c~u?~ a~croaY s~au?run ~?oc~s . ; D,~ - 2- ~ FILED AND RECOROE~ 1 t,~.~r are~y aa, ~ b. • h„e ,~,d oor,~a oopy of ~r,s ~oc.~ ' ST. LUCIE COUNTY. FLA. ri~piprars ~eao.d qn nl~ In tl+. St. luci. carrn~? H..hh oep.rt- R E c o R n vE R I F~ E D m~N a Pc.~ay~ flo~id+. . . Q ; ' - ~ ` (1~1(arnin~r Nof v~lid unMsa nisd stal of tM St. lucN ~6 / ~ ' ; , . ~ ~ Q.~,.M ~ .~.d.~ 6 L~CI' 2 5 iM4~~ ~ . . a _ . s . . . N; ~p, µ~ILER, M. D. , - - . . .Co~r~y Fi~aMh OfficK i Loc~l RpiqrK• „ ' ::4:,; f•0! ~ R4S ~ f , . CLERK CIRCUIT COURT J I ~S - lc~C~ • . ' - ~ ~ ~ . _ c. _ ~ ~f l~_ 1r o . i tic~=. p,~ • p~puly t~oal Rpistnr d r . , . . ~ • sooK15 ! PACf 447 ~ .3 ~ - - _ _ - - _ - ~e ti:~ . K„' ~~;ha :x:: -