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HomeMy WebLinkAbout1122 ~ t~~. ~wn ~o ~ H~TM CERTIFICATE OF DEATH • ~ueuu a? v~rr?z. ~r~~rno~ ~rwn n~c R ~ l•s•l FLOBIDA ~ ~?0 s~~w BIRT NO. R[ti1fTRAR~i NO. ~ : ~r~~~rl~ 1. /LACt N KATN CODt N0. L Yi ~AW~OIC<l~awwrrtW • R~tt~rMw~irrW " •s~e~t~l ~ ~TM ••a St. I~ucie 66-02 Florida St.Iucie ~ i. ,i.~.~ l~ *•r_ uT9.TO~N.pttOC~?TqM e. ~s rtAtE of oE~?TN a M1/.1ort.oll loG?iqM e. a RtS10tNCE # IIIS1.'~E ~WWI131 CITY 111~11if1 tii~ ` Ft. Pierce ,~ressC~ iw0 P't. Pierce ,rESS Mo ~ ~~r~~it ae 1. bqw, ~ie.e«t.fera.) t sT~EtT ~oo~css ~ ~T~*~ P't.Pierce lYkm. Hos ital 6G9 ELRancho Drive - 3 wt N /'int _ MlMs L«t ~ a?TE )f~e? Dq Yer ~ c ~ OTTO CLARTs?~CE OR11~~IN o°uFn~ Noveaber 17s 1966 s. sEx M s. ca,ae N wNUC~ ~cvc~ ~uw~co ~~June TMC 189(> ~~~~i r..~w -a~.. rr~.. i r i t• ~ppw~p prp~p !s ~l~l~l~ IOa. YSUAlOOQI~AI~OM (QLeW/~/wrtMe I~.KwDOf~IffllESfO~M011SMY 1. NRTIVLACE(~~lrKM~M~?/) a~~~iCOY~ntirt .ieA 1•r- f~rfal ~t ywW/ tl/e. ee~ tJrytin~A ~ ¦~~~~t ~1~~k l~t 17. tA71Kw ' IL MOTItI!'S 1tA10f~1 IMrt ~ •r . sn~~ri t~r ~ wns ocwsco cvcs w a: ~rw ro~ sauw scanun ~a n. s N~w At1ria K OTt~re3ri ~r.....~..w.d w....:.....~r.,?..~i~l ~ C C Iu~r~l 1~. CwYlt N KATM ~iVn ~4 ws eMrr ~a ti~er t~l. N). a! (~).l wrE11v~LL ~E7~EtA ~ Il~~~t~~ M~T L OEATI Mwf t~MbE~IY: ~6ET l1p OGTN ~ ¦•~s !fl• wlttDMlt cwlE W sN s~r- R •1t\s•L\f ~ ~~•1r/rW~ OIIE lb (~1 ~ 1 • • ~ 1 ~1Mt twM ~ i r~ji~t?~r +~~I tlr taier• otlE lo (d 1~er~•a ts ~ MnT ono s~c~ssrv oo~nns comrur~s ~o oum w~r ~or ~cux~ io rn[ ~nurwt o~a[ taono~ i+rn M wir K~1 '~~~~YOf ~ r s.r a~.s~ s resD wQ < a r~• t~ r• 4 2D~. ocstwc ~ aw~r ooawuco. Il~e. s~n y1~}v~ b Art f r Art l~ y ir.a u~ ~ ..ki.s w wa~ocwr su~cioc rorina ~ a~.i•.i-_- ~ 0 O - Y i.a~. ~ m~e. nrc a? tr... xw~. n.~. r«. # wu~r a , S s~ - ~ mL wlultr oowlaEO br_ KACE os wtwr (t. I i r e0rrt MAr. ~ CIT~I. 7oA. aR IACAT~00 tDYlITO SiATE qllt[ AT ~ MdT ~IIIL~ ~ N~~.~~. ~Erd. ~Of ~W. ~ftJ - ~K AT ~!L S t.ea.,s.r w e.e....t..~. 9-~ ,`~bL~ . ro 71-~ ..~a r..r..~ ~ ~ ~ ~ 3 D~wtA oowrNd ~t a oe tM d~b it~Nd ~80~~: ~wd M tlw bwt d aV lwo~Nd(~. lrom tA~ ~uap at~Nd. ~11 ~t~~a a~ 1~YNAt'YR (pip[tMfMfd ?b- AOD~E36 - ?rt. DA7ESICNEO 9 •r• t~ 1~ • M ka s H D Ft. Pierce Fla. 11-18-bb ~ ~aerr~s~. w+~a. ta[r~noR 2!_ or1F 23e- ~urE OF CErETEl1r OR C~ErAT011r t]L IOGTqM (CU1. a~s. r asnlp (8~W) ~ e Creraatorium Ft.Fierce Florida ~ s. t sis u. Fw~c~ s sx+u 10400'F: s 4th. St. ts. onrc Rcca n wcx ~ea tc. ~cc~sr~us sKw~nNc a...1's• ;'o er L. = Ft. Pierce 11-21-66 Anna Lee ~enison, d.r. ~ - ~--~r- ~ i i . . ` ' FILE~ ~ND RECORpED ~ 1^-~ - ST. LUCi£ COt1NTY. FLA. • ~ ; her~bY aKtifY ~his ~o a true and oorro4t ~Y ~ the Loca! F ~~~~l V€ R I F I E 0 R~isswt'a rsoord on'fi{~-in tfis St. tuci~ Coin+ty H~ahh Depars- ~~~~CP ~ grianR ~it FbA Pi~e~o~, No?ida• ~ ~ ~"'"~"~'"'°~;~„'~';"~'i~ ~~.i' '66 NOV 25 PM !2 I 9 ~ . Co,~+a,, . - . . ~ T _ _ . . - _ : . . 150221 i - ' - ~ ~ ~ "?`t~l.`R M1ltfR.1N. G e:n~"tN :'OiTRt,S ' CouMy Hsalth dificer i t+ocal Rpistrar - . _ , , f ,,I i?~•. ' ' ~ ' CLERK CiRCUtT COURT - ~2,~,- ~r-~~ ~ . `~~~._4 ft ~ ~m ~ . Dst~ Depu~/ loul Rpiatar d. r• t ; ~ ~ BOOK ~59 PACE ~ - ~ ~ I f ~ " ~ : _ -