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HomeMy WebLinkAbout0016 ~ l R~ Tti,. ~rwn ~o or wru.nt CERTIFiCATE OF DEATh .LS1.a~O ~ ~a••s • ~u~~wu or vRK rrwn~rnc~ sr~n Fu.s wo ~•s•l FLOSIDd ~ erl •Nw 01 NO. _ RtO1ST1lAR•! NO. t Pr~p~el~ 1. ~LwCt N COO[ N0. t YfW~ ~I~OICit •.~.tM.i Utw~rw s.i~.rrM~+M.iot..) •a~a~t~~ ~ ~TM a STATt 1. COYMTY ~~a •u~ St. Lucie • 1 1. ~1•e•a i. ~~r- tm?. Tow~ oa wGTqs e. ~s RACE af oun~ a Cm?.1o~ a~ uoa oM r. ~s as~o[~cc ~ ¦..•¦c rwoc cm urrts~ ws~oc crtr urrra : rii.. Ft. PierCe tres .o m ~a ~ ~q nT.°ii o~ ta•~ ~"~+w. ~rr aa«r.taa.) t mrccr aoo~css i ~TM*a" Ft. Pierce l~em Hos it ~r ~ 1~[ tY.~t ~twP. t..e wrc x«u _ o.~ rs~. cn..~.,•+.n ESTER LIBSOHN KLIIJES ~"TM1lovember 1 1 66 snc a m~o. oa ~ucc ~o OC~cva r..nco o+?n os wrn .cc tr. u•. s u~. ~,rt.. ~a a ws t«~ wwa) x~r. r... xr.. i s. F Cau. .,oo.co auo~ lzarch 10 18 31 8 ~1•i~l~ W~. ~ooa~r~T~ Ofn.W/d•~rtW. IO~.uaoa?wsrESS0~w0usT~r It. w~Twu?R(8.erw~~da~u~) 1 anaNawMraouaan •isl ~~r- trri~tuc..ty ~y wa~/rylirMl ¦~a~wt gie~:: `~rwr~`er Garment Indust Poland U.S.A. ~ ~ lla~t l~k 1 fA1xE~'s M~ME . 1 MOiNE~s IMIOEII lu?~[ , ~r ~ sn~~riNr Solomon 81um Rose IQe ~n t w+?s ocwsco cru ~ a. x w~rn ro~ccsr sxu~ xcaurr Ma n. s s~sM.~ ~ Q.~~e~~rw~ Ww~.wr.r~~w.d~~" 261-§6-1589 .w?... b8 Arl~i h a~ ea ec N.Y. j rn.•..~ ~a ewwt M KwTM ~W...pr..ra..rpN~rlr W.A)...tc~)d ~~~1q~oEwn~i ~ a,~.~s.~ '""*~OLATM""""'~EO"'' cardial Infarction dua to Coronary Occlusion 18 hour ` ¦..s :i~• wwcou??t t~wr~t W ~ tN .•r- .is~ ~ei. ~ ~ A~ ~e~o~cleotic Neart Disease i ~ . . . i ~'i'f.~` ~ '~f ..si.s~.r ~ w: ou~ To ta ~ ~ ierr s•!~ rwnr n ooa swn~wr areno~s ooopwrt.s ~o au+r ~ur Mor ~uio ~o ~rc nw.r~ o~sE ooFm. c~rw M~r Kq . w~rc~~ r~Yw ~ ~ ~ e•* ~••s~ ~ 1k~8bCtC~ KOll.~.tu8 r[s? Mo~4 . ~ • ~ Dt hr• m. otiq~NE NDrr wnMr oodqmEa (b~ea ..tv~ N4~s h ttir ~ a Pvt !I y~re. u~ a~tt~s ~ AOp0E1~T 31lICIDE NOMICIOE ~ ll~~~~l- ? ? 3 ti~• •t me. TwE o~ Elw~ alwN. AI. Ysr r ~•a~. - ~ auu~r a ~ = 2ot. wiwr oow~uco ~Or. ~a~cc os wuer k. ~+a...ew~ b.r. 2A/. cm. ~orw. o~ wuTaN aowtv sr~TC } tiMt,E AT ~ MDT NIIILE O ~/A•1~/. ~6Nf. ~ MM• dt.) ' ¦O~K AT rORK ~ t 21. /.sMw~wt1?.I.w.~w/.w~ w• . ~o OV. l••t••• e,w ~"~OA N 1 A..ta eoare.+~.r 10:45 A. a ow ra. s.a.r.e.a.eo..: .••s m:h. e.sr ei ov ~.w.~~.. /rom !M auw ~t~eM. ~ ~11 lt~~• ' m. f~OMATY~[ (DlrnsMtlHt) tb- A0011E~ 77e. WTESIGNEO ~ •r• Port St. Iucie Sho in Ctr. 11-16-66 ! ~o.,i.~• a Bernard D, Ross,M.D. pp g , • e~r~ ~e~. ri.. wir+LL. ao~no~ a?TC ?3e_ .+?rt os arcTtitr o~ uic~uTaer ?3t. wunoM (Cirf. au.. r ew.hr) tahid ~'v~' Nov. 15, 1966 Kontesiore Ceaete Spri~tgfiald,L.I.,Hex York ` v. s. / 61i ?A. iullEtAL 'f SIpY? ~ ~ 2f. o4TE R[c0. ~tr 1ACx RE4. 11EGLST~1us sK11?T1NIE ' i ~oss ~ger L. gy~, p~. Pierce, Fla. 11-16-b6 Anna Iae Denison, d. r. ~ ~ _ _ .3 - - _ _:''~liill~i!~/i.:, ~ ~,.i . . ` . 1~1 - : ' ' ` a ~ ~ `~1 . - ~ , . . • ~ . : ~ - ~ ~i~o ANQ AECp~oE~ ; ~~2 i~,.Z : c~I ~ ST. WCIE' COUN7Y. ~ - / .,:c ~ - ~Set'efy this to bs a tnie snd toR~ct aopY of the l~oea~ RECORD VEAIFIEO ~ a'~:, , . Re9istfa~'~_~+eoPrd ~ fik i~ the St. Lucie County Health Ospart C~G~ ~ `,4 ,m~nt' at' iie~ Pier~cs. Florida. ' ~7 ~ `,.i l rj ,M~+~^~: ~ wlid untess raised seal of the St. Lucie 3 g 1 - - _ . - ..r 1 , . c~,,~, r~i,t~ o.~~~ ~ .~X«i.~ 1515Q0 . ' ~ r~ f1 ' , ~~~s ' N. D. MiLLER, M. D. ROv~R 'OiTRAS Co~,nfy HeaN1, pff;car d, tocal Re~irnar CLERK CIRCUIT COURT _ r... `i - - 11-t_~-~D(v .i,n_\.~s~_\~Ri ..~1~11~.. a . D/1~ ~I? ~KhK d • r~ • - j gooK 164 ~ 16 - . , _ ~ %~~~~~.:~..a - - ~