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ee~~sDa_ ~TAT[ w~no or ww.TM ~ CERTIFICATE OF DEATH l~sal ~~e- rURGU OF YiTAL ffAYlff7d 1TATt RIL! N .ra e~wTN r+o. FLOBIDA nc~~sr~eue•~ Ho. 20 prep~rl~ 1. nwu or ourn coo~ no. L usu+?~ ~woa~ei(n.~.~...~rwa. r~s.r~.n.. e.r.~.~. •i~ort~d ~ ~TM .°a .~l' t Iucie 6b-02 Florida St. Lucie ~i.e.a i~ ~~r- 1. GT1?. TONRO~I LOCA7DM a K KACE 0~ OEATN e. MY. tO~.OR WGITIOM e. K RES~OE~CE a~~~st YIS~OE CI111 IW~TSt wS~DE uwRSt n~.. Fort Pieree r~s No Fort Pierce m ,w a, wu~a or ca..t+.bntat.d~••a.~r.ra..) ~ s~wccr ~co~s u~nrta°~i N. 1 th. Street 0 N. 14th. Street w~t[ or FY~t ~fi/Ye L~e a?~ d/rw4 D~l Yw ~ I~tALVINA KNGWLES o°u`n~ Jan. 11 1966 s. scx i. ao~o~e a~ ~ueE wwe~EO Mevut ru~uco aTC oF ~utu f. ~CC e~a rwa r vioc. ~ rw wora a ~as. ~ ~ e. Female Ne Jan. 20, 1889 ~l'~`~"~ x..w o..~ x:.. gro ~nooRO avoacn 11 ~1 el ~ 10~. 11SIIAL OOCU?ATDM Obt tl~l yw! ~Mt 100. KMOOi NlS111~ OR ~101RTAY Il. MIITM~Att (S'~Et O/M'~~ pnflb1l irt~l a~ ~wT OO~t~n .ss~ ~•r- t.rly ~Ir.? kk.wr.UneireA .....s '~`o~mest c Private Home Long Island,Bahamaa ll~ek i~t 13. FATMEII'f MiWE 11. YOTI~RY W?~OEII INME tn...ss~~ John N. Pi'8tt Uti~a?o~m tS- rws aawsEn Evu w v s. ~urco r+o~ccsr soaK s[asrtr q. • s~~w?n~w[ C Ow C S l I~. r. ~r w~rwl lf/ ~ q w~/Y~ ~wrl No 262-34-+~901 n.~.... 503 N. 14 . . ~ • iw•r.1 1~. iw~Mt N OtATN (illfe~ Mlr w avs'a ti~r/w p). a! (c).) 11flatv~LL ~Er1rEEN ~i~••s.. r.~aourn~rwsuusc°w~ AY'teliosCleTOtic heart discase aacTruwouru ...t tal. w~aouti[ uutE cd e~• s•r- - •it\~•tY~ y~ ~ irJ~q~l. pY~ Tp 1 e e • 1 ~as a~ue t~). r~af~tr~r ~~LI ds rala• WE TO (d ritOls 71 ~K ~ 1•n~ • a[- ~ ?Al1T IL Or1~1 SKSKJY1t Oo~oR~as CaN1~MU~wC 10 Dun~ ~IR Ilot psAtm 10 M tFtrwK Olfiws[ OOMOInoM GIYEr w rYr 1(y . wA~~S A~ruTOKY 1~ t~~ d~at~ s ya? ~ • o~ D~for• ~ ~ ~ I06.oESC~YE~qMMI~Mr00CWtREa (blHSwweyfµv~4Pr!!~rlhrtllyMes/IJ ~ •~kf~j AOCIOCIIT SYIC~OE NOMICIOE •Po~l- ? ? ~ .~a et ~~c_ TWE of i/wn XrM~. Dq. Yar . l~d~. uNYAY a _ ~ ~ ~ tOt. ruwr oocuiu[n mr. n~cc os wwr k. 6 v tlw[ M.s. a01• cmr. Twrs. o~ wu?Tn~ aou~mr sr~rc YM~Lt AT ~ IIDT wll ~ ~~.IbM1. rNtd. ~~tt Y/I.. Ut.) , . MORK AT lrORK~ 21. J~tt~nd~d tM d~owwr /~om . to ~nd !wt a~~ ~m di?~ on DwtA ooasr»d ~t m on tly d~N ~t~t~d ~bo?~: u~d to tM bw~ o! aV lew~l~dp. from th~ e~uws ~tat~d. •11 iN~• f1OMJ?TW~ (D~t/?sMlYk) ?L. AODIiESS I?c. OAiESK1ED •r• t~ 1• ~e,p~.c. , Davi.d L, Rowe M.B. E09 Delaware Ave. -~3-66 ae earat~. C~r~nat O~TE 27c. IWtE Oi CEMETERIf OR CtEYATORT 23t. t,OCwTqN (GYt. q~. r swslp (8~) s ~[rw~ ISptty~l ` gux.lal 1_~(~-66 Pine Grove Cemete Fort Pierce,Florida s.~ ai~ u. ru+~~ s s~+usu~c ~oo~css ts_ are wcco~. w wcw Rrc. xi. ~cusr~us s~uunu~ i a... ~aas ~rn~ R. Gibson Ft. Pierce, Fla. 1-14-66 Anna Lee Denison, d. r. . " • : ~~~y~~jie~~'e~rt~y ,.'r~t6~iie • true and corred topy o# fhe Locsl tiegisi~aCs ~e~cord~ f~ie~ln the St• ~uci~ C.oimh+ H~+fth Depa~' . FILED AN~ RECOROED ^~~~er?Fwr P~a~cer-`q~td~. ST. LUCIE COUNTY. FLA. Not''v~{id iAr?less raised xal of the St. tucie R E C 0 RD V ; . ,~(yy~cr,;n~. . ERIFIED ~ . r;. _ '<',,o~N~t~~ffsatth.Ospartment b affixed) -~.r.JA~~~ ' - , _ : -3~., - ~ ; ~r . i//S~V ~ ~ - ' ~ ~ ~ ;1- : N:~ a ~wu~, M. n. '61 JAN 2 7 PN ~1: I 6 _ r . • • • - CotKMy Healtfi Offic~er ~ L~oca) Repistrar .~~/~/J B - ~~~0 • ; ~ j ~ ROGER i'pITRA3 ~ ~~"j~ a ~ = ~~-t~ ° ~ Cl.ERK CIRCUtT COURT p~ Deputy tACal R~imar d. r. : ~ b~164 ~~.49 ~ _ ~ ~ ~ : - _ _ - . _ . - - - ~ ~ -