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HomeMy WebLinkAbout2022 , i ~ ~ i~ls RATi ~OiARO OM NtAL'~!1 Ci~~~~'iCi~~ ~F LJ~.~?~ ~~R7Zo a rY11f/11~ OI rfTAL~RAti~fO~ fTAT~ ~I{.R Il0. ' !'LO~IDA ' •f~ •~~A ~ S ~r.r.rl~ t. RAi[ N MAfM f~~~\t~~ L~r Gdtt NO. . ~ 11MIAl ~M~pCt(~YnM~dY : I/~ 1~~~~A~~w~1 ~a~ ~111 1• ~1~~~~ ~ ' i. cm. ~o.ru. aR z~ae b nx~ or ouTM s. uTr. o~ ~.ocnra¦ e ...•.t ~ ~oe c~r ?wrts+ ~aoc urr urrts? rii•. res w rtsm ,w0 I. ~u?~[ w ~y.,~ ~~.,~..i. N~ ,erw .w?..?? ~ ~.t~Tn a a. snca ~oo~ss ~ ~ r~M~ ; NosMT~t o~ st~r w w wnmir~ ~ as O' ~o IMw[ M Aal N~Mt l~t ~ D~TE ~W Dy YiI < QATN ' . 7[X OO1011 011 ~Att ~ YMLLEO ~ IE1[~ M~RRt O WtE 0? MTN !~C~ I/f /~t~~ I Y~ t nf~ p~ M t ~ ~~MI) Ywrlr O~w fww Yt~. ~ • r l L • ~ • p~Cm , ~lai~l~ ~ • 1 t ~ • f- ~ VlYK OLCIMATb11101Mt l6~I MM4 1~ I1410 Of ~IfSI~'i OR ~MOYITRr 1} MR/MrLAQ IA~It ~~('Mal?~) tA1~1 ~ ~I~IT ~/IfAt S ~ 1~/y M~~1 M~r. ~rw 1/ ntYA) s .....e rt~ol~ ' USA - ~ ?i.~~ ~.a ~ r.,,,~„•s.~wE ~ 1 MOT11[R'i MAIO[w IMtlt ~ ~ •t enerr~t~e , ~ w.s ocas=d cKe ~ u s. ~~r o ro~ccs. sxw ~c~~ur ¦o. s ~ u,....«....~....~.~..,~ Hrs. Katherine CT•ane ~ " A'+"' e e Pie Iw~~~l ~ SMIN M~ aN~ ~we ~MM p A~ ql. s/ lel.~ I~R[l1~Al flTMlp ~ ~ 1 f~~ t~? f ~~T 1 OEAIN rAf Gllf~Li 01/~t YO OfATM ; ~rco~?a u?nc c.` ____~IIexrdi al Tnf~rcL-io[f _ Minutef ~ ciris.s. ~ ~ Ar _ _riene~p,f,ic Heart I~iseaa~ 7eara ~ .ic~ t~• ?1~1r _ i • • a 1 ~ iwrr • - - r~si~t?~• ~ erwr I~i~rt" 01It TO (c) ~ + s 1 N 1• 7i ~ IMT N Ofl~ lM~KYt C'ip11101~ OOM1~Rw ~O OtA~h wR IIOf IWAIO 10 ni 1alUMl O~fl 001rit011 fiMO~ b IYT 1(q - - se.?s ~f- K~~p ~ t•~ ~~~t~ . , .r ~•r.r. ~ ~ o[f[*M[ •o[C~R~to tif/~w~n rES 11D •~ttfs ~s~ ACGOE~ swdoE MOM~pOt . NM1Mti~P~1IaP~rtilyY~~11.) ? _ O , s i f~f it Tlrt O~ t/wr I/i+N. l~I. Ywr - ` ~ rwRr s. 7iof +wwNtr occuMCn ~r. r+wa cF ~w,uwr p~. M r.~..r r.... cm. w~r~. o~ ?ouTC. oou~tr sr~T[ w«at ~t ~ wr ww~s ~ A?~. l~a.~~. o«r. ~er !tM .•u.: rORR AT ~K ~ l~ttawl+lfyN~wwAlww~s~~"6V h ~Q~2~'~da ~nlfrt~~ A!w ~Nr~°w~Q-~T~~1 ? ' D..~w..ow..r.~ _.1_t].Q_p. M~ aa.r.r.~.s..+; r. r~. w.•.r.v R~o.~..rM. r..w •A...w..r•..r . aii sa... .r• M~w~ ~ ta?...~.~• t~ soo~as ~1s. a~[~sNCo ••~~l••• • He A. Schalk M. D. Fort Pierc~ F1a. i0-27-b4 •~tYl~t~. L1~ ~11~~1.~iT~ ~ OAl[ Z3[ 14YE~Q r[~ ~iQItATOAr 2~/ LOC~T1011(GtI.MM.MOM!/~7 (w~t) 1rO0fK I~I~tl~l ov 10-22- e ti Lanar Count Geor ia *.~.~~ts it - ~ YatelP°l~heral Hone w*~.~co wwc~~c~ ~c~~~ss+cw a•'.'~as ose h~i latea Ft. P~erce Fla. 10-~7-61. Anna Lse Deniaon d.r. ~.be~eli~f'C~tyfj('~h to be a hue ~nd-oorn+ct co~y of ths Loc~~ F~~-EO AND RECORD~p ~ . Negistrars recnrd ~i fite i:, the St. lucie County Health Depavt_ ST. lUC1E COUNTY, F~,A, ~ in~wt at• Fort P;e~~s f'o.rda. ~ RECORD VERIFIEp = . ~ _ - 152840 • (Warni~r}s~Not'v~d un:ess roised seat of the St. Lucie ~ _ tord?ty=~~?~h o+~rt~,e~r Sf~Xed.~ '~l FEB I 7 P~ 3; 3 9 . : . ; . - < - ~ N. D MIItER. M. o. . ~ ' • % . Cainty Health Offker b loca! RegisMsr iiOGER i%OITRA$ ~ . . . - ~ CLERK CIRCUIT COURT • - 1 ~ " ' ~ ~ ~ a ~ ~ ~ 1 ~ 1 ~ l~~~~.~. ; ~ ~Y ~eD~lvar +C~. r ~ - . = ~ a~K 164 ~~E 202Q - > ~ _ - - - - " ' - ~ a~~