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HomeMy WebLinkAbout2281 152g~.~ FILEO ANO RECORD~D' ST. l,UC1E COUNTY~ ~'~q,' RECORO VERIFIED - '6l F ~ 5~9 r ~ EB 2 4 AM 9: 44 ~~~~dti~..c~" ~toGC?: ;'plTRAS CLERK CIRCUIT COURT IN RE: BERTHOLD SCHULTZ tAl+ ~rwr= ~o~a or Nr~.TM CERT1F1CaTE OF DEATH ~o..: . •v~uu o? mw~ ~rwnsr~c~ sr~n r~u No. ~ FLA82DA ----t ora .~ee s~ NO. Rt sntw~e•~ No' ~2 r~p~rl~ ~ ~TM KATN GODt NQ taYaW\11~N~[MCt(I~M~r.r~tw` J1.i~wr?d.rM~:..:~.I s~crt~~ ~a~ rlll . ~1~st1 l¦ CITY.T0~1.011 lACA7iON a a n~a os a~rN t. pTt. T01n1.011 lOtl?TqM e. !S RLS~DENCE •aN~t MS?OE C1i~ L1111TS1 MKIO( CITY L1MIT=1 n 1.. r[s ¦o ,q - ~ w~rc of ca•.e r. r:e.e~a~ wr.a.) t saRrEr ~no~ss wosnt~ o~ raT~~u~ . ~ ilrrt 11fNAe L~M ~ o~TC Xwt! Ay Yer . c~.. n~.r~ BERTHOLD SCHULT2 ~?TM 28 1966 ~ . xx t. cao~ o~ iua rui~~co ~vc~ ~KO an or wrn t. ncc ~ ra r..~ K~•~e ~ tr~. u~oc, H * r i a• ~gjg 1~R1ite vnoowco o~vo~ccn Ha2~ch 2$ t 902 ~r.w n... r... w~.. r 1• 1i1 ~ 10~. USYAI OOCII?~7~OM (Ohe N~/ y~w! Mt 10~. KI1100F ~IIStItSSOR 1MDIKT~Y 11. 1MiN?IACE (9Yt ~r •is~ ~~e- ta?W ~wt w?1W d/e. an yretrM A?~h ass~I/ cnua as rw?r aou?nn~ Owner- t Beef & viaion Co. Rusaia USA lla~f ~~Y 1 FAT11[R'3 MMIQ p. ror~s ~uou ~.+e~ •r ~n•••~~•~ Ludwi Schults Juliann Schoem~cher - ` aocu~ sccu~rr Na ~t. s a~w~rw~ ~+y+ 702 South 7th. SLreet~ 26 9-2 74 Certrude Schult~ Ft.Pierce Florida r~...•i ~a eaw~ ~r wTM (atire..w..e c...r ~e. t~.r~r taf. c+?...t a~.1 ~wrc~vK ~crrccM ~i~•ee•? ~~~r~ oc~rn~nsc~uscow~ mwoun~ .~.a r,~. wrcou?n wnc W V . a, ~ e!. e.?- esri..e. ~ to anuloc osia & lxstic Anemia 18 2~onths .,e, e~. ~,y~~~.q-~ 1 • • • l M«r cwae r~~tat~a• +~~I 14 ~s~er- ou~ To (e) • •it~i• t! 7t ~~M aur trf. 1~r1• tf- . O ~ ~MT IL O~~O SR~tYR OOI~111'plff Go~fINMRM 10 OuINl~R t10~ IWAIp /0 M/ElwMlll O~ffA7E CpM110~1 C~Rr M MMT ~(~1 . 1~A t~f ~~a~\ ~ ~ ..r.~. ~ Probable Toxic Bone marrow~ from Insecticides ~ mty Mo0 . ¦a~ ~•s sarocMr w~acc wrrcroc t0e. asuni wor ruwr oocvR~ca cawa ¦.nv. y~ a a.e i r pw u y r.,. ~u at.~•.s_ ~ • sa.. .t TWf Of Ilwr ~/AM. pl. Ytr iw~r p I. s. ~ I0/. rUUllr o0tu~uco mr. ?tAtE Gf rWM~ 1~. b r rl+w ~r. mj. M1r. IO~IM_ 0l1 WG~qll ODUM711 ST~TE . . Y wllA[ AT ~ MOT ~111t ~ ~M7. ~bqf. ~f OII~.. dt.) _ ' ~10~K AT ~IORK - !L ~~tl~n~d tM I~r+I /~o C . to ~ ~M/ut wr A~~ ~I`?~ ~ j DNtb ocev?e~d ~t 2: A M on ~M d~l~ a~~t~d ~Ao~~; ~nd te tM 4Nt e/ iw~ irw~l~dh. lrom tM q~sM ~t~tud. 17~ itt~s ~ ~~T~ .r• (~n?K «~w.~ ttr ~oo~css . . T'Be tte. an s~co a Helvin Wolkowelqr, H. D. Fort Pierce, Florida 5-31-bb f aeerrat~. 2~ ~usu.t~[x~not 276 o~tE 23r. a?rEOittrcTCRro~uttwu~o~r 27/. WGTpu~GY~.bo.~?n~wf/i (8~re) 5-31-66 E[illcrest Hsm. Gardens Ft.Pierce,Florida r. s. ~eia x~. .wc~ o~ s suwnaic a?rc aco. n~cu~ ua. ~ccanuus sK.w?rw~c a••.'•~e Jack J.?bore P'C.Pierce, Florida 6-1-~6 ~Anna I.ea Denison, d.r. ~ I . _ - _ . • i . i r~~ ~ ~ F . ~ 3C~^ ~ ' . ' 1fa~r 'c~rtify thb to be s true and torncY aopy of i}~e locsl •~tegistrs~s ,recard on file in the St. lucie County Heatth QepaK- = , msnt ~t F'aA Pi~rte. Florida. (Warning:~Not valid u~less nised seal of the St. lexie ~ Cot~nqr Health Department is affixed.) ~ . , . . • ; , ~ : % ~ i : ~ . : . ' . . . . . • ' N. D. MILtER, M D. ' ~ j_~•, Gounty Health Offioer d~ loca! Repistru . .(o - 7 ~ (o t ~ . ~ -~f.~t ~ 5-~- . . : Oalr ' Deput~r Loul RegistrK ^ d- ~ww or~?c~s " WILLES, BITTAN ~ GRIFFIN ~ P. o. aox sos 0 R 1 64 Z~ r/ FORT PI6RC[. R(,ORIpA 80CK 1 VA,~i . ~~~w~~ - + ~ - ~ =r; -