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:u. ' ~rwTS ~ or Ks~TM CERTIFiCATE OF DEATH S~M 6/~Se~/ ~ ~ eo¦•• • ~u11sAU Or ~ItTAL ~TwTtR1C~ tTATt Rttt NO~ i•~•i r••- s~ ~ . FLO$ID1[ ' R .s '7'7 ~ ere •~~w yr~p~?1~ t. w~ec N a~wn~ coo~ ~+o. t ww~ ~awrwa~.~..~...w~ uw....v r..~..~w~. .s...s~a w ••a •'~i ` °D~"" Saint Iucie 66-02 ~ Florida ~ ~ St. Iucie ~.j' . ~ s. *•e- ~ .~o~.attoGnoN r. is KACE o~ oEnTM a Mn.TO~r~o11 WuTtoN a a ~[siotreE •••••s Fbrt Pierce m ~ Fort Pierce uM~rn rii.. ~q ~p ~ ~ oa c4t.~yr~.nwe.~..r.~.ra~.r) • . t sr~r.oo~cu D.O.A. Ft.Pierce Nem. Hos . i202 N. 22nd. Street j 1~NC q t~nr ~tWr l~1 aTE l~tw1L Dv Y~r i t~ s~n HESSIB ~ GIB.SON o°ri`?n~ Feb. 12, 1966 ; ux oo~o~ o~ ~s ~ KvEa wiuuco atE af wm~ . ~oc ~ r... r wa ~ rw u~ou ~ ' . s s • Female Negxo ~~o ~o Sept. 14s ~ 910 ~ ~j j ~ x~ °1` ~ a~lwl ~ . 10r. u~tu1. o0C1MATq~ (OiN th/ ywrt . KMOOI MRYI[ts011 wpR?IIY 1. ~MTwu1a (3dr ~?/MrM uw?/) p1~910/ wMT Q0lnwat~ ~ltl ~~r- ~Mt t6IMA4wr~~/rytYM) .....s ~ames~~ Private hcmea Early Go., Georgia U.S.A. • 11~~k iwk s~Trql't M+1ME ro1NCA,s w10tN IMrt ess••••••~ Fbx Edwards Elvira Ma~yxeather ~ w~s ocw~co aa w u. a~co ~cs~ soe~t ~carurr ra . M~w? V. 80t1 ~s~o «.....r w..~a..~~..r.~...w w~w 1202 N. . . . . - i ~ r.a•. •i t~11K N~iATM L1~Mr ..r aw ~r? M cu. q). a artnwK ~ .""r i ou wr~c~~co~~tr,~ Proba4le ACUte Congeative °M~~i ur8 ...a tii. e~. ••r- 1i2'O s~tl~ss• •!t\ t\~ ~ ~ ~ 1 • ~ ~ 1 tlwr s~wre~i~ r~si~te~r ~ OUE lb (s) • ~ •is~~• is AW aw Irt. ~ ru~r n. ono ar+.r~cr ao.an,as oo~ann.s ~o w~r wR ~oe ~o.mr ~o ~rc ia.wr o~+ic aawna. aw~ ~ n.T ~ . r ! ~~~r• a..e~ Severs intractable bronchial aathma „a~ ~ se l~t•r• ~ ~6.OESpINENOwIM1MIrOOd1~f0. SNrs~hin ¦.tt.~ a.~ ~aaurr suu~ot ~arc+a ~ MW~t e. Ant he JJy1ns i~ q~.!- O f ! .~t~. ~ me. Tw~ OI .liK~ ~fi~. DM. Ysr ~ ~uusr ; s. ~ mL NMiRf OOCYIMtO ~t. rLKE Of IILNNIII k. -/3 -i't M rM! 11~t. ~ Citr. lOM~1.0~ I+OGTI011 COWIIY ' STAT[ ~ RNRi AT IIOT r11L; ~dM1. ~'tI. ~w Iiy.. dt.l ~ ~R ~ AT ~ORK 0 { jffh/~t I~~MMN>!O/~ • f0 ~~/Y~M~ ~ ~/~NM # OwtA Mw~rN ~f ~ 2= g a ew fM 1~q ~t~a/ ~~w~: ~wr N tM 1Nt d p twe~Ndp, fraa tlw w~~ ~bt~1. . ?11 1 t~u MMMTY~t (DprM r Ntk) tS. ~oo~E76 - 2ta o~TE i~CMto , •.¦~1.~. • J.H. Hatache, H.D. 90b Delar~are Ave, ~ s• 2-17-66 st.. aonnaw t~. ara 2~ wuu or a~utr.r a~ uc,u?TO~r nr. wa?toM cur.. ~......w.~ csw) ~i~~' 2-20-66 Gardal of Heavenly Aeat' Fort Pierce, Florida ~~is tt, s~ noo.ns ~s. a?~ ~cca w~oc.~ ~o. ~cosriws s~w a...,~ss Bernard R. Gibsoa F`~.Pierce, Fla. 2-2t-66 ;Aruia Lee DGniaon, d.r. ° _ . . ~ . , _ - - ~ ' i ~ : FILEB AND RECpRpEQ~ . • ST. LUCIE COUNTY F~q; : . ~ ~~ia a b. • 1?u. and corrac~ copY of th. Local R~ C 0 R~ V R, e 4' , t~c~oro 6n~ M th~ St. ~uci~ Coi~+ty H~ahh D~ps~t- ERIFIEp 't ~ -',~,.~,r~~,~;,,. . '6? ISS43'~ . . : M~Y - ~ i(1MwN~! ~Nof,v+.tid ur?I~ss nbed wa1 af rh. St. tuci. ; ~ . - . . - c~y t,..~; o.p.~,,~,.,,r .t~.a.~ 2 5 P~~ 3 ; y p ~ _ ~ • , , , . - _ ; --~---~v ; ='~+~~I~~f~ , n. a Nutt~t, M. ~ .~+t,u~ . % J~ . Cow~ry 1Malth OfftoK i t~ocal Rputr~r ~LERK CIRCUIT CCtlRi' ';Y - ~-~'i'~••~~ " ' , - _ ~ ' ~ ~ _ A ~ ~ i • ~ 1t~ . DrPulY Loal R~pbt~w cl. o~ ~ ~ o R ~,66 ~1~43 ~ ~ dt~K ' - - - - i ` ~ , ~ _ - ' - _ . - , ~z4 ~'S'