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HomeMy WebLinkAbout2160 ' " t••• .rwn ~o or Kr~?~TM CERTIFiCATE OF DEATH - .y e•••• • wR~?u o. nr~t. .*~r.~r~ .Tw,~ ~s uo 1~9~`S t~ja~ r~~- FL08IDA - ~ •r~ ~1~w s~ . ~p. ~e~t~~l~ ~:~a~t~a 1. PLACE OF DEATM Goot No~. USUAL Rt51D[NC[ lw~w~w.rwtwa ltwrrr~:ea~.~+wa+ ~a~ •ill ~.,COYNYY ~ fTAn OOYNn ' • - llinoia - • La3s i• ~•r- cm ~ ar ..w+. ...rw r.M~ ..w svs.~ c. taicnl oF a cmr a..dw .w..~. ti•r~ .n. sv..rr ~ ~~~~~t OR ~ iU1Yp~YYM~W OR . r~i.. towu Mendota i MOSNTAI ORf ~ rt U Mw1 ~r YM~M~ s~ rw~t ~Yr ~ lr~u~l ~ 11! wwL Mw MwM~I . INfTIiYiION L NAME OF (1f~U f. (Itlii~) R lL~t) 4. ~ (~Y) Wq) (Twr) DECEASED ~„Til~i. e Phalen ~Maroh 20-1 ~ a soc oa~a oa ~wa ~ w~?w~~N~a wwu` m~ a a?n of aarn ' r ~ 1~. Male l~ihita Merrie~ June 1 188 6 ~ •f~l~ I~~ar YSUAI OO}CtU~~Au~s O~w W/ i Nr. KINO OF NKINBt OR Ili~ 11. ptiMKACi . tl 1~r- LO Til ~ f~w ~rst IL GTR81 OF WMAT como ve ~i ee ai road ~ a o l. ~t ~•i••'` '•a ti?niars w?r~a N. worner: wucw wuu ~ id ' tn•••~~•~ Willi He Phalen - ~ ic wns o~ a~ a s.~w~ w~f socu?t s~cuRmr n. ~wow~s ~+aunw Irirs. Id.H. Phaleu arr?..r...N WsaM..w.Mwd...wU Na A00lEif t.~~r~l 1~. G?uSt OF ~fl?iM MEDlC/1L CiRTIFICAlION a~mnrk ~stursa ~ ~~r~~t~r LMr wb ~ 1. MfiAf! OR CONpR10N or~et~ ~e ~wtw i ~~~s til~ t~ ~e !~s (a). W~iWLY WWq4 TO piATIM t~~ s~e- Mi ~ titis~s• ~ ~ •sel e1• .~w/tt~t.a? ~l ••11./~i~/ out i0 ' 1~~ • 1 we? d iMrt M W~MN ~ww (t/ MrF i r r~si~se~t ~ W wtw~iy Mw MM. i •it~i~ 7~ W ~fwsti I~~rr. N Y~~r• st- wqif~iw ~?i~A 11. O'Mft fIRNIfICANi OONWTIONS ' t~r 'l~~sl? M'~ C~wtilfw~ ~wen'i~tal N W l~t~ irt w~t . s• t~t~r~ ~K ~ ~ ¦arl~s ~a~ Ila. OAIE OF OnRIN H? YA~10t HNOINCS OF OfOAiION 7b AiftOKY1 ~lq~s!- - • sl~s ~ ~ . a++.w~ a~.~r,~ t~~ Mw~t os ~~uutr c ~.r+..~ t~c. icmrouTOwN ~srwTq Lan«~oorr ~....a.,w.~s..eub.w"Lw..u.~ a..k.~.aIIi~ti - ' " ~YICIOi . IN. 71ME W~M~1 (n01 lT~rf 1~1 210. pIJYLY OOCY ~ OF ~nu~T ~~~t . ~wuar ~ ? ...o.~ ? ~ r ~ r .~a.a a~a N~ ,~~4. ~ M~ „ 55 ~ r ~ ~ d«~..d ~ ~ii ss•¦r aiiw ow ~ m~d t~at drntA oa~arsd ae ' sa e~ oswa a~d aa t~ dot~ rtated obo+re. ' •r• s~ 1~ SIGNATURB /o~M « qW) 7~. ~ ~?h~aM~ ~ .•pi•s• a a~~wr.s.. ~ - - Ib. / U R I A L C~f~1A- fA. O~ATE flc. NIWi OF CiltkTitY OR C~8/ATOtY - 3N. iION (CW. f~~. ~e (WW) nO"'~emovaS~°' Msrch 21- 55 Iiol Crosa Ceme e Mendota, I11. a?n er~:ro ~r wc~ ~asnu?rs s~autu~ ~c w~ a~r~croa~s s~w?nr~ ~oo~ss . "•'•~'O~ a Lee Lenison d. . Jose h W. Yates Ft. Pierce. - . ~ - - - I. / r ~ FILEO ~ ~ ~ ~ ~y ~ ~ ~ AND RECORDEO - ST. LUCIE COUNTY. FLA."~ ?"R~pW~s -!'e°°~d bq M th~ 9~. t`ui~ C°iuay Heahh D~p+~t' RE CORO VE RIFI~O -mwrt d Fat _ Not witd unl~s rds~d ~al of th~ St. l~rci~ ~:.~".n~no~c~,.llia~h o.P.rnr.nt is .~fix.a.~ '6~ JUN I 35'~8 3 . ~1~~ . : PN ~ . 10_ . . ` ` ,r 1 : Q ~ ~ p ' ~~:~oati,~_ ~ ; ~c«~? H..~+ or~ a ~ k.o~.~ :o:;F~ ~,orY~~s = • CLERK CIRCUIT COURT • ' ; (o -I~-(Q7 ~ ` oa~ ~r ~ aso~ar+r ~ d. ~ . ~ - ; foo~~ ; ~8 - - - y,~ a ~ , ~ . ~ -