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Home My WebLink About0171 . :A~~ D~- ~TAT[ .o~c o~ N~m+ CERTIFlCATE OF DEATH 1,~,~,1~ eo~es • aYAiJ1Y OR VITAL fTATtiT1C~ f7'AT[ ~IL! NO. • 1~,~.1 FLOEIDR or0 •Aes BIR7M NO. Rt61LTRAR•~ NO. { p r o p e ~ 1~ 1. KAC~ OI O[ATM ~ GOOE NQ 2. ~AL Kt10QiCt fwuf 1ir: II.~w~J~.~.- ~~irwr wwr M.:wiwJ ~ 2 es~CYttd ~MTM • ' j anC •111 jt. Iucie - e. yi.e.a 1 n p~ 0. GiY. TOMM.OR IACATqN t. !S KA[E Oi DEATM t. dTY. 70w1~ O~ LOCATIOM t. K RES~OEMCE •an~st - U~SiOE CtTY UMtT57 ' UKtOE t~TY ttrlTSt f f 1~. YES NO ? E rES MO 1. ~ME Oi {ljsK ia ~M)iht.liu Wat Wrrw) t ST1t[ET AOOQtSS . IqjMTAI 011 "~T1T1T101' ?1 s 8 A l~htic Ave. NAM[ Of ~ i'h~t A/ifYe Lnt l OJ1TE alwN DaI YtV' e ~~is.~.~`~°?i•n GDOR~F T. HOOFNAGI.E ~TM l~Iarch 3, ~ 967 S. sex i. ca.o~ o~ u~ 7. w~uu~o ~(Kvc~ r~uu~co wr[ or wrn AGE f 1a KM~ s u~ou~ ~ ru¦ u~eca u w~ ~ iwt Y~.Y~ D~w Ywn Y:+. ~ • ~ t s. H W ,~ooweo D araieeco D:arch 17, 1888 'rS ~ y 1~ 1 Dl r ia. ~.u~ oeew•raw ~oMr N.~.Iwra r..~ ~ae. Ku~oor wwassae u~ousr~r i~. aRTMnaec 1sr~ •M.M~ as.e.~) ~ ~ CR17i710F ~IWT COY1[IMTt ~ . i c e p. r- ta.iq aw y v«aw hk. ar. y.ttint) ••~••c Groxer Citrus ~ Illinois USA - ~ 414et ~~k FATNE~'S NAME , M~TMCR'S YAWLM MAY[ or ~,p••t1t•~ A.M. Hootha le S~san Kaiser . K- socuL sccuiuTr eo. t7. wro+~ i fICMATYI~L M4tq ~ _ 266..?!,_567g FSfie Nooihagle Ft. Pierce,Florida P Y A~! ~ I 1~. CAYS[ O/ OtATM (blUd M~1 Mt t~wt Pp lNt J~ (N. (~1. aa~ (ll.~ INTENY~I /ETM[[N - 01 r~ e te~ M~Y 1. OEATN MAS CAYf[p ~Ye ~Y1 Cm~~ j S~ - 01~T__8 DUTN IMY[OMT[ C~YSE 11 . •ust fll• ce• e~r- ; estie~a• C~a[Ktw.i/n~. p~ ro p) Phlebothrot4bosis 1"t. ~.Cg , •ltp t1• ~ ~u•~ i 1 o e• 1 ~ei cnu ~ realatsar ~~w w r~- py~ TO (t~ ~ s f tDlr? T~ ~nN lqf. h o u ~ s • C- O /MT IL OM~ SNi1CMT C0110111p6 OONi~O1RK 10 DEAtM Q7~ MQT R[UitO TO M 1[~Y~ML pYAfE CC1~111011 illlfll M?Yi 1(y NrAS AUTOKI' S F. ~IIFORME01 d~~~~ ~ Peptic ulcers with hemorrhage ,,,p o r ee tor. = ta. ~ oesuuc Mow wu~r oceu~ue. (~iro ¦.rr.e •/:,~/w~ is P~wt t« Par 1J ytua ~W a~klej •A~ Q ACCIOEMT SU1p0E MOY~CIQ . ai~pe~t- u ? ? ? tsoe TtwE Oi NMr XMt~. D~I. Ys~r Dod~. V 1MJU11Y . 0 1• w. w i 20/. iMlUIIY OCCYRIIEO ~Dt. hACE Oi IMJU1111 (t. I., ia ~rf ~AS. m/• q17. TOwN. 011 tOCAT10M ODIINTY STATE - . 1Mn~~E AT O NOT Mn1~lE O /~~.1~I. K~rd. ~et ONI-. dt ) ~ MORK AT 1M.111K 21. l~tt~nWd tlb d~eNwdlrom ~Ct ~ Q52 . to NLar 19 7 •nd lut wr h,~ ~G?~ on r. • DNtA occurnd ~t m on tA~ d~t~ at~t~d ~60?~: ~nd to tM bwt o! ar~ ~no~l~dt~. lrom tA~ uuws ~t~t~d. •11 1t~r• ~ ~Q~T~~ . r e s o D• (IArMn ~r rflk) 226. AOORESS t2c. W?TE S~GNEO . °°•p'•~' ~ fred J Cornille M.D, b03 Hibiseus Rd. 3-6-67 _ •cenr~t~. ~~.~~i~ ~ ~uyEOFCEYETER1101It11tMAT011r 23/. IACAT1pN(GSft.bvn.MeN~f/) (STdtl . , rttror~l (Jprnf/1 Ft.Pierce Cemetery Ft.Pierce, Florida v.s.teia 21. FUNERAIOWE a~ ss~uuiruRC ~csfth. St. aTERECO.~YtACKREG. RfGKTM11SS7CNAT4RE ' Aer.~oba 1~ilton W. Baird Ft.Pierce,Fla. 3-8-67 Anna I.ee Denison, d.r. . . _.r _ _ _ ~ .t : r,,, . - ~ - # ,'',l-` , _ • . ; ~ . ~"/~Iit~.t¢°,kie a true and_ correct copy of the t~ocat FlLE~ qp~ ' ` ~et ~ ' Clrfny, . ~ ` ~f~r~~ ~lo id .the St. ~uc~e Covnty H~ahh Depars. 3T,R (~CIE (;pUN ~R~'EO ' 3(lblaminnt'~Not vel;d ur+less ralsed seal of the St. ~ucie . ~C~R~ VERI jEp~~• : _ .~i s 'ti a,, ~ ?Cpytflr ~e3M~iYQeputmeM is affixe~.) 1*S~~ O ! . ~ ~ ~l JUt s p ~ ~ . ~ ~~59 t! ,.K.,4 N. Q MIUfR, M. D. : - .J . ` • . CouMy Hea{tf~ O:Tice: b locel Registrar ~ ~ . h p,• a+c.ec~,~ } .`~`1.. ' s~,,~ C~ERK CIR~~ lTR~S h,, . ~ 1 ~T CO - p~ peputy lou! ReQ;s~ror V~ ~ d?.~, : ~ i i ~ eao~c ~67 ~ 1~ ~ ~ ~ - ~ ~ , ; , ~ ~ - . ~ - . , ~ , - - ~ ~~~L' .