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HomeMy WebLinkAbout2135 . ~ t.~. 1~- RATt ~o~wo o~ MrwLTM CERTIFICATE OF CEATH ~~ss ~~Y3d~ 2; ee~~s • ~Y11~AY OR YRAI. tTA17fHq fTA ~r1 s ? ~ FL08IDd i or~ .r•¦ e~ T NO. 11[OIiTRAII• No. pr•~.rir 1. KAC[ N~iATN coo~ ra. z w~ n~cs~~wes~n..~...~. ~ r~ R..w..w«.+ww ~ .a.e~ue ~ ~r St Iucie 2 Flor ds St I.ucis ~ s. ~l.c•~ e. K RtsioEMtE ~e~- ntr. tow~.at wu?1wN e. a Mxt os ou?tN c. tmr. To~o~ wu?no~ a~oc cm lwinr r~sac cm uw~tst iii~ ~ Ft.Piel'Ca vcs~ w Ft.Pi n e rca ~o ~ o~ u. o. 'n.u b.,iw.... w«c w..~~ R sn~cct .oo.n~s ~ r ~T+T~*a" Ft. Pierce M~moria2 1 Av~nue "8" ; J7pf N1~ L.~t arE lI..M Dq Yw f c~..,?w~ Ossie Wilcox o°~`TM 6 16 6? ; . sc: aow~ o~ ~ucc w.~~c ~cvc~ ruu~~co wTC a~ s_ ~cc c~. r••?+ s u.oa ~ n.. u«a r~c # 1rt ) r..+. 0... M... r6. ~ . t. Mate Neg~'o .~ooi.EO aro~cm !!at'ch 7, i 909 ~ ~ 1~ i.t ~ 10~. uwlw oocur~?IOII (OYe.li~ y..?~ M.t iM. Rwnas NI~Ip6oR woulTllr 11. MIITw?AC[ (~1r ~r~ awM1) cn1~1 ar wv aouner~ ; •!t~ ~~f- flVily ~rMR1qt~.rlf~~JM1~1 ~`s~or Georgia U.S.A. ~ ll~tt !w~ 1.~~~R-s ~y~ . 1 MoTNE11's MA10E11 IYM~ ~ en~~r1N~ 't ~ZCOX . Uf11QlOlifl ~ . ~otM? sccumr ~a. ~ sNw~TwK , 255-12 T3~ Lillie Hell t~Tilcox 160~ Ave. ~ r• 1 N. iA1M~ M~TN [ilMn ~I ~ awM Nr li~e /b (~1. p1. a1 td.] IMTt~~~t ~t7wEp • a~... ~~r n~n ~ oun~ ~ns cwxo sr: }t8da11?A CelMb='il NeaoZ'tltage aatT ~ oceTM ...s t~l. wrcona cw~[ W ~ t~• e~r- ~ r...r~i~aq,. o„E,o p~ Diabetea 14sllitus 3 d~Ys 1 . • . 1 .ewr ~.i (•1• . ~~~i~t?~r ~ a~ae OYt 10 (c) \~~t ~ ?MT IL Of1~ SK~ICAIR ~1Mt10~6 OOIIIAM~/ 10 Of/qM wl! lAf ~AR~ 10 M 1tr1~Ml 01lt~ OOIM7Y1 iNOI r/MT K~l /E~RMEO~ a..ar res0 ~00 S • r t~r• = 201r. t oESG~ME «Ow wJYOr otCU~~EO. (LbM ~dvs NM1~1 b Pnt I P Ar1 If yMn~ IIJ ¦~L~~t ~ AOt10Ewt SIIIGIO~ NOMKIOE ~1~~Ht- ~ " t f~a •t ~c. Tw[ os Nwr 1Kw~. DM. Y~r ?~as• ~ w~+~r ~D~1- wwr ooa?MCO 2or. ~~tc or wuur a. r. r.M~r wsr. 71i/• cmr. ~aew o~ uoui~ aouwrr sT~tt VIM~L.t AT ~ NOt 1MN~l[ O ~/A.IbMI. a[reM. M~f M~I» dc.) ~ rORK AT~K 21 • l~f f~n~L f M~~f /iew~ . to ~M !Mt Nr A ja ~liN ~w - OwfA oceornl w en tM d~N ~f~b/ ~~or~: sM N fM ~wt o/ w~ lwe~NrM. ~row tM ea~ws ~t~tM. ~l 1 f t~~• N~IMTIM[ IDs/ra ~ tMt) tb. AOOIKSS =?t. WTE S~C1t0 ~:•,i•~:~• C.C. Benton M.D. ForL Pierce, P1a. 6-2b-67. ' •s~~r~t~. t3~. ww~r. acr~ro~. tb wT[ tfr. rutrE o/ artTt~r o~ t~cr~to~r 27t. wuTqM (CYI. Mw. r aw[q (dwr) Ot ~ d/eti/r1 a~ !i-2 Pine e F~. Pierce, Fla. r. s. ~~i s t~. suNC~u s a+wTU~c ~ooa~ a_ n?n ~cca w wcx ~a. ~asnws s~au? a••.i~ss - ~ ` - - - _ - - - . . . . . - : : Fi~EO ANO R ` ~`1;K~1ly.eswti~y~t~li`~io-~b.: tru. and aornd rop~? of th~ ~oal ST, WCIE ECORDEp ~ :'R l~tn~'a.a~w+Cfib-N ~ St. luci~ coimty Fi~ahh O~pa~t~ COUNTY Fl,A. , ~nY$.i~A~ ;.Nolid+• . R~CORD V~RIFIE~ ~ (111I~tninp~ Not wltd unt~sa r~ised su! oi tM St. 4+ci~ .15a7Vss . _ _ ~ - - c~w ~ o.~+~+.~+~ ~ .~.a.~ '6l AUG ? q . i - . . . - - AM B . sy = , . . • • Q. MILtfR. IYL D. ~ ~ . ~•t ! ~ '~Counly'iiwhh Offiar i Local RpWrar . KOGE~ a c~~"'~~-~~ ; O~TRA ~ . . . ~ -,•'t: ~ ~ CLERK CIRCU S ~ '~y,. [9~ ~ i L~ _ • t - • ~~.,t. ~ ~r COURT i O~N GP~+h Loe~l itpiq~ar d, . ~ . t s . g~K167 P~~2~35 : . ~ j. , i/, ' ' ' .,T '~"~7si ro~ .~"'r-~ ~ ~ ' ~ - ~ - - ~u ~ ~ :1"~'~~'~":i b ~q "~,.4~ ~ ~r " A~, ~ ~ ~