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HomeMy WebLinkAbout2829 .~,?n ~ Mw.,~ - ceariFtca~ oF oeaTM ~59465 ~ i.s.i w~~?u o~ vRn~. .r~r.nc. - F L O B I D A *rers •re s~ N R ; NO. I~ ~ ~sq~rl~ .:.a.~.a i. PLIICE OF DEATH ooo~ ~a s usuw~. ressia~ct ew~.e~..~+r... nw~.u..:~w..~..... ..t .~~1 +.~COUNT1f~ ~ . • tU?ii w CouNnr . wrw.ti 1• ~las~~ ' . ) 1• r~r- CITY . lu w~M~ wwew 11~Mti wM~ fus~W e. l9lCTN OF a CRY l1t ~rdr ws~ 11~I~.ww itlv?w f: uu~t O! tTArq~~W~iwi OR [l1~. 1pWN TdWM j; Flllt NAYE OF I~t rt 1~ ~1W ~e ~ su~ Mww M~s ~ 1w~uo1 STlEET tY ~wL M~ MrW i. HOftITAI OR AOOf~t 1 IqitliUT10N ''oEC~?s~ csdw ? c~.~ ~ cr..~~ a~n c~~ taa~ a..r~ o~?rn ~ i. fE7I O01AR Ot RACi 1~~ W~tCM~' L AAIi OF ~IL1M ~ AQi r ~ rua r wn u w 1 t~ • irt Y~Ir Dv~ 1~w Y!~ l~l~ IM. YfYALOOCU?ATIOWo~w ~ t N~. KINO OF NKINESf Ot IIb 11. p tatl ~~r- lw~ wrsl IL GitIF?J OFMIItAT Mlnifa~~twAt~srF~.w~It.Mrw OYSTtY OOYNT~ri i; ~~~~~t i: ?l~~t s~t I~L FATHEt'f NAMi K~ MAIDBI NAYE ~ •e ~ t~~~r! t~s ~ IL WAf OECfAfEO IN Y. AAWM iOtGFii fOC1A~ fiW~11Y q. INlO~MMITt fICNA1LY (l~MRW~rf l~ti~M»~tfrMd~~MI -J~~~Ygti08 A~ ~ hw~r~l N. CI?IKt OF OfA1H ~ W~AfE Ol OONOITION MEOIGAL CiRTIFtCI?TION rnaerru. iearra tsr~~t~r L~Mr M!? w p1~CfLr LWIIl~ i0 OfA1M ~ •~~t t!1• 1 i~~ 1K ~s1~ (1)r ~ t~~ •~r- ts[se~s• ANi~CED@f~ G1VfK i a.. ~rw~.....e.... ~...xw~?w••.~. e u e C a romb Jari - ~ 1 • • • ' . d .t» a w .w....... a~.ai Iris~arit De6tth ' ~.~~.er.e nw.w. w.~w~iwl tat. tsss ss w i....~.~~, w WIE To ~~~r• •t- ~~~+Af~~i1.OTllilflCMIFICANTGOMDiTlOlK t~~ ~~~ti ~'w/ifbwr w~MMNw/ N W~ i~t rt •r l~l~r~ b ltww e~wZtAw ..kz.s ..y n. a?~ oF orE~u?. n? wuoit w~cs oF weu?noM x wuiorsY~ ~ .i.~..i- ~ ! . _ a ~ mww~ a~.r» :i~. n~ oF nuuttt c ~~..s n~. tatr otro~wN +s*~*q ; ~ 2~a ~ee,oo~1! ~..ti w.a M~s..u..e..w.`+'L~L. wa~ ~t ..tl, ~w. suLL~ ~ w~aos n~. nw~ cr.r?, ~.n a...~ w~, nuuur oxu ~ Ittultlr ~ ~u.t Nr~~na - D O a 1~enby arNJy elwe i oee.~ded eJb dcao~d JroiwgADt '~~0. w .Tan. ~y 5S ~ t Ln .w. tJ~e auenssd . r. s~~ H~ oGvs oes~$ILa..~2.. 1a ad tJiot deatA ocnvrcd st ' w W oan+a ad ow ~s dots se~eed above. e~~~l~t• ~ SIGNATURE (D~eM ~e tlW) I1e Ou1iEfIGN~ H.B.GoodWin Jr., M.D, Ft. Yierce, FIa. ~ u a i c~u?. ~w. a?n ruwE or c~~rnnr oa cae~~roar ~~w. wcnnoM ~av. w.. .....~a?~ ~se.~.~ noN, ~e+or~L ~.r,~ or?t~ e~c~o nr ~oc+~t ~srr~az s~e~utue~ s wMw~ s~sw?n+~ ~oosESs T.~.isN ~ ~1LE0 ANO RECOROED , ST. LUCIE COUNTY. FLA. . 1 l+~s~y arti~ M~N ti~ • tn~ and oorroc~ copy oF tl~ Loat R=^ ~ R f' R 1 F I E D ,.~~.r. ~a.a+ ~n. sr. u,t~ c~?w H..~? o.~- 159465 ~ , ~,.M ~t ra+.,~.ro..,-Ho.~a. , . ~ ~w.m~n~ Ha,atw u~s. ~.b.a ..d o~ th. st. t~t. '61 A~,lr 2 5 PM 3: 2 0 _ Cp~y 'lMshh~ O~pxtm~M b affix~d.) . ' ~ - .N. Q MILLfJt, M. D : : _ : ; ~ . CL~RK CtitCJl~ COJRT ~ ~ > • r l ~ ~ ~ ~ . Go~ty 1~hh Offiw i t~ocal Rpiqwr ro'- [ 3 - ~ `7 . ~ ` - ~ ~ . . _ ~ _ \ ~A 4 z _ ~ X- , . ~ ~v~ . - - - - ON~ ~1? Loal iEwiqr+r o1• r-- ~g~x ~.E7 tA~~ 2~~7 4 - - " _ i ~~~s~ ~ > . _ ' ~ ~.~s'~~~~~`~~~~~~ ~y. ~ ~ - . ~