Loading...
HomeMy WebLinkAbout2920 ~.-.~.r . - - ~ - _ - ~~ti~~ xE;c~~yo F ~ ~ : ~ ! ~ . ~o ORANG~ COUNTY KEALTH 1~EPaliTM~,N'~ ~ /i~ ' . Yr,r..,, Y3~ we.c centr.t A~.ow . ' ; ~o:-~~ P. 0. ~ou i1~7 , cH.,~,? ~.~s~~ 159528 ; Oq~~xp0 OALANDO; FLOAIDA ' •TATt sowRO o? Nrw~r+ CERTIFICATE OF DEATH ` ~ •UIt~/lY OF YiTAt iTATi~TtCt :'tATt ~ILi N0._ , FLOSIDA . i SiRTH NO. RCGIiT11AR•! N0~7 ~3 ~ . . ~ 1. ?LAti 0/ O[ATN COO[ NO. 2. YSYAt 11t~10[NC<(I~a~n/wirdY~/_ 11~w~: R~~fw~Wr~,N;M) - COUNTY t STA7f COYIITY ~ ~range Florida St. Lucie ~ ; I. dTr. TOMM.OR 1OU1110N l. IS N,AC[ O~ OEATM t. CIT1/, TOMN.011 LOCA110M t. IS wES~O[uCE ~ 1 IMSIOE CiTr IIMITS/ 1MS10C C1Tr 11Y1Ts1 ~ ~ Orlando rE:~ ~p Fort Pierce , L ~M[ OF (//Mf iw ~}ihf. /w Nraf ~/f?ar) ~ STII[[T AOO~ESS . ~ MOSMTAL OII IMSTITYTqN pran e Memorial Hos ital 180 Solaz Ave. - 7. ~u?a~t oI I7r~t /wtt~tt l.rt 0~?1[ Xwr~ D~~ Yeu ~ eccuuo i c~~«,.:.~~ prnold B. OV6ttOII - ~TM A ril 12, 1967 ~ i S_ SEX i COLOR OII 1tKE 7. YAll1UE0 ~ NEYER M~RItKOQ • OATE Of ~111TN ~~G[ (h ~tY1 ~I V~O[~ 1 ~W IM~OC~1 H Mi lYt Abt4~/i MwM~ O~w N~n Mi~. ~ ~ Mdie Wh1te Mnoowco arcRCCO Feb. 17, 1912 ? IO/. 45UAL OCCIi/ATION (Qift tiAl ~/~CM! I~At 10~. KINOOi WSINESS W1IMOYSTII~ 11. p11TNKAC[ ($Nt w/Nty~ tw~t?/) 1. qbpJ1 ~~INi ~Ilfi , ~ tvfy swt • rMlu/ hk. [ee~ f/ rdweQ _ ; Owner a erator Muffler Sho ' Camden, New erse U. S.A. , 1~. /ATMt11'S MAME I~. MOTMEIIY MAIOUI 11AME Geo e S. Overton Dais anison K socu~ sca~~Tr wo. 17. uvo~M s s~aMwYwc _ ,u .I.~.~ _ ~ 096-01-7366 Wife - r~Irs Carol ne . verton, i 80 Sola z ve . lorida • Fort - Pi rce l ~ ' 1~. CAYK ~I YtaTN (6~fn ~wf1 ~wt awe ~er li~e /ar c~~...~ u?.1 urtuv~ scTrrcc~ i ~ ~ ~ /A~T ~ oEATN w~s GuSEO ~Y: .OMSlti~11D OEATN ~ wrceurc c.usc c.~ _Brsin tianor. malig~p~~~ gl=oblastora ~ - ; . ~ ' ca.~iw~.,,..~..,. o„~ ~ ~ 1,.E0 AND RECORDE • : ~ ; r~icA /ut r t~ . ; ST.REC(~R^ R!F?FD •4 ~t~tia~ Ue a~frr- DIiE TO (t) i• 1i»I nwe tsM. ~ o nwT n. ona s~c.swur~ ca~atw~a oo~vrrwm~o To oum wir ~ Rwao ro n~c ~u~wr~ asus[ ao¦ano~ wra w nwr K.~ . w~s ~uTasr ' ' s : 1 ~ po ~ F~~ ~ m0. oESU~E ~aw uuu~r oCtuRRtO. (E~ta wwvr ~1)~~ N.? , . ~ ncaa~r wK~oc NorKioc ~~7 ' ' V ? ? Q ~ • i~ 20t. TIME Oi HN~r JIlMfA, D~ YW . ~ . uuu~r w. = W LERK CIRCUt7 COURT ? Y~Df. auuRr ottuiaeco ZOr_ ?ut[ os uuu~r !e. ts r.nNr n.we. 20/. a~r. torrM. o~ toutqM oowmr iTA?t • ' ; t r t ' MN1Lt AT O MoT ~~tE ~ /Mw.l~~?~. Mr~d. ~c~ NI/.. dc.) i " ~ M04K AT Ni6RK ` 2i. l~tt~ndrdfMd~c~~s~d/rom 4~~~67 . to 4~12~67 •nd/~~ta~~~/i~~on 4~Y2~~1 - ~ ~ D~~tA oeou r~d ~t 'Z S~ on tA~ d~N ~t~f~d ~bw~~: ~nd to tA~ b~at o/ a~r norbdp. IRO/!1 fA~ C~YN~ ~~~f~d. • ~ t2~ NGNATY (Drf?K fYi~i ~ ?lA AODIIESS ~ 7?t, WIT[ S~GMEO ' ~ ~-t_ f`-~-'Z/./ 63 W. Under~+ood, Orlando, Fla. 4-12-67 • 2I~. F~l. Qt16i~W1 23S O~TE Z~t. K~ME Oi CEMET(111? OQ CII[MAT011~ 23/- IOCAT~ON (Cr1. tMrs. M qs~!/: (Stdtl ' JtErW~l l~P~t+ 1 e va~` 4 12 1967 Hillcrest Mem. Gardens Ft.Pferce, St.I,ucie,Co.Florida. 2~, fYNEIIAL Oul[CT011 S SICMAT ird f~Y'~f~1ra1 Home 2S' DAT[ 11E ~Y iOC4l REC. I~~i15T11 Il"S SI{~NATWI[ ~ APR i~ 1967 ` . Fort Pierce , Florida . ,f ~C ' ~ . ' ~ ~~~m~, z::n c~~t ~ - ~,,.,,~„j - ; T hereby certify the above to be a trve and correct=eapy of the Local ' r'teeistrar ~ s record on file in t'r.e Orange County ',~a~t~_ ~Departasnt at ; Orlando, r^lorida. • . ~ _ ~ ~ i- . - . . : ~ k'~R~:I:iG: i~ot valid un2ess raised seal of t~*a~e~~.G~U~nty ~alth -Department ~ ' is riffixed <<~ : ~ ' - . ri ~y • ~ ~~.J~L ~r- ~~r ~~~~1~~~~~~~" ' ~ ) ' ' ` ~f,.~ ~ • . ~ . ~ . ~ ~ :~,h' . - c:ounty i:eal~n Officer & Local Registrar ~ ~ ~ ~ - APR 2 6 1967 - 0 ~ ' ~ ' • ~ • ~ 60oK~67 PA6E~918 ~ .I. ~ ~3~e I~~uad Depu y Loeal ~egistrsr ~ ~ - ; ~ i: :,v'?~ ~