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r,,. srwT: w~o w wu~TM CERTIFICATE OR DEATH 161'~'64 7/ c•¦•s . ouwuu OR v17AL AATIf~ICa ~TwTS IILt 1~10 l•a•~ FLOSIDA •f~ ¦\~w BIqTM 1.0. 11[61tT11AR•t NO. or.~.rir e. w?u er n4?rH cooc ~w. t wwi wcawrc~t•...c...~.rc..~ u:.~.w. R.w..w ..r....:..1 eaee¦a•~ ~ - Saint Lucie IDb-~Z.~ ` s'~"Florida °°°"'~Saiat Lucie ~~r- w un. Tw~.o~ wat~w - e. ~s ?~?a or oc•tr a on. ron..oa wtwnoM e. ~s aswc.cc .....a v~swc an ur~rn wswc nn ~wi~ rai•. Fbrt Pierce ~c~p ,~op Fort Pierce .cs w l-~ I. rtart O~ (aNt 4W~ihl.lir Mrwt ~Ihtr) . R sTK[t A01~[Si ~ ~ . MpShT~IOA _ ~r*~*~ Ft. Pierce Memorial Hos it 1 903 Bucke e Drive ; ~ rwrt 0/ liri UliNt Lrt l MTt il~el Gq Yrr ~ iii,~`i~ BROCK GILREAIH F~NRY ~-~October 21, 196? ~ . s. ux t oow~ w ~.a 7. rwro ~~cva wurco ~ wn os wTh f. .cc Ua u.?• r v+a ~.w woc. ri.~ ~ wt ~i.~a) ~r...~. n... r.... xr. Male White „oo.io mwt~~ Feb. 26, 1905 62 , ~ 1~ t~i ~ 10a usu+t Ouw~~ tCi.r y w~ I.u 10?. Kaoos Wfri[iSO~ npanr 11. ~u?rrr~uct (9.te a AMM+ aa~en) w~ a~wr aww~~r ! •lt\ *~r- ~.,:ynwrN,r~rwlAA4snV+~drM Minister Ba tist Church horth Caroline United States ' ; ll~tt !~k 13. /~Tw[!'f ~ur[ 1~. rOT~[~3 r~OLx w?rt . ' s .~.•••a... James L. Henry Elnora Mayhen ; ~ soc"'i xn'R'n'° n. w ~~O~Tw~ - ~~903 Buckeye Drive ' ~ . 46-03-599 Edith 1?toone Henr ~ ?•.•r.1 crwsc N w~rM (awe...hr..r a... ri.r /r cy. N cr~.! ' WT(~1fY ~~C[M ~~r•ec~e run~ oulwr.su~wco~r. • uooc•r~ , .•.a ni• wrtorr[twft W ~ . a~~ c~~- { tftis~t• ~~~p/. ~ ~ ~ ~1 ~ . , 3 ste~ c~~ ~air? /Mr ru~ N : 1 • s ~ 1 ~re cw~t (i1- . ` ' ~~tf~t?~r drW Mr ~drr- 0~ 10 (tl_ •ia~f• 1~ rIW nur Iut. ~ ~ O ~A~T Il 000 SK~tiIiM OLlR~6 ~~O 04,1w Nf 110~ ~UA7p 10 f~ 1Wyl Od(~ft COM17~ i~ Y iYi 1(~l . M~S AYTOKY ~ D~~~• •t- ~t - KRlOtY[W ~ t~~ l~~t? tJ YtS? MO~ •r ?~f~~• ~ ~ =•t~•s ~ocroc¦r wrc~oc «or~ao[ 7~. ocsurc ~wn ruwr occw~ca (arsr..r... MW.q h I~ l~r M l/ ytar. tu au~..~- u O O ~ •r . ' a~ ~ 70r. 7~rE OI !!wr Xwq. Oq. Yt~r ~ uWnr a . o s- ~ 20i. IMJIMY OCCYNEO nt. ~l~C( Oi w/Ywi t~. i r~MI Mr. ~ OTY.10~11 O~ tOC~T1011 COYMTY tTATt ~ _ wwac 4~ U~ot nnns ~ lw.. f.w.r. w.eer../ia Nq_ ~-1 • ~onR eT wwa . , 21- ! ~tanl~ f/w w~1 /rorn ~ ~ s ` ~ . ro 0 ~2 ~ ~wllrr u.r A~ ~lir~ on - ~ oeewnl an on tb d~t~ ~t~tW ~De?~: ~n fo fM M~t d ay iws~l.dp. /rem tA su at~trd. ' ~il s.a•¦. t2.. a w~c « w m.oo~css uc. wns+c~co sr• e• i~ ' . . I ~ ~ ~ i r - 1o-zy-4~ •eer~~t~. ~ • j]~ p,~TE ~?4MCO~CEYE7ERYOACI[WTpA1 23/-IQC~TOII(GY/.~NA.~/tM~f~) (8d!! ~`~2em~va 10/24/67 herd Me~orial Par Hendersoa County, N. C. r.s./sia 2a. ~w~c~a.c o~ ss.w*..cyat~Puneral Ho aTE~~-~y~~- "E~T~~ ~ ~ ' C~.~ t~r.1~~6 L~~r~ 1 YC ~'10~1 ~~'~'~'67 ~L'E:~~J~-t~1.t~ - - ~y~rri~. : ~ ~ ,.N..~"=1 ~ ~ ~ o ;arn~ . - - ~ ~ ~ - ~ c .c c,co ; ' • • o y . _ .n ~ j j 7CL1 r r ~m2 ~ hdrt~ uttl~r ft~it f0 b~ a true and correCt copy of fh! LOCa~ 'n ~ Cr~ Q; ~ n 0 _ ttepi~tnt's rsoord "qr[ ~M in tfis St. lucie Goirnty Htahh Dsp~rt- ~ ~ , : m~nt .r1~1 ~i~rh,~ F1o11d~• G ~ ~ ~ ~ C ~ . . _ : ~ : • (W~rr~r Not val~ ur+l~ss raFaed ~sal af the St. luci~ ~ ~ ~p - l~ - Qpuntx: H~aMh D~p~etrneM is affixed) c~ ~ ' 1~?r~. ~ , f / • CtA p-R~ . ~ • r N. Q MILL~7t, M. D. ~ l r 0' Cow~fy Hsahfi Officer i Locet Rpis~rar ~t• L- l LI _~D 1 a. f a i~ t I~n ~ . Oab D~puf)? Local Re~isttar a- r., . ` ~ . - ~ e~K169 P~~E 344 - - ~ ~ . _ _ - - ~