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HomeMy WebLinkAbout0672 . Tsi~ 1~- STAT[ ~owRO os Mw.TM CERTIFICATE OF DEATH 161.~a~S eo~~s a ~UR[AU OR YRAL RATIfTfC~ tTATt ~Lt N0. a~e~:ptw ' FLOSIDA p~~~AR•s No_ 1 6 .r•.•'lr BIRTM HO. fifCY~~~ ?u?u o~ wrN GOO[ ti0. Z YWAI w[NKNC~(IMrMrdli ; l~www.r? R~d~rMl?~~r.:wl . .pa .til oowTr St. Iucie i¦ ~~r- nrr. TowM.Oa tOU ~ s. ~S raAtE os o[an~ e. Cm. Tare, ou Wu?Tq~ e. ~s itESw[wtE _ ....ie naioc em aw~m ws~oc ar u~~rs~ rii.. w~ .cs w0 e ~ ~urc os ~r~..r a~..~w. ~.e,a.a wra.~ s. m~ccr •oo.css MOShTLL O~ ' ws~mw. 2b Riomar - River Park 3. Nwrt fint /~/i/~ Lw wTE Xw~ D.r Y~ ~ c~~ynM"~+.n JAMBS J. PETER.SON ~?TM Hay 14s 1967 s. scx s. oaw w iuec z~,~q~ ~cveR wuuKO w~ os wm~ ! ~ec U. s woae ~ Tw uoe, r w~s. 1 ~q~ M~Y. D~~ Mwn Yi~. . ~ r r• e. ~i vnoo~rco a awaco Aug. 1~ 1900 ~ * 1. i.l ~ 10~. usu~ ootu~ano~ IOiK !iN ywrt M~e 100. Kwoos M~srESS Wt wousr~r 11. wtwutE (Shh ~r /Me1p as.nl) 1. atytw cs ~wr ooirn~n .ss~ ~.r- ~ tvly~wtNnwtlvAl~.~n~JrytirM a~~~~t 1t~~k iwt 13. fATM[11'S NY1[ 1~. ~~w~ ~M sn~~Ht~r ~ ~ ~ li. SOC~AI SECV1UTr N0. 17. ~ NOMATWt A~/ru~ r~w. r.l Il iwv~t N~[4TN [b1Me? Me auw !p ~ h W. e~). aI 1d.~ urtura ~ET1REw ~ ~ 1 e N e I~T l OEATM rl?S WISEO 016ET A1O OE~TN _ a~st tll• W~~~ ~ ' t~• e~r- ~ r titte~t• jldl. ~ ~ ' I •lt/ lN ~~i~l prt ~iK f~ I 1 • e ~ 1 ~r ' I r~si~tr~r +~~il t~t ~wl~s- 04~ 70 (t) : f/uy n~s JMf. i •lt\l~ 7~ _ ~~SAU70KT O ?Al1T IL OT1f119i1/1LMi OOIpf10~6 OOMIiM~IG i0 Of~1N ~IR M0~ IW~:LO 10 ~Y[ 1[~IIYYL Ot~AY ~~1/1011 i1~01 \?Mi ~(y ~ r•~r. .r- ~ ~t~rcw s •r ~•rer• ra? ~ i ,~•Y t•s •¦7 AOCWEMT w~noE rwrrc~oE ~s. oESCRrE ~ww wu~r otCweREO (E1fa ~dve yi~/v~ b Prt l a Art 1/ yt?~a qJ ~ ! l1s~~~t- ' a`S ? ? t i~~ • t mc. TwE as Hw. li(wM. Dq. Ynr r ?oa~. ~ uuu~r s. p 1. ' = 20/. INWII~ OCQlltll[O ]Dr. KACE Oi RN111/ (t. iw v~t 1~~t. mf. CTTr. TO~K O~ lOGT1011 ODYair St~TE _ 1fMM.[ AT ~ MOT rll<[ ~ It~.I«W~. Wtd.l~tt YII-. tfl_) ¦ORK 17 ~OAK 21. / ~tNnd~d tM I~oN~M /roa~ •Tl]?~e ~ 9~ . to ~~jC. ~ 4 - ~ 76~ ~ndlut a~~ ~li?~ on ~i-~ ~ Q67 DNtA oee~rnd ~t • on tM d~t~ et+Nd ~lo~~; ~nd te tA~ 6pt o/ sn~ t~w~?hdN• ~rom tM uuws ~t~t~d. •11 is•.• ?2. s~o~Tws (DepaaNrkl ?ri ~oo~css tle.wns~e~[o •r• s• 1• • 9ernard D. Rosa M.D. Port St.Lueie 3ho in Ctr. 1-6 •ee.r•s.. it.. w~... c~,...o~ t» wTC i~c. iurc os arErcRr oR car~TO~r t'ir. wu?t~ e~srr. a... r aw.h~ (sw) li[rou? csprci~/1 Removal 16-b Hol Se ulchre Cem. (~d i~tiaconsin a. I e is z~. ru.c~ c w s s~wrw~l I~1'.°O1qtRt. SL. ts. wTC ~cca ~r ~ccu nca_ Rcwsr~uus s+amTUec ~.•.,.es ~ton W. Bsird FC.Pierce,Fla. 5-22-5? Anna Lee ~enf.aon, d.r. ~ +~r~,? o.~,? m ~ ~ .~,d ~ ~r F~~~o Aao R R istrrYs on fiM In ~tis St. Luci~ Go"unry Htahh Dspsrt- ST. ECORDEO ~ • ep C~aad_ IUCIE-COUN'CY~ Fl,q. rt~snt it fort Pl~a, fb?ida• RFCORn VFRIFIED '(yyunin~ Not vslid unless nlsed fesl of the St. lucie ~ ' . HwMfi D~pxtmeM is ~xed.) A'aC , - ~!~"y . sl.~~~ ~ sr k~ 2s pN 3; 30 . N. o. MrtlfJe. M. a j r. ' - Cou~NY Hsalth Offic.er i l~ocsl Rpisttar ~~Y,a[~~ . ' ~ , '~O'vEn ~y0~~- 5. _,Z3 _(07 ~ rs-~~~ 1. crr. = CLERK CIRCUlj COURT Dah ~PwY ~ ~"TM~ c~• r- - aooK169 ~ 6~? _ ~ - _ _ rt,