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HomeMy WebLinkAbout0864 iai. s.- ~rwT~ ~onwo or Mu~TM . CERTIFICATE OF DEATH 16'2~ eo~~s • ~Y1lGU OR YITAL ~TATIfTfq RATt /IL[ ~ l.s., FLOBIDA ord •S~a StRT NO. R l7RA1t•f NO. yr•~•rii nwu or w?n~ cooc Na L ww~ ~wowe~l•a•.w.r..a u:...~.... e.•r..~w~..+.c.W ~ •:.cdNa OouMTr a ST~TE OOlNtir •111 s. ~i•e.~ ' cic s. *•r- utr. TorM.qt ~ota?tqr . a K R~tc or oun~ s. pTr. ~.at tAU?T~OM K~ocrCc •l~t~t WS10E dTY UMIT51 IN510E CITY UMITS7 ril•. res .o? .u w .u~c os ~U.r a w.~w. ~t...e~.r.a.w~ t srRCCr ~oouss NDS~IT~I OR . .h1STITYTqi1 3_ ~tAM[ O/ f'Iqt ~/i//r Lrt 1. WT~E ~Lwe~ Diq Yt~/ oceusco as . ~M'•• rr,q u° '?1 ~'~:UGHN 'U'TM t~.arch 2$ 1960 s. ux s. ca,o~ o~ iua 7. r~to (~~c+rc~ruwKO wrc as wrM s. ~ lNh~i r..~ w~. ri~., . 1 t. .nowao 0 oao~cco N.arch 18 18 2 :~c~ l.r- to.. ~suuoccu?~no~ o+~e~tntyw.~~..e ~Oe_Krwoswsw[ssoarai~snr u. w~rnrua(s.a../~•Mas~r~1 amm~as.w?rmurea?t v .r'w N+w~n ~X. ~ y ~ed?M s Elberton Geor ia USA 11~ek iwk ;j. ~A1NER'S Mu1E t~. MO11K11`S w~D[w NAr[ , f •r ~ sn..~~e:~ a Fannie SnellinAa iS. wAS OECEASEO EME11 IM 11_ S. ARw[O fO~C[St li_ lOCYL SECYb7t M0. q. N~NA.Y~ ~ ~r..........~....~ Wa..ww~v~#WUawwr~ JoC Lee Vaup.hrl - 2 10- 6 Gardenia Ave, Ft.P~erce a. r..•r.i t~. ~l?Yt~ OI Oi4TN (bl~te?~?«uhtN~ttli~tM W.N~.w~r).! urtc~vu~cticr~ ~ ?~R7 L OfATN MAS CAIKEO ira ~~?TM ;~;s`~;~~ wMCO~?TC cw~ w s xith urc,~ia 2 xee~cs cine.c. ec'+r~;ri.wt~.~.. .1~, e,. j ouc ro c~~ o ~:ith h ertension „ 1 . s . l .e.re c~aar`i'f.~ } r~s~serar ~tarts~ +4 ~sler- q~ m(r) 2 Yrs. •it~fa 7~ ~iW [~ut J~t. ~ ~ • *o~r f- ~ ?~utT a. or~ sw~e~a oa~aria~s oo~nowrtw so ourn wrt ~a ~tu to trc ~ary? o~?sc Qo~oe~ C~a r~ rweT Ka~ . rns ~ura~sr ~ r[~sorerEOt c.r e..s~ ra? p~ or i•ser•' ~ zo.. ~~ieeroewT wrcwc ~~aoc ~oe. ocsu~[ Mow wwr ottwaca latiw w..e yry..~ Art ~~r A.t II y0~. ~~J ¦~kf• ~w ~ ..~~~si- u ? ? ? . ~s ~ 20c_ Tu+E oi llwr Xwt?. D~f. Y~~r ~i6~• MlYIIY O ~ 20/_ WYRr OOCY~REO me. KACE OF WYA1/ I.. ia M~w/ w~t. mJ tfiY. 70*1~ OR IOCAT1011 OOYRTY STATE 11fM~lE AT ~ MDT MNIL[ O ~~.~M/. ~4td. ~~Ot MII.. dG) ~ MIORK AT ~K ~ 21. l~tt~nd~d tlb d~u+wd /~orn ~ 7s7~ . to ~nd !pt w~ A~~ ~li~~ on DwtA ooownd a~ sn tly d~b ~t~bd ~60~~: ~nI to eM 6Nr of ap lno~Mdp.lrom tM uuaw~ st~t~d. •11 it~~• ~ ~a~ri~ ~ .ri a• 1• (Dr/?a~rtYk) 7L_ Aoo~ESS . 2?~. wTEi~Gt4a :«:.:e•. ` k' n Jr i D. Ft. Pierce Fla. 3-31-bo - z3.. w..+~. c.E,u.~. t~. wn t3c. ~c os arcrur w ca~u?ro~r zx. wunow (arr. a... r~...r~) (s.u) itwovu (syr~+/rt est r:en Gardens FL.Pie~-ce F7orida r.s.+e~a t~. su~c~u a~s YwTi,~S01~l3i:~.R.1L HOi~~ ts_ arc~cca~rwc.~ROC. tt ~cc~sr..~ss~w?nMC . a...~s6e e ~`t Pierce Florida 1:-1-66 Anr~a I.ee De:zison, d.r. - FILEO ANO RECORDEp ~ , • ST LUCIE COUN ' ~ECORD Fi.A. ''~Sr~6y~. qrt~fY "tlfis ~o b~ a true and corrett copy of the tocsl . V~ RI FI E 0 n:~s ~ fi~ M ~n~, ~ 1620,~, ~ . r~,~ v'°'~' "°`w.. - '61 2 . . ~ Nov z7 . P (Wamic~, Nct Vatid ~unkss rdsed seal of the St. lucie • y q ~ • " Cp~+f~ty =ll~alth DspsrhmeM is alfixed.) ~ ` - ~ ~ ' . , , N. 0. MILLER, M. D. ~UG~R :'OI~RA$ - ' County t~esi~h Off'~ce? a t,ocal R.panar ~~ERK CIRCUIT COURT . . , J~`.Y~'•~~-'~ ~1 ~ • ' ~ ~ ~ p~ • peput~l Loca! Re~imar ~ . ~ B~K 169 . ~~E 85~ _ _.z~_ _ - - - _ - _ _ _ . - - - - -