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HomeMy WebLinkAbout2126 t~i. RATt WMO OF MfALTII CERTIFiCATE OF DEATH ~~sZ(~4 e~~~s • ~Y11~/1U OI 11ITAL ~tAT1Rlc~ lTATt RIL[ 1 l.s.~ FLOSIDA R~~~AR•~ no. •ra s~ ? N . ~~•r•~~s coot No. t ww~ ss~wrct~~r.~..rri~.r uwv....: R.....ww.~.n.:..~ •~ee~t~1 1. MACt N M11TM a iT~R ~OIM~TY •w~ •111 ~=ie ~~.e•~ t. K RES~I~tMCE i• 1~r• 1. M~I.?OrILa~ WC~T~a1 trtr 1M11T31 c. Cml.lOwRa11 WuTwU ~p~ ~~tr 1w~~31 _ .a.•.t rES MD _ m MD tll~• t w?rc os t!/.u+. bqY.i. Nrr w.a~.N..w) r. micn ~oo.css IIpSNT~ OA ~ w?~n N E'M~t NN/e Lnt aTE X~.M Dv } iw a T °~`T" e a 2 1 6 sEx s ao~o~ o~ ucE wiuao ~vc~ ~rto wTC or w~Te ! acc U. ~r++ s iwoc. ~.w v«a H rn ~ 4/MrtW11 X~Y. Ww dwn Mi~. t e. Na1e 1~lhite .ioo.~o ono~cw 18 ~l~s~i~ 10..11SV~lomlr~noNCOirrlls/MwlMu IO~.KrwasNKr~ESS011M0YSf~r 11. ~MTwaacEt9~er~.M~~a~~?I) 1. umo~as~wlTao~wn.~ t~ ~~r- Ia?W ~w1 d w~lhl ~h. ar* IJ ~dirM Buildin Contractor Construction Denmark United States 11a~t 1 ~AiNE~'S INrE 1~. rOTME~7 MMD[II N11~1E ' . ~n~~~~••~ Hans Peter Hartaen Sidae Narie Johanaen ~oa~ s~cu~m ~o. v. ••~a~•w~ 1210 Ceuntr~ Carden Road 2-0 -06 Anne i~. Hanaen Fort Pierce ifiite Cit Florida ; r•¦•e•1 ~as.w~Nwnrlrw...4«.u...r?a.sMw.la..dta.) ~rrcllviu.rr.cct ' riur i ourn rns wrsco w~ ~o ourn w~~n ~~u l~cardial Infarction due t~ Coronars? Oocluafo ~.inutaa ; rii. c~. e.r- - •lt\e•tM ~f[~~~~j~rs'/~N ~ ~ (~1 - I 1 • e • 1 ~K~i)• •~~i~tr~r +~~+N f1e ~wM- OuE TO (H _ _ f/iy nue 1d. I'I •ltA1• 1S = .1~SAU7p/sr ~~~r O ~AI~T M. Or~4f 9c~rran Goiaibws oo~nrwrtws ~0 Oum ~rt br Ru~n ~o fM[ 1[wrr~ ax?s[ OoiO~no~ C~ w Min KU RqO~rt o~ ~ Pe tic Ulcer MO~ i • r~• r• r. ~ toa. ~ o[su~c +aw ww~r occviucu. (a~a+ ~dwr y ty~.r 1~ Pw / r M 1J yws u./ I •~ll~~ ~wf ~ 40C~OE~tT SU~poE ~~qoE ~ ~i.~...- O O i.i~. ~ me ~~s x... xw~. n+~. r.. ay i m/. wlu~lr OCCVN~o mr. RA[[ O~ ruu~r (e. I•.1~ r ~W~ M~r. 10/. CITt. lprll. 011 lOt~a?q~ OOY~TO ST~T[ rMac ~T ~ wT rw~t ~ N~ f~d~?I. war. Ma MM» ~tt.) wo~R ~T ~atK . . e • , .nl..~r w~ .Jm on E • ~ ~.t..w1..tA.~o....+~.vrn P s .ro A:m OweA ooeuinQ ~t ~ A. a~ on f M d~t~ ~e~t~d ~nd to tlb 6wt o1 m~ !nm?NA/~. lto~n fM u~w. :btM. ~ll ft~~s ~ Now?TY~[ (drPn~?rYk) tID Aoo~ESS t7c.wTCSKM[D Port St.Lude Shopping Ctr. 2-7-6? a Bernard D. Ross,t~I.D. aetr?~t~. 2~ MJI~~L. U[YTOR 2~ WTE Z.k IU1NE Of CfYfTE11~ O~ CRCMATOA~ t31. IOCATqII (GYI. b~. M e~wf/) (StMt! ~."~"~g"`~' z~~7 1~Ihite Cit~ Cemetery Saint Lucie, Florida ~.s.teis t~. ru~c s~..~YatN4°~?eral Name ts. wTCaco.wwc~RCC. s. ~ccisr~ssrau?nMc a...,sse Jack J. l~oere gt.pierce Fla. 2-8-L7 Jlrula Lee Denison d.r - ~ ~ ' ~ : • . _ - FILED AN~ RECOROED r'~~y prtify' thN !o t» • tru~ aid aorre~t oopy of tlw t~oal gT. LUC~E COUNTY. FI.A• ...,.,p ~ ;Flrl~~(~,~w~ Itdi~t~a~'s~td oK ~ M~fis SR. w~~. coc~,? ?+..b~+ o.~- - b~,, .y',~~ ~yyw~ nlsed wal of ~ St. l~+si~ Q 5 : ~ ; . . ~ o.~~ .~.d.~ '61 D`~ 26 ~ 4 , ~ 162~ . . . . : ~ - : „ _ t ; : ; - ~ N. a Mn,t~. M. ~ , ; , ::~:.s . , , . . . , . cou~+lr H~al+h otfio.r a troc.i R.vtNwr = - ~ , ~ „ r , ~~V~T COURT ~ . ~~~r.x a~"= r) 1~ -lo?' ' rf * ~ . Srs.L . " DM~ ~Y ~ c~ . ~ 6WK F'AGi Z~,~~ ~