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HomeMy WebLinkAbout2736 i?1s R~TS .o~?RO o. w~r+ CERTIFICATE OF DEATH 16,'3'~b ~ ~e.., . ~uaswu or v~r~u. ~rwrrttid srwt~ ~u Ko l.s.l ~.a- FL08IDA •~~4 BIRTM NO. 6 RAR•S NO. , pe~~~~l~ GOO< M0. L YsYw~ wislOtNt~(~~..wrii.r. L:w~r.. s.i6r.N~..W:..~ ea~ert~i ~u ~TM a STATE R OowT? "a .~'1 `°0~'n St. ucie 66-02 Florida . St. Lu ' e ~i.~.. s. ~:s~~ 1. ~•e- R Cm.TOrN.o~~Dt~no~ e. ~s rut[ os ou~n~ s. anr.TO~apt 1~ou?T~or u4~oc cmr ?wi~ u.~.e wS10E qTY LwQ'Si . r,l.. Fort Pierce ,~cs~D w0 Fort Pierce resQ w0 t, wnrc oF ~q«t t~ ~.qtat. NK ~er.d wl.a.) u~n~ as ~ miccr ~owcs OM A iAlM/ . vcs~] w0 - ~ T~*~ Ft. Pierce ~iem. Hos . 1~rs. 220 Ave G - ; 3. w?rc or tYnt ~Iw. - JwK 1. wTC l~rwr? Dq rev cry,.~«x~ Elnora • Merle Bell °EATM ? 9 61 ~ S. scx i. ooao~ ae u?cc wuu~co w~un[~ a wrc os wn~ .cc ~t,. a•~a r u~oc. i.w u~ce r~ws ~rMNMt) r..w aw r.~. x:.. r? c. Fesoale Ne ~oorcn ~ Oct. 11 1913 47 ~ a~ i~ 1~ 10~. YSUnt OCCI1~ATi0r~(Oirr ttN ywri Mat 10~. KaD Os ~uSMfSSOR w0Y4Tnr 11. MlllwtACE (ST~k w/Mef[w as~at) t tmaa ac ww daamtrr ~ •lt~ • ~fyrMwl~k.asalfrftireA .....s ~t aid Bo~estic Cordele Ga. U.S.A. . ?l~ek iak 13, iATN[R'S II~ME IL MOTME~IY M~tOEJ~ IuNE s»••~s~•~ Grad Sholts Roxie k'estbrook ' ~S. w~s aw?sco cvcR w u. s iurco ~rn aocuw sccu~m Ma n. w~o s s~ow?TV~ Richard Bellaa4? ~r......~..~...r u/....w.....•w..?...:.r , ~o No 220b Ave. G Ft.Pierce Fla. ~ IL iwllft N KATN l~l~ts wb ws asr lp ~M aI R)-1 ~Mrutra ~cirrccN : 7.s~r~1 a~sET uio otwn~ ' esr.ase. ?ur~ ournr~sc~usco~r. H rkalemia ~ 2 wks ; w~outt t~u~t W ~ ~ i •..s til• s\• e~r- .ftle tl• ~ .ir/f~°/. °YE 1° N~ ~ 1 • e • 1 ~O~wr c~w~e (i~ u~tLl fh ewlta = r~~tstrar n~ J~. py~ Tp (r) : • 1 thl p Tl p /A~T IL Of1ER MJi1CYR QOli~~06 ~t~R~G 10 OEtlM ~Yf IIDR tt1~1F010 Tt iFi~YYt O~ftAf[ OD1Y1O i~R11 M fMT 1(V _ MAS AYTOKY i ~~~r• af- F ?ERHWtMEDt t~~ A~at\ s tE5? MD? ' •r e. t~ r• i 206. ocscwuc ~w~r wwr occu~a (bt~ta ~rvs y Wvt fa a.t I~. P+rt U y tt~ ~tJ ~ .•k~•s ••r ~ 4CCi0ENT w~c ~wu~ ~ O O O •r aor. nue os tN.. x.M+. na. r~.. - -~~7• ~ ~lWtr a. n. S 1- n• i Iot. ww~r oau~uco mr_ ru?ct os aw~r cr_ i. ~..e..t ~..r. m/. trtr. ror~. o~ waT~ oouimr sr~~ ~ UtMtF AT ~ IIDT.I~MR.E Q ~?I. ~~r ~M~ d[.) ~ MO~RK AT ~R 21• ! ~tbnNd tM d~owwd /row . to ~ ~ndlye M~ e!:ti on ~ ~ - ONtA occurnd ~t ~:1T P. a~ en tM d~t~ ~t~Nd ~bo~~: ~wd te t!w Owt o! m) tno~rl~dN. /rom e/w u~a~s ~t~t~d. ?11 lt~~s ~i. NowATwt (DAFarNr4) ?20. ~oo11ES5 t7e. oa7ESK+~EO •r• te 1• ~..~~.s. ~ L.D. VanTilborg, N.L. SQ8 N. ?th. St.,Ft.Pierce, Fla 7-3~r 1 ale~T~t~. t]~. M~t. QEra~l Z~. WTE Zlr. NuIE Of CEMETEl1Y OR COf~u1TO~T Zli. IOGT~Ow (~it/. Mn. M ewafp . gui~a~"`y'' 7-13-61 Finegrove ~ Ft. Pierce, Fla. • r. s. is is 21_ o. ~s s~ew?nMC ~oo~s ts_ a~re ~aea ~r wc~ Rr,e. ae. RceaT.u~'s siwnMc a...~aes Pe~y S. Peek ?-18-61 Anna I.ee Dezsa.son, d.r. : i ~ ~ ~ FILEL~ AND RECORDED y ST.IUCi ~ " E COUNTY ~~~tiy.ce~ .......to ~e~a true ana correct copy of the Locs1 PE rOf?h ~l~RlFt~pLA. Re~~s at.'{~a~Cbrd~ fil9, in: f~e St. Luti~ Caunty Health Depart_ 163~6 m~en~at lbrr Pierce. Fldnds _ . ' JAN ` QNamingi'Not valid u~iless ~alsed seal of the St. L~cie u8 y- pM Z: 36 l:- County H~alth • Department is affixed.) _ ~ - . .if_r: :'Q~-~, . ! ~.t. ~ y',. T~`~D. MILIER. M. D. C F~ s - -'.j.~'J• ,Qwnty Health Officer 3 Local Rsgistrsr LERK CIRCUIT COURT . _ ~ . . • . . , , ~ t ~ - `7-!Q`l ~ ~ ~ o.p,n„ ~,a.i rc~;m~ a- 1 i s ~ ~~x169 ~2.717. ~