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HomeMy WebLinkAbout1569 1 16441_5 ~ i. ~ . a~A~l ~iVMW V~ ~~~L~~• v...~ . . . _ . . . . . . . •U11~AY OF 1/ITAL fTAT1fT1C~ fTAT[ FIL! NO. ~•R•~ . FLOHIDA 3 ~ orA .I~~w 91RTH HO. R[QIiT11AR•f NO. . prop~rly 1. KACt N~[11TN COO[ t10. es~eYt~~ 2. YWAL w[MKMCtI~~w~MrMMrf //i~Mil.~a t~r~Ww~~w++) . ."s .~il St. Lucie ' -011~ ~ ST~~Florida ~ ~Tr $t. Lucie e. ~l~e•~ •~w~~tr 1. t~Tt. TO~II~OQIOtATqM t. Cm l. C7TY. TOMM.OA IOCAT~OM t. ~f510E~ I~rIT31 r~ t. P' e ce ~S ~O ~o__p___ alf~. N~ME Oi (H y~ y y~lMr, ~ErMt M/aw) 4 STIIEET ADO~ESS MOSMT~I OA Nh~ ~T~T~T~ Ft. Pierce Mem. Hos . 701 Azalea Ave. ~ 3 M[ ~I iMU 1(Ytt LYf ~ DATE a/MN D~1 YtM ~ir~«r~~ FRED T. EBEL u*~ January 27, 1968 s. scx ~ cao~ o~ iucc wua~Kn ~ rcvc~ wwEO ~ w~ os ~n~ t.c~ u. ~r«. s~r~oce ~.w u~oca„ ~ws. t«e Nnya1 K..+~. n... s.... ra. M Cau .ao.~o0 orv~cco November 1,19 0 67 P~•~ w i~ ~0.. ~suu occw~noM ~O+~r N.1 y.w~ M. IM.IIMIOOi MISMESSOA ~1011ST~r 11. MTWlAf2 (S1dt M M~M~ tM~M) cmea as rwr aou+~.~ .1 t A~~r- Ia.t.~ rM~CrwtW Ah. se~ ~J rwM) ••a••~ Custodian Post Office Bronx, N.Y. USA v ?1~lt ~~t Il ?ATMEII-S ~u1Yf N. MDTIIEII'S M~IOEII MAYE ~ Of Fred Ebel Lousie Rabb ~ 1~ SQG~L SICYRITt Iq 17 • fNMA1Yw[ Q AIbtM 0 77-07-5505 x 'l~ ~D C/ ~ ,4 . V Iun~e•1 t• c~YStN~tATNI~+Mw1~MMM~ MlH.1~1.n1(H.) ~ ~ nn~~vu tw~~a . a~r~ea~r ?•~T~. a•n~~.sc~uscow> a~sc a~rM • ~ ¦u~e ttt• wrcowttc~v![ W - - - - /N-L'~,.? ~ cs. e•r- • f Q tlffe~t• lldYlw.i/e~1. OUE10(~l, - ---_ic= - ---7_-~-(,/~~ - • 1 t ~ t A• r!k? prt rbr f~ J( s`- 1 e e• l ~t~ m~t (~1• n ~ ~ ' ~hHy Mt •Ntr- ,Y---r ~ V r• I~N~• ` 1-1 R f/iy t~~at /~M. DUE TO (tl /r~t]t ~ - .1t~iw 7~ Z Q ~ o u r• • f- O fAl1T N. Ot~f! SIi1i1C~IR lp OUfll ~Y1 Ip 10 M oew[ oaa~ C~w w r~n N~) RS AUTQ?Sr S . Ui011nE ~ t~r A~~t\ 11ES? UD er ~•t~r• ~ 20. ~ 20~. ocsai~c ~wn ruu~roccwaco. ~~e. ¦tve y~~.~ n. P..e ~r Art II yYr. u.) •~L~w~ ` AUIDEMT SUIpOE pOMK10E ~1~~~~1 Y ? ? ? t 1~~ •t ~ p~ T~rE OF I/wr ~(wt~. /N~. Ye~ ~ ?ed~. MUUII~ S A. I~i = 20/. MW~~ OCCV~tlt(O IOr. RK[ Oi MW~~ It.1~. M dw/ M~t. mJ. Mt. TOMM. OII 1OU11qM OOYMT~ lT~Tt ~ ~N4t AT O MOT M11~[ O M~~. titN?I. MrM. ~ef MM.. At.) I MO~K AT 1q11K ~ I ~ff~nd~I fM /~owNl /row _ . fe ~ ~ nI /~~t N~ A~ ~/i~~ en ~ - ~ ONtA oeeurr~d ~t • w~ fM d~t~ ~f~Hd ~Aor~: ~nd ee ~M bNt e/ rn~ lno~/~Ip. ~A~ auNS ~~~r«/. -~t ~11 lt~~• ~ Na~ •r• t• (DrMnMlNrl r m SS t1t. DAT[SiGMfO ee~~l~t• ! / ~O ~ -M ! ~ gl •ttY/~1~. > ~ 2l. w~. c r.r wt[ 23r ~urc os ccrarE~r c~cr~TO~r 231. ~ ~ I~r~. twrs. r ns~ry~ (8r.~ ~ Remo ~ 1~. 8-6 ~ St. Patrick Ceme~er Huntington LI N+Y. _ ( v.~.~ e i~ y~. s~u c o~ ~~';nN . 7 th S t. ts. wrc ~cco. w wck ~EC. zc~aKrius~s s~ciuTUac l. ~•..i~se -C.fl/Y.~ ~ - ~r c1~o C~ ~ _ _ - - _ r-- - - - - f ' ` ;1, ~ .1 - t ~ . : f~ } _ _ - - - - - . - ~ 1 hereby certify this ro be s true and aorrect copy of thd~i~c~~ _ : i Registrars record on file in the St. lucie County Health G~p~rt-,~ ~ i ment at fort Pierce, floride. _ . ~ ` ~ ' ~ FILED APJD RECORDED~ v.1 ~l ~ ST. LUCIE CL~U~:TY. FLH. lWarninc: Not va~~d un!ess raised seal of the St. lucle. ~ ~ „ _ Counry F:es:~h De;~artment is affixed.) _„~1~,~ \ - , . . : . , ~ 16~~~ S N. D. M:ll':2, F.1. D. . ~ ~68 FE8 I 5 P,y 3. ~ 8 County Health Officer & Local Registrar ~ ; ~~c'-c Cr..~ ~ _ ~ ~~C~ ~ ~ a'i~v ,c+-~ . ~ 5 " ' ' ' ~ ~ S Deputv local Reaistrar ~ CL~P,K.CIRCUIT COUR7 : ~ ~ . ~ - ~ B~x~7U ~~t~564 ~ ~ ~ _ . . _ _ _ ' -~-'n" ~ - ~ = ~ = z.~~ .-.7