HomeMy WebLinkAbout2043 , -~~47"~„~4 '
~ In re: Lots 7 and 8, Block 2, FORT PIERCE BEACH
~ SUBDIVISION. . .
~ ro~ ,
Y~ W Lot 6, Block 4, HIBISCUS PARK SUBDIVISION, i
w o~ as per plat thereof on file in Plat Book ~
i~~ 8, pa ge 43, public records of St. Lucie
~ ~ County, Florida. . .
x"~ Lots 7, 8, 10, 11 & 12, Block 8, OCEAN
~ m`~ VIEW SUBDIVISION, REVISED PLAT HOLLEY &
~ z MORGAN SUBDIVISION, and
~ W
R.
S° Lots 6, 7, 9, & 10, Block 14, OCEAN VIEW
SUBDIVISION, REVISED PLAT HOLLEY & MORGAN ~
SUBDIVISION. i
~
T~,s De- iTATE 6C•ARD o~ Nu~TM CERTIFICATE OF DEATH
co~es • 6UR[AU OF VIT/LL frATtQTIC~ ~TAT[ fll[ NO.
1e6~1 FL08IDA -
ord ¦Aen BtR7H NO. REGISTRAR•E NO.
p r op e ~ l~ COOF NO. 2. YtVAI RtQO[MCE l~?m ~w~d Awr. ll..rw.~+- l.d..r W... ai.w:.+)
eilcut~d ruC~ O~ YtATN a. STATE 0. COUMTY ' `
.~d °D°"TM St. Lucie b~- Florida St. Lucie
s• yi•e•a
1 n p~r- A. C~Tr. TOwN.OR lOG?TqM t. K~IACE Oi OEAT11 t. C~TY. TOINM.OR LOCATIDM t. ~S IIES~D[NCE
Ft. Pierce ~hs'~
f .~q~'t IIIS~OE CIT1 LIMITSI
F't. Pierce res w0 ~S "o
~ rii..
N~ME Oi (/f ~w~t h M~yit~l, /+t M~tN d4ur) I. STREET AOD11ES5
IIK7ITYTION°'j07 Ocean Drive ?0? Ocean Drive
3 NAM[ 0I fl'nt hliflre luf 1. WTE AIo~N - Mt Y~ar ~
~?yr~p~•+•~~ Cherles Harold Peckelis o T~ 2 6 1968
s. sc~Ia le ~°~iO~9 "•""aoX1 ~cvice wiu~co ~-8 r i u1892 9- ~y6E~,
w(l.~ /na s~..oc¦ ~.w „~oca:. w~s.
~ 3~ ~/7 wn) x..w a» x.... ~r:,.
r r i c• woorco t`~ ava~cco
p1~lelr la. USU~IaCWAT10MlaMtti~~/eMlM~t IOD.7[~NDOFWSNIESSORiN01KT~Y 11. NRTNK?CE(S/~ft~?/NtywtNt~/t~) 12. Gi~tEM0irw1i0p~iRtt
D•'- `'",b New York Cit IInited States
~~p~q~ Se`1~~ing 1~`gen~ Textiles Y
Dl~ek lst ~3_ FA7MEI1'S NAME 14. MOT11E11Y MAIOfl1 NAYE
. Adolph Peckelis Anna Elsberg
i6 socuu sccuR~Tr uo. ~7. u+ro~urw S HCMATYR[ A!/rta
Alice H. Peckelis 707 Ocean Drive, Ft. Pierce. Fle.
?un~r ~l 1~. CwYf[ OI O[ATM (6atn awr (~l. l~). ~a~ (t). IMTERVAL ~ETME[M
~ ONSET DEATN
dlf~ttOT IAIITL O(ATMMASCAYSEO~Y'
IMYEOIAT[ C~USE '
¦ust tll•
tA• e~r-
tltle~t• C~+/wy~.ifql. py~ TO (81
' . i c e c a• ~~?K~? ~.rs . a l
i 1 e e• 1 ~Aerr cwx~i). ~
r~slslr~t N~fiy [?t raltr- pti( 70 (t)
~ •1tAln 7= ll~~/ t~rat 7W.
O ~411T u. OiK~ SKrs rt COMp~?7~6 CanlqwiwG i0 rN sur No* auao ro na Turwu u ta+oino~ wru w?M* i(•) . w~s ~uTOrsr
€ Aours •f- F ~ ?EIIFORMEDi
E c~r d~at~ ~ rE5 ? NO~
~ O ~ 0~ f0?• r~. 1~ ? 1 pEXq1~E NOW INJURY OCCUNREO. (ER(t~ 7~~~t ~/t ' iA PYl I K P~/t IIIJU~D /I-)
¦~klaj u~ ~ ACCIpEKT SUKIpE MpY~C10E
el~ye~t- u ? ? ? ~
~ cfo• ot
~ ~ IOc TIME os IIN? X~wtl, Ih~. Y[~r
?ea~. ~ uuu~r
W y_
~ ZO/. Yl7Ullr OCCUAAED 20r. ~U~CE Oi ouu~r ~e. iw ~r ~ne~t A~.u. ~1J. CtTY. TOMfM, OII IOCAT101! COUMTY STATE
WMRL AT ~ NOT MNKE ~ ~A• ~NI. urtd..~c. as~.. dt_)
WORK AT wO1lK
21_ l~t~~nd~dfA~ Ns~d/~om l~ 8~58 . to •ndl~ata~~ h~'•~71i?~on ~ ~
D~~tA xeur~~d t m on tA~ d~f~ af~t~d ~bw~: ~nd to tA~ b~st ol m~ /no~l~d/~. lrom tA~ uuua ~r~r~d.
•11 lt~~s p0 1?t. WTES~GMEO
~ S~ « a ! ?Ib AOOIIE55
~o.,i.s.~a ~1~ M D Fort~PierceSt~g~t 2-7-68
aee~t~t~. ~~TE NAME OF C(MET[N9 OA CREw~TORY 23f. LOCATqw (GY/. l«rw. M cw~f/) (37~(r)
Remo 2/9/68 ~nai Abraham Newark, New Jerse
ieiz M[N [ 5 SIf.11ATUR~y9 G~~W pRtr]6~~ Q 1 H . pATE RECO. tACAI 1lEG. 26- REGISTMR'S SIGMATUIIE a
R~r.lo68 c~~~/~L(/FLt rltli'~er8F1.2#~~ a._(~._(~~ ~.~f-7~. ?Ea ~
z~
~ .
~ ~~rr~,~....~~~~ FILEO ~h~
,-~1 ~ ; r n RcCORDE ~
; i herehr~~e~fy th~s ~o ;be s true and correct copy of the Local U C i~ ! ~ U;: T v. ~`~5~,~?~
~ Regi~~at's'r~cord~Q^ file in the St. lucie County Health Depart- - ~
ment_bt PQjt~Aie~'ce._~lorida,- ~64'?~4
~ :,~~(VI/aming: Notbalid`unC~s raised seal of the St. tucte ~
~ " : Counfy Heslth:Department is affixed.) •e8 FFp z7 38
~ ' r ~ . . .
~ ' - = ' , ~ M: MILIER, M. D. : ,
~ ` 't ~ ~ ~oynty Hea~th Officet b local Registrar ~ ~ ~ _ ; • : _ +
~ L i i:i~~ili COUrZT ~
~ ~ c~
~ ~ ~ . . \
~5~ti ~~t~LS.7~~--
~ p~t~ " psputy local Registrar a.~-
~
~ ry
~ BOOK 1~~ PACE ~O~ 1
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