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HomeMy WebLinkAbout2136 re.. 1~- RAT[ .o~o or w~t„ CERT1FfCATE OF DEATH lsl~?~,5~ eo~~~ • ~YRGY OP YITAL fTATififq tTATt llLt NQ- '•s•"•`- FL08IDA •ra .ti•n a~ No. R A •S p~sp~rl~ 1. MA~~ KATN GODt N0. L YfYA~wLft~[MC~(1?~.~.iwr.irwR I/~ s.ri.w~I..~i.iMJ •=~e~t~~ 4~d ~111 l~ ~l~e~~ i. r- ~ Cm. Towr.. qt wu w~ c. a ru?tE os oEntw e. Cm?. torrN. o~ ~ou?TqM is ~oE~ .•¦..c wsroc crtr urrrn ua~oc cmr cu.rrn tsi•. res No O m ~a W?YE Oi (//s1~ M M~)tW. IiN ~ErMf Mbw) ~ STREET AOO11Ei3 l106NiAt OR . INSTITIITION ' w?rc o~ t7..e ~ttra t.r aTC x..N Dq Ynr M1SS ~TM A st 26 1 6 s. ~ ~ ~ ~ z .~.rop ~ ~~o a.~ a ~ u..~... ~ ~ ,rt.. H trt NrdMr x..r. w.. r~. r i t• - +nnowto? avauo A I'11 26 1 $2 rl.~.l, ~a. usu,?~ oca.~noN cau ~.ty.«r r... ia. Kwoor.us~ssos wousr~r i wTwua c$w.lr?~rn a...e..~ anaw o..wT oa.a.n .tse ~•r- t.r6y.«rNw?tlKWlr.eny,dbeA ¦~\~O~ ~i.er i.k 17. iATNEA'S NAYE c4. ~~s r.oce Ill. USA er c~~..r~s.r Uriobt t r~s ocwsco cvc~ w u. s, uirco ro~ccs~ . tocut sccu~r ra n. w s s~swn~ Ethel H. Nuss ~r.......,+....? w....w....w.,?...:w E h 1-0 - P't Pierce F1oMda rra~~al a?us~ N w?rN ~i~.~a..h w. a~w rn s.rh (q. (e). at (t).] ~~vk ~lTrEO~ e i r. e e• r r~~T ~ oun~ wns cnwco w~ w~r~ ou,n~ •ase til• wrtpATt CJNISE (U 6 t\~ e~?- s~rie.c. ~,,.q..r. ouc To A) Prjmarv aite undeteiTLn+~ ~3tM tl~~ r~ 1 ~ e a I ~r ~~t ' r~si~tr~r +«4I t4 rNrr- p11E Tp (e) .sses. ss ~ ~ t"~. \Or~ C- ~MT M. 071a SIitMICNR 001~tI101Mf OOMIN{RM W OG1M !IR IOf wpwlt0 TO M iF~M~MI ORGlE 001~111011 GNOI ~1?Mf 1(u - MAS AUTO~ST ~ /EIIfO11ME01 ~ t~r d~~tY ~ •r D•t•r• ~ ~ mb_ o[SUaceonruuRrocCUiu[o. [Aato~.r.r~ ~~tl~s ~w~ ~ AOCWEKT SYK~OE NOYK~OE N~IB~ Parf JK AnJ Jl yil~s J1,1 i.,..~_ ~ O ? p ` .te~ T~rE aF Hwr YwH?, Dq. Yar ~•a~. wwRr a w = m1. tl~iUllt OCCUIIRCD mt. ~LACE Oi INJYIIY (t. i~ ~r ~f w~t. m/- C1n.lO~M.OR lOC4T1011 OOYtITY StATE IMtE AT ~+ar wNas ~ l~•.l~e+ar..ae~r. Ma a4...re.) MORK AT MOIIR 21- I~tNnd~d tM d~w~rd /rem AIIQ~ 21 , to _~jlg- 26 1965..,~ r..~... A/m ~/iti on Dwth ooourrW ~t • a~ on tM d~t~ ~tat~d ~bw~; ~nd te tM Awt o/ aqr ~no~Nd/~. /rom f!N uu~w ~t~bd_ ss•¦. tL. s~ow?tu~s •r• se 1• (aq?arwk) 27d. Aoatcss ?7~. wTESw~o • va D N D Ft.Pierce Fla. 8- 0-65 •CO~I~at~. 2y. wJn~Y. CRYTiOLL 2'~. OATL ZIt_ MAYE Oi CEYETE~Y O~ CIIEMATORt ZIl. IOGTqN (GYI. tws. a panl~) (8tdt) lkrarA? (3yrry?) r.,.~s~a u. N~~o~ Ys,c~, ~•~erce Cemete Ft. Pierce Florida T~~C11 N°.D1~Eh. St ts. w~ nceo. ir wu~ x~. ~eaTm?~s s+eiunue~ a.•.,aas n iV Baird P'C.Piet~ce Fla. 9-~-b5 Mna Lee Daniaon, d.r. -IIr~~~...,, - - ~i~ , C r r - - i~her~y ~s-to -be~a true ~nd correct oopy of the Locsl F~ ' (Zegi~frar~l~d file irf't~e St. lucie County Health Depart- $=,~ED'~Np RECORD ' e~?ent 6t ~ort Pie?te. Fforicla.~ ~t1CIF ~p . ED ~ , _ r..;;:r ~.Uti.7Y. FIA. . .(Waming:'fJat vatid unl~ss raised seal of the St. luc(e ~~~~':'.f; ' County tfealth' Oepartrrant is sffixod.) 16`(~ ?~?~U ~ ~ ~ . . ' ~ _ c7 -D. MILIER, M. D. 68 fEB 2s Pr~ 3~ 2 ~'M,ounty Healih Officer d~ Local Registrar 7 . . - . . CL~~~u . ; ~,~--r': S -e. - ~`7 - ~ _ ~ . . ~ _~r. ~ 1~,.~~ ~ RK ~~.RCUlT CO pat~ D~puty toul Re~~mar ~ URT ~ BooK 1?0 Pacf 2130 ~ : . _ _ _ - ~ ~ ~ ~ . .H ~ G ~`5 Y ^ 'S"?!_~_ "`s..- " : S%2 ~ T. ~ -3~~~ ~ _a::P~1' . .~3