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HomeMy WebLinkAbout2228 t.i. .r~T~ .owwo oF Nsn~r+ CER7IFICATE OF DEATH ~ ~ ^ ~6`~~, ee~~s • ~U11uU OR VITAL fTATIf17G~ , fTATt /ILt • FLOBIDA , • •Sew 91R7M NO. R[GIiT11A11•t NO. lr~p~r1~ 1_ ~awt[ O~ W?TN COD[ N0. t YtYAI RcNOtMCt(~w~.n..~Md. ll:..rlr..w e..~wr.K...~.w:r.) ~ ~-~r St. Lucie `S:s'forida ' ~~0°'"'~' St. Luc~e (D ID-0 a-~ ~i.~.. ~w nn?.Tan~. lou7a~ e. ~s ~ucc or ot~TM e. Cm.TOrN.ai ~OU?rq~ e. a us~a~cc Fort ~Pierce ~ ""~TS' Ft . Pierce ~ c~r u~~.s. r i 1.. res No O res Mo I. ~uME Oi (l/~M i~ Mijiht. Nrtd ~flrw) t. ST~EET ~OW1[Sf ~ ~ w"~;~T;~,,;! Ft. Pierce Memorial t:ospit I g09 Fhode Island Ave., • MAMt ~I sY.r u~r. t...e aTC ~w,u ar r~a . .«~?s~. Thomas ~~Yn1 CoPe 1 1 19b8 cnr~ r rt+n - s. sE: t. ooto~ o~ iua 7. w~w~co rcra wuuKO s. aTC os wrn f. ~cc t/. ~~r~oc. ~,u. ~.~a. H~ws Hale White 3/3/1903 ,'~`,~"`u.'~ N'.". . • a • rnoor+co orw~ao ~ t~ i~. - 10~. usuu ottur~rp~ fObe t~,d y rat ~nr 100. KMO Oi WS1M[tt OR MDYST~~ 11. N1ITNIUC~ IS7YS ~~~l?Il 1. mnu ar ~wr oawnn .1~. ...?w+u•....+y?n~?•~? ~evispaper California United States Journa~ist ~~••r i.t .•Trc¦ s w.c ~a .arMU~s r.~oc. ~rc ~s,..rs~.. James B. Cope Emelia (Unavailable } ' socu~ scwNn ~o. uu~R ~ NtWiYR[ wu?.« 376-16-20~ Htrs. Lillian Cope S09 Rhode Island Ave., Ft. P~grce, ' hw~ r~l IL iAYK N~tATM ~6Ma hl/ Mt enw yv fiar pr (u. (1). (r tMTp1YAl ~[Trt[CM ?~~T L OG1TM Mb C~Yf(0 ~ ORfET 0(ATM ~ir~~u~ w¦ca+?TC t~u~c W ~ !a ~L % ~kt '!i i ...e rii. t~. s.r- / ---L I~i siria•a• a,~w~.,..r/..r. ouc To t~l C~rOGC Cf r l~~G~ ~S~~1C 2 l.J ~ ¦ i u u• ~ ~.;,~~u ~ ~ ~•e.i . f r.rw r.. .d..- r~sl~tr~~ yi~y nsar twt. Ou[ 70 (t) ~ • f t\l • 71 O IMT 1L Ot~4 SK~/IWI 00~0(Ib11{ COM~MV~rK TO OG~TM RR IDi R[1A ~O M IUW~I OtfFwf[ CO~aU0~1 ¦?YT ~(~1 .~~S AU OKY l~rf• •f- ?[1ti M[O/ a.. a.. c? 3 pp~ik~rr ~ sNkQ DlQ.le~J'~~~~rj ~Blo~ CI%'t~01~7 p~ i~ res w? •r ~~[~r• _ i yp~. a~~~~roccuRUO. (itita~rw.yiyv~t+PrtlrPatllyl?nu~ ~ , ..ti.s ..7 ~ ~cc~a~r w~cwc ~wn~noc ~ .t.~..•- u O D O ~ •f pi. Twc p~ Itwr Xw~, Dq. Ynr ~7• ~ uuv~Y • ~ o l = IW ~U1111r OCCYRII[D mt. ~LAC[ O~ iK111~~ (t. iq N~Mtl 4~It. IO% C1T1. TOfM. 0~ 104iq11 OOYM7Y STAT[ MM1L[ ~T ~ NOT Mwlt ~ MA.IdM1. ~f~td. ~itt O!~/-. Nl.) ~ ' MOAK AT MOAR ~ 21. I~fHeNd fA~ Mq~s~A r • 3 . fo ~ ~wr lNf w~ ~~iG~~ ~n ~ 3/ D~atA ecc~r»d ~t a~ en tM d~t~ at~t~d ~60?~; ~nI te fM Awt ef aV Yne~NdN• hom tA~ u~NS ~t~t~d. •ll 1t~~• jy. HC TYAt Dr/rn~r Y4) tI1 OM[j~~ ~ ~ tl[. DAT S+CKO •r• t• 1• / 3 6 e~~~]~c• ~ ~ ~01~7 . IcCie / ~R1i ~ •se¦r•t~. 2b wwaa.eur~r~ 2]~ att• 23[. ~YYLOiCEM[T[~'/O~CRCMATOIIr t3t. wtwTa~(Glr~.t«r~.re~w~rs) (srr) 11[~QR4 8/M/~1 ~ suria~ 1/3/b3 Ft. Pierce Cemeter Ft. Pierce ~la. t. s. / Ai a s ~c ouit o~ s s~~ tS. art ~cto. ~r ?ocwi ~tc. ntwsTiwY swr~TwK "'S~' tes°0"`~r:eral o~e ~ a...i~se ~~h~s~'tC„~~t. P~erce, F~la. ~ ~-{-~o~ a.~~ti_~ f ~~s~- ~ - - _ - - - - _ ~ F~LED AND RECOR ST. IUCt~ r~ ~ED •terti is~to'~be s true ana correct copy of the Local U~~TY: FLA. ~ i hereby ~Y ~ . ~ - : . RegistFarstecbrd~fiie ~R_ths St. lucie County Health Depart- 4 ~ _ 7'or ~c~ . rnqnt Fort ~Pierce, floricia.~ . ~68 F~~ ~ ' ~ P~1 !2 : ~ . `~yVarnS~lg: No~ v^alSd unleu ralsed seal of the St. lucie . County Heakh Oepartment is affixed.) 16~~~~ ~ ~ - ` N. ~ MIIIER, M. D. C L,~.F~ , . ° . 'r. ~ Coyi ry Health Officer ~ locat Regi:tror C I~ C U I T C~ U RT x~ - . - ~ . ~ . r ; , ~ . J-- -~..~L - b~ ~ I~ ~ A i_iQ ~ A~~~ 9 i Cl ~ ~ - p~~., ; , peputy Local Rsgistrat ~ . ~ ~ 800!( ~~~U PAGE ~~21 ~ _ _ ~ ~ ~ 5 ~ ~ . . _ ~ ~r. -