Loading...
HomeMy WebLinkAbout2232 rq~s.0e- ~TATt ~owRO or Nu~TM CERTIFICATE OF DEATH 1648s1 eo~es • tURGU OR YITAL fTATIfi1G fTAT[ FIL[ N0. '°6" FLOSIDA ,y ~rd .A~n BIRTN NO. RCGIiTRAR•f NO. p r O p e r 1~ 1. ~LAC[ 0/ O~A~N CODC NO. Z- YfYAL A[SIO[MCt ( IW yry ~;.t ll:~r.ww: Ru.t~.w M/r ~i..Mb.) es~ent~d ."e .'~l ~t°:""'~.uC1C (~-~oZ.S I~+lOY'1d8 ~S~":T"LUC1C ' e• ~~•e~a la ~~t- A. pTr. TOMM.OQLOCATIOM ' C. K ~LACE OF OEAA1 t. diY. TOMfM.011 LOC~TIDM t. K 11ESipE?KE . ••°•"c Ft. PICPCC ~DE ~ U~~~' Ft. P1C2'CC ~NS~x aTV ~ rn r i i.. res ~a ? • res w 1_ ?uME Of (ll tr! tn Mhihl. /ie ~hhM Mf?a~) I. STREET AODIIESS Ft ~~`e~ce Memor~al Hosp~tal i923 Wyoming Avenue 3.u?..e e. Fw« er~urs t...c a. wrE u..r~ a, r... KCt/1~La ,~n~«,.+,~, Powell Garland Murrell o~TM Dec. 3, ~9b7 - S SEIt i. CO1011 O~ 11AC[ 7. M~RRiEDZI NEKII MAR111ED W?TE OF MJl7N AGE U~ ~O! i UsDEI~ 1 trW «OEa st MS. ~ Male Whi te 1 ` ' x~. a» x:.- ¦ r t t•~ MIOO~IED ? 0(NOR[[0 Jan. ~ 91 a~93 ~ p 1~ 1~ 1~ 10~. USU~I OtCWATqw (Oiu tt~t NMrt Mst tOS. KuW OF WSU~ES50R x~01KT~Y 11. N1ITWLACE (9Kt ~r /Mtl/~ cwWl) 1. trtutw Os ~rw~T Gownrt •1~A v•~- ~..+a y ~w~~ .•y?.w.r? ga1lTOadl~g Vl~`glnla U/S A - Exec. ~a~lro~` Dl~et !At ~A7NCA'S IIAYE I~. MOTN(~Y MAIpEN IIAYE ' Gaorg~ 8. Murrel2 MiZdred Garland is s«~u sca,e~rr w. s.+..u.vu w.aa. ~18-16-922 Hamilton H. Floyd 2405, i~th. Ave. Vero Beach, F~a. I1tf1~ f tl 1~. CAYK K~TM (61/o Nl/ Nt tMiM /tY ~I (A). qI (t).I ~ IIITERYAI ~ETM[CN A 1 T~ e t O T ?ART L OEATN rAS CA{qE0 • OIISET AMO OEATM •u~t /~l• u~M[outE C~YS[ W the Nf- tifie~t• ~y,~~ay~.i/pt. pyE Tp (y ~ •1tA t\~ ~p,~ ~u~ ~ 1 e e• 1 ~D~se cwe reaistr~t ~ q,rt TO (t) •itAln i= Z ~~I ~ (w. A ou ~ ?A11T 1. SK~KMR tA~pi1016 OU1N pR NDT ~M1W TO awrw~ oausc taiatnw 6~rcw w?wrc K~) . w~s ~uTO?sr ?[AFp1lMfD1 c~r d~~t~ or eeror. `r-~ res? No~] ¦~k ta~ ACdDENT SIlKIOE Fp111Ct0E ~~r octuRao. (ata wwe yfahry t~ Pet !r Prt !ly~~w rfJ d~~pe~t- ri ~ ~ ~ tloa •t ~ led~. TtME OF !/M? ~/wfl, p~r. Yhr fMlYRr ~_IA. Q l. W ~ 10r. ~uu~r oeeuroeto tDe. n~ec os wu~r v.n~.~ b.r. tD/. em. Twrs. w~oura~ oouNtr ST~TE wM~L ~T ~ wT rmKC ~ 1~+~. /•ourr..n~d. Nke my.. ere.) M011K AT MOIK ~ l~tt n fM d~cN /rpm ~~7~F]~_. to 12/3/67 •nd t~~t s~~ h~m ~fir~ on ~ tA nM on fM d~t~ ~t~t~d ~bor~; ~nd to fM b~~t ol m~ Xmrl~dN, Qo~ia ~A~ uus~i at~t~d. ?lI 1t~~s ~ H •~f t• 1• ~ eeM(Y!t) ??L AODItE55 . ree ~TESIGMED ~~•pl•~• • ' in Wol owsk . . Fort Pierce, Fla. 12/8/67 •CCYI~t~. ~WMK. GEIIl1t~0~1. Z1~ DATF /111ME OF CEMETEA~ OA CR[YATMIY L1I. IOCATION ICYI.lMCf. M lMtqt/l (3~ft) ~ B~t~~'h' 12/4/67 ollywood Cemetery Eichmorid, Virginia 3. ~,~i:2 2! ~UMERAL DIRECTO~ S SIGN~TIME A ?S. CATE RECD_ ~1 tAC4L REC. I6- ItE61STMR'S 5 TURE Re~.lYA6 ~~y ~P/j~GI , Floy~"~uneral Hom ~ r'. ~ V ro each Fla. l~. -11-~07 „ 1~~i~'''~ ~~j ~ ~ hereldy, cert?f~t° thii . to b~ a trus anaf correct copy of the locsl R~i1~ra~s ?eco,~d on fiM`in'Jhs St. Lucie County Health Depart- rr~nr ~r f,on ;pier2et Flol~dar. . . ~~;(Warning: Not valid urtibs3 ralsed seal of the St. lucle Co~~t~c_Health Department is affixed.) FILED AND RECpRDED~ ~ " ~ ST. LUCiE COUtJTY FLA. ~ ~ . •~N_~ Or ~MiILER. M. D. i:: ^ - ~.-.r- ) , . _ ; " ~ ~iy Health Off+cer d~ Lotal RsQistrar f _ . • ' , , . 1648~1 ~rs~• ~~s~~~ ~~~.._.,.~.~~L~..y ~ , '68 M~.IR I PM Z : 55 pat~ Dsputy Loul Registrar r. i: tt s•-: ; il I: r~.: ~ ~Q~~~ ~~~~,~,r,~ CLERK CIRCUIT COURT ~ ' T~ ~ ~ _ _ _ _ - ; : -s~~~ ~ ~ r . ' f -