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HomeMy WebLinkAbout0861 . f.. ' . . . . . ~r . ~ . . _ • - . . ~ rsi. ~TAT[ .o,?wo or Mu~TM ~ CERTIFICATE OF DEATH ,~1,6+5(~(~ cea~ • ¦uwuu o? vITAL fTwTirl7q ~wTt ry~ ~•s•l • FLQBIDJ[ orA BIRTH N~. ' ~ R[O) All•t NO. ptep~rlr 1. KnCC O/ KATM O00! NO~ ~A~A[iMO1Ctl~~w~rdM R//~ NtI..rM~~/wiri~) .:.e~c•~ ~.OwN~Ttr ?wd •~Il D• ~1~e~1 un. row..w s. ~s rua w oun~ a an m~raa~ ~nur~oM ~ ~s ~cs~cNa .....s `'O~'~°.Pierce,rural .a,oc a.. uwrts~ .~oc cm unrn ri~•. 1 ~rn No - rES Mo ; ~uwt os (qs~t i w~i~l. Iit Mnit ~Mrw) l sTn[ET aeol~[~s ~ NOSMtl1~ 011 ramura+~ gt Nwr~c e~ Ilne NY4 iwt att Xwd D.s Y.r ~ Juliette H. ufa ~ ~?TM 9 8 1967 scx s. ooio. o~ ..a M..~uco ~,~va, w~ucn a wrE os w+r?~ -~.sc . u~. ~.w ~.~ou ~ i Female Wllite rnoo~m . oryo~cm 11-2$-1905 b1~+w•~~ x..w a... M«.. ri. - s r r • s • ~ l~! ~1 ~ 10~. uSU+~L OCdM~Tp~ fQirr Nd yw~ Mt IO~. IIwoOF M?SIIIC~iOR IOOIISTRU 1. M1w1Ati ibhM MM~M~ ~I) ql~ a~ wMt 00~» . f sl~ ts?i~v •«r ~/r~?u~I Mk. wr~ ~/MM?M ¦•w•.t Ci8S11~eP ~Y'~. I~8tr• $t.OI'8 NdM ~'l~iSM~C~[ ~[18d ~.S.A• 11 ~e t~~t Il iATNE~'S MM~E ~ . MO'i1Q'S MAIOtN ~MM[ . sn..~~ s•r . AIILOII~O jjj~ie '..C _ Ca~le-!'~21A LA~l~d ' . socw scaMn~r Na. n. s w+w~ - .w.« - 0l?6-1 Milson Johnson • Ft. Pieres,Fla. r~w.r.l ~a s~vs[ N w?rn (awa..4 weawNrwrp W. Al..d 1da apT~arr~t ~conycra~ ~ ~ r•s s•r r"~T ~°uTM ~"s cw~° w' /~eriosclerotic Heart Diaeaae 1~iC~'i.alA - tii~ - . wrtwt~c ~wtc W cA• e~t- i •ft\e•t~~ ~1H/~a/. OIR 70 p) ~i~~~ . . 1• s • 1 rwe t~wisr (i~ ~ r~sl~ar~~ M~~I Me ~s/er• 01i[ li0 (e) ~ •it\1w 7~ z ! Ao.r r- o NNIT N. plfw M4fltMR 001/11~o~s OI~w1~rs 1/ irtl11 wR I~R ~L 1M[ 1~wirL O~R1[ OIw1~0~ iw01 ~1 MMT 1(y - r 1~ ~a E a..s~ s ~ •r ~~t~~• _ ~ ~ •.kf~i 4~ ~ ~`'~o[a[~T s~nGOt ~~doE ~.oaou~E~w~rood~[0. (stiNra~hrsyly.qbMl~?tiMll~lM~u.I F t~~l~~l~ V ? ? ~ ~ tl~~ 1~~'. _ ~ mt. TWE OF !/Nr l~liM~. Dq. YM? , ~ ewKr~r a . S ~ i 20/. Mll1MT OOLYlID[O mt. RACE 0/ wJIMr It. i~ rMf M~t. ~ CITt.IO~R O~ tOGT1011 OOIIMTY 3TAT[ ~ InIM.t AT ~ IIDT MMl[ O ~I. ~K ~M~. ~ft.~ M04K AT~K 21. I~f NMMd fA~ IwNwI /nw . h ~ fwt ~n? A ~~~i~+ ~w ~ D~~tA oo0~fr~d ~f • ~ M fA~ ~M N~t~I ~~w~: ~wI h fA~ ~Nf M ~q twNbl/1. /~~w fJY~ q~Mr ~t~fN. ~ ?~1 ~s•a• t2.. s~owri~c ~AMrrrrrrk) t3. aoo~css • t=c. wt~cs~[o Port St. Iucie Sho in Ctr. 9-6-69 ~ 1 ~~•~~•s• • Bernard D. Rosa N.D. •esrr~t~. ~~?.ptw~~ t~. OrTE ~]r. mlMtOiC[r[T[~1tO~pE~u1011~ t7/. WCw710M(C(ry.Iwrbaew~(p (~dt) ; Re~?ov~ 10-6 St. Josa h Cemeta ' Wir.ated C~ui. ~ r. s. f sis u fwicw : sw~. ate~ H~s ~ Mrc yoca ~+r ~a~t~a. ~s t~au? Jack J. Noore P'~.Pieres,Florida • 9-8-b7 ' Mna Lss Deziiaon, d.r. ~ _ _ - _ - • _ . ' . ' ' _ .a, 'r ~ Fru~o.Arvo: RECaRO~o~~ ' . ~ ~ ~ . : ST. LUCIE COUNtY; F~A:'' _ . ' . - ~ R~COf~Q 1~~Rl~~~p~ ~ to al . ' ~ ~~r,sifj/'this to !s~ a true and aorre~t oopy of th~ t,ocal . • . ; ~ . . . ~ . + ftiYs~. r~odc~! a~ ~a ~n rt~. sr. u,c~. c~ourn,? r~ o.~. ~ . ~ - ~ :[6•~g4~ . ~rrg;. P~'~ p°~'d'• . '68 _Ap~ : `~5 p~ :3_~i.:2 . . . - 3~'-Yt Not~iratid unbss tai~ed ..al o~f th. St. Laid~ ~ . c;:~.- ~ ~ . . ~ ~ ~ s;~~""~`~,'_.. c~?; :.~~h o~tn+eM is affin~d.) ~~t Q G C F y~ 0 FT R~ S~ : - ~ `-•r'~~Rj--'`~=``~;`:;~:j: N. D. MlttfR. M. 0. ~ CLERK CIRCUIT COURT, . • , .7 ~~.~...~j~~ . ~ ~ ~y r~N~H~ V~~IfA? ~ ~ ' . ~ - . ' . . , `t: www~ ~ ' - . ' ~ ' . . ' _ ~ ~ - ~ . t • ~ G r~~ ~~-'~,.~F~~ s..~~.,~.. . : . ~ . . . . . ~ . oa~ o.puty ~oo~l R~pf~ra. . . . d , . . , _ . ~ . ' • ~ . - . . . ~ . . ^ . . . - . . ~ ~ ~ ~ a°oR~r~~1 ~ 8~0~ ~ . . . ~ - - _ _ _ - - ~ - - _ - - . _ • - t" Y«R ~'"i _