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HomeMy WebLinkAbout1275 16620i i , rn?. s._ ~wTC BOARD o~ Nrw~TM CERTIFICATE OF DEATH , co~ea • YUREAU OR YITAL RATIfTiC~ RA7t ?Il! N0. ~•R•~ FLOB~DR ord ~A~s g1R7H NO. R[GI4T11Ap•S NO. p~ope~ly 1. 1U?Ct OI KATN GOD[ NO. t YiYAI 11[NKNCiI~?Mnlrr~dlinl f/:r~:A~~w~ t~~br+Ww.~l?..r:r) :~a`:;~i 001"^' St. Lucie 66-025 STATE glorida 001iT'St. Lucie bt ~l~e~~ 1 e y~~- C~:Y. TOMM.011 IOCATqq t. K IU1Ct Of OEATN t. CIiY. TOMM, 011 IOC~T1011 t. K RE51DEKf •~wewt INS10E CITY UMIT51 IIWOE CITY Ur1ISi ri~.. Ft. P3erae rES~ ,p? Ft. Pierce ~ ~ 1u?ME Oi !I/ aN ls ~N)ihl. /%t Kr~N NIt~NI STIIEET A SS .1 T~ ~ 326 N. 15th/ Street 32~N. i5th/ Street ri IU1M[ 0/ ~~t 11~WIt 1Nf D4TE XM1i Dqr Yt~ N~.~,~~ Hs?rry Wilbert Lance ~,TN A.pril ~ 3 19~8 S. SEII ~ CO1011 OII MC[ 7 MA11111E0 ~ MEYER MAMIEOIJ QI1TE OF NIItM ~ IY! ` yy) M..Y. ~ a ~a ~M~K r.~ t. Iri&1@ CetLi. rnoowco0 avo~cco J~• 22 ~1904 ~ y i•~• t0.. usu4i oaw~~a~ ~ow it¦~ y r«a ~..e ~Oe. Kx~o oc wswcss oe wovsr~r ~Twua tfi.er w Mey. ar.erN cnurn os wwa aou+mn •1tA 1~r- Irriyw«felr±?lbyh~i.ertwijr~(vNl ~aw~wt In$ @(~`tQ=' Citrus-Govt• 80S@ Hill N~Cr~ U~S~~• ll~~k 111t 1~. fA7N(R~S NAME 1~. M01MEw'S IMMt Walter W. Lance Mar~ t~'La Jane Mathews ic. socw sccu~~nr ro ~~o • a rwic 32 N. 1'St St2'86t - ~f r ~ , Ft Pierce Fla. Fus~~~l t~. CAWi N~t4TM ~6+1a ~ ne sw~t tiat}r lA). ~a1 l~ IKiE~YAt ~Eir?EEM owscT uio oc~n~ dir~es~r r~~T~ OE~TM~~SCAVSto~~: ~ ~u~t tf1• W~~n (U t!• e~?- t/tieas• C~~ypy.~/pI. py~ TO •~t~ t\~ ~e~1iN prt Ie'~ N 1 • e • 1 ~D~s~ a~K (i1. aiai- r~si~trar ~hei~/ rNer- Oui TO (t) ~ •itAl~ 71 fI~+V ti~K ~~M. A o~r f- O 1MT M OTMU MAi1W1 COU01fO6 COrtY~1R1Nt TO DG1N FR 11DT IIWl[O 70 T11[ T[RMM~I OtgAf[ C01O11b11 GIrE11 r1 tYT 1(y . wAS AIROKT ~ /EIIfORME01 c t~~ A~~tA 'S ~ YES? MG ~ o r?. rer• a~ ~~~r acu~uo. c~ara ¦.rv~ yi~/.?~ i. Prt I v Pw !I y~.w rt.) ~ •~Yl~s ~w~ ~ ACCMESi SY~C~D[ WMKIOE ~1~~~~t- V ? ? ? cio• •t ~ TIME Oi liw. Xwt~. (H~. Y~r ~ uuu~r n. S s- s. W Y ZOl- IMJUIIY OCCUIIR[D mt. KAC[ OF uUUllr (t. i~ r~Maf wqt. ~1/. CITr. TORII.OIt IOCAiqM OOYI~TY STATE xMaE ~7 O wOT MrNKE O lp~. hN~?I. atred. ~ct NN.. dc.) 1MOIIK AT ~ORK ~ 21. I ~tf~nd~d /M /~e~d /rom . to ~ •nd l~st a~~ ~li~~ on ` ' D~~ ocoa~nd ~f ~ i_ ~n on th~ d~t~ abt~d ~bwr, ~nd fo tM Msf o! s~TcnorNdh. /iom tM uuwa ~t~t~d. 1 All ft~~• ~ ~ T~ •r. ~e (txr~ rtr 22e Aoaefss • ~2c. wT[ s~cNCo c•.~1•s. ! ~ 7 ~~~"'4l •ttY~~t~. ~4.~~tqM. ~ ptT[ 2J[. ~1EOiCtMfTF11~011C11[?~ 0111 Z3~. LOCATION(CY .fNA.MCNt~f/) (BT~tt) b~"°~~YS°`"^'' 4-15-68 Hillcrest Mem. Grdns St. Lucie Co. Fla. ~•I019 j~. F ML t S TY 1 • • 2S. OATE IIECO. ~T LOC4l ~EG- M GISTRAR"S 51GMATYIIE ....,ose ,,d~, Ft. Pierce, Fla. 4-15-68 ~ a.....,~,. o~- - 1' • • • r'~nie :~~na~ c«rect oF fhe locai t .1' Foe?ebX . i~5y! tbis 'bjp~ ~PY ~ R~isti;ar~KOld=ort ftbsir~'~ths St. lucie County Healtfi Depart• '-rf ~ ~ept at Fort Pierce.~id~. ` " i ._(Warnin~:~lot "valid'unl -ess raised seal of the St. lucb F~LED AND RECORDEO ' ~ :Coun Heattti~ Qepartment is af~xed.) ST. ~ U C 1~ U T Y, F L~. ' .1 .l. ~1. ^r~ . ` .~~'+~Y~.~ : ~ , r~~ i , .t~~ ,~..D. MILIER, M. D. ~~~~rVl ' . ~ _ . . . . '`i County::Hesith Officer b locai Registrar ~68 ~p~ ' s S ~ . 0 6 ' i ~ , _ ~ s;`.G ~ ' . . ~ ~ DatO DeputY Lotal Registrar U I i n ~ S CL~RY. CiRCUlT COURT $ooK 171 PACE 1~73 - - - - . ~ - - - - - _ _ _ _ _ ~ ~ , ~ .