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HomeMy WebLinkAbout2038 , - • ' ~ ~ . . . 166`7~4 ~ :nis D._ ~ rrwT~ ~ow~o or Nw~TM ~CERTIFICATE OF DEAT~'! • wauu oF v~rw~ ~rwnrr~u srwn Ea.s Mo. 1=a•l..a- FLOHIDA ' : ord •S~w SIRTM NO• R[tileTRAR•f NO. : prop~~l~ e:~eut~d 1. MAC[ OF KATtI COD[ NO. Vw ~4wO~NCtI~M~Mr~tM: l~wti.h~a tr:/wrW«~/nw.:~.? and •111 e~ o~~e~e Flo $~i St. Lucie 1n y~~- 0. C~T/.TMMN.WIIOCATqN t. IS KACE Of DEAl11 t. dT1:TOMM.011 IOCATION l. K RESIOfNtE ¦antnt tNS~OE C1r IIMIT51 IMS~OE t~TY UYI1S~ r,,.. - ~ O No t Pierce ~s ~ t. NAME Of (J/N! 61 ~M~ihl. /it IhNf ~Ibtp) . STR[ET ADOQESS . 1qSMTAL O~ "~T~'~" o t 0 ero Drine S1 NAlri OF t'1nt ~A/1i/ls LYf OATE 1~[rwf~ !b/ Yea Hildred . E: ' Rei hle ~?TM March 3, 1968 s. sax i aao~ o~ iucc l. ~u~u~co ~crcR Mnuiexo a?r¢ os ~rn . uc U¦ rKi s aoa~ ~ ru. uraa H~ws. tvt Atrf~tl) x.rr O.w Mw.. x:+_ 1 t. Female Caucasian ,ireooxco0 o~~c~o August 7 1901 66 p 1~! a 1~ ~a. uwu xcwsnou co~ t~.a yw.~ r... 1~. K11~D OF ~USII~ESS OQ IMDUSMY 11. N~IT WIAtE (3ds a/~?~rMR a~~t?/) It. CnZ[r Os r~Mi Opwr~rr ¦ i t A p~ r- lariy ~wt y~wti~/ hJr. a~n l/ rdird) - ¦•~•p~ Re istered Nurse Nursin Ohio U. S. A. . Dlaet !sk ~3. iATNEII'S NAME 11. MOTNERY YAIOEN NA11E ' ~ ~~r••~s~•• John M. Tee le Nellie Ogaa 16. SOC41l SECYR~T11 NO. 17. IM ~ tICM11TY Al6[a ~ 296-26-2143 % Gz~ GPWlgl.Records, Arcadia, Florida ~.*.1 ~s cwusc of eiwrw ( a..ir.•~ v~?+i+~ f? c.L {Ol. ~d (t).I • ~MERVAI ~FTwE[N ~ Fu ~uA!Q OEIITM ~ C 1 t t O~ ~AIIT L OEATN MAS CAlISEO ~e ddeA r~i. ~yyEO~?~c c~c w Acute Cerebrovascular Accident. sn• e•~- , c 1 t i e a s• Ci~lit(MU. i/ pR OUE TO (?1 ~StA tA• ~e ru~ b ~ 1 o e• 1 mK r~ 61 s t r~ r ~f~tisl Ur aw4r- 04'E TO (d . , . •itnls 71 ~ f~. ~ ~~uT n_ oT~u s~us~t~t aoe~naa aomr~rtwo to ourw ~ur wr au~ m nrt ~u+wu oaust to~ C~w w nin Ka) , . w~ ~uTOrsr ~f Aour• i„ • . • /E11fO1lMED) 'j t.~ a.,ee S $YrTDROME .ASSOCIATED WI1H SENILE BRAIN DISEASE. res0 NoC3 ' ! or e.t... ' F =~p.. ~ • tDe. ocsc~uc Mow auu~r ocw~RCO. (e~rn ¦~rwe yiyw~ h P~t t r P~.t )1 yYr. r~a j ¦lk1As ~O7 ~ ACCIDEIIT SUICIOf ilOblpOE . E dl~posl- ? ? ? . . ~ tion ef . ; eod~. ~ ZOt. TIYE Of tfi~r Llwu~. D+I. Ye~r , , uuu~~ a. f o s. ~ ~ I0/. eWRr OCCIIRREO ~r_ ~U1tE Oi nWllr (e. f-. iw w~~t Mwr. IO% C17r. 101111. 011 LOGTqM OOUI~TY STATE MNME AT ~ MOT I~MILE ~ /~MI. Nred. N~ aN•. dr.) ! wOwlC AT NORK } e tl- /~tt~nd~d~tlwMew~Md/iom October 11~1967, eo March 3.1968 .~a~..r...~i ~.s..or 1'larch 3.1968 DNtA oceurnQ ~f m on t/r d~t~ ~t~td ~bw~; ~nd to tM bwt o! m~1~hd~~. ~roo~ tA~ uuws st~t~d. A11 lt~~t Zla 110MATY ( KMlYlt) 226 AODRESS ' 27,[. DATESUiNED ~e ~.4 • ~ Oiw,~ ~o.D~•c. a M.D. Box 189 Arcadia Florida 3/4/68 a t tY?it1. ~ ~w~~ ~ ~ ~yE ~ ~YETER~ pR CREMATORY 23~. IpCAT10N (GSf/, fNrw. M [N~1 ~SZ~f~~ ~ sD"~~ 1La h 3 968 Ft. Pieroe ~llorida Rerso ~ s.~ e is t~. su ou~c Arcadia =S. OATE 11EC0. ~V IACAI RE6. Zi. IIEGKTMII'S SIGMATI7RE I Re~.lY6S ~8 fl~era H P'lorida r - ~ ` ~ • , ' ~ VGnili'ii'+L CVi"1 ~ ~ • ; I hereb.y certiPy tho abave to :be...a true ar~d corroct cony of the I.ocal Registrai''s w record on file in the ~ Health Depart.~tent at ~ ~ Q't A~°- ~t~. FILED ANO RECOROEI,#~ $ ~ LUCIE COUNTY, FLA.' ~ ¢ (?~Jarning s Not v~ lid.,~Wu~eAs • rai ~~el of the ~l .9.~ ~ c r n ~ ~ V E R I F i E 0 ~ . x~i~.n ~~nt i~; af~a.) . 166`754 ~ ~ i ~ ~$s - -e o o t9 ~ ~ ' r ~ $ ~s ~ ~ '68 ~ : ~ . ~ ~ ~ MAY . P 3 • 32 . ~ . ~ : ~~r - _ ~ ' ~ ~c • " ~ .=r~ . ` . - • t" , ~ d.~f.1~;., ~ Da s , ~~j { 4 x'~ ~ Deputy al Regia ar CLERK S J_h~~;~;'~;~`,i~; - _ . CIRCUIT COURT ~ ~ ~ 5'~~~ ~ : ~ :~„~,,~,se~c~7~ ~u~ - - ~ . - _ - . ~ ~ - ~ ~ . ~