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HomeMy WebLinkAbout2575 6'7135 ssi: s.- srwT~ BOARD O! Ht/1LTi CERTlFICATE OF DEATH CO~~• • ~UqGU O/ YR/1L fTATIQTfG~ RATi flLi H0. ''a•l'•`_ FL08IDA ord ~~~p 91RT NO. RFGISTRAA•8 NO. prop~rl~ ~ ' •:~ert~d KwC[ 0/ OtATN COOE NQ t ufW?l 11[fIKNCtl~raw.4i.b.t~i.a. 1/:w~hrr. Ru./.wW«..r.w:r) .ill `~""'Y $t. T,uCie ~_02 4 STATE FloridS A~TM t s. ~l.e•~ `'{s GTI.T01M1LOAtOG?TION a rucc oc oc~n+ t. dTY.TOMM.OR IACATION ~ K RESIDFNCf 1~~~~L uwoc cm ~wirn YISIOE CITr IIMITSI f i 1~. Ffi. • P38TCA trts ~~o p Ft Pi@ trES ~ Mo ? I. MAME OF ~r/.a t. M.~r.t. ~ir..a.r.qrw) urcn~ os t sreccr ~css 1105NTAl O~ ON A iAl1YT '"~T'T"T'o" Ft. Pierce Mem. Nos . 1~Crsu 12 S 2 th S N~w[ 0/ Fb~t JNif~k LW 1. oATE Xr.t? Dq Ysa c~~~`v«`~`~s~r.n ALna (Hbllie) Loretta Swartz ~TM Ma 20 1960 S. SEx i. 00~011 oR ~utt 7- N1WUEO ~ MEVEw WUta~EO w1[ Os wiN ' 9. A6E (!A ~?a ~?uMOa~ i Tt~u urOC11 ta NIls. i . Aiq?tq) M~M D~w Mw~ Yi~. ~ i e. F W ,,,,oowEC o a„owcEO !~u . 2 19011 ~ p l.i~l ~ IOa. uSY~ OCCWA7~ (Qirr NMNwt b.e 101. [woOF WSwFSSpt wOUSTqr 11. iuTWtACE (9~s wl~U~ ca~~e?I) 1 cnvrn ar ~wr muMrR?t •ite ~~r- ~~?bV~wtNwrtiytil~.e~esi/ritrM Waitress Coffee Sho Paoli Penns lvania U.S.A. Dl~et 1~k ~ATMER'S NAME 1~. rOTME11'S MuoEU W1ME •r e~..~,s.~ James Hitchell Emma K le IS. MAS OECEASED E11[~ M Y. S. MYEO iORCESi K. socu?~ sccuwrr Mo. q. wso s s~auTUwc lr...w........? u,.~..:....~.....~/..:d G.N.Sxartz No 29 -05-2 7 ~u~~ 12.S. 2 th. St. Ft.Pierce FZa. !tia ~ r~ 1 i~. enYSt N KwTN (6l~ter ~ rs c~aus ~er uar fr W. <s). ~at (e).] I~trutv~L ~EnrECN d 1 r~~ t~? fAIIT l DEA7N rA3 CAtISED ~T ~~T~ ¦u•t !11• 1C1a2'C~110Al3t0 13 t~• s~r- .is~~~c~• ~•t/~.r. ouc m r~ici ~t r~K b ~ 1• s~ 1 ~ar nws l~). r~slste~r at~tiy t~e aalu- pUE TO (d •itaiw 71 i n~I hus t~. ~ ~AitT IL 07+ER SK~i1GMf CqpiC~6 GoN~MMRK W OFw7N Rlf MGR R[lA7ED 10 M 7i~u~ 06GSE COU0ITOM GM~ M NqT 1(~ . MAS AUTWSY toaTS •C- ~ - ?ERfOIIKEm a~r ~~at~ trES ? No o~ s~l~r• ~ •atl~s ~a~ ~ ~M ~r ottuRRE0. (Bwta w~rvs yi~/a?~ i~ Pwt I a Pon l1 yirrn t1~ AOC~OENi SuK~oE NoMlpoE •1~1~~1- ~ ~ ? 0 ~ - ; .~O •t J=Oc. tw[ os Hwr J~wt?. pI. Yar ~ •~i~. • S wJU1111 r. O ~ Y ~ 20/. NWIIY OtWIUIED m[. KACE Oi uW11Y (e. na r 1~wt 1~*s. 7D/• GTY. TOMM. OQ IOCATqN 0011NTt ST~TE wMnc ~T ~ wOT MNRE ~ I~.!«arr. wur, al~« ery.. e~.) rORK ATIIO~K • 1~tt~nl~/ tJr J~ow~wf I m an' . to ~ •~d b~t a~~ h~~li~~ on ~ - DwtA ooe~rt~I~t ~2 ~ • m on t!» d~t~ ~t~t~d ~Dw~; ~nd to tM 6~at o! aq ino~?NdN. /rom tA~ uuNS st~tM. ?I1 ft~~a ~ W~~*~ •r• N (Diq?a~rtb4) ~ ~DWtEiS 71t. onTESW~EO ~..,~.s. . Alva D. Orr, M.J. Ft. Pie rce, Fla. 5-21-50 •ea~r~N. 27r. wlru.G[iuT~OR I~. 0117E 27r. MAMEOFCEMET[RIIORCREYATOIIT Z3f. IOtJ?TqalC5fl.tw~.Mtwa(!) (SY~I ~`uriai~'~"^'~ 5-23-60 : t. Pierce Ce~etery Ft. Pierce (St.Lucie) Fla. v. s.~ e t~ 2~_ w¦c~ ~s s~c~u ss n. ts. w~ Rcca ~v wc~ ~ca ~c. wcc~w~~s s~c«~ruRc a.•.~ose t~~lton W. Baird Ft.Pierce, Fla. , d.r. { 5-23-60 Anna Lee Denison i , I hereby,:t~itif~ ~i 'ttr be a true and correct copy of the locai Regi:~nlr~ record~~~le in the St. ~uu~ Counry Heatrt, ~eparr- FILEO AND REC~RUED mepl' i f0~t Pie:ce: ~FIoE.~d~. ST. LUCIE COUNTY. FLN. ,~Vifatqincj: ~dt va4c3 unless raised seat of the St. lucie ^ ^ • Covnty ~health O~partment is affixed.) ~6~135 ' '68 t";1Y I 5~I I Q: I 2 ~ N: D~ MIIIER, M. D. County Health Officer 3 Local Rcgistrar f ; • , . j , ~ . , • I . ~~1 ~ . • C~ f CL~~K ~iRCU~T COURT 1i ~ loul Qeqis 3 sooK171 P~~E2569 . _ . , ~ { _ _ - . _ _ - - - - I ~ . ~ ..n.~~„~: