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HomeMy WebLinkAbout0433 inl. a._ ~rwTS sonno oR Mc~?~TM CERTIFICATE OF DEATH ~ 1 r eo~~s a ~YRiAY OF YIT/LL. fTAT1YTfq fTA7lT~ '•aa1 FL08TDA ord ¦A~s BI TH NO. R[61 AR•s NO. prop~rly 1. KAC~ OI OfATtI GODt NO. t YfYAI IK{lO~MCtI~a..~.11irL JI:w'w...: lr:f..r~I.~..+.:.:•) RIfCY~~d •pa •.0°""~" Saint Lucie `sT"". ~.°a'"Tr - e.,l.~.. (p(~-po~s Florida ~ai~~t Luc~E ~ 1• p•r- Crt1/. Towr: ~SM1 lOG?TqM e. ~s ~1J1CE of ouTn e. CrtY. TOrtM. oR t,oGTpM s. K RES~oENtc fi~~•c Fo~t Pierce ra$TM rort Pierce ra0 ~~wc or cy.~ ~rat. ris.a«e .ura.) w~cn~ as a. sn~~r eoo~css F`~ ~ T STAY M 1~ dSS :~21CIla D11V@ ~ A FAltM/ Pierce i,en.hos~ ,~sD No0 a. wu.c o? ts.r ~It~. ~.~e ~ wrc x..a? D.s rw i~ ~ Pobert Baird Cox ' ~T„ 3 3 15u3 ~ S. scx i. oDUO~ o~ ~uc[ Ncvu rNUt~[o . wTC os petH ~GE (h ra?a s u~ou ~ rw v~ou b~s. ~ iI~„le ~'Jhite_ . ~oorrco~ ono~crn 6/5/1893 i"~~~ x..w a.. s... x;.. ~ r r i e • y 1• i a 1~ t0a. usuw oaur~no~ Ot.e wt y...t b.~ 10s_ uwo oF wswcss oR woinr~r t I_ ~a1w~~ (Sr.rs .r Mry. a~anr) ~ amr,~ as .wr oourt~r. ~ ~ r" "'~y~" y"~ Uilited States .•p•.c ~er rurn, ~tore Penns lvania Dl~ek lwk 1~, iATM[R'3 NWE ' Il Y07NER'S MAIOEN 1urE Harry B. Cox Jessie Baird 7P ~S- w~s acc~sco crc~ ~ u. ~ uiuo ~ socu~ sEwRrrr no. n. u~w s s~aw~r~s ;ary Ke Z1;~ COx fr.......J...d u~....~:.....w»d...irl ,~,~,...~~9 Sandi i ,r . ~erce,. a. Fun~s~l 1~.iAYfEMKATM(il~te?Ml~MttwMye?li~tM (~.(0).s~t(e1.) td1(T~EsA[7YK~EMEEN dfr~etoT /~NT4OtA7NrASCA45Ep/1/: " y. OSC 1C !~Q .~S~Q JAMDOfAT11 ¦ust !f~• W~~~ ~ • ~ ce• e•r- _ ; titie~t• s ¦1tD tAf r~ln~~p?• ~ 0{Ei0(1) ~ ! 1 o C a 1 ~dwe ~ resiasr~r at~li~~ 4e rafer- 01~ TO tI~I AWt Jat_ ~ • 1 t S! • 73 ~ ~A/T IL 0710 SKIiYAMf OOi1O(110~6 COIftOYIM 70 OFA7M ~IR NOf RflAlm 10 M Td1UMl 0lSFASE OOIOiIOM GNE11 M fYT 1(V . WAS AUTOKY ~ ~our• •f- ~I c•r a•.~~ S ~i,~-/r,~i~spl'tIS NL rc~ucw or s•r•r• _ ra~ ~ ~ ..t~.s a.~ m'- ~ ocse~nE Nor ruu~rooanueco. (~o w... yi~/..~ t~ Art ~r ~.t lt yYr. uJ AtC10EwT SY1C~0[ MOM~t10E dls~~sl- r~ ? ? ~ tle~ •f TwE OF Nw~ ~fwt~ Dq. YN ?~d~• W~Mt A. O ~ ~ m/. MNURt OOCYRIIEO mt. ~LACE OF NtHJRY (t. i~ v~D~wt l~~t. mJ. pT1.1~11M. OII LOCJITION ODYIfTI/ STATE wMwc ~t ~ Nor wMat ~ l~s.l~w?*..nar. Ni« efy., wc.) ~ 1r011K AT w011K I~fhnd~d fM d~w~Ml /roa+ . to ~ L ~nd Iwt ws h~'~/;~~ on DwtA occwr~d ~t a~ on t/w d~b ~t~t~d ~bo+~: ~nd to tM bwt o/ a~ Icno~J~d/~. /rom tA~ uu~w ~t~t~d. ?1~ it~~• (p~a tYle) tm ADDItESS ~?t. TE 0 •r• N 1• ~ ~ es ~r ~ - eo,y]•N • ~/~1~ K. . ~~L - ~oY~ ~/~'~'e ` ~ 3 y/"~+ ; aee~e~t~. 23r: R~aat.C~naL 2'~. OAT[ I]c MAMEOiCErETE11YORC~E~uT0111f 2~[.IOCAT~ON(GY/.fwn.Mpsfll/ .(8dr) ~ ~ ova°~'~'~ 3/5/6S ~=ount Vernon h:ci{eesport Pa. s v. s.~ s i a t~. ?yrc s~T~, t~~~.1 t22 ]C~ I-IOP.~ • a?TC aca ~r wc~ ~cc~snuRS narc , Q•s.ioas . %~sG.~~`. ~ierca, rla. 3-6-0 ` . . ~ ~ ;;;;~,i - , he~ q~j~ ~+ii io be a trus ana correct oopy of fhe l.ocel FILED AND RECORDEO' Re9isti ecbrdofifile in ths St. luci~ Counry Heaith Ospart- ST. LUCIE COUNTY FLA. ; `;;_~.i~.= i=~` t~eaT ~'Pi~rte.' Florida. t? : . { _ . : ; , - , (YVarning:'NJdt JsNd unl~ss'rafsed seal of the St. lucte 16'~?L~nry ~ .i County'~l~a(fh Department is affixed.) '68 MAY 3 I PM Z' 0 v~~ ~ ~ " . 1 ~r 4 ~..1~ r ~ , .`''y : -R. G. MIIIER, AA. D. ~ _ , , ~ . ; - eou~N ?+ea~~+ Offjcu a ~ocal Req~rru . Q ; ? ~0 t T R l.S - ~ . . ' - • CLERK CIRCUIT COURT ~ 3 - t ~ . ~ . . _ ~ ~ p~ p~pWy l,oca) itp~stnr ~ - . Bo~K 172 ~E 432 , . _ . z ~_.K ' aL~~:zs:v ~ ~ ~ ~~r aa:t.,~:s _ „4'=~~