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HomeMy WebLinkAbout1545 H'~'°iO~~ ~oaal Bcmk ` 1~8~4'~' / - .raset ~ wr~ ai~i t~~s ~TAfE .o~~o o~ N~?~TM CEi2TIFICAT~ OF DEATH ro~~s • •URUY OF YITAL fTAT1YfIC~ RAT< IIL[ NO. "6" ' FLOAIDA Q(d •A!w B~A3x_-~0. ~ prep~fl) 'RtGfETRIIR~3-NA. •~1eYt~~ 1~IAC~ OI OIATN COOi NO. 2. YfUAI A~110[MC~I~M~I~sryAN/ 7!.W.Mw' RrdwwM!~~Mwww) ana •lll Cou~rr ;;artin COUllty • J~ ;L~.~ a sT~Tt t'lOr? C~a ~ courrr ~.idrtlil e• ~l~eN _ 1 q 1~?~ C/T~. TpMM. O~ tOC~TIpN t. ~S RaCE O~ DE~TM t. dT~. TOi~M. dl IOC~TqN f. K ~[S~D(NC( ~ .•.•wt StU;tYt ~.s~oc,uclTr u~~TSr Jeusen Pcach i21A . u~s~ot t~ir ~~rit3~ fll~. rclu wD? ~ rti h0 M~~~ ~ Mt /t~ NI)Y~1, ~iel ~httf N4tN) . ST?[ET ~ppll(SS ~os.~„?o~. ~ { . ~RI. ~ox lIo ~ IMSTITUTq!1~'•artin ~.e~:~orz~l ::osp_..tal ~ ' ) M11N[ 0/ nr a+ur. c..r i w,c ~rMa wr oics~scs ~~r.«,.~~, Theooore liurc, S~•;a~ a rN 12/ 2~~ 19G7 S SEfI ~ tOldl OII AACE NA11~RD ~ IlE~tll Y411~IC0 / WTE Of ~1~TN ~ 1GE I/VI ? UD(~ 1 ~Llll tAD(A U Mli + • r i t• ::~Z1E' .°S~ite 11/2•'/I~9~- i~~t~~N x..w a.. a.... N... j p~.~.i~ .nw«co~ a.c~cco , ~0~ us~?~ OtGUraTp~ ICirt ~4~ yr~rt /wr t~. x~h00i ~uSw[SSd1 u~OYSt~Y 11. wrw~~a (Srr~ r fi.rM+ar~t.~) 1. QiyU Oi ww~i O0.~nil N~- I~•irywNtyrerti~~hp.B~~1/.HbrA j_p;r1 United $~d'tCS ~ Pro rietor Food Industr ~ ?1llk 111k 1~ f~iN[~ i N~YE U. MOiNCA S M~W(p N+IrE Unavailable Lynns~? socu~ sccu~~Tr no u~N~~~r~wr t t~o~u?tu~c wta~u BOX ~93-~::~-"~ j Mrs. Ara N:cDonald Sti•ra Star Route - Jensen Beach, Florida ?V n~ f~~ 1~. ~~Y~[ ~I O[ATN ~~atf~ 1~/ NM [~Mt ~ l~M fM ~A~ 1~1~~ (f).' j ~ IMTIIIY~L ~l7rfCCN ~ d 1 r~ e t~ ~ L 0[~iM f~S t~YSID / / ~ ~ ' OYSEjJ1~ ~TM ti~• wrca~rc curst l~) _.i_~•L(._~~L~:L~1~.7~GC.-.'llc'~'l.ll-G~- 'G~~LL~-. 1L~-~~'4-.L- i~. e•r- ~ / l .fUC•lA• C~~tilin?.i/u~. 011[TON) ~ ~L~jC[=~i(~ L'L"'~f='l~-[.1~.'~c'~t~-~.~! r?a\ ~~rt ru~ N 1 J J 1• e• 1 ~~~K (il, i n •.Rtstr~r Muuy t4 rwk.. ~.~J I~// . fI~M nr~t lsN OlR TO (H ~ o s~ r~ ° ra~T n aK~ ssyry~w. ca~a~c.s ea~irwno~s . aarw wn ~oi auno ro nn aerwu asuu~aaapo~ inc. w ~ur ~~u w~s auTOrsr ~a lv •~~l\ / . ' / ' .i `'~i / ! / ?E~f011NEDl S / ~j~«`i-i.- i ~ ~l~~lili~i ~ll~l ~ . L~•C.C:Cll~ttl~ ~tS? I~o~ , er l~f~?• . . ~ 1~S ~Ct~MwT SYK~O[ NOwKtOf 0[SC~NE 1qA IMlY11Y OCCWIRED. IEAM wd e J4js~~ b O~/f I M Pwt /I Ytf~ //J ~ •1~~~~~. w ? ? ? is~• •t ~ J ~ TIYE O~ I~N/ MItf1. (Ni. )~f~I ~~d)• u ~uwr q, i Q w. . ~ = 2'0~ ~wv+. xtus~[o 20r ?~~cc o~ ~axi~~ a e.. •b~~ i~+~e_ 20/ atr. towu. o+~ ix~» • couwtr . sr~~c ~ wwn[ ~T ~ MOT MiwK( ~ /v~. NttVI. MreM. ~~~e 6I1/.. Nt.) ` wOI1R ~T ~P011K i p ~ { J ~~Nnd~d tA~ d~c~~~~d ~om ~ _ 1i] ~ ~ . ~o _ ~nd h~t u~ A~T ~li.~ on { D~~~ ocev?r~A ~f a~Y ~w on ~A~ d~~~ ~u~~J ~bo.r, ~nd ~e tb Ma~ o/ m~ lno+bd~~. /w~n ~M uw~~ ie~~~d .t~ sa~~• u~ t101~TYOt ~ ~ (lw~~n a~k4~ 2Ih ~DO 5• ~ F l• 9~S ~ - lIr.04TtSKwtO a ~o.~~.e• a / ~ ~~,/-~LC~(-i~ ~ •eeur~te. !~C L~` ~~~~'~~~•Jt ~ i~ 12 29 67 2l~'w~ui.C~t~~rp 2Y~ O~i[ 2k h~YIO~CIY[TCAYO~CAIV~T~? tal.lOfAtqNIGY~.[wrw.p[n~fp 9d~~ Rem~Luria`~~'~~ 12/30 67 _ Rose Hill Cemete~ Chicago Illinois Y.l.~01~ ~f• R C~W SSK. TC ~OMtSS ~ 25 DFiE 111CD ~VIOC~tt[i Z~. RCGRTIl.~11~SIGN~T ~.~s ~~~~sk~'~ `3 l r~_ . _ . ~ - Dec. 29, 1967 ~ t « ~f~s-~f. ~'I ~~L ~ Rr~ : ~~~-z; 1 Mr~b'f~ tMify fhts to be s trus snd cor~ect oopy of th~ Lp~t r,:.' ~ RrpiNru's recad on fik i~ tF?e Nbrtin County Hsalth (~pitt:~.. • ~ . ~MM d Stuart. Fbrida. + , - , .r ri• • ~ (W~rninQ: Not valid unless raised seal of the J1MAI~ % ; ~ ~ ~ . _Y' g _ County Hesith Department is effixed.) ~ r ; F ~ ~ ~ ; U „ _ ~ - ~ _ ~ _ = ~~y~ . . . . ~ . ~ N. D. M1UCR, M. ~ - ~ County Flealth Officsr ~ lou) Rpi~tr~? ' - ~ ~ ,,,~,'=.3~r~ ~772~ ~ . . - ~ D~1~ O~pury Loul Ra~~~trar • " ~ fl~o ANO RECOR~EO~ ~ ~ ST. LUCIE COUNTY. FIA. ~ :~r ~na~ rrlc'ED ~ MICBOFI U~I l~10 ~ ° '68 JUL I AM 9: 0? l.~~ibilit~ .t .ritins, t~i~s ~ or priatin~ nnsatisfact~r~? fa ~ .j.~i~4''7 thie doe~ent tor ~icroiilsini ~ f•~?.;i.%•: : O~~RLS CIERK CIRCUIT COURT ~ aoo~ 1 ~2 FA~ 15;39 ~ _ , _ _ ~ _ _ . - - ~ ~ ~ = -~^4~ . ~ , _ -