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HomeMy WebLinkAbout1654 - =A 1•••-' R~T~ .o~ o. Nsw«x CERTIFICATE OF DEATH 16g404 °~••s • ouRUU OI YRAL fTATI~liq srwTC ~u Na '°a,''•°- FLO$IDA ord ¦A~n 91RTN NO. prop~rl~ REGISTRAR•S NO. ' c:eeut~d 1. KJ?C~ O~ OtATN COO[ NO. 2- ~~MCt<~l~~wYM/t )/i+~wtin.~: R~.rrrad.n~i;r;r~) ; .~a .zii `a'"TM St . Lucie - ` sr"~ 00YN?~t . Lucie ~ a. pl•e•e ~ - ~n y~r t1T1~. TOwM.O~11OCwT~OM t. K RACE Os DEA7N c, pTI.TOirM.Olt WCaTqM ~ e. IS RES~DEMCE ~ ~~n~at tN510E C(TY 4MIT5? IkS70E GfTY 17M7T5? f11.. Jensen Beach ,,45? „o~ Jensen Beach ,~S ~ ~urc os ~q..c a ~«~w, ~e ~erae.uaa) ~ sne[Et ~oaecss : Star Rt . Indian River Dr . Star Rt . Indian River Dr . a. Mwuc o~ t~r..e ~wa. i..e ~ wrc at«us o.f Y~o ~ HARRY PRESS hERITAGE Dec. 7, 1967 3 S_ SEX COLO~ O~ RACl 7. N~1tR1ED ~ NEYER MAJtltJEO DATE OF ~IRTN A6E (ht Ito~ • umEn t ~EAe uWE.~ x~ uK. r r s s. Aia 1 e ~11L @ ~ er~a) at..w a~. e... r:., ~ tinoo+rEO p wvaecEO S e t. 1$ ¦StAwl~~- IOa. YSU4lO0CWAT10~fOiKt6~NwrR~Mt I~.KINDOf~IlSINESSO~tNOUSTRY 11. WTIVLACE(S~dtM~?si/~~MSb/1 1 qT1201OF~TO0uN7Rrt _ p ..+.....~,r..HV rw..K. a.a:..a 1~A~YL Coal C1inLon,- Iowa USA : 61~ek !~k . FATIIER'S MA?E kpT1tER3 MAIpfJ1 W~yE ~TO::~,~.. unobtainable Ellen Kitchen i..s acusco cvice a u. s urco rn+iasr ~_4s~~-uu~c-~~o n. u~ro s s~awtwc • tr.........,a...r ui....w....w.,?..w ? " ~.t~tt_ •~.b~. Jensen Be c,, ori a ~ Pue~ Nl IL. CAYK 0/ ~[ATM I~ Mt qrU p? fhs (s). l~). u! (d.I IMERVAL ~ETMfECN - A i r~ e t o r ?~UIT L OEATM Mfwf Gi16t0 f1I. /~O~O v C ~ OMSET l~?W DEA~N •:.st t1l• ~ ce• e~r- cittcat• ~ •fce tl?• aa~ittw.i/a~p1. OuE TO C~ . ~.G't ~ 1 o e a 1 ~Ewa ~irae~N). ~ r~alatr~~ s4tFy !4 ~~4r- OIIE TO d •S~AIe T~ f~~ r~~ ( AOU t i • f- O fART ILQ/~T~ SlirtlCYlf Cqlp~Tp{f apNtWyTY~f, i0 OUiN ~1Jf NOf IIM7W 70 7NE ifN+tdMt DIa~AS[ Cqq7pN CryEN M Mlli 1(U . W~S AUTOYSY ~ V • ~ /y~ ~ ?ERFOit E~i t~f d~at? 7E5~ n0 ar p~fer• r ~ ~ ~y~~~~y,~uJlYOCCYR1tE0. (Et/ns~lwss k f ns ~w~ a ACC~oENT Su~uoE ~wY1poE / tih4 b Pol I~r P~rt 11 y 4tA lIJ d2~p~~1- r~ ? ? cio• •C ~ •03~. IDr. T~rE Oi Nwr alwt?. Dq. Ypr uuuer s. o s• . , W = 201, wJ4~~ OCCYIULD mr. ?MCE OF uUURY (e. iw a~t 20J. d7r. 7'O~M. 011 IOCATqIt COt?NTT STATt ~ nr+~~tt ~T O ~OT MHtE ~ N~.1~I. aVtd. ~Aa b1I~.. dt.) ~K AT rIO1lK ' ~ 21. /~tr~ntNd tiw d~o~d /roan ~ . to C• ~nd fiat w.~ h~ ~fi?~ on ~ D~ath oooarnl ~f L an fM d~t~ it~t~d ~boi~: ~ind t th~ bwt d sq tno~Ndh. Iroaa th~ uuNa ~e~t~d. •31 ft~~s ~4wT~ ar• te ~j~~ ( ~a) W~) n tlc.0~?iESt,;tq0 coapl~t• k '._^,'lMy~l.~~"'_ ""'~J- r. ~NvE~? Q~l~` N ~~T~ I2~I ~V7 • t e rf ~N. Li~. MM6u. CJe[aVTp~l . OATE 2k. N~YE METERY OI! CNEMATOIIY ?3f. lOCA7~OM (GV/. w. r cw~ut~) (Stalt) '~"°""s~'"' al Saints Cemetery Jersen Beach, Florida ; V. S. ~ 61 ~ 2!. s ADOItFSi Q?TE 11ECQ. !Y L~OC~I REG. Ii_ R[GISTIUR3 TYRE r a.~.iaas .G ~f ~i ~.t~ ~ . ~ . i ' " ' ~flEO ANO R - , hero~y.c~rt~fy •t~iit to b4 a trus ano cwrect copy of the locsl ECOROED' Re~}stc~r'= recerd on file tM St. Luti~ Caunty H~alth pepa~t- gT. LUCIE COUNTY. F~a. rr~tnt ~8t F,Ott PierCe. Ftorida. R F_ C 0 R, E q~~ ~ ~.(Warning: i~tot val~d unkls rafsed seat of the 5t. tucia '~~p4V4 CouatY N~aith ~ Departn~ent is affi~ced.) ~8 J~C Z , ; ; . 3~03 _ ~ . ~ j , N. O. M11LER. M. D. , Cpunty Fiealth Off+cet ~ Lout Rpbtr~r ?t~v~ r= UITR:.S CLERK CIRCUIT COURT ~~J ~`ii~~~ ~ """1. ~ . _ci~ LL ~ )t ~ t . ~_ti`f'~s-- a1~ ~11y LOC~~ ~iShN ~ . ! . dUOK~r~G tAv~~~4V ~ _ ..w. 4~ . . _ . _ _ ~ _ e 1$