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_ _..-7 ~ ~F89`7'~' ~ ta„ ~OA110 OI NRAL7'f1 CERTIFICATE OF DEATH e~~~• • ~uRfJ1V OF YITAL fTATlfTlq RATt EIL< N0. ~.~a, :.e- FLOHIDA SI TN NO. R iT11AR•f NO. ~W ~r~~r~r1~ 1. KACS O~ K11TM COO[ NO~ t WY~ II~i1~[MC[!i?Me~rrywt Ut..r'~+r.: Il.NrMM+~wW ~ ?:~l~t~l •s~l 0011?f St. L11a3e 66-YXX Florida O01N1T1 St,I,uC1e ~ ~I~e~~ - 1¦ ~~r- CiTr. Torrr. os ~.ocnTae e. is rutc os oc~rn e. Cm. torr. on ~oa?rio~ e. is R[srotstc , \a~~~t WS10E C17r UMITSI lMyOE C1T~ LIM i3~ , Ft. Pierce ,~5~ Ft. Pierce m ~o . I. NAME OF • (lf Nf G~ ~N~ih1.1~ ~bpt Nhp~l STIIEET ADDIIESS ~ 26 Abbott street ~*~T~*~ 34 3426 Abbott Street w?Ma oI t~r~t Wi/1& LYt L att llwe? D~q Yw : c",ti„K;,r.,, ' Herbert ~ (NMN) Coheri ~TM Jt11y i? i968 . sEx t. oo~w o~ iucc ~uau~cu (8 ~vc~ aM~ro a?rc os wTM ~cc ~w+ s uea~ woca i Male Wh1te ~p ~o Jan. 30 , 1918 °M r . ~ s • • fi1 ~ ~e._ uw~ oaw~rwN co+.. u.~ y...? ~a. Kwo os ~ o~ rqusrnr 11. ~Twa~ct tarre .r pnMw ewsaq ~ arm or wwT aowr.r .:::.i~~ SBYes'"ma~r1••••'w`'~`.••••y•'"••t' B~kery NeW YoTk C1ty N.Y. U.S.d. ~iatt i~k 1 t~T11[11'S wME i< MOTNER'S ~u1DEN 1MME Jaaob Cohen Graae Cohen _'°~M` s`~'n"'r w ~ N~?w~ 2 AbbOtt Stl^e6t i 123-OS-49~ ~ a~asu.a. • ~Ft Pierce Florida • /'~u~r~l Il s4YSt N w?TM [Swtn ae a~w /Yr W. (y. M(c).) IMrur~l ~cTMCa~ : ~ ~lt~st~r IMTlOEI?TItMAtCAYS[O~II: / ~ ~IIOD[ATM •~~t fll• M1~(OYR CWif 6~ t~~ s~r- • tftlsat• G' e~ ~ yt\ t?t . CtiwlfftNl.l/n~/. OIR TO (~1 G ~ .+ue~ rw ?af a ~ • • . ~ .S.K .~a.. ~ r~~~~tr~r w~tay t4 rNn- ou[ To (d - •:e~l• 7! M~ l~~t t- ~ IAIIT N. Si~ifCM~ OO~yp~~~0 70 OGtM ~ 1~01110~~p ~O M liMMl OIWlt C~Olrll~pl iN(1~ M/Mt 1(p . MrAS `J • Kp~ORM[Di a~r ~~at~ •r ~~t~r~ ~0 ~D ~ ¦•kt~~ i~?awcNr wKroc ~~c~oc • oac~wt raw+~roawaco (aa. ~~rae yWv~ 1~ M/a Art JJ ylrn~ J~.l ~t.~.•~- ~ O ~ ~ tt~~ •t ~~t. TwE Oi //w. J/wN. D~t. Ysr ~ i NY1MY t1. ~ t- ~ ~ LO/. rUUll~ OCCYbKO ~t. RACE Os wJV~~ (t. I•. b M~wt Mwt. m/• pTr. ?OMI1. 011 lOGi10M li0lMtTr SrAT[ ~ ~ IMt[ AT ~ MDT MMtE O /r~.~~/. af?ut. ~~or IfM•. dt.) ' •011K AT ~lOIIK ~ ~ t tl- /~ff~wrNfMl~owNl/row~ - . to ` ~ ~MJutw~ Aiw ~O° ~ ONth oocr~nA ~e ~ ~ on tM d~t~ ~~~t~d ~b~~: ~nd t!M OMt a/ ~NAM. /~ow ~M awp ~atN. ~Il 1t~~• t• 1• ~ ~ (~a~rMMtl ~j -4'~.G~.~L~L4'~ G ~ ^ ~ e~~~l~t• ~ ~ ~j~ ~~t~f ~t~. I~. i~0~. 2~ an 2~t. 14YE OF UMEn~Y 0~ C~EYATOIIr 231. IOCATION ICif1. M~. M ps~) I~bkl 7-19-1968 Beth-E1 Cemetery 3t. Luale County Fla. r. i~; s.~ 2i ~ ~ ~ 2s. o+?rc ~cca ar wua ~uu~s s~+u?Tw[ / ' a...i~as Ft. Pisrce. Fla J 18 196g ' .~~~E.Gt~y~ ~ t Mr~by artify th+s M bs • true and totrect copy of ths Loul • ' Rplstrars ncord on fik in ths St. luci~ County Health Deps~t ~ mNtt st Fort Plerce, Flor~ds. FIl.EO ANO RECORDED • • tJTY.~FL?'•. (W~mil?g: Not valid unlels raised seal of the St. lutf~ S7. LUC~E ~CU . ~ ~ , } ~County_ Hea{th Ddpartmer~t is affixed.) E . r-, ~ . - , ^ ~ r ~ i ~ ~ L1; r . ~ ~ _ , ~~59''7'~' ~ ~ , N. D.~MIUER, M D. ~ ~ . 6 :3 :'~!lS ,,FCounf~r Heatth Officer 6 Local Rpistrsr •68 ,~~:t ZZ. P~ • y . . + - . ~ . ' ~ ~ ' * ~K . CL£RK CiiZCUt7,~~URT • - c ~ • ` ~ : ~ i s ~ • . . . . . ~ . • ~ i i ~ ~o~Ki72 P~24?8 - ; -_ti.-•.~.~~'-a:.~-a - ~ _ - . _ : - ,A _ _ _ '.~yy ':F> _i`K~ .