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HomeMy WebLinkAbout1848 . - ~ ~ .t~oss2 IN RS: Lot 8 of Block 26, of RIVSR PARK SUHDIViSION~ Unit 3, Fort Pierce, Florida, accordinq to the plat thereof on file in Plat Book 10, at paqe 80, of the public records of St. Lucie County, Florida. . . ~ 0~~~~ltE~t~l,yo ~ • , . JBANG~ COUNTY HEA~.:~H DEPARTMENT' - • • ~ ~ : . - ~u a'at ceN~rd i~w ~ ~ . . ~{~`M.~i'~' • P. 0. 8~x al• • ~ d~ ~ ~ CHe?q? t-~711 : . . ~ ; OALANDO. ~'IARlDA - , , ~ ~~PlANOa ~ . . ~ ~ ' . i. ` ~TAT[ OOARO OF NRJ1LT11 CERTIFICATE OF DEATH , ' ~ ' ' ~ F i ~~lRGt! OF WTAL r1'ATIfY1C~ ~ fTA7[ ?11.t NO. . ~ ~ ~ FLOAIDA - ~ ~ r SIRTM NO. REG16TI1AR•s NO. i ' 1_ 1L1lCt OF O[ATN COOE N0. 2. Y;YAL 11tilY[MCE lrawrJ«w.tii..f. It:w:~+.r R..+I..rM/.+ul~.w:..) : ' e. OOYNTY Ofl~~T/v~i _ - S~ ^e,+ sT~^pT~ . lOUh~i• iMii~ ~ itifY\~ir O'~/Q1 rLVlll . r pr. Tp1KN pR WGTqir t. ~S K~CE O,f OEATM t. dir. TOMN.011 IOtAT1pN t. K R[S10[~CE • k ' p6~0E C IIMITSt (~Q~ ~p~+ dir l1YliS1 s ~ ~tLi~ffi~W r[i~ MO r~~ Ri 110 t ~Mc a ~U.a t~. ~a~itit. ~.e.aat.u.u.~ I. STI![ET A0011[it . ~ w'=.Ta Oh.4NGT I?~OR7AL H05PITAI. ?61 Ifi~i.S STR~T - RIVFR PARK : f 3. MwMC or I"b~ ~It~~ ~.rt WTE X«r? Dv Y~ : r ma «i?s+n ..RALPH B. SHOCK ~TM S~PT~R 6 1 6 • ' S. 3[x OO1011 0~1 AAC[ 7. MAIIRIEO h[KR MAlUKO 1. OATE OF M11TN A6[ (/A I~~ry i 1/~~ 1 ~W M~OCd H M~f. , ~ . lYf M?f~/~1~ X~M~ O~M NwM ~fw. MAIE WHITE Mnoorco O av~aecco SEPT.. 1 1 2 6 - ~ ~a. ~wjwi«« yi?ri+:i WF rdLe4 KuwOS ~usurESSO~ ~oust~r tl. ~TNK~?c[ (8r.t~ w M~M• as~M~l . an~ ar.~~ ~o~nn . ; - I~SIUARANT DAYTON Oi~QO O.S.A. . . r 1]. iATIIE~'S MAME 1~. MOTME~'S MAIpEN hArL 1~fARD SHOCK ~ ~ ZII~ PF•RDUE . ti. sOp~LL sECURRV MO. 11. 1NSe s s1o~u?TYwc AI(rur - ~ ~ 292-01- ?A H er Boehmer eral Home 17 Brown St. D on Ohio 45409 1~. ~YN ~F o[ATM [~tn ~wtl Me c~~ t' h(~). s~t ld.) ~ , , urtav ~ET~rE[N rur ~ oaTM M•s u?uxo w- wwcor?n cwsc - _ ~ ~ ~ ' . _ C..tifiau. i/•q. qIE To_(1 ~ _ ~ . . .e... ~ ; . rt~tia~ Me •~Ie.- o~ To (t) ' I/i~I Nrlt IYf. o r~T onu srcsr~ciu~n eaanoes tamswrw~ to oun~ wir ~ ecuno ~1(~~ ~w~T ipl ~ K~o~rorsr ~ S ~RE CORG VERt~lEO ~O . = . ~ ~ ocsu~yc eow auv~r occu~aco (ata ¦.rvs ~/j~pv~ / r Prt q ylrrs I~a ~ ~ ! ~ ~ ACCIOfMT SYICIOE IqMK10E ~ ' v Q ? ? • f v mr. T1ME Oi HN? X~U, Oq. Ys~r ~ _ ~Y l~o s o ~ 20~. ruu~r ottwuco 70r. ?u~tc or uuu~r ce. I-. t~ a~+.t b.w. tm?. TorrN. o~ oou~n? STA?[ ~ MORK AT ~ AT MOIIK ? a~• /~MI. M?sd. ~~ct OI~/.. dt.l R 0 GE R i'~i P~?S I r ~ t~wd t r /ro -1 ~ . fo ~ ~nI /~at a~r ~ j~ ~li~~ en • . tA rn r ~ 0 L m on M d~t ted ~Ao?~; •nA ro tM b.~e aI rnr kno.Md1•. l~o fA~ uuNS ~t~t~ . _ f1 w[ (Or et NMt) `iJ W• COlu~ia Tlt. aTC s~e~eo ~ ~G~.l . ~ Orlando, Florida 9-6-67 - . dt~T lls~ T[ 23t. IUME T 011 GIIEMAT011~ 23i. IOCATq11 IGY~. fwrs. M ns~f/) (STdt! ' . ~ a tssn~ • Rem. Bur' t Fluieral Hom Mont ame Coun 01iio ~ C s s N • No ie °~1~~.8R ~ ~ ~~~~~~~r~~yF. aca. •KT • s • ~ ~ 1~1 ~ ~ . • ~ ~ - ? - - - • - - . _ _ • - . : , . C`r.RTIFIr'~D COPY - . ,,~~:•.~~~~~Nr~~~ : • • I hereby certify the above to be a true and co '~c~lca~yt`o ~'Local Registrar's record on lile in t b e O rauge C o u q t~~ ~ t ¢ t ~ Orlando Florida. ' ~R. ~ - z j`-: ~-5: ' : ~ ~ , : a-: ="s . ~ . N RT NG: ~tot valid unless raised seal of Q~7f C~,iugti~'~e~e_r~£h;~'epp?rtawnt } ~ ' ~ : s. is affix~ed. ' ~ , ~ • . - ! A ':-s~ ~.s,.,, • : t ~ . C.~ ; : ~ ! ~ ~ ~ ^ n~, ':~~`.~'t~~~ ~ p~'~''` ' i County Health OfPicer & L'oca2 Registrar~ . ~/f ~ ~'I~ f^' ~ . ' V ~ S~:' L 2 ~967 I~~ - DQte Issuad ty Local Registrar ~ ~ IOIIT ?RlIOS. ROII~A ~ - -