HomeMy WebLinkAbout0875 . ~
~
~ :1'719`~~ ~
T h 1 s a._ rrwT~ ~OARD OR NtA~71i CERTIFlCATE OF DEATH
eoaes • •YRiAU OF YRI1L fTATIfT1p iTA7[ 111.t NO
~ 1•a=1 ~.e- FLOSID~
ora sn•n 91RT NO. R[tillTRAlI•f NO. 2
prop~rl~
e a e e u t~ d 1. lLACt Oi O<ATN GOO[ NO. Z~A~ l~~ M~r U'~'~'~' R°~'+M W~+'~'~'"'+ . .
.na .1» 001~"St. Lucie 6 2 Florida C0~ St. Lucie
De p1~c~A
1 n p~ r- ~ C~T11. TOMM.OII IOCATqN t. IS ?IACE OF OEATN e. aTr. T01M~. 011 LOC~iION t. !S RESiDE?KE
a~n~nt Ft• IN510E UMITSf IM510E CI?r L 1tS1
Pierce „~~j ,,,p Ft. ~ierce ~
- I, tMYE OF (ff N! 4 ~M~il~l. /irt N?p! W~tN) . t. STRfET ADOItE55
4906 San Die o
• ~T~ Ft. Pierae Mem. Hos . ~
' 3. IiAMt 0/ ~yt ~ .~Iif~f[ Lpt OATE ~f~ Dq YeY .
cn,
«"OS•+•n DAVID DUFFY u*~Auqust 17, 1968
~ . SEX i. OO1011 OR 11ACE MA1141E0 1a NEYER MMIl1[0 t. DATE OF WTN KE (Jw 1'~~ s uiOiElt t rfY wOEaN MK. ,
1 ~ ~~~q~ YrY~ O~N Mwr~ Xi~.
Y r 1 t• M u tnppK(p ? pVOqCfD y
p 1 a 1 n 1 y 10~• US11~1L OCCWA7lOM (Oirt tie/ Wrt JN~ 101. Kuwac ~usu~s Wt wousrrttr 1 t. strttwucE (SV~ts r/fwdn as~orp 1. dT~ OF ~RMi 001MI1ttf
••n•e~~~ pa aster ~~~y~~~ nited Fruit C Belfast Ireland Nat. IISA
~ D1?tk l~t 1 IATNER'3 MM1E 1~. M~TMER'S M~IOEN NAME '
• ; ~TO~•r~~•• William J. Duff ~Unobt. '
~ ~ . socu~ sca,~utr Mo. . "~*_~~s ~p w.a.« .
~ 086-12-122 ~ ~7~'i7c~ Ft. Pierce Florida
cY~ Fu~.r.l o~usc o~ ~wTw (a~a.~tr.~r~ww.rv~~~MCN.c ..t~l.) - ~wrce ~~rv~
d l r~ e c o r ?I1~T l OEI?TN M~S CAYSEO ~1f: ~ ,
~ •u~t tf1• ~MN[OMTE CWlE (a)
~ en• e~r- ' . _ ;
~ c i r i u s• q~y(p~. ~*r. D11E 7D ~
. t t n t N ~,1i~1 p~ ~is~
1 o e• 1 nw • •
~ r e a f s t r~ r ahti'y Ut ~nltr• py'E Tp (t)
~it~la T~ tI~ f~. .MASAUTOKY
O ~AAT 11. OTMOI AGIiKAMf OOIIDITIOIIf CONi~NIRYi ?O OfATM ~Il~ MDi 11M7ED 10 M 1ERYYMI OISFAY COIO171011 C11O~ M fMT 1(~)
Aour• •f- F, ?ERFORME1DTt
t~r d~~t\ ~ . 11E5? NO`,sI
, ~ e. ror• ~ 20.. ~ 200. ocsuwc Mow wu~~ occuR~co. (s.ta ~wue y(yv~ t~ Pot t a Prt Il ytrr. ua
¦~lcina ~~7 ~ ACCIOENT SYIpOC NOYKIOE ~
df~poal- ~ ? ? ?
t ton p~_ TwE OF Hwr XwN~, D+/. Ytw
bodj. ~ f1UYRY ~
~ A•
= 20~. W1Wl~ OCCUI11tE0 mf. HAC[Of IMiURY (t. ii1 M~NJI~IIt. m/. CI?Y. TOMIM.OII IOCATIOM 00{IMTY STATE ~
~~LE ~T ~ 110T MMKE ~ ,~~.1~~?1. dnd. ~~ts pIM•. dt.)
MORK AT MOIIK f
!t • I ~tNnd~d ~M d~a~d /ro~n._ ~ I~ to ~ad lut N~ h'
~'~/i~~ on
Dwth u~r~Q ~t o~ tA~ d~b ~t ~bo?~: ~nd to tlw 8wt oI ~ IcnorNdl~. /ros~ rA~ uuws st~[~d.
AI1 lt~r• ~ (~~~M 1 . A j,jc. pA
•r• to ?s
coapl~t• ~ 7
G~
• c e u r a t~. ~ ~ . E Oi Cf E7EIIY OII CREMATORY 2~/_ LOCATION (~f1. tMrs. M ar~!/) (~fe)
Ilt~ l5 1
B r~a~ 8-19-68 Ft.Pierce Cemete Ft. Pierce Florida
. s.~ e i 2~. su t o~ s s+cw? 2S. OATE 11[C0. ~Y LOC~L REQ tc. ~aTwu-s s~cN~tuiec
~ N. 7th St ~p
fier.lY66 - i~1~~7c' ''~c_-•--r~ t.Pierce Fla Aug. 19, 1968 .'~~~~G~~i~ •
~ hensby aenify H~b ~o b~ a tn,e a~d c~rect copy-ef th. t~ocal
Repistra~s . recor~ on, fils In ths St. Luci~ Gounty Nwtth O~psK- oi
n~snt d Fort Pierc~, Ftorld~. n ~
~ tn
~(Vil~rt~,tl~t ~valid unF~ss n'~sad seal of tFa St. l.uci~ m ~ = -1-n
•t~~ , ~ Cobnty ;Hsahh D~partrr»nt is aff'uced.) ~ ~ '1 r' n~t
. ~ , ~ . c7n~ ~
• ; : • n. c. ~wuEa. M. a ~ ~ I+~ m z ,
~ ~ :
~ ' - - . _ ; - • . (~u^t~r H~shh Offiar 3 1~ocs1 Rplstri~ c ~ ~ ~ { o ~
_ - ..:.~r' . - . ' ~ ~~i~
_ n
~i , s~ 1 ~ ~,pii~ ~ ' ir C N ~
~ ;
~ _.~.,y, ~'~p f
~ ~ e ' • ' ~ ~~i r.=,~y*y~c'tr_ ~ ~
~ • ~ j D~
: ~
' • 600K1~~ PAGE S~~ ~
,
i