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HomeMy WebLinkAbout1171 . ~«.EO ANp. RECOAflED ,['~QS + ST. ~UC1E COUNTY. F~ ~ Rccor~~ v~R,F~EO' 1 5 ~ • i ~ ''68 NpV ~3 ~ , . . - ~ . . 2.03- ' t h ~ , e.-' ~ .T~Tt _~i~~~ ~ CERTIF[CATE OF DEATH ~ ~ • . ~~•e~ • • FL08IDA ~TATt RIL! N0. ~~a.~ ~.e_ couRr: ord •h~¦ _ SI T N. 11t0 fTRAI~•S NO. . Pror•~1~ ?awes ~s wrn coos tw. L w~?~~~ec(n..~...rw± u~ Rw....w~..~.:..:..) e:•euc•~ ~ ~r . •nd •111 ~ ~Ci6 1@ p• yl~e~~. in p~r- 1. MII.TOrM.W1 WCA?q11 • e.4 KACE os oE~?TN t. dtt.t0~ll.at t+oCATq11 )S ~IES+ocMtt •~n~wt IMSiOE CITt IIMIT51 trS~OE CIf1/ LIMITSt ~ rii.. Ft.Pierce res~ Mop Ft. Pierce res No ~ . ~?urt os (ry.~t t~ ~yth~. Isr ~er«t att~rew) t mi[E1r ~ooatss • MRTI TT11l101! ~ . Ft.Pierca He~orial 12 N. 22 St. MAr[ fY?1! ~/i41t. LMt OATE ~IMM D+f YeI - . i`~ ..~.n Iu2a Harris . o~•*~ 8 16 67 " . . xx s. oo~o~ o~ iucc z r~uiuc Ncvc~ wuu~co wn of wiTM s~~t~ rr... . u.oar ~.w u.ou r. ~.s. ' tatAtrWa) x..r. a... Kw.. wb.. ~ . i e. Femele Neg,1r0 ~~p p ~ OCt. 10, i 9i 2' ~ ' p 1• f o 1~ 10~. usuAl oawAraM tOfie ~f.f d.rN I~ la. l(woGf ~+M[ss011 wousn~r tl. ~MlTwucE (S~h ~./Mel/~ eM~bt) 1 cO~m~ as wwt coUmet~ ' •ttn •r- i ~ou~e~+ ~e None North Carolina U.3.A. s i.. r i.t 1 IATNq's INME 1. MOTIIEA'S MAIOLM IMIIE ~,P..~~•.~ Joseph Harvay Susie McNei~ ~ . . ~ocuu, sccuRm ro. n. • Msw?n~ ~cp?w • 26-42-9820 Georgie Williams 2706 Ave. 3,Ft.Pierce,Fla. ~ I u n~ r~ I 1~. iAYft N K~TN (bl~M wt/ ws taru /a? I~e /~r (1). ~s1 (d.l . IIfTE11VAl ~ETt[EM ~ d 1 r~ e t sr ~~T L OEATN MAS tAYSt~ _ ~~?T~ r,,. ~~oM,~ wbc w ial Infarction ~iours che e~r- ' ~ tltfeat• r~~~~,.Ja~ , . i c n e ~ ouc ro p) . 1 e e• 1 ~Ewr c~wr (U. " ! t r~sfstr~t ~!~'y ~ r~- i fIy/ t~rat fYf. Obt TO (t) i • f t N f w 7~ ~ fMT IL O?~Ef SIiMi1CYR OO~n~lt LtiM1~IRK f0 OuTM pl1 MD? 11MTro 10 iN[ 1E~11Mt ORAf[ OOIiMT011 CNO1 M MRT 1(~) . rA AUlOlSr { Aour• •i- Ef KRfORIff07 c~r e~atA S ~~yy ~ ~a ~ o r D• te r• p~~y~ ~~~r ~~~o. (bLta wdr?e ~ . a t i e~ f- AOCIOEMT w~aoc Nor~ N~ b~.t I« Prrt II yY.. ~~J +esf- r~ ? ? e o a y. ~ r ~ 7Dr. riwc os Hw. J~t..t~. Dq. Yar i 1R~Y A. s 1 ~ tot. ~r oaviuco mr. nxc oF wuRr ia «.rwr w,.s. tD/. cm. ro~. o~ wur~ oou~mr sr~Tt ' rN~ ~T ~ wT rrMwc ~ l~~. /•a.??, r.ed. Nks et4.. ~tr.) ~ rl'ORK AT rWtK rf t j 21. I~tt~neNd t11~ I~ow~ /iowe 7 . to ~ / •nI !ut w~ A m~`~ ! : DwtA oceurnd ~t • m on tM d~N u~bd ~io~~; ~nI to tM bwt o/ m) Rno~Ndp. Irom tM uuwa ~at~d. ; sll it~~s ~ p4~TYllt ~ • r• t o 1~ (DrMa ~r NMt) 226. ADO~fSS ?lt. O+~TE SKwEO ~o.,~.s. a Francis J. Carbonar8 K.D. 503 No. 7th. St. 8-18-bq ~ e t y~~ t I. MJIM~L. dflYT100. DATE 27[. II~ME OF CCMETC1r 011 CAEMATOAY n/. IOCATIOM (GTf/. fM~. M tNiN~~ (bl~/fl i IIE 4l Spt ~ 1 ~ur~a~ 8-1A-b7 Pinegrove Cer~etery Ft.Pferce Fla. v. s. f s?a t~. ru~c~ c s s~w ~ooecss a. arE Rcw. nr wcw ~a. ~a~~~s s~+u?rw~c Rf~.'•6e Sarah E. Peek Lee 728 Ave. D • 8-21-67 Anns Lee Denison, d.r. . . ' 1 hsroby qrtify thb to b~ • hue and cotrect copy of th~ loul Repisttars reoord on file i~ ths St. luci~ County H~alth O~psH- • ~ m~r~t at Fat Pieros. Ftorld~. ' ,'i,~ ,•,~j ` . I lW+~~O: Not vatid untess rais~d s~al of th~ St. tud~ • Cotx~ty Hs~hh D~partn~nt b affix~d.) . • ' . ~ ~ ; ~ t ' , , ; , ' , e!~ 4 N. D MIttER. M. 0. ~ . . , ~ : ' , ! COUnfy iiNlfh OffioK 3 Lotal Rpittrar ' , _ ~ _ + : ~ T. ~ - . ~ ` ~y~ ' • i ~ ~ v .s~ ` ~ s °~7 - f, - ~ ' i ~ 1~0~~ ~Q1stfx . ~ . . . . ' ! ' ~ n • ' ~ , ' ~ ~ v ' ' .'/~~+/i:i////~'~~ ; S I i1 I ~ ' ~ ~ aooK 174 ~~~E i~~8 ~ ; ~ t - - i ~ . ~ t ,