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HomeMy WebLinkAbout1355 _ _ ~r~~ e~- ~rwT~ sonno o~ Nsn~TM CERTfFICATE OF DEATH ~r~r~~~s ~ ~~•.~s • euacnu or vrrw~ nwnrr~c~ srwrs ~cc Ka ; '~R•''•°- FLOHIDA ~ ord •pen BIRTN NO. REGI6TRAR•f PtO. • p~op~rl~ - _ e:~euted t. ItAU p~ O[ATN COD[ NO. t YtY1?~ ~QO[MCt(~Ia~vlrr~rM~R 1!:w.1aw; Roir..wNM~y.,N;~,) •,11 00UNT1St. Lucie lc(~-O~"~ ST~~Florida ~ St. Lucie ee p1ae.~ 1 n p~r- 1. dT1. TOwN.011 LOCATiON t. K?U~L~ Os OEATM e. QTY. TOr111.011 tOCAT~ON t. K RES~DEMCE .•p.ec Ft. Pierce ua+oc cmr uriTr ~~woE cm ur~rn rii.. TES~O w0 Ft. P1ErC@ res w ~urc ac c,ra~r t~ byir.t. r« wsa.raaq t sracT ~oo+~ss } IK)SMTAL O~ ~ ' ~T~*~*~ Ft. Pierce Mem. Hos . 106 Aldea St. ~ • 3. MwY[ ~I Fb~t JIifIJe Lrt t. W?TE J(w!? Dq Yea ~ JOSEPH BROXMEYER o~~February 5, 1968 3 S. SEI[ OOIOQ O~ ~ACE 7. YARIl1E0 ~ NEtfE~ MM~~ED D~. DATE OF p11TN AGE Ih ~tY~ i YMDEII l YEA~ II~OEB N~Rf. ~ r ~1~ XwW. Dar Nwn X:~. ~ r ~ t e. M Cau . rnoorreo O avaecco O Ct . 21 ~ 19 0 5 ~ p 1~! ~ 1~ 1~. YSUAI OtCIMAT~OM (Qir~ Ris~ awt /we 10D. KIND QF WSIIIESS OII INDUSTAY 11.. N11TM~lACE (.9~ft P/ntI/R tw~Er~I t. CiBLG Of w~MT OOUk(R?i • 1 t A fuiy ~t y rwti~ b~t. ~tw if reNrM ~ ••p•~~ Painter Buildin New Brunswick, N.J. USA ~ bl~et !~k - 13. /AtMER'S NAYt 1~. MOTME~'S MAIOLM NAME o~ ~ ~,...r,:.~ Joseph 8roxineyer Carrie Decker • li. SOCW S[t11Rmr w0. 17. 1N • NWU?TU1tt ,~~~p v 5~-G3-970 • ~ Ft. Pierce, Fla. ~ Q Fun~?~1 1~. CAYK N ft/1TN (blMe? Ms t~wt ~sr fi W. (e). (tl.I tMTtilYAl KTMEEN r~. a.r r ?A11T ! OEn W E01~?T[ ~CAYfE W~'~'~a ONSEf A+iO DEATM • u~ t t l l• k« ~ cn• e~r_ ' ~itAe•t\~ Cadiffwi•ili~p1. OYE TO (N ' ' • ~7 ~ t l o e• 1 ~s t~iws (i)~ ~ ~ Q re~issr~r ~ r~• q,~ TO (d • S! n 1~ 7~ r~~N c~rae lYt. ~ o u r• s i- ~ ~UIT N. OT~q SKw~1Wt COM01T10~6 COMI~MIRMC 10 OUTw RR MW 11WTW TO M 7F1trwK O4[~SE G70~OIn0a GIYf~ M/Mi 1(p . WAS AU'TOISY ~ h te~ d~st\ t ?E11fOIlMEO1 . ot A~fOr• V ~ Y[5? tq = ~ ~ to~. ocsuuc ?wr uuu~r acu~R[o. t~.ra.rvs yiyw~ ta Prc !r Pr.r lt ytrr. u.) ••~1•s ~ ~ ~ccwcsr wK~ot ~~cnroe dj~P~~l- W 1 cfon •t ~ ~ ? s Dod~. ~ 20t. TYUUIIYF ~ s~ llwH~. Oq. Ytv ; O t- ~ • , W ~ tOt. ruu~r OCCU~EO ~Or. rucc or wu~r tr. f. ~r .ti.~t b.K. mj~rr toGTalt C+ou~rttr ST~TE + wN~?c eT O MOT 11M1LE 0 l+.. /.a«~. r..N. Nks er4•. ee.) ~ ? M10RK ATMOilK .~l'L~'l~ lCttl~- tl . ! ~tNnd~1 tM 1KqaW /~om ? ~ . to IfM /Ml ~1~ m alir~ on ~ : - j D~rtA oeeurnd ~f p~ on ~h~ d~t~ s~~t~d ~bw~: ~nd to tA 6Nf o/ ! ?31 1t~~• ~ ~Q~~ m7knorhdN./romtA~uua~sae~t~d. { ar? to D• ~~H M W ) 2?t. MTE SKNEO : ~o~pl~t•a ~ ,~.Q-l.~t'~C~~__'~i~.~ ~~~~"(e•! $ •etYf~t~. ~ ~ j,k.y~MEOFC[MET[11YOR IlEYAT0111/ 2j(-tpCAT10N(G1YI.[MrA.Mlra~t/1 (S~ft? 3 Re"~c~"~~~a~i1"'"'' 2=8-68 Franklin Mem. Park Middlesex County N.J. ' v. s. ~sis z~ ~j c s ~ ~pp~ss ts. wre ~cca ~r ww. ~e. aasrw~s Twu d~r.~YSb i ~7U1 N. 7~1 $'t d•~~ .t~v' _ tc 1~'t . P ' 01 - .2 c~ - 6 ~ . , ~ i . 1=~~~~,,~. 1:. , ~ ~ ~ ~ ~j ~ - ~ 1,e~~Y'~if~t .tht~.-to .be a ttw ana to?tect oopy of the Local r ~ R~srNr~. rec~c~ Qn ~tt~ =~n t~ st. ~~c~e ~o~nty H~~rt, ue~n- g r- me f Jt Fart. Ridcb,"-rt{Qrids; , ~ ~ O n n O ~~(YVarning: Noi val~ unfiis raised seal of the St. lucle A r~*~~ ~ . ` Couatx' H~alth b~partmant is affixad.) np ~ . , n C0~ • ' i CO C - . ~ • ' ~ N: C. MtIIER, M. D. -t ~ _ Z~ ~ , r,'• ~ cow?n? t+«~~ off~ a ~«.t a.~unu Ap o~-~~o~ ~ ' ' , cv' o~~ ~ ~ " JQ~ ^ . ? ~ 1 i , ~Ctl,~ ~ ~ ~ ; - D~11fy L+OC~~ RAQistraf ~ . , e ~ i `o~i74 ~i35~2 ; - - ~