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HomeMy WebLinkAbout1358 + - . . : _ . i~~~. _ - - . • . - ~ TA1s ~~T~ ~MO ~ N~TM CERTIFICAT6 OF DEATH ' - ' ~~••a • ~ w~uu or ~?tT~ ~r~n~nc~ • ~ trwts r~u Na ;E ~~a~~ r~e- ~ . F1~OSIDA ~ ~ . • ord i T N. R iTI1A11•1 MO. p~oparlr ~i . e:~e~t~~ . 1. K.'.C~ N~fATN COOt NO. YlYAI A[NKIICtl1?w~r~rd~Y l~iN~rhl~~iwtw) ~ •nA •111 ~ s• ~i•a•~ , . . in i•r_, urr.TO~n~.o~wuT~ e rtAtE os ou?tr e. Cm. aa tnu1T~DM a ~csiotMCC . . a.. ¦ t. . a~s+o[ cm uMnsr ' aa~oc cm urine t i 1•. ~ ~ ru No ~ics ~o ~urc os chne r ~..Nw. r+...a.~t.rr.«t t mrccr.~oo~css ; ~ 1106~ITA~ OA ' .amurwM ~ e . w?rs N f7nt /UYI. lwu an aI.~N Da Yer ~ 1 BI ourn Jw1e 3~ 1966 . . sc~c s. oo~o¦ a~ iu?a ~Rp Q~~ ~ro - a?.c o? wm~ f. ncc tt~ w... s u~a~c. ~.u. ur~a H~s ~ .is. ^ ld aoowco aw~o Feb. 14 ~ 926 1;0~~~ j } 1 a 1~ 1~ ' 10~. YlU~I OCCII~ATqM lOi~t ti~1 ywt M~e 1~. K~IW Oi N1StliESS 011 MWS111Y i l. ~M111MLRCE (SI'Mt ~?M~M~ psw[+/) tlUID~ 0~ wMT OOY~nen t • f t s~~f- ~~Ily sN!.~ •M_rli~1 l1~. wt~ 1/ r~fint) ~ H e~cer ' 0~a~ hame Cleveland ~ Ohio USA ~ ~I.et !ra i /AT11[1Yi 11~Wt 11. MOTIIERi MAIOEII N~ME •r Vern Mdre~+a ~itchell ~ . . ~oa~ ucuRm? No. .«.wnw.~ ww?e. ' ~rnest W 81n eli 70 Wisteria Are. P't.Pieres,~'ls. 4 r un • r~ 1 t~. ~wYK N~T11 Mb Me a~w /a Nsr M tQ. (N. qt cH, tMrprAL ~a7w[p1 ( . a i e e. ?~~T ~ oun~ ~rns uuxo w: aetT ~o outa i .r.t ti~. wrcou?a c~u7[ W ~1lOdOTl81 n8tt128 ce• e~e- . f • i t!e'tA~ Hpj/. o~c to c~~ ured duodenal ~ Ulcer :l : . . . ~ ~e.r«''7•).' ° ~ r~si~tr~r U~Ny 1~r t~r• 011[ TO (e) t .tcnsw as ~ E ~ e u r• • e- ~ ?AIIT N. OBa 9sweKMrt Oo~w~n011s QoM1rMRwt te 0[~n~ Wt MOt IIOAAe to nt 1Or~Mt Yrr~lt OOI~rr101t fwq w?~R11(d ~/pI01tME01 . ter ~~~tY ' • ....r... • ~ m NoD ~i • ¦•k ~on. ~~iawc~t w~noc NorK~o[ ona~rt Now w~r oocusao. ~itits ~a~w yiys.~ M art l r nrt 1l y1r~. qJ ; .~~~t_• ~ ~ ~ ~ ~a •t • ~ ~ . 1i~~. mt. Tq1E OF !Iw? ~(Nf?. p/. Ya~ awqir a f, i ~ t01. wnnir occuiuto ~Or. ~ or ~r u- 4 a dwt bae. ~j/- CIT~.10/M. 011 ~OGTqM OOIpfTY 3TATE ~ ~11RL AT ~ IIOT MINR[ ~ ~A. ~?I. WM. ~~te MII.. dt.1 VORR AT MOIIR 21. l~tNwdN tM Iw~NI /wa . Io ~nd /wt ar~ ~ a~Ii~~ en ~ - D~etA ooe~rr~d ~I ~ Z S ~ 5 • w~ on fM d~f~ ~t~tM ~lo~~: ~n1 to tM bwt d ry Raa~I~p. /rew~ tMs~uaw ~tat~d. ~ • r • t~ `N • ~I i1~INTY~[ ~ (DrMM K MNt) ?2A AOOIIES6 ~011?E~O i ~••~~•c• • Dsvid L. Roxe, M.D. 809 Delaxare Ave.~Ft.Pierce 7 . ~ •CSYt~t~. Z7~. R~Y.C<IMTIpI. ZM WTE 21[. IMMEOFCEMETE~rO11CAfYATO~r LY.LOCAT1011( (M~.MMt~II/ IB'r!f) "`"~u~'~`' 6-7-6b' Ft.Pisres Cemstary Ft.`~srce Florida r. t. f~is t~. ru¦c~a s s~,? . . a. wTC ~cca n ~oc~ ~ca ~csa~~s s+w? ~ ~~•.~•ss Milton N. Baird Ft. Pierce,Fls. 6-13-6b . Anaa Lse D~sniaon, d.r. , • - ~ . ~3 ~ • ; ~~Nf~ C~fi~~ IEIM 10 11'tl~ Mld OOff'~C! OO~~y ~ t~N ~O~'~i) l7 ~ (ff ~Q~qfY~~ f~00fd Of1 {R 1~N Sf. ~YCM ~+OlMlfy NN~f~1 ~f1~ . ' . ~ . ~ ; ~ ~ fl'Mfk ~ FOf~ P~MO~~ ~Of~ ~-'~.;':~'•-•:.;i~:;~;'' ~ ~ ,~RP-~ } ~M~ ~ 1/~b YflMN f~ 1N~ Of ~M ~ t11C~ L r ~ r:~,•~ ~.:r • n Q ~ : l~7~.) : ~,~y. ~ ~ ~ ~ f~i Z . ~NMy ~'1N~1+1 ~f1RNM li . . ,t ~ _ t• D i ~ . . ~y_~.~~ ~r~. l'/,~~•~^~•' "i n~ ~ N. Q MIIIER, M. Q y. ' ' ;ti c~ , CourMy F~w11A OffioK i t+ocal R~phtar ~ '~,r, _ .~t. „~p xt„~ r . 1 - c,~~-.:..,. : ,v J` ~,ly~ _ ,f.i'.~ L `;'i . :a ~ ~ ~ O'~tf~~l . ~i~ ~ ~M~ 1~00~1 • / . ' . ~ • . u~i ~ O ~ - , r~~. ~ c, ~ . , . i • ` , . - - ~174 ~1355 _ _ _ ~ ; _ ,