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HomeMy WebLinkAbout1747 ~ I eo~es~~_ KATE sonwa ot Hsw~~rx CERTIFICATE OF DEATH ~ ~ BUNGY OF VITAL fTATICf7G fTATR Fl1.L N ~ '•R•'r•~- FL08IDA erd •~~q gIRTM NO. NE61iTRAR•f MO. ti~Crt~A t. ?awec or aunr COD[ HQ. YtYAI w[f10LMCt(~~~ry~I~M/. 7/iMlww: t~if~ww`~i~r~ir) t ..a •~il `0°"""'St. Lucie . ~(c- `:i'~~` Floxida `'OO~St~. Lucie ~ ' ~e *l.e.~ , 1• 1~t- dTt. TO~Y1l0~ lCfJ1TOM ' t. K RACE OI OE~SN t. dTl. TpMM.O~ LOtwT10N t. K 1lESt0[NCE ~ ~~~~wt wSrOE Clit uM • uis~oE dTr ~ M~rn r,,.. Ft. Pierce „~p Ft. Pierce ,~S ~ ~uMC a ~r~w r. ~.qwr, r.s.asrr.aor.,.) R sr.c~r ~uwcss 310 Dixieland Drive 310 Dixieland Drive wnrc or J1i.rt ~/iqtr Lrt . wrt x..n v.y Yea iir,~«~.r, CHARLES M. COLE oc~T~November I6, 1967 ~ s. ux aaa~ ai na ~KO ~~„u wu~ao a arE os wrK s. acc U. r~?• s u~. ~ Tu. u.oFa» wes. ~ • r t t• a'1 W ~~~1) M..W D.w Mwn X.~. ~l~iwl~ rnoox[o Wvotc[o @b. 2Z~~.885 $Z ~ . i c? l0.. usu~a occw~noM (Ci.r ti.I yw.t a.. 1~ KYIOOf WSUKSS Ol YW{IST~Y 11. ~MTMqACE (8W M MtM~ ~Il ~ crtKa a rwr ca.nm •~w~~t ,``~t~erc"li~an~'~'~~"`~~ Clothin Williams rt, Pa: IISA ~ ll~et 111k' 1~. FATN[It'S IYwt IL MOTMQ'f NuOLN NAr( , Onobt. Onobt . ; u. soa,~ sctwa~r w u. • s~ari?tuwc eta.« ~ 263-16-127 ~ ~f~(~r~.~~.!, ?yt , Ft. Pierce, Florida . •r1 /+w~ t~1 1~. i4YK M 6L4TN (i~G? Mtt Mr prM !M Jiae ~v lp. stf K).~ ' IMTLNY~I ~ETtit[N ~ > tI~ •ir~•~~r ~MITL OG?TNYf4fC~Ut[O~~ ~ o~a~oouTw •Y~t tfI• w~~~ W ~ ' t1• e~~- z tlfle~s• ~jr~.f/a1. / ~ ~ ¦ie? c~. r,~;c+? ~rrot i ouc ~ A) - ' ~ 1 • s . 1 ' tl~e~ naae (i~ { 0 r~~istr~r ~'y ~ r~• ~ • rj . i i A u» o h'y ~••,e tw. o~ ro (d s• ~ r• • rNr k omra sKrrcaia oo~ano~a oo~rmun.e ~o cun wrc ror uuirn w r+~c ~rsrrra ouus[ caana Gru w wT yp . was ~uto?sr ~ ?tRro•rcot ' ; t.r •..t~ rts0 tw0 A•r 1~ ~~f• ~ D[SLAIK NOIr ~llYwY OCC{MR[O. (E1th~ tl~hl/f ~/iVt?/ PIf I M PWf JI irs~ ~~J .~tus ~ m'~ iawc~n swao~t +iorrc~oc /~~~~~1~ W O a ~ . • •t V a~. ~ t0e. ru~c or !bw X..u. oM. Ya? . . . ~ uuu~r o ~ ~ i 26f. wwr oau~u[o ~r. hK[ or wu~t ~e. I-. 6 r M.u w~r. mj. atY. ~orrM. 0+~ wt~t~ COYNTT , STAT( w~~?c ~T ~ wT w~aE ~ Ib•./•drs. r,..r. Nk~ arN.. ~e.l YIORR Af MORK ~ ~ ~ =~-1~tt~nf~IeA~Na~w//rew ~ .ro ~ ~n1lutw~~~~li~~ew ~ =.,TI~/'"G-7 D~~fA ot~We~I ~f ~ o on fM d~a ~t~~~d ~borr, ~~wf M~M ~wt o/ ay~ lwe~l~/p. /toaa tM uvwa su~~d ~ •11 lt~~a ~ ~ • •r• t• 1• f~a~rWW ?2d ~ t7c. wT[SwMED e~~yl~t• ~ ~ Z J. . - ~ 9~ ~ ~ ~ /~-u ~ ~c~ -ra~ -•~~Yt~t~. .4[YTOR Z~ WY[ 23t. YM[O~UYET[11~ORCIIEMATORY Lll.IOCAT10N(Ary.Iwv~.MA~~yI ($df! ~ 4 ~ . u`~ia~` 11-18-6 Ft. Pierce Cemetery Ft. Pierce Florida r.s.ieia y~ r s STd. 7th St. ts. wn~ca~r?oc~~ca.. ~c. ~cca~ws d.~, : R••.,oas Ft.Pierce Fla. 1~- t ~ ~ ~ _ _ . . . - - - - _ _ - - - _ , . . . - : ~ . ~ V ' ~ ar~ m ~ hSreliy ~obrtify 1his. )o, 66..a trus ~nd cotrect oopy of ths Loul r . Rsg~stnrs record an fils ~irr tM St. luci~ Caunry Heaith ~epart- ~ ~~r ~ ment~ at fort Pieroe. f(oric~.""s ~D g ,T, r 1n ~ ,i : (Wsrnin~: _Not vslid ix~l~ss ral:ad seai of the St. lucls c~ ~ N F"b s ' - ' ~ ~unty i~sslth-'O~e~artment is ~ffixad.) ~ ~ vf rn Z . : ' ; ' ' A-fl ~Ap t , . . CO 'p <O~ i . . : " N. G. M1LlER, M D. -1=~ _ ~ C ~ . ` County H~alth Officer d. Loul Rpisir~r c~ ~ 2n O N C~N ~'~t~ 1^ 1 l- jn ~ ~ a.. r~. _f 4~~.i.~!^~,~- ~ -i tr~ r~ psh O~pYty LOUi Rpisttar o A~ c~ •r- ~ . `~~74 ~1743