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HomeMy WebLinkAbout1183 1 1~'4(315 ; t~t. RAT[ ~OARO OR MiAL7M CERTIFlCATE OF DEATH - ' ~ o,. s. suwuu os m~. ~rwr~np ~rwn t~u Mo. ` ~~s~l r~s- FLOBIDA ; o?e ¦A~~ ~1 N. Q RRM•s MO. 22 ~ ~a~ertN. 1. K~C[ N MATN CODt NO. t WWL ~IKNCtII?Yr~IwrMliwt l/iw7~r~: !~f/~wM~~~trtw) ~ . •n° ` °D~ Saint I~ucie 66-025 ` Fla~ida ~ Saint Iucie ~I~Cf~ • . 1• ~~f~ pTr.10rN.0~ WCATIOM t. 1! rIACE Of OGTN C1tY.1C~l~OA ~OCA?1011 t. K~ilOC11CE s~~~~t ~ MSIO[ CITr IIMITi1 M~10[ tIT1 11r11'ft r i i.. ~ Fb]c"t P1eY~oe rES ro F res ~o ~Tk o~ ~A?s.e ~ w~r. ~i. a.~e.~t..rt ~ ~ sTwccr ~oo~c~ ; '"~*"1Ti0M Ft. Fieroe Memo~ri.al Hos ital 339 tlem Avenue ' ~ 1 w~rc N t7nt Mii4 Lot a?Tt lfi.M D.t Yw 1 . ~ c ~ JAMES I~JIS ~UYE o°~~`?~ January 10, 1969 ' t scx s. caaa o~ ~+?cc w~o C3 ~ r+wrto o+~s a~ s. ~cc u. ~.r~ s u~ai ~ nri uou ~s. ! Male White we waw~ r.... a.. ~ r?~ s• ~ p DeC. 15 ~ 1921 47 r?.1 ¦ 1~ 10~. uww. oaur~no~ to~r ~w ywrt rws ros. Rwo os ~awcss o~ Moianr ~Tw~~cc Is.er w M~Y~ aw?~~ ~meA ar.aa muw» t . t t a Ivh1 ~t MMrliv ~k. sr~ !/?RbM) . ¦ ~ n ~a t '~1eS ~1 ~OA1~11 ~12~OllYld ~t~ te$ ~l.et i~t ~ rAT11E11'S Mi1ME 1~. MOTNE~'= YA~DEN 1MrE ~ . •r ~ t»~~rlt~r ~gg , ' ~ soa~~ sccuaT..o. n. ww.rwc w~.,~ - ~ - 4 7-16-5779 T. 339 Notle~n Av~enue Ft, Pierc~e Flarida r~~...i ia ~wwt K.urn Istw...ri«.ra..~..s..~. w. c~~...+ce~J xrrc~r.~~.c~ i~' . - e i r. e a~r ~ oc.n~ ~ws c.usc~ w: a~ar ru~o ouTM •u~s til• I~ ? 1 i te• e~r- titia~t~ j •itl~ t?~ ~ ~ ~ p~ ~ 1 • t • 1 ~lwt ~ ~ r.~tst~ar ~ ~ .icst• 7i ~ a r s • t- ~ NMT M_ ONf1t Ai~KYR ~It~O~i Co111~1Rw~ 10 Outw ~1R M0~ IInA7lf 1011t TUr~MI 0160~ft Ooq11~011 iNO~ w fMT 1(U . w A - S /[IIfORrtOv t+r ~~~t\ ~ p~ ••t ~•s ~ocroc~T wic~oc ~~c 70~. octuyc Noir ruu~r octu~aca (atiw.r.n ya/~.~ 1. Aw I.r Art ll yMr. ~N ~ ' ai.o•~~• ~ 0 a c1e. •t ~ ~ T~ ~ ~~i~. xi~. ~M. Ywr MNI~~ a. ~ 10i. MlY~11 OCl1lNtp ~e. KACE Oi MJIM? (t. I.. i~? ~IM~t wwf. mf. dlY. ~OM~I 011 lOGT1011 COYMTr ST~R ~It[ ~T ~ NDT rMIL[ ~ M~. ~eN~~. ~GrM. ~ M<f. d[.1 rOUlt AT ~ORK t~.l.tawr.~~w. .ro ~`t_78~ 1968 •wrwr...er.~.b...wMt_78~7968 DweA ooevrnd • ' rn on tM d~N N~Nf ~~wr. ..r re ~e. a..~ a.v ~no.wtp. /rsw tM qww ~t~t~/. i a s•¦• ~pp r~a~ tt~ ~oo~c~s ?1s. o~re s+~co .r• s• Ft.Piexne Fla. 1-13-69 • e~ r t~ . /iMML. C~~nOit 7~c wwt os arcTCar o~ t~r~Twr • b/.•LOGTtOM (G~1. lw~. w a~ufp f~k) ~"~'M`~ 1/13/69 Hil].crest Mem.G~ardens Ft.Pieroe, St. Lncie, Florida ~ r.~. ~~i s ss as~c ycca r+r wc.~ ~ta. s t~a~? . ~ Yat F1~r~1 69 ' • . _ _ i I I~erb~r c~if~?1!~ to b~ • trw and ~on+af eop~? vf th~ L~oal : . R~p~s woad on fll~ in f~ St. L+~+~ Cow~ty !iMlth D~p~et- • nwr ~t ?oA IiN+a. Fbrid~. _ ~ , (IM~p~ Not vatid unias ni~d ~i di t!a S?, tucN ~ r ~ CoueMr FI~IIh O~pMfn~nt k affix~da - ~ . ~:0 ,~r- . ~ C N. Q MIILER, /IIL Q ~ ' ' A t*~ fV ~~s . Counly MMlth OffioK i bcal Rp~~r _ ~ ,y = _ - , ~ ~o o Z ~ AO ' • - - ` - ~ co ~Q mc~ v ar ~ ~iOCa~ - ~ % _ . . . ~ ~ ~y n D ~ ~I ~ - C~~ ~ ' i'r~ 'y 4' e: GN rn. y O'~1~` • w ~w. ~ o . _ a~~'~5 ~1i80 . ~ ~ ~ o- - _ . . . - - :r_.- , - _ - - - . - - - ~ . _