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HomeMy WebLinkAbout1216 1'~4034 ; _ i ~ Thta e.- ,T~s~ .o~o o. M~.TM CERTIFICATE OF DEATH ~ eo~~• • ~U11[AU O~ YITAL fTATIffIC~ *TATR rIL[ N0. , , ~•~•1 FL08tDA erA •\~w St T !t0_ Rtf31tT11A11•~ Nq. 29 Pr~r~rl~ 1. ~u?et K~[Af11 GOO[ N0. t YWAI ~tsl~tMe[(~a.r~.wdwl qtrrlAr• s.N.i. 4~n"'~ Florida? O0Y"*• 3t. ~no~e •p. ODW11 St. Luale 66-025 1. ~l.e.a 1~ pTr. T01IN.OA IOCATION l. 1S ?lACL Gi DEA1X C. QTr. TO'MIl.O~ LAC~TION t. K 11ES~OEMCE ~ Ft Pieroe ~ ~ ~~~~rn ~oc arr rs~ ~ • ~s~l ,,,p Ft. Pierae „a ~ l. ~uY[ Os (If ~wl b M~/iNl. Ire ~Erat NbsM) 1. STREfT ADw~ESS ' t~ ~~*~*~°~t. Pierae Mem. Hosp. 8.8. i Bo= 63 ' wWt fbM MWYe l.yt d?iE XMM Dq Yev : ~ ~w~ EDWASD JOSN GATSSON ~T„ J~111U81`y 11 ~ 1969 ' . sEx i oo~oa o~ iutc ) wuu~[o ~~vc~ wiuuko wrc oF ~nnN f ~u rn?~ s um ~ ~w u~ou r ~ra~ ~ M Cau. woowco orvo~cco ALlgust iQ ~ 1 0~"""`yy~' ~•w o... r«.. Y~ ~ rria• 00 ~ 1~ i~ 1~ t0~- vsu~ ootu?+?T~os t~+r ti~N y~nrt Mia 1~. KIMOOi ~11S11iESSOR MIOIIST~~ 11. MIIT~MIAt~ (~!t ~r hrtM~ art~lql 1. unta as rN?t oou~n ~ •f e~ 1.r- ~aly wrRW hp. e~n y.dire/1 ~cecu~~re Bre~ing Indust y New Jer+sey U.S.A. • 11~ck l~t 13. iATN[~'S ~urE 1~. NOT11E4'S YMOEM 11A1~E John F. Gatesoa b~ieey Cunkey K. socu~ sccuRm Mo. 11. s s~awrwt M~.a. ~5-03-631 Mrs. $omola.Gateson 8.8. Boz 63 Ft. Pierae. Florida ' , F~w~~~l ItlAYi~N~TM16~hrwl~wetwarp (d.(~).~a1 1.1 _ IMTEi1vAL~E7M[iM ' . e~ r~e t~e r~~T ~ OuTN ~~3 C~usco ~t/~ yw o[~ . .~.e rft. wrcou~ uw~[ la e?• e•r- • . titie~s• ~~~~iJpM ~ ~ (,1 ' . /!t~ t?• ry~ ~ . 1 • e ~ 1 ~6ae c~s~t (i1. r~~lstr~r ~~y ~ ~ ~ ' ~lt~!¦ 7! r~• , ~ ?YIT 1L f0 OGTII IIFlAH010 M 1l~11/ML 06twf[ OO~OIT01~ iAfll ~1 /Mt 1(~1 . t A ~ UO~~• s r 4 ~~y~~ : e~ ~.t... rESD No , : ¦ i4 i~iotwE~T surcroc ~wr ~ ocsuaE Now w~Mr Otcut~EO. lE¦ar •Mve yf~/sr~ b Art 1 r AA y1r.n /IJ ~ ~ at.~••i- O O ~ tis~ •t ~~1t. TwE OF /!wr Afe~. DrI. Yar 1~y. wuu~r a ~ 70f. w71Mr oCtuRllEO mr. KAtE of w~ullr (e. I•. i r~twt M~r. Cm. towM. at WG1iqw Oou~m? STATc NMR[ AT ~ MOT ~n1K[ ~ IM~.lw~1. ~btd. ~~a M~I-. r[t.) M'ORR AT rO1lK ~ - ! ~ta elb /ro . ro ` ` ~M /ut w~r Ai~ /i?~ en ` ! Owt1G~ •e ~ in on ~M d~t ~t~tM ~iw~: ~nd M 6Mt a/ hIN. /roe~ tA~ uu~w ~t~t«f_ . 1,11 it~~s ~ • •r• s• (~M+ ..wk ZZ? /j ltr, wT[swMCo e••~i~t• ~ ~ D~ . C-C ~ LL~ G - c -CY •~tar~t~. ~ ilOw. Z~ WTE Zk. ~Y?YEOiCEMETER~ORt MAT011Y L1/. LOCA?IOM(Cit1.M~.MIMt~f/) ~~ft1 al'~`"` 1- 3-69 Hillcrest Mem. Gdns. Ft. Pierae 3t. Luaie Fla. ' t. ~.i: : ~oouss ts. wrc ~cco_ .n wc~ • ~ . C.IL'AGG~ ~ . ~~ss . $'1` Plls'SCE FUN$@AL H I4&Tan.15, 2969 . ~ { h~+~by a~fif~r tht~ b b~ a~n,~ and oana cop~r of ttw Loul ~ ~~'s noo~d on fil~ M 1h~ St. l+~ County N~ahh 'O~par~- A-..~1 i ' m«k at FoA Pi~e~a. Florid~. ; Mlarr~i~pe Not valid ~s ni~d ~wl ot-th~ St. luci~ ~ . a ,-~i ~ ~ CowMY l1Mid+ O~pa~h++~t i~ affix~d.) t!: ~e ,~r~ ~ f- ' = c j . I ~ . r ~ . I"~`'~!'+' ~ ~ _ t7 0 A • N. Q MILtER. M. Q - t, , i, ~ - , ' ~ - ~ ~r"`~t*~Z t Cou~Mr HwftA Offiar i local RpWr~r c~~~ - c"c~- ~ ~'~c~ C i ; ~ ~ ' ~ . - QaiG~ f Lot~1 ar _ C~ _ •'nt W;t"~p ~ ~''y - `%r ~ _ - ~ ~ _ - • K~?~,= , •~.=s..t : N ~~p ~ } ~+l"A.e- tc ` V ~v t } ' ~f/Ii~»~.ri~' ~ ~ ~ ' . - S~K~75 ~izi3 ~ . ~ ~ ~ ~ ` . ~~~K..~'~~'rxslu~u R' ..-~r'F"'+'~eu~~ . ' S.. < ...Y .an°> .zi.'F.~~ .