HomeMy WebLinkAbout1343 . . 1~4~23
_ _ y
~
T~,, s Dt- ~TA7t • MMO O' NfALT11 CERTIFICATE OF DEATH S
,
co~es • ~Y11iAU OI 1/ITAL fTAT1fT1q tTATt f!L! NQ~
~•a•l ~•e- FLOBIDA '
ord ¦pew el T N. Rtfi!lT11A11'! NO. 1.3
yrop~rl~ 1. KAC[ K KATN GODt N0. t YiYAI A[N~tNCtl~~MrrYri 1/~
• A~fi~~Mlr~r+wirJ
e:seut~i ,
.^a .11~ O01"~'Saint Lucie 66-0 Florida Saint Lucie
e. yt•e•~ •
1 n p~e- C17r. TONM.OR WuT~dl t. K IIACE Os oEAn1 GiY. tOw11.OQ LOCAT1011 t. ~S IKS~OEUC[
ws~ cm u~,rs~ Fort Pierce - River Par `m
rii.. P' rE w m No
l. N.rc os cNw a w.s~. ~,a«e.u.a.~ ~ srucr .oo~css
IIOSrITAL OR . '
~~~*~*a"Ft. Pierce I?Semorial Hos ita 216 Entrada Avenue . •
MwMt ~I _ Fint Q/Wk Lrt l W?TE XNM Dy ye~? , .
~n~~'~ CARNIh~ THO:~AS S~GGIO~ ~TMJanuar ~ 19b9 :
sEx s ao~o~ o. iu?a 7. rniu~o L$ ~c~ wuuKO wn os ~M a) w..w ow. x.~..~ r.
i~. Male ~Vhite w~uoi.co wnoacco AIa 15 1892 7'6 .
p 1~ f n 1~ ~o~. uw.? oaw~no~ ~ot.r tt.r yaw~ a.e ~ro. Kew a ws+~cssoR wousrnY n. a~Twucc tsr.a w Nrr4. ae.e??~ urmr as .~w ao~wA+n
..t t t, ~•e- IasLy wwt NwtW bk. sn y.dirM
¦~^••s Chie Mate erchant Marine ti'ew York United States
! 1~ e t f~t 1 iA1MC~'S wWE 1~. MOTNEII'S MAIOEII IMME ~
er •
~~P••~l~•• t' S 'o Rosa Danzilow
_ soak xcv~m? .o- n- • sa~w*~wc A+~?~» nt ra a venue
M' P a od Sa ione Ft. Pierce~ Florida f
run. r.t 1~. iWK OF K4TN (btiMer w~t~ M1e t~w (t). u~ ~ IMTEAVAI ~ETMU~ : .
E i r~ e t~ ~ /ART L OEATN 1I~i CAYSEp OIISET A1b OGTN
WM[OMT[ C~YlE (a ~
¦u~t fll•
eA• e~r- ~
et tieat• ~~~~./~r. ~ ~ ,
.ice c?• ~
1 o e a t ~r ewu~•~ ~
r e R t r~ ~ +~4~*I Nr rdrr• out TO (t)
r1tAie 7~ r~- .
i~our• •f- ~ fA11T N. OTb W 1pM ~iM71ilAMi . M~SA
r K~soRw[0~
c.r a..e~ s
or D~f~r• ~ ra '
nESUac MOw ruu~r 0. I ~~hve q~sq h f 1J 1k~ J ~
utts~ ~w~ ~OCWErt 3YIC~DE Mor~t~oC N r f M ' i
Qf~ye~t- ~ ? ~
c i e• •f J~ TtrE Os Ifwr ~/w~t?, Dq. Yar ` :
~ed~. 3 M/JY~Y ~ ~
S F A• ~
i 20/. ruu~r OCCUMiEO me. RKE Os rW~r (e- I-. iw w~t y~r. ml- Gi1f.lbwR. OR IOGTq~ OOU1~1Y STATt
w,+KC sT soT.MK[ ~ lp~.l•~w~..a•a. Ma wM•. ae.) ~
11011K AT MOIIK .
_ ! ~tb d~i tA~ Ma~d /rom . !o ~MAsf ps dis~ on
aw u~ a~ on tM d~N ~t~Nd ~Do?~; ~nI to tM !Nt o/ s~~ l~MIN. /rom tM uuMS ~f~t~/.
?1 1 1 t~~• ~ tt a f " ~ AOOIIESS O~TE S1GNE0 .
•r• te
~ e n Wolkow ' M D 802 N. 7th Ft. Pierce F a 1 8 6 •
. e e a r• e e. Z3.. ~~r.?. a~r+~no¦. i~ o+?rc Zk. ~uwc os ecresc~r oe e~cMSTO~r Yi~. toewT~ I~h. ewn. r e.s~~ !ew> , ~
~trorr 1s~h~ ~
m io 1/10/69 t. Pierce Crematori Fort Pierce, Florida ~
~.~.~eiJ Yat~'3°"`Psltneral Hom -a?rcaco..r.ocx~. irs _,Qp
a"•1°°` • Ft. Pierce F Jan.10, 1969 ~t' r
~ • - ~r
~
t
~
I hw~y cKHfy thb ta b~ a trvs and correct oop~r af th~ Local - ~
ReQiqtara aco~d on fi4 in th~ St. luci~ County 11Nhh D~psA- ~ ~
m~nt ~t Fort Pi~a. Florid~. ;:.-'1`:` ` j 4 rn ` ~
(Vyamin0: Not valid uni~ss rsissd ~al ~f tfi~ St. lud~ - - , ~ ~ 7rs ~ r ~
County liMhh D~putir~t is affix~d.) ' ~ . ~ . ' ~ ~ a Z ~*t c a
v • • n A t
N. D. MIttER. M. 0. ` 4" :
, i . . ~ ~ ..~a Q ~ ~
County Hwhh Offiut i Local it~pistru o~
. . t~• _ l . - 1-~ ~ ~C
^ ~
~~M D~pYy/ LOCaI ar r,. I _ _ :.*i` ~ c N . . ~ m ~ ID -
_ ~~t,s.r•~lf.; ~ QWO~~
. Q, „a
,
. ~ .
. •
- - ~~~75 ~1340 =
w:~~. _ _
~ ~ ~ - _ : ~ ~
~ x ~ - $ ~
~ . -
- .