The URL can be used to link to this page

Home My WebLink About1736 1'744Q0 ~~TATt ~o~o o~ M~TM CERTIFICATE OF DEATH bE-0 2 2 69 8 ~NRtl1Y OR VITAi. fTAT1f17Cf tTATt RILt NO. si No. F L O 8 I D A p~~~wAR•. No. / 4 Fs 1. MACt N 11tATN GODt NO. ' 2. yfYAL (/~rr~rrliw~ N w.,r~~ aowm? 5t. Lµcie ~ ~_p~,5•+--. ~.m?tt R~d8 e. ao„N`"~{;'••,•'L1cie arr. To~. oa wu1a~ s~ua or oun~ a niir. iowN.011 tAt~T10M 1. K RESIOEMCE ; .a x cm uw~rn ,es~oc cin ur~~ ~ Ft. Pierce ~ .cs~ ,w ~ Ft. riercc ~ ~ , ~ ,u~Ta u~..e ~ b.Nw. N...a.u .~a.. ~ ~ a sr~r ~ot~wcn - - - - •j wnrn,*a~°~t. Pierce Memorial Hospit~ fiF~J $ 4, B~ ~92 - Fc~c+,ards Road 1 IM~ ~I Fbrt . ~_r M Dq Yea ~ ArIOS :iL': aR~`:ON JU~L~ISOItiT aiTMr,pri 7, 4, 19ob . scx t. ao~o~ oR ~ucc ~,wso p~ rcvc~ Mn~u~co arc os ~TN f. R~t s ~ rw uw a~ ~ nale cvhite ~M x~.. ino~o.r,,~ avo~cm Jan 31, 1903 10~. uww oetu?snoM `Oiu t1~t y~?t ~w ~ as ~ss at wouster 11. wtTMR~tE (Sirre w/MryR owaal) a~ a~wt aa~tnt» !~~I ~we N w?tb~ dk. ~ y rdtrM taintenance - Fla. E st Coast R. t.Au ustine Florida USA 1 iA711ER'S N~YE 11. MOTIIE~^f NAlpEil INNE v ohnson Charlotte Coo er ~ns acc~sEO Evu e~ a s. ~uMCO ~ socu~ sccu~m Na n. s sww?sws ~1..r.~..l...~1 u1«..«......~w.,?...i~r ~•RFD ~ Box - . erc , ti e~w~ M~TM (Ltiw. ~ e~e arw /r e). ~sI r~ Nun oun~ N~s uusco w: ` o~?rM wrcast[ c~ W a.Nttw1• II A/• Olrt Tt? (N ~ ~~ir a~rae~i~ ~ cw~e ouE TO (d ~ or~ saisrwr oo~ano~s aaw~w~s ~ oum wR ~ ~tu~ ~o ns nnwr? oata~[ oaonos ~+ra ~~r~r Ky sutwstr ~ ~r~ rES O ~o O ~r Su~aoE ~~E etsea~[ w~ rwp~r ootuiaEO_ (8f~ter w~rws Nawv~ 1~ Ar! I.r A~M JI yM~es 1R) 0 ? ? ~!c Tu1E OF KNrr alwt~. d/. Yar rWItY a ~ s. ~1. ~Y OOCYMEO mf. /LACE OF li~7 fI- I i~r ~t ~t. ~ Mr.10~11. OR t+OCATION COIpIT~ STATE •111Li AT MDT MNtE ~ N*. J~1. ~ My-. dt.) AT NORK ,~a.a ~ ~ ~ 3 27 6 . ~o ea .,.a~.~... .u.. a, A a~ on tly d~b ~t~hd ~lw~: ~w/ M f1M irt oI q~ lro~LO/~, /roa~ tM a~~w ~t~t~d_ ~fJ AOOIIElS lac. 0~1E S1f.lED elvin. o...:: D. 802 N. 7th St., Ft.Pierce 4/4/66 Z#~- ~IaMI. t~EMamr. : t~:, 1l.:.~ :;.-s ~arc as tErETEAr at eRE~u?TOlll? !3!_ wtAn00 (Q?6 twrs. r ~Y~/) (8~e) S.'.-s. Ft. Pierce Cemetery Ft. Pierce, Florida ~ '~c- T RAL 'r~OME a. o+„~.«a nr we~ ~ce~ue~s n~ • d.,,, • , - _ - Ft . ~ ~ie e Flori ~-f - 5 _ (a (o ~ . ~ . ~ . j - y i . _ : - f i ~ ~ ~ - : w~ % ~ CERTI FI ED COPY . . ~ _ . ~J~'•7 .=J ~ ~~~•'.4 ~ 1 H6R~'r~,~SERT?FYh-?~~!`- AfjC~fE TO QE A TRUE AND CORREGT COPY OR THE ORIGINAt,. ..-1Tia _ R~~R~A~'4:~=~'~.`Tt1E S~~~jEAV OF VITAL ~TATISTiC~ OF THE FLORiDA STATE BOARD Oi ME/1L~ `~X wl~~yI1~~~ FLDAiOiA. , ~ ;~''jS~~ r~~~{~ v!~'.i. L`s`v~' . i1rqi~Y~~,~JMl~iS i'M~ :EAL p~ TNE FLORI~A lTATL ~OAI~ OF M[ALTf1 1S AF/IxW) - - `1~~~r~~,~~ . ~ ~'~-f ~ ~.~:~:~2.:~ _ _ C.o.,..~. .M.~,... o.,?R,?~.~,?~.~.a. JAH 2 8 o~„~.~, a,?R,?~ R~.. ~ - . . . . . _ . . . . - . ~ ~ ~ r cn ~ rn T ~ ~ m -s ~ O Q! , n f' ~ ~ . ; C (7 ^ ~ ] C~ D ~ ~ w ~ma ~ ~~v ~ ~ . ~ ~ .~o~ , ~ n ~ ~ ~ ~izA O~ tb -~~O _ C ~ ~ .'~7• ~ 1 ~ ~ ~r~ R _ ~s s~v B~oK~i5 ~~i"r~3 ~ =s ~ , - - - - ~ ~ ':~~a~~ > __,~...~r.