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HomeMy WebLinkAbout2492 PO l.K C t'~ t~NTY H~ALTH D EPARTM ENT ~ JAM~i R CA~011. Y. O. . a~wc ~~ao 1 I~4~"~4 ~ i. ~ ~ aa~ wvwus w N. w. ~ wi~~ itwv~. ?~o~~ow ~ / t~i. :Twts ~a?iw a~ w~TM CLrRT11~ICAT~ Ol~' DEATH ~~N~ • WwiAY OI 111TAL ~?ATf~TfC~ RA1"~ /1~.~ ~~r~ ~~!'~N~ r~osta~ ~~~Nr1~ 1 ~Mt N MAtM OOOt NO? ~l l~.~M11~L ~~.rwrr i~rrMw~Y~rrl •:~~~tN ` 001~$OL1C . ~ "~'RFI~ORID POLE ~I~~N fa Nr- Om?. o~ ~oc~Tq~ e. O a TM .1QwR011 ?od?~ I.uCBL~ND ~ I,~lCBL 9~tD u~• e wr.°~i crar ~s ~.w.e. ~.,r.w.wr.u t s.~ce, ~oo~c~s . '"~"*~iKBLAr'D .^~~NER~L HOSFIT L 94 PI*'8W00 'U w.~ « n..e wwr w an o.~ i Dr o In~en ' E~lR I~:IrI,N SkIiH SR ~TM '0 1 ftlc ao1a11 a Ma 7 rwl~to ~ Mtva w~wQO - aR or w1iM ~ t w+.~ ~ ~w.awo .tio.ao JIILY 18 1 ~O tS 'w` ~ ~t.i.1s aocrrsno~l .awoorw~AO~wousrs~ , wnwi?ut ••A~Ir•.w.a~~ a~w ~er ~s~ ~•r_ ' ~~t~~rY~/rYRw~/~ilb11 HO~S ~l•~• t•~At y l~~ IATIRR'S IMM[ . ~IO'fIM~'S M~w M~M[ •n••.i~.r J~A7ES I. SMI'^H •N"w I.$S ~TTA~JIY • ! ~N tl[R ~1 Y. 1 AMI[O ~R1~ lOCMI ~~V~ITY pD. l/w r. ~r w~rw1 11/ ~w. rir w~ Irr d ~wrl N'0 E> 2 1 w.~«~ • ~..•..i ~~a M w?rn ~.w rw ~r. w. u Nnsw~ ~i~•.a~e I~T1 OV1M~AtCM~OK. - ~lr tN t f~ 1~ M111tOMit CY1~[ 1~1 t~~ . ~~j ~ t1tl~~t~ q~, V~1. 011E 1b p1 ~~IJ~~MfrWV~~?1 ~tt~ tN .a~~ ! • • ~ l rM~ ~~~1. ~ •~~1~t?~~ Oilt TO (e) - s f a~t• 1s ~ MR'T I!. pl~lM~IIiM~ OOI~Yr~~M CON~IIrM 10 041M wR IR 1r011~ 1~ lIt 1~wM ~Ilt CO1~11~0~ ~M~ ~1 Mf~ ~(y M~f• •f- . I't~0Y1tM t~t ~~~tA ~e ~~t~t• ~ ~ ~st~~~ u~ ~ono[wr s~nnoc Nor~crot ~ otaair[ Now wx~r oau~co l~rr w~n N~t 1~ Itit I r M f1 yMe~ t~.1 r ilq~~i- 1~~:. TM1t 0? fhtr afi~. Dq. Yur - 1 ~ ~M111~1Y a s. f- w. ~ . ~MJ~Mw oocuw[o ~r hxt or ~r (r. b r~wt Mr. ~ Mt. tof~. at ~otw1~01~ oourtn M~at AT ~ ~ot ~rwrt ~ lrs. p.e~rf. Mnit. ~er M~. rr-1 QMt At roUR tl • / ~tNwNf tir I~r hrw /rt ~iliN ~w OI»tA ~wwaw ~f ~ iw ~a fA~ I~t~ N~s~f MM+; ~M h tws M~t d ./rew fM Mw~ ~MM/. •l~ iN~• ~r~ •f• t• ( ~ ? m ~e M1tttlri~ •~~~l~t• • ~~Q ~1~ •s~ar~s~. M+~. ~ o~tE 27r ~urto?tcrtrcl~ro~t~cw?TO~r tlf. t,oG?~OM(Gytl.lws.osw~tp lArld ~ ? ~.i~ii ~s+w ~?oo.cssL~FEL ~,TD a. o.TC acco. w ww ~ ~c s~cu. ~ ""'1"' • ~er.tr -korri son I~sD~ ceartiiy th~ aba~e to b~ a true and corrsvt coP7 0! Lh~ Local~ R~gists~arr~ r~co~d ar~ !'il.~ in the Offic~ oi tbt .D1Y~.SI~t Ol~ VTfAL STA~3lICS~ at thi P0~ CoantT l~salth D~p~art~ st iil~tgt HAV~i, ~1BA.~ --q„=. , , (Ha~Sngs Not ~?alid, r Nal tlie DIOISION OF VITAL 3TA?I9TIC3, POIX Cotsit~ HsalLh - ~ jt,~'laod. • ' ~t; ~`.r- ' *'s ' ` s ;r ,;i,::, ~ . ' j ~ ~ t''~I ~'t e i . CiGRn'l~/ ~Ztill ~~OA=' ~tld ZOQil ~~t.i'~' . _ r e.rs.. . ~ r,. .z ~ . ~ ~ : ~ a _ ~ tc~~s J ~ Y~ ~ > ; • ` ' S• ~~e.~~ i1 ~ ' ~ ~ i• Dgt~ ~ r d~`•~~~ _ Dspt~ Local ftegi~trar . ~ , . i , FILEO AND RECORDED ST. LUCIE COUNTY. F~Q• s~c ~pR^ '1rRIFtEC i'74~"74 ~ '69 f E6 I 8 PM !2 : 0 ,Q ft0~;:.P. :~OtTRt~S ~ R CLERK CIRCUIT COURt d001(~~ PAV[2~~ ,v.;~.. ~ _a .w _