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HomeMy WebLinkAbout2983 1'~52(~`~ RE; Lot 14, Block 90, Unit 8, LAI~WOOD PARK, as recorded in Plat Book 10, page 51, public records of St. Lucie County, _ - Florida . " ` rn7~ io ~r~ ~ ~C nCC~ } ~G' r~ ~c? ? A~ ti~. .=7 t~t ~ i 71~tS 1lfSTRU1IENT NAS PREPARED BY! ~r. ~-~np SPENCER B. GIlBF~T. Attorney at law c~. ; 220 S. SE~D SIREET. FT. PIERCE. iLA ~SO ~ -v z . ~ C~ ~ ' :7 CL~ ~ ''',_~Tn ~ . ~ T~ O ~ . , -~'75~i1~ - - ~ _ , ~ MARYtAND STATE DEPARTMq1T Of MEAITHJ - ; ~ ` omsioN o~ vRU ~co~as, ~o~ w. PRESTON STREET, ei?~n~~, ~YU~ro :~~o~ 13102 ` ~ ~ o CERTIfICATE Of DEATH 2 = c-, -r ~raai. ~r t.. a?r~ a ouun ?e. ~+owt ~ r" w o i. acusEawu~ ~ r.« 3 T; ~ o ttyv R °~j ? M ~ l. Sf x l RA(E S. 011TE OF (M ' r wo~+ ~~tu r uat r w , rp~sn an ~ ` , n 1 ~ ~ ~ ~ .T - - ~ ; ; T~ ~~.1~~P~~ct ~s,a~ « 70. (ITIIEN Oi WHAT COUMiRYt ~ W[¢IED ~new~uop coam a o~?rn ~ ~ ~~l~~ ~ _ u ~ A r ? ~ : ; wsoOwEO p oivORtE~ ? V` ME2 ~ ~ ~ ~ ~G c~i t~ ~ „~0. (Ii'I OR tOYYh OF DEA1H . 11. A~AIE OF FIOSPITAI OR IlliiITUT10M (11 eot in hospNd 12a USUAt 0(CUPATION (Kmd d wak dar 1~ KuiD OF p1511ffSS Ot ~-3 d iwi ~sl d rorki Ne ~v~~ ~I r~hnd ) Y~TRY ~ i = C~ o ; ' N ~ ~ ~ '~S L ~ ~.~hc,"~~n~ . - :r~1:~ . s; a USUJ4 RiSDEN[E (WMn d~ceos~d lirad i msAt~Aak R~sidNK~ b~fon 13c. (lilf Ot IOWM w~t m uaQ 13~ AtEET AID NUWER ~ ai~ass+on) SiATE 134 ( rESQ~! 110? ~ ~`r ~ ~ M . GR ~ Iv~ SPe; ~ -K' a ' • ~:3. fATnER S t1~ME Frst Wd~ Lost IS. NOiIERS ~Aq~ N~ ~1 ii/e lusf . : ~i : ' ' ~1 ~X.tr.~l~~ ;•h~ n~~!_ lyki~~'4 ' ~..•±w.t • u x `~!_i i5o. WAS UE(lASED EYER tN LLS. ARMEO FOR(ES? lib.SO(111tSECURliYNO. 17. WFORAIAMi A~i~u J ~ f•~ ~ Q Ya. r.o. a „nk .own M w~ ~ .rwrr+~w.) ~ 7: ~ ~ ~ !1 n .R J/ 7 ~ ~ • 'Y~ • .r • ~ ~ t T," C_.! ,O '1 r1 ~ ~ •.rl~.tl.t ^Ci"'~~1:.' ? ~ r . ; 4 > ~ . . y: . • n . ~ Q ; i~ UUSE Of DEA111 (fnkr adr om cous~ v~ ~(ol (b~. 4^+ 1~~) ~tnitr c.st+ ~uo ~ ~ ~ ~ PART 1 DEAIH W ~ D E (o, / - ~J' `r ~ ~ r / OIIE 10. Olt AS A (OIKEOIIEIKE Of ^ ~ . y ~ }~7n M :(o~Gtans. ~f ony. whKh gow Nl r V v' " ' ~ rns to immed~ate cous~ (o). i M uas~eg rhe ~ndalyu~g couu DUE T0. 6R AS A(OMSEOIIENCf Oi G ^ M j , bss t ~ • (i) ~ l ~ t tARi Y. S~GNIFK 1(OMDITIONS (ONiRIBUTING i TH BU1 T REUfE~ TO T ER111MA1 `~~IYBI W P T 1(0) ~ ' ~ ' ' . . ~ ~ _ ~ ~ 't'~ ~!'L ~i~ I_• i y ~ Ito, i OF 1pN Hb. (W~IDON FOR YYHI(H OPERAOOM WAS PfRfORYE~ ~Oa. AUiOPSTt IF rES, VYERE FYO1tiGS (ONSWEQiD tA (iRTkYWG ~ ' ~ :L ~ ~ ~ , _ ~ ~ ~ ~ ~ c~usES a ou?r~ ~ ~ ' 3 ~ , 'r'•r ` z - ti_ ~~•o A( {DEN W• UMDF YI tlh TIME OF IMM~Y Ylc IIOW WNll~f 0(IUtlfD (EWw nolun ot iqwy w fal 1 er roA 2. ttw li ) . r ~ ' ' ' ~ :r -~t ~acc+~~w~Y#c pcwStototar HOUR AM. YonM Oor rwr atMi. ron nK6td liomrKrl ?Jl lt ~ N. : ~ ~ D~(~FDQ .21~ `PIA(E OF WIURT ~antt~ f o~ic.snm. ~notr.l' 21i. L iION SMM or R.F.O. No. G1Y a Tm+n Cow=•r ~ : _ ~ F,~. . lwak N ~rk ' ~ ~ . ~ ~ 21a ~ certify tha~ i~) ~e11 attendy~ ~he deceosed~ . 19 ' . ro - . ~9 - . ina~ t.r~}~osr ~ E... ; iaw the sed dive on 19 thot in (my (ec~}opnion deoth curred on t e date and hour and t~om th~ < ' cnuses at ebov~, (I) (we) (did) view 1ne baotir oBer death. ~ Z ~ .'r rn su~w , ~ I ?2. '+~if S:.•,. . ` ~ ~'~Iti EE ~E~c ~~ia ? Sr +'~s ~ i ___~~4---~- _ i ' ~ ~ ~ t S J y n n.. ~oo~u (,+V f/~~A'C/ ~ C~- ~,:6' _ i3 ~ ~ ~~i l. ' " - .f{ ~ _ ~ ~ ii~ Bufu: ft+i eAIiGA, I3b DAfE Ik' NJt~ME Of (tW Ik~Y OR (ifMAiORY 2~d 10U1Ki91((fir a townj ((a.+h~= ~»ot~j ~ • • ,e~ ~+1 • - R1MS1%~1: ",«'f?i :C / -r• i~ . r.t y ~ • ' " ~ . : ~s. ~ O~- ~ „E•)it -n:; t•I^'' ~C~ C ~ r; ,r ~ 2i i4tuWU :~~YJ1 ~ ~~E ADORESS 25~ RFCO S~ tEGKIR~IRn 150 R~f~S IIRS Vi.M+lti.il . t r .19r! ~ ~ n• if r; ..n•r~ ~ l` j' tt)^ DAfSEP 2 0 ~`'r /~t~~ V ~'~t s ~ . ? ~ -a~ ~ ~ ~ ~ ~ ~ ~ ~ , ~ $t~Oft .L~ PACE ~ ~ ~ e ~ }X , ~ t ; -0 _ ' - r9y.t . . . . . . . _ '~.w-.~.ti~ _ ~ ~ ~ ~ ~s4,^..~:.~ ::_...r. ~ , ~ . . y" ~.._;~.°.'k:~t~" .