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HomeMy WebLinkAbout0125 - - _ . . . . _ T•~• a~_ •r~T~ ~o~wo o~ Nrw~,TM CERTIFICATE ~DF DEATH .~~~~~+~G ~0•~• • •u~uu os rtr~u ~rwn~rtc~ RATt M~~ No. FL08IDA - e.. , N . ~ ~ ~ 391 Prop•~iy 1 fIAC[ K wTN cooc Mo 2~a ~s~~wc~i.....~.~..~rr u...a~r... ~..r~.?~..~..~...r.~ ea~t~l~d •.C04Mt~ • ST~TE ~ ~pyMTr St. Lucie T-- 66-025 F2orida St ~t.~.e - . 1 w PI • fRti. tOMfl. Ot tDCAl100 1 t ~S A~CE O~ D[ATN c ttTr. TOMM. OA IO~ATIOM a K ~(S'OtKE •a~~~t , iNlrOE CIIY ItY~TSI M~SiO( t~T? llMil'~ t~ 1• Ft .}~1 E!TC@ i res Q wo ~ rL • P1L'rc.`e ~cs ~o (3 / II~Mf O~ (I(Yf I~ ~M~~. /M/ MNf ~It/tM~ f 121~rTN 0/ 1 STINET ~DORESS OII A i~M1 ~~O'SI~T~I 011 t M l0 MST~TUT~p1 1401 S. 33rd St. r ~i'd 1401 S. 33rd St ~sn ~ ] IMa[ M Art AfY~ + lrr ~ o~TE A/wM Dq Y~ Aavid Casper iial l ~*M j Nov. S .963 ser i cou~ o~ ~net ~ M~~~~e ~ hf VE~ M~R~~CO ~ wre or ~inrrN f~cr ~ M~r~r, ~ u~cR ~~w ~•~oa ~~s. t.q s.eu.~~ x..w n... w.... r... Male Whi te p„a,no JuZv 8~ 1913 _ i 50 ~ 1~/ w 1~ 1a YSUAE OGLlNATO1110be ti~1 ~/Nrl ~t Im KMOO~ ~UStMESS 0~ ~AOIKTII? 1) M11T11RACE 19Yt P Nrt~1 tN~1N~1 1 G~p EI f~Mt ~n1MIR~• • t t!+ T- 1 ~4t Na1 f~. se~ fJ ?eMretl ~ ....~t "`~.at~p~n~er Buildinq Florida t1SA ?lae? t~t t tATilEt~s 1M~ It roTDEws ~1~wEM rulrt !~~~~rlt~r ~y~yi~ J• ~Z I~ICllle i• LJ~0.71J1! ti w?s aaueo cvne s u s~rco ro~e~s~ soeuu se~u~~r Mc u~w s s~~w? dlth M. Hall ~r....,~..~...., ui.~.....~.II 61-09-8353 ww..« . ierce~'Ia.- I r~ 1 1~ CwYr[ N~fATM (if~N~ N!I wv ewr M 1Mt Ir h). 1111. n/ tr) ~ IIR[11v~i ~ES~E[11 ~ 1 t~ t t~ t /~~T t p(~TM ~b CAIli[O w ~fT 4lD pE~1M „,,,~wn Self Inflicted gun shot waund in head •Y~< . l~• l~T. . . . _ I! tfflC~t• ~ : ~ •fis tt~• r~ I OILTO~~) _ - M 1 • t • 1 ~rr ~ar~r (i~ ~ - - - ~ r~~i~trar ~ a~- q~ t0 (r1 ~ •stn~w 7a s //ly e.ars twt - - - - - - - ~ ~o~?• ?f o ?~MT u Ooa Ai~fr~r cacnos (Lwf~nts ro twG~rw RI' Mo~ ~tuao *o nt tth+~LL dsuH tlo~anoM 6ti[~ w?w~r ~~a~ ~r ~~TOKr ~ ~ 1'( M6: ~tE Ot ! t~t d~~t~ er p~~er• ~ ~ ; ~ - - Y[S~ 7Dp~ s a tt •w~ ~ ~C~~? sU~CW[ MpYK1p~ ~Y_~MF NO~M auu~r p~tu~RE D: ER/n wdrrt n~hr/ tt Prt 7~r Pat y k~w /1 ) O QD ~7 Self-inflicted shot t'~rou head - enterin ~ t.a .r - - - .g ~t _t~1_e ..a~. ~ mr T~rE O~ x..r~. n.r. r.r - . - - ~~uua~ q(. I:02 r-~ 11/5/63 ~~t nuwr eccu~eo IDr ?:~cc os ~w~u~• lr x.~..e ?.wr. ml crt. Tow~ o~ ~ou~a~ e~w~n s~~rt MM .E Ai ~ 11p1 1r1~A[ Q7 M~. rCrM. ~fr N// .~t ) T M7111~ AT ~R .ir . QT~ _ Ft • ~eT~~ S t• ~sLtC:~.E ~OY~1 21 / ~ft~nd~d tM I~w~M1 /~om - - ro _ ~nd l~~r w~ ~ ~ dn~ on DwrA oecurr~ ~I d~nY~]C. I;Q2 ~ - m --un t~~---7~~ --d~b---a~~~t---~~~d ~Ao?~. ~nd to ~M AMt o! ml ~norpdp. /rom ~A~ c~u~ w~f~eal ? ~ 1 1 tH• =7s Y~~NTr~ ;[M/rn e• :ir(., ACO![SS 12t- d1TE SKMED •r• t• ~ . P. DeFi~iPSt, J. P. N2 Countv Court Ha~se 11l~/63 •ce~rat~. ~ ~ 1URY. CKr~Tp. j~ y,![ L7r M~ME O~ ~f rFTfRT 0~1 CRfY~7pA~ j]( LOC~TIpP1 ;ry~. twr• K tltaf/~ I.SlWI Y Y1rrt/~ti Bur~a~ 21/8/63 Hillcrest Mem. (',~s. _LFt. Pierce F~.orida Y.1.+e12 j~ iWIF11Ald~SSK~~TL~~N,pp~~L St• IA O~tfRECO ~~IOC~IREG RE6~57~~RSSK.MATYA[ CT 5 `••.1°°" - w. Saird F't. Pieroe rla. 11/15/63 , Arma I~ee I~enisa: d.r. -~~i+''~ ~,1E-:'C~ - ; ~ti,~ .~~.••t••.•• i~'-- 't,~ n' ~~-~.i~sby a~ifr M+~s to b~ • trus snd c+orr~et oopy of ths I.oea1 M~d~ ~E~Cs DE~ ~~4~ C<~. Re~strar't reoord on filt in tl» St. luci~ County Heslth 1 Ci~t!'~TY, ~ ~LUC E ;~:~~r~; : tAa~t at Fort Pt~re~. Ftortda. RECCI~D VER1F'' - : ~ y~ ;~u-2-' `(~y~ning: Not vaNd unless ratsed xai of the St. Luc~ ~ • - y ' ~1: . ; , County H~alth Departme~t is aff~xed.) ~ AM ~ ~ : 42 . ~ _ ; t : - , L ~ ~ ` ~('f~ ~~'io~ ~ h~GER i-'u~~f t~A~j " i' ~ j~~'-•:..:• •'~'t~ N. D. MtILHt, M. D. ~P~~ ~*?~~.t'' ~~y pff~ a~ce~ itpi:trsrl.ERK CiP,CUii COUr~ i :~.~aSa3.~ ~1~~4?~ ~ • , • • ~ o~. ~ a~1"~6 ~ ~24 ~ _ . _ - . - _ _ , ' - ~ . _