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HomeMy WebLinkAbout0980 . 1`?'80g4 ' rni: ~ fTATt ~o o~ ~snt,TM CERTIFICATE OF DEATH ~ eo¦~• a ~ ~YRt11Y OR 1/1TAL ~tAT1~Tf0~ RATt /ILt • '•s•' FLOBID~ s~ N. R No. 433 , . prep~tl~ Mwes w KwrM coos Na. t~wa nw~wes~~,..~...rwr. u:,..,.... R.r..ww...,..:a •:~ert~~ - • •11 `OD~ Saint Lucie 66-025 `~'"'~lorida 001~" Saint Lucie )l~f~< l s ~~t~ R pTr. IOMN. 0~ l4CAT~OM t. IS RACt Oi OEATI t CI?Y. TO'/M.OII 1ACIITION e. K ~K3~OCMCE •~~~~t MK~OE C1Tr 4MItSt ~MS~OE M11 Lw~TSt ~ ~ . r~3.. Fort Pierce .csg~ „op Foit Pierce ~ „o • f. ~urE os (a+wf b Mq1W. Iis ~erwt ~t~?sr) ~ f. sTI1EET ~oo~cSS . ~~Ft. Pierce Memorial Hospit 1927 Cypress Avenue , w~u N iTnt 1lftfst Iw~t 1. o+ut ~Ia~e1 Dq Yer ~ ~ Charles S urgeon Cogburn i?,~October 24, 1968 sac s. aa~w oR iuct 7- ~~p~ ~crc~ wuu~co aTC ar wTM ~ tl. rr.n r ura ~ na~ u~ou ~ wez • r t e • Ma?le White ~ ~ 11/3/1893 r"' * 1~ 1~ 1~ IN Y6W1L OCCIIr~T~OM (I14li~ yMr! /~r IM. KM100F M~SInES30R wD11S7~Y i. W1T1Ml11CE (~it ~rArMp pWr11 m~ ~ wMt QOIMn~n r! tA f~v(a/ nMf y1MrW/ tl1~. wn yryN?M1 ' M n oeville Alabama United States sl.•t I4fM[11^i N11Mt M011K~'! ru~0[N LL1r[ N . :,,...~s.. James Edwin Cogburn Theodosia Ernie Knight 70q""~a""~" 10~ • ~ 19 ypress venue 6-78-158 A Ntiriam Co burn F. Pierce Florida : ?rn ~ t~1 IL i1Nli~ N~[r1YM (/~1w w~I wt arM p Niw /b p1. p/ (t).) IMTErtr~~L p~7rEGr ~~r•es~e ?iuna ournrawetor+r= a~ rir ni , rii• _ wMawn cw~c W Th Ombosis 1G c?• •~r- . elti~~t~ ~j~.~lp1. 011[ 10 =1t\ N~ ri~ 1 • s • ~ ~ ~ (i~ . r~~i~tr~r +~~I Me ~Me?•_ 011E 10 (d •icsi~ 1f ~ aw ~ e. r•• ~ ?Mt K ona sswnaw? m~e~nas a~orn~wns ~o ourw wrt ~ uu~w so nK ~arw~ oar~a~ oa~no~ aru w wr Kp .~r~s ~ rc~atMCa c.r . r r... res O ~ : t t~~ u~ ~ 20~- otstnr[ Mor? r~~uot~ ooCw?~EO. (b~fer w~nv~ yi~ry M Art I~r Arl /l y Iar~ ItJ ACCIO~wT SYK~OE Iq11~C10E ~ 41~~~~1- ? ? tl~• ~ ~~t. TwE OI Hwt AfwM. aI. Yar iMl1/111/ t. ml. MJIM~ OOW~II[O 70t. ~L11Ct 0/ bUY~I~ (t. ~..1~ ~r ~pwt w~t. ml• CITt. iGf~1.0~ LOCAT1011 OOIIMTII STATE rNrt eT wKac ~ hs. /•~+•?r..aar../~or ~W» ra.) ~K AT r01IK ~ 21- l~tt~e~rJ tM M~NI/t~w 19~?1 . to ~nf hsf w Alw ~4i?~ ow '4 : Dw~tA ooerrrM • w on tlw d~N ~t~t~al ~iw~: ~a~J N tb~ ~wt d wV RwwJMN. /Ma~ tM e~~w atat~/. ~ i i. ~ c ~ tt~. ~oo~ces = ac. o+?n sr.+rco ~..,1.~. • 308 S. 8th St Ft a Pierc 10/25/68 a~~ ~r ~s~. ~ a Z~r. ~urE ar aM[rc~r a~ cuiu?TO~~ W, wGno~ (ptt. r l~r? ~~w.,. car~r y ~ A1a~`a'a 26 68 Pine Crest Cemeter Mobile, . r. s. +~~s ~ s s~ . a?a ~cca ~r wc~ ~a. wis s~w .••.,•ss <<~ ~ ate~Q01~neral Hom , , . C~~a~~~. Dctober 25 196 ,G • . , . I h~nby artify this to b~ a trw and oorraf cnQy af tM t~ocal ~ c» Repi~ara noo~d on filt M t!~ Ss lud~ C~ounty tlNhh D~part- . n :-i''_~ m~nt a Fon Pi.ro., Plorida. -~'~n 3 ~ r~ii ~VHarninp~ . - - ~ s.~ ~ ~A -~'''c ~r. ~ ~ ~ Naf wlid unl~as nk~d s~al af th~ St luci~ ~ o y~ ~.i01Npr HNIf11 D~p~ffn1M1t it af~d.) ~ . - C? f~1 ~1 ~ .L' • , ~ ~ ~ N D n O ' uu,~ . •^^1~.~~''~~_..13.~^!~- ~0~. N. Q nva~c~ M. Q ~ L ~ '_s ~ =c~. ~ , C~ ~ :S~ZA. ~i0{MMy ~'1~i~f'1 tl bN~ ~i~tf~f :1. ---f,,_`' N r',~`.~^ Q. I., ~t.Q •AD~' O ~ _ _ , _~-1 _ o;~a ~ ~v~~~-~ ••j\ • ~ ~ + ` : I i~ ~ ~ ~ • ~ ~ ~ ~ ~i ~ - . .,i~~r~'~ ~r'hC ~ ~ . aoaK~~77 980 ~ ; ~ - - . . . . ~ ~`~i^ f ` . stic+L;^-~-