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HomeMy WebLinkAbout0382 tA~s nwTS ~o~o o~ Nw.TM CERTIFlCATE OF DEATH ~~~~4 ~o..s . ~u~uu oF vnw~ srwr~nncs trwn r~ t~aat r~a- FL08iD~ .re .e•w e~ T N. ~ca~ ~w no. Orop.~l~ 1. ~aAa K NAiM cODR NO. t YWAI ~[fl~twC[t/~«ir~yYwl !ltirwAaw: t~ir.whl.~w...:~.1 eatl~t~~ 0(NM~TY a 3TATE OOIIMTr •n~ •111 ~lae~~ lw dir. 70rM.OR IOpTDM s. 6 RatE Os OE~1n1 e, dTr.laill~.OR WG1T~011 K Rf3~0EKt ~m 1MS~OE C11Y LIYIT1i tll~. TES 11D? 11tS N~ t. wYE Os l~/r b Mqitd.Ilu ~aMt M6n~1 ~ snrcET aoo~ESs lqSMT~I o~1 MSTITIffipll l 11Ar[ N fkM NWe L~M D~TE Xw0? Dq Ye~r RllFl1S IRVIN GOURLEY ~TM J 20 f 967 . s[x s aoccr oR iua N~anco (x~rtrc~ wuue~co a?rc ar ~wrn ! ~cc ~I. rrr~ s va~ ~.w u~aa H~ws ~ ~h1 r.,r. o... w.w ri.. ' r. t e~ j{gle Mt~iite woowcop orw~cw Au . 29 189 'j ~ ~ t• s. t~ ~0.. usuu occrr~noM ~are Nr yw.~ M.~ ioe. Rwo as ~us~ress oa wousnr u. w~Twa~cc ~ar.a ..1r..y. e...e.~~ ~ crt~a¦ or .wr co~wn~.~ k •~~r ~.~W.aryr..tGyh~r..wsynwen Clothin Tennesaee United Statea ~ u~er •w4 1 IATMEIIS M~ME ~I. rornc~Y ruocs iu~ ~ F Thamag H. Courl Kamie IYtcCaleater ; saac sccv~m ~o n. s sN~~ ~ i 2-0- 68 Elberta Courl 181 Bonita Eourt Ft.Pierce Florida , Ire~r~l 1~. tA1Mt K MATM (bt~M w/ wr ewn M~M (~1.1~1. a1(rl.) 1~Tt~r~~ ~EME~ ~ i e.. r~~. ? oc. w~.ica~`n `cws~ t.1 1~9~OC87rd1al ItlfBS'CtioA Massive o~a~ ~uo oun~ •r~t tfl• t~• •~r-. ` urie.a: ~ c~~r~...~~s.~. ouc ro c~~ 2~ to ~ASCW 2-3~ Niri. ' ~lt~ tw• ~ ?i~ N - 1~ e• 1 tl~e nwe [il. ' r~al~tesr ~~thl /le rn/er- pyE Tp (e) hjN apt lwt. •ft\lw Tf = - f ~1 f• ~ ?AAT N. 011f~ 9i~RYR Cb~101~1OR OOMIMYIM ~O W/N wR 14~ ~[lAlp 101M(1[~YMI 01lFtit CdMf10M CIIOI O rMt 1(y . 1A5 MnO~Sr t~f ~~~t\ s ~'E~iOwMy(D~.l~ •r ~~f~r~ ~ YES? ~qTJ . •~ttws ~~~trotsi sU~trot ~~C~o[ ~ otstrc ~ w~rotcw~uto. (ate. ~.rwr Nti/~?~ b Prt Ir Prt It yw~ q~ ~i.~•.t- ~ O O ' t f~~ ~ t J~Or Twt or !/Kr ~ 3 wlu~r Or1. Ya? i a ~ 20f w~ulir ootuRllto ~Or. HAtt o? wlfMr tr. 1~ ~r ~Ne M~[. 701. trttr. TdrA_ oll loG1~ qM o0u~m ST11TE VMR[ AT ~ MDT MNK[ ~ ~~.I~M~/. d+M. ~tt YfI-. dt.) _ •OAR a? ~IOIIK !1. l ~fNndrl tlN I~owrM /~ow . fo _ •nd INt N~ A ~ ~/ih oe ~ Dwt/~ occ~rnA N 5:45 P. w on tM d~t~ ~1~t~I ~60~~; ~M to tM 6wt o/ rn~ ArwoNdp, I~om tM uuMS ~f~f~d. ?l1 ft~~• ~ N~IMTr~R •r• t• 1~ (~~~~1 ~ 7?l. WTESKKO ~••r~•e•. D.K. Brleech,M.D. Ft. Pierce,Fla. 7-21-67 •scre~N. ZL Mirr.tt~no~. 2L o~TE ilr ~u?rEO~artr[~rqltn[r~TO~t R~K l4/~+~M t~t. wuT~ ~cwr. u.s. r n.~.rp c~rrn i Ft Pie e Creacatoriun Ft. Pierce Florida ; ie,a nr~c~ s s~unMCYatea°"l13PierA1 HOme ts. a?n Rcco. ~r wu? ~u. . ~ca~sriu?~~s siw~c ~••..•ss ~el D. Steele P'~.Pieree Fls 7-25-6? Anns Lee Denison, d,r. - ; . . ~ : t ~ e~,~ ' iNfsby -~t~' ~i! b b~ • tru! ~+d COrteCt tOpy Oi ttM btd ~ ; J~pisfr~+s reo~d on fi~~ fi~ S~. luctr Coiinty F~Ith O~p+ra FfLEO AMD RECORO ~ r,~t.d fal fi~ro~, ` ST ~~UCIE COUNTY. LA. _~(W«ninqi rrol v,ud ue?1~s. rabed .sal of th. St. u+w c o? n ~•c a t r~~ p : _ - c~, ~ o.~~ ~ .ff~.a.~ 1'793`?'4 ` F . . ~ ~1;~, ` a Nuu~, M. c. '69 JU~~ ~ ~ pM 3 i . . `l ; ' . CouMr H~afth Offiar i Loc~t R~pist~~r ; Q _ ~ Q~ ; . ~ ~i~~er~r~ ~ - (n"7 \.~--C'i ~ . . a.~ t~. ~ ~~~i ~~ERK C~RCUItTRtiS : pai~. p,.~wy ~ r~~a„r T COURT ~ . ~ , - 80~K ~ ~ # ~ ~~v_ _ ~ - - _ _ ~