HomeMy WebLinkAbout1777 i~i• i_-': ~wM ~onwo cr Msu.rt CERTIFICATE OF DEATH J.802i~i
i:~:i ~v~snu o. vrrw ~r~r.r~e~ F L O 8I D!l RAtt IILt ••a
•r •\~w •1 N . R RItA • 1~lO
)t~Mtl~ 1. Mwti N sfw1M COOf N0. L Ysltwt w[ftNl~ttl~~..~.~r.d fJr.rr.r..: ~ww~ww~~.W)
•s~~~t~~ M
•tii ` °0`w"'Indi~n Ri~er sr~~ oou~m
ts 1•?_ tmr. To+~t oR WuswA e. ~s os otA t. aTr. toM~1.OR loG?TpN R 11[StatNCt
t~N~t 1MStOt CITt UYi1'SI ~f~ ?
Vero Beaoh ~:a! ~o? Yero Beach
a~.~c a t..e r. ~w,e~«r.u....) u~rn os ~ m~cEr ~oo~css
~,m,,,,°'~n~ian~i' d~eeat rs 1958 33rd Avenue ~O .~n
IYtr[ N l~~t Xf/Lt Lyf OATt alwlL D~ YM?
~ssw~s~
t'y'" a~i?TM a 2 1 6
stx i oOtOR on ~?a 7- wuntto Q NtvtR ryauco o~R Os sn~Tw ~iE 1b ~wn r u~af~ ~ wr x
trt ~+Wp) r..r. ~.w t.w an..
r~ z MR 1 e Whi t e .~oo+rts o~o~tco
f 1 si ~l ~ ler. uw~t oocur~TwN `1~.. u.r yw?t a.e 10~. Kwoo? ws+rW ou a~ousn~r t I. N er.n w pnlw ew~nrl em~ a wiu corear
~ai ~t~~- t"~y~wityswNqSAl?.+rw+/nM?rp .
~l,~t ex York U.S.A.
i /4TMt11'f 1N~K ~ 11. YOn~ERY MMOU IuMt
•I
a.••~s~~• Char e~ Petain Slisabeth (la nam ~il~ble)
~ wns aousco crcR w. iue+ua ro~as~ .~ocuLL sccu~unr ro, n. s s~~sws
1 Ir r. ~ w~r~l IlI r~. w w~ 1rr riM
. No IIasrailebl •~•+«•1958 33r • , •
r....•~ u. e.ws «.urM ~a~....rr... ow. r? cu. c+?..~ cc~~ • arrar
~t~•~t•s ?A1111 Ot~TN1rAfGY![0/f~ ~G• ~ rn
~s~t ill• wrcou?TC uu~t (a
•~r- ` .
sin••u ~,~~.+r. ouc ro t»
.~e~ •a• ,Nk,~ ,
1 • ~ a 1 ~we rw~e~~~
t~~l~ttar ~ ~ ~ td '
•f~~l• ~ h~M asa lyf.
Mr?• ~f- ~IU~T ~l dflfA AiHIYAMr OQwo~f~ois GPM~fwt~wt p OtAn~ ~1!? 7~p~ JMUtED t0 nK lOtrsMl 0~9u7t Go~ero~ iwo~ r?Mi ~(~1
t~• l~~tf KIIlOA1K01
•alf~j•a~~ ~~~T i11K~0~ ~0~1~dQ ~ OtSCRNE ~ MUV~IY OCtuR~lCO fE~un w~nr ytyv~ Pir t r Art Jl ylte+~ t~J xf ~O .
I! ~Na! - ~
tlra •t ~t. Tw[ OI Hwr AlNM. D+l. Yt~r
Na~. ~ ~ wwr a. .
~
mf. MJUR~ OCCWa[O hACE o~ MJURV k. I, l~ v~t 1~wr. CTt. towM. pt WC~i~Ow Oou*TR 3tATl
w~wt ~T O ~pT wM~L! ~ A?~. . r.~e. ytiee erU-. de.)
~R A7 MOlK •
21. /~fNwd~1 fM MwMllt~ ~ . M JMf A~a ~fN~ M
A~a~A ~ewrNl ~f w~w r11~ IaN ~~~twf • :~w/ f 1Mf ~I w~ lne~ M. /r«w tA~ ~rw M~iM.
~ll ft~~~ ~ ~MT~ ;
a• ~~D~.ae~. ~ t!~ ssA tte. s ~
•~~~l~a• a ~ 'L. `
/'~~••v•t•. ?i. wi~a. ~toR tl? a? t7r. orarRC~roRC~tEr~~ti t~f. lout~owc~f.rwn.rwwl) tQir ~
? ~r~
e t mem. Garde Ft e ~
~•~.1~t~ e~°~}I6P~Z $001@ :s. wrc ecea ~r ioua ~ac. urssw.~u s
t. Pierce F1~. s- ~ (o.~' /an.~~-
"I hezeby certify the above to be a true and correct copy of
the Local Registrar's record on file in the IndiAn River t~ r;
County Health Depart~eent at Vero Beach, Florida.~~ ~
_ r
i
This is npt valid unless the rnised seal of the Indian Ri}~ei f~v ~
County~~tea~th.Dapartment is affixed. , ;;~=~r z
- ~ ' • _ , Vt ~ c7 a."7 ~
. - a'. ~ ~ ~ T ~ ~ ~
• ~ ~ ~ - ~ m I~
, ; • . ~ , ~ G - ;
j o ~
- ; County ealth Dir., Loca2 Reg ~fr~rar ~:~o
:
i v ;
;
~ Deputy egistrar ~
.
' ~ ~ . - _
' ~
aKi78~.~2? .
_ .
_