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HomeMy WebLinkAbout2639 180843 ST ~L C E C UNTY FLA. , RECOftO VER~FIED 180843 '69 JUL 22 AN 10: 55 ~'4~~~ Dt- ~TAT[ sOMD OF NGLTN CERTIFICATE OF DEATH C;D~'"" ~~~••s • •upuu or vrrw~. ~r~nmc~ ~rwTC F~ :•a•~ FLO$IDA ~d~`~ i A ord ¦Aen BiRTH NO. ~ prop~rl~ RF61 , e:~tYt~d 1. ~uit O/ O[ATN CODE NO. 2. YfVAI R[NO[MCt(I~..~Iwr~fliMt 11:+wr.r.w: Rr n ~ • n d • ~ 11 a. ST~TE- ~pyM D. ,,.~.e S' n 66-025 ~aint Lucie , S o y~~- 0. CITI~. TOYM.OII IAC~Tqq t, ~S K~CE O~ OEATM t. t~T1I. T01YM, OII lOG1TpN e. ~5 IIES~OE?KE ¦~e~~~ 111SIOE CITY UYIT 7MS1DE CITY LI f51 ril.. Fort Pierce, Florida „ESp Fort Pierce, Florida „ES ?w f. NArE Oi (//rf iq ~w~ifd. /it NvM Nfrswl 1. STIIEfT AODRE55 uidTITYT1pN 1506 Jaunita Avenue 1506 Jaunita Avenue 3~u?Y[ o~ flir~t Alifll~ Lut Wi[ MwUI D~~ Yeo ~ c°iy;~r~~w~ Robert N. Peres ~,T~ July 13, 1969 ~ S. S(1[ f COCOw OA RA~'E ~ MMwKO NEV[A MARRKO DATE Oi WTN ~ ~6E Ih~ IfM1 r u~a~ ~ rw UwOE~ N WS. ~r . i c. Male White . ~..ra.~....? aw. a,. x.... w... r~aorrEO ? av~o+~cco p 1~1~1 ~ (0~. USU~I OCCW~TpN (Qirt ti~1~/w?t fot 101. KtNDOi ~uSWE55OR tN0UST11Y 11. NIITM/tnCE (9 t M JNiy~ t~1~Mf1 12- pT~[K Gi ~w1f QOWr~n •i tA p~r- fwis/ ~wt N~ti,y h/e. e~n t/retvd) Construction Builder Port of Sgain, Trinid d Not USA Dl~ek f~k Il fA?nER'S wwE 1~. IeOTNE11'S tuW(~ ~rE v' •n•••1~•~ Robert N. Peres Amelia Cando ~ K. SOtul SECCRm ~+o. 17. w j NOIMTU~K .tltrsa ~ 14 8-09-15 X? ~/-ck« ~ 1506 Jaunita Ave . Ft . Pierce F,a,. Fun~~~l u ewusc or w?rN (s,r~...ti..s eaw ~r. t~.r p. t.l. ie~..¦~ u~.l IIfTEAYAI ~ETw[CN ~ d 1 tOT ~~T L OEATN 1/AS CA1R[O ~Y: • ON$ET AMp p(ATN •u~t [ll• IMMEDIATE CA{ISE (v \ ee• e~r- • ; v tlflws• ~~fw~.i/p~. pyE TO (~l , ` ¦!t\ t\• r~? ru~ t~ - 1 • s • l ~w~ twx (i). ~ r~st~tr~r +~~I t~ r~4r- OtiE To (d ' 4~.i rw_ ,E AOUr• •f' ~ tNT 11. OTK'll SK1~IWf CO~O~t10MS COM1MMRiK 10 OGTN R!i MOT R[?AlEO TO TN[ TGrw4 O~SfAY COIOTIO~ GKw rl ?Mi 1(t1 - W~S AUTOKY ~ IE1~fORM[D~ t~r ~~~N S ~ES? r0' or Oet~r• ~ ¦~tlws ~w~ ~~OEMT SUK~DE 1qY~C10E ~e. oESCRU[ Mow wuRr otcuRR[o. (E~ra ~~rw~ y~.ja.~ i~ Prt / r P~rt ll yirra /IJ a1.o••t- ~r ? ? ? sson •t ~ 1oa~. ~ 20r. T~wE Os Hw. a/wt~. D~~. Y~r uuu~r o s• . = ZO/. PUWII OCCYRIIEO 20r. R~CE os w1u~r 1~. I.. in v ~AO~t y~r. 20/. CiTr. TOtIM. OII IOCAt~OM COYMTY ST~TE w~nc ~T ~ wr wMnc ~ N?•. /«wr..end. Ma erq.. a~.1 MOIIK AT IIIOi1K 21. !~tt~~d~d tM I~eMMd /ro~n . ~o •nd fyt w~ ~~~li?~ on ~ •tA oeo~rnd ~f ~ m o~ eM d~~~ ~t~~~d ~Aw~; ~nd ~o tM Aw~ o/ m~ ino~l~d~~, liom eA~ uuNS at~t~d ?11 ft~~• t• 1• ~ TY~~ ~~MnMwkl I11+ OORESS IIt. TES A[D co~~l~t• ~ ~O ~ [ •cc~t~t~. f~ V 2b R+~w~. Ca[wTiOw. 2b WT[ 27r wrE Oi CfrET[~Y O~ CpEr~TOU~ 23/. IOC~TqM (GY/. tMn. ~r erwwtp (3~b) K~K tSprcy~l v. s.+6I3 //~MIEMJ. 014 S ss 2S. wTE Rlta w IoCLL ~U.G. i ws • a~~.lY~6 G~~ 7~ S~ Jul 16 2969 ~ G t. ierce F a. y ~ ~Lt 3,-~e°,~ '•c+~,,CJ i hereby oertify ihis to bs • true and aotrect capy of th~ l.ocsi Regiura's record on fils in ths St. Luw County H~atth ~epart- msrlt ~t Fai Pierce. Fbrid~. ' ! (Waming: Not valid u~less nised sea{ of the St. luci~ - ' County Health D~putm~nt is affixed.) ~ . - . . , N. D. MIItER, M. D. ' ~ _ County H~atth Officet 'd~ loul eyistrar ' ~ : • . . ' \ D~xr~y Loca! Re~~strar ~ , . ,7 • .I ' s • ~ 1 1 ' : ' . ~i' . . d00K ~ 1 p PAGE2UJlj ~ ~ - ~ _ ~ _ ~ ~a_,W...~~ f,~ , - _