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HomeMy WebLinkAbout2893 . I ' FILED ANO RECOROEO ~ ST, LUCIE COUNTY. FIA. FECORD VERIFIED 18i024 '69 JUL 24 PN ~ : 3~1 ~ ROGE~ ?•OITRAS CLERK CIRCUtT COURT' 181Q24 ; :~i. ~TAT[ wwRO o~ Mrw~TM CERTIFICATE OF DEATH Ce••• • wRUU w v~tn?~. ~rwn~a srwn ~u wo ~.s.l FLOBZDA •~d •\~w el T NO. R[ tT11A •t NO pr~~~r1~ GOD[ N0. t YWAI ~IO~MCtI/~ti.rrW.t U1red.t~w: f.:Mw~Ii.~i:wiwa •:~e~t~! 1. ~LA~~ Ofl?TN a STATE OouN11/ ~wi •111 ' >l~e~~ R em. rarN. o~ wewT~ e. ~s ?uec os ourn a aTr. rorrM. oa wuno~ s. a~s~oe~ec s. *•r- uaioc cm urirn .•¦•~s ua~oc cm uwrts~ res No O res w tsi.. ~,urc or ~qw r. w~wr. Nrr.sw waw.) sTRCCr ~oo~css IqSMTAL 0A . MISTITIRION 3. MAYt N firM ~lWfr L~M WTE 11~wN pt Yea ~ ~ i•~•n °EATM Au st 1 scx i. tao~ oa ~uet 7• ~u~utso~y ~cvcR wue~to aTC os wTM ~et U. ~w, s u~+oo~ ~ rw u¦oc• H~ws. ~l t~ AA n /Mf MrfN4) Y~b D~w Bww Mi+. ~ e 1 t• ~IOOIM[D ? qYO1~tED a~u~' ~ ppv }1~1~1~ IO~.YSIMLOOC1MA11011(OYrWIN~NrlMAS IM.Kw00FW51MESSORw0UST1tT11.W1TNR~AOE(Stlew/Y^rM~~~) 1 o11REil0~~w1TCO~Mf1O~/ •lt~ y~r- ~p(yweN~~I~.~~lf~d~~) .....a - YN N USA ll~ek lat 1 iATMEII'S Iu1rE 14 rOT~K~IY M~qE~ N~~E •r sn...ss.~ ~ HARY NASH IS. rrss atEnsco Evu w u. s, uirco ~ K. socMt sccu~nr Mo. t7. w s s~ow?Tw[ ~bEI't C. r$'8Z~8F~0 ~ra...~.r...d u/w.~:..r.ww.I...w - A+d~p Ft. Pierce Florida rrw.r.l . 1~. ewYSt N NwTN [~Nr NtI ww ~r Ip ~h W. c?)..sf (d.) iwruru ~crrtcr ~~e••s•e ruT~oun~rnsewscow~ aaEru~ooun~ wrcana cwx W edi e ¦Y~t l!1• . t\• ¦1t~ 's~~ ~ ~r/M"~`a ~ (~)-~OC ial infarction ' 1 • e • 1 ~ ~ t ~ r~slatrar /~ny aw trt. ~ ~ (c) ~ rlt\f¦ 11 ~ . tilASAUTOrSY t~¦r s• t- ~ ru~T LL q~a Ss~sftMr Oo~wnas Oo~wrtwa ~o otnn~ ~ur wr IKUau To m[ fnrrw? oRUSt Oaano~ CNia w M~i 1(a1 F rERFORMEM t~~ d~~t\ 3 yESQ Np? •r D•t~r• _~p~. ~ 2oe. ocsa~wc Now ruu~r otcuR~o_ (btito wr.~ y~.~ 4 Pr.t Art ~l y~r~. ~~J . •aki~f ~w7 ~ ACGO[RT Su1Ct0E NOY1C10E ~.~~.s- ? ? .1~~ mt TWE Of !!w? ~/w~f?. 1)q. YMr 1~a~. ~ auuer a i 20~. ruu~r ooa?~o mr. ruec as a~r ~e. +..r .e..~ ~..r. 20,/• u*r. ~owN. oR we~Ta~ oouMrr STATE Mn~Rt AT ~ MOT 1RM~Lt ~ ~/R ~?I. ~OrM. ~~[s 014•. dt.) ~ \IO~K AT ~IptK ~ .y~ ~ ZI. 1~fNnr~/ tM ~ew~M feoa~ 6-05 , ro g-2Q-~?!5 ~nd /wt w~ h~'~e1 ~li~~ on ~u,S DNtA ooou~e+i ~f + m on tlw d~t~ ~t~Nd ~Do?~: .na ro rr~. e..r or mr xno.~.sN. from tA~ uuw~ ~t~t~. ~ is•¦. n.. s~owntu~ ~ar«.. ew.) ~"~"E~ 802 No. Seventh St. a~. wre sw~co .r. s. 1. ~••rl•s• ~ Me n orrs H D Fort Pierce Fla. 8-2 -6 •t~~I~t~. Z3~. ~Itlnl. pE~uiiOR 2~. WTE 2~[. NAYE Oi CEMETEl1Y OR CREYATOIIY 73/. IOCAT10M (G~f1. fw~n. M ~wiWt) (g~ft) . ilErOrK (S/rtiJrl ~ o Greenwood Cemete Broo Kin s Nex York •.s.fet9 t~. tw~c~ ss~+u ~oo~ $t. ts. wrcRCCa~rwew~ec~. te. ~ce~snu~-ssrc~utuRc w~ T"~p1 N. . , a...~.ss ~ Pierce Fla. 8-26-6 Anna Lee Denison d.r. ; : ~ } ~ _ } I hero6y aartify thls to b~ a true snd oorreet aopy of th~ Loul : . . . - Regittrsra reoord on fik in fhs St. l.uci~ County N~ahh D~pa~t- . rr~snt ~t fort Pierce, Florid~. ~ _ ' i- _ ~ . ~ - ' > . . (Wunkp• Not valid unless nissd s~sl of th~ SL lucis _ - Counry Heahh Dep~rtnwnt is affix~d.) . " - , ~ : : - - - ~ ~ - . • C ' . N. D. MILtER, M. 0. . . ~ County H~alth OffioK 3 Loul Rpfstrar . ; - . - ~ • - • • ~ " \ 9~O ~ ~iQ. ~ ~ ~ ~ ~ ~ = o~ L+o tZpistrar ~ ~ ~ BOOK ~78 PACE28~ . _ I ° - 4 . ~v:t'~' 4~,.. t . . ~ _ ~F' ;Y~sr`A ~~i ~ ~Y y 1: ~ _ ' "r'f= . . ~~.~L'Lt.~ s