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IN RE: Lot 50, Block 19, RIVER PARK SUBDIVISION, Unit 2,
as recorded in Plat Book 10, page 72, St. Lucie
County, Florida.
sTwTi wwltn o, NtALTN CERTIFICATE OF DEATH
fTAT[ IIL[ NO
~utluv or wTwl. tnwTUme~ F L O B Z D A
ltrtclsTttwlt•s No. 111
11 7 'N _. Htt1AL AtMfKMCK Ir/tw drr.tlw R 1J N.t.r tiM.tn6rW
rawu N OtwTN COOS ~` a STATE Sairit LL1Cie
` ~ Saint Lucie 66-025 Florida
f. K t1ES10E11tE
• pTr• 100M.OM apCATOM t. 1f RACE Or 0[ATM t. pTr. TOt1M.011 tOCwTOM M/S~Ot C1Tr t1M11tf
1Mi10E nTr t1M1n' Fort Pierce m a
Fort Pierce rES~ ~
L MArE or (girt tM yglli. /it tbt+t wrw) t srMCET AooMESs
NpshTAl a 204 Ba Street
•~*~*~*p"Ft. Pierce Memorial Hos ita
y,,, L wTE ~~ os Yat
."'w"w"iw ~~ ~~ o~*~February 22, 1969
cent «,.cn AGNHS MARYE QOET2ICB
~. wTE or MMTM f. AiE 16,etN ~ w°°1 t TW tleo[J 111
•.,t l oOt+OM o11 MACE 7. 1uMM1EO (] MMM tuwco At/ M1MM) x.t+. Ow. ~o.w ra.
t-
John Ben•amin Ericson
Sit11MTr M0. 1 . M M1aYTtM[ gMttt
.2-48 Robert B. Ericson De
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' ~Mr SY1Ctot NpMtC1oC
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IO/. M1MIMr OCEytYlEO itr. RACE Or t1UYMr l1. I•• r v tlt.t Atty. Zol• C1TT. 7081
Mtl. Jdt-I. ttrtlt• eja ANt.. ttt.)
1x1111[ AT ~
t10MK MOT tINRE ~
AT t10MK
to~1T1aM awal w
fart i /11tt l M 1
Car1SOA
USA
- - , to 2-22- 9 ..~raa,..~t~1 .Ai...w - --
:c.l.tt.^e ••~
wen eM d.tt tttNd.Dore; errl to eM Awt e/ p-i-ite~ltlN• ~ro1w tM eewoq tttttl.
nd of jg• MTE S1G1t0
,tat. - ~' AODME~ 802 N. 7th Street
Me s D. Fort Pierce Fla. 2-24-69
=lt. -11MH1. t101 oAT[ M[ 0/ CEM[TUr OM EutuTOMr ill. tOCATOM ((Sf,• tttrM. tr otMMtl (8htt)
~emov'a"t' 2/24/69 'te Cha el Mem. Cem Detroi~ Michi n -
t~. ~ ~"" Yat~sFunera 1 Ho aTE Mcca Mr loci MES.
~°~v °'t . Pierce r. 24 9
heroby osrtify thb to bs a true and correct ooP'Y of the Local
Registrda record on file in the St. Lads County Hsahh DepaA-
rtlsnt at Fort P'csroe, fbrids.
(yyaminp: Nat valid unless racssd seal o~E the St. Lucia
County Heahh DspartmsM is affixed.)
N. D. MILLER. M. D.
Msahh Officer dl Local RaRlstrar
~ DsgAy I,ou1 atrar
FILED p,T10:R~G0itOF ~A•
OUNTY a
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18152
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