HomeMy WebLinkAbout1976
-..
--
i ~~ ~v~5~~' ~^ i
CERTIFICATE OF DEATH
tAl• -e- eTATt eoMO a MtALTM ~
eewet • euRtllu 01 rETAL aTATIerIPa RAT[ -ILt q0. y
1isi1 r••• FLORIDA
er1 esew el N Rk0 aTRAR•e MO.
pr•perl!
ea•e•t•/ 1 aAK N MATM COOL ft0. 2. tMYT ll RkNN[MCt/w••elw.r.IW~e; t1~ • sw+MwNhne•.:ww)
•wa .ltl • COIIwTT
St. t_ucie ~
Florida St• -Lucie ,
-e ~lae•/
la !•r- _
!. CITT. TOw11.OI1 IOGTXM t. h MACE Dr oEATN
t. tITT. TDw11, Ok tACATXXI r. K RtSX1EwCE
•ta•wt 111510E CITT l1wIT31 w1S10E CIi11 lWitS/
rll.. Ft Pierce rES wo Ft Pi Tc! !b~_
/. IU1elE Or (IJwM d tegtt•1. /tt[ Mred e1Ate1) /- STIIEET ADOOESS
w"~':u a°kw Rt. Pierce Idemorial Itosp 5603 South Indian River Drive
1 IIAt1[ N fbd /f1t~ Lot 1. GATE Mt•A D•y YtM
T--rM~1at) Mary Margaret I3orchers wTN 3 17 69
.SEX i tO1011 011 MACE T MAIMEO ^ KrEk MAII/tiD • OATS Oi w11TN ! ~
, 1!L
~/t11 MwiMr OeP Arwn
• r E e• wloorEe ~ olvDwctD 2 4 5 1 8 ~
! 1 •! w l y ~
t1S11AL OCCIMATX)w (OW ttd y re.t M•t Itb. Xaw or wustlESS ot1 wXX1STwr 11. •MTIMLACE (nett w 1MeM• tetalry) ~ talnnl s ww-t ~w1wTt ~,
IOw
•It11 ~•r- .
/•N•I yawtt•y11k etrayntkt0
~`
f
Illi
ois USA
..w.at ousewl
e n
~1•t! lw! 1 rATw[II'S wAttE 1 . MOT11Ew'S MAIOEIt wAelE
•r
t,....It•r
James row
filar aret Donahue
aoaAt xcIMIT. ao n • setrwneTllww w/rt..
067-03-G07 D Ttar r:eil SG03.So. Indian River Drive
~ J /ewe-•1 11. iAY1R N MATH (hater telly cwt ee•o y- Nt r (•). (N. aN (c).~ ~ 1wTEwrAL d
V Il-•st•r -AkTL DEAtwwASUUltohr• OIIS[T w
• ~ we11E0MTt CALM (e) _ ~~ r
•aet yll•
eye ••r- ~i~0 '~~~i•v ~ ~
~~ resletr•r deny Me ^w/er. ~ ~ ~//jjL~~
M•I hart Ied. Ott TO (rl -
ea r • • r' ~ AMT n. OTIq S1twrlUMt OOw•tt1016 CewlwlwlRM A OtAta EIR aol RO11R• r0 OtXigt now Olrtw w titllr Kd ~ ~ ~
ter /••t1 ~ T[i^ 10
er 1• ror• ~ t 206 otxwwt wow wetuwr atCUwwto (is'Mt- weta-t yte/ary b Put I t- J'VI ll yYr. r1-1
w•llwO awy ~ ACt10EwT SIIICIOE wOYK10E
lley•!- ^ ^ ^
e f ew •! ~ TIME or Hear XeNA, Ds/: Yter --
- t•/p. ~ wtlnlr •. .. -
a ,...
201 w/1p1T OtCIJtt11tO 2W. HL.AC[ Or Iw/UwT (c. y.. h r etie•/ Mew. 20J Mr. TOwll. 011 IOCAt1011 COUtRT 3TATt
wN1l[ AT ~ wDT w+11LE ~ fd ~. aderr• drtd, e/Itt MN•. d[.)
t10111t AT wO11K /
21 / attended tM deeeeeed /turn . to _~ end I•tt w. A~+Iire on
LhetA eceurred •t a on tM date etetel •bore: red to fAe beet oI al/ Arloerbdp. Irom to uws etet -
A11 Itea• ~ ONt1ATYRt (DrNnM/Ylt) jjp A0011 SS .OATESIGIK
ere t• 1•
e..ll.t. a ~ ~ (7 3 -s
crawly) (8dr)
•etal•t•. 21e tAwut.txr•tlow. 2k wArEOrCEtItTEwTOwCwEMATOwT 2]/. LOCH (G11y.te~w.er
~~is~`ln' 8 19/6 1•lillcrest t-tem. Garde s T't. Piercer ; lorida
T. s.lets :~ - zs. aTE wtcD. n LacAL wEO. TIUk'S SIEt1A
s...llss .~-te~°.°R~neraFla.m A..---~ ,,. .,.__ /~i ~: ,~
fierce.
~~ v FiLEO AND RECORDED
~, ~. L~CtE COUNTY^t=LA. '~
... ,~: ~,~Gt.:r
1 hswlyy ~fY tPlb to ba • true erld correct aopy of 1M local . ' 182568 ...:: , ~ .
,~ ; , .z~.. <,.,;,~, .
Rpistrar'i record on file in the st. lucM county Ifeahll op.rt- CG~J 3 PM ! : ,'~ !. `~ " /~ .
n1N1f N fort Pieroa, Florida. +`O .` ~ ;:: ~ -- , ~~-
(YVarrlirq: Nat va1W unless raised seal of tF» St. ~ ~•, ~• _ . ) ., ~~` ~ '~.~ . ~., '' ' -- -
Cov>wy liaahh Oapartnler» is affixed.) - ~y~f ~G~`^~ '~ `'•~-:. • <.~- ); ,• .
N. D. MILLER, M. D ~L£RK CiRCUtT Cd~R7 `, z i
GovMy tiaaMh Officer •i>e I+oeal Rphtrar ~^ ; .:i:: _ L~ ~ ~,
.1..
y~.' ~ ..0
~') 'i i •'~~,~ ~ i
i
• a...'. • ~~~ is
Dalfa ~t- I+onl kagistrar r ~~-,~ y :f .~:~+(1