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HomeMy WebLinkAbout2670 ~-T-es rte- ['TAT[ a0A110 O' N[ALTiI ee••• • auQ[AI) OI Y[TAL fTAT1aT1Ca I•q1 r•e- erA •11•w /r•/•rl/ •:•est•~ •w~ •111 ~• /1•s•~ l^ ~•r- .•.•.t tll•. f r 1 t • *ls/Ml/ •ft~ /•r- ^•...t -la•t ewh •r t»••rta•r ' /•w•r•1 U r••t•r .••s tll• A t*• s•r- etn••e• 1 • s • 1 .level. Ts ...r..r- t•r ~.a. •r Nhr• ..flea •M/ ~l•/•1l- et•w ~r -•a~. j All ft•wr •r• t• r• ~ e•w/1•t• 1 ••err•t•. ..s.~•Is [•..l~ss CERTIFICATE OF DEATH FLOSIDA 3 ~ .183042 `" i i trrwTS nu lla ~ i .~ ncalsTltA_:•s_~so. 405 ~; 1 T N . coo[ NO. L t11wAa w[tlscrlcc(1n..wrrtl.r. t/t..etir.~ o.r.wtr....r.rr..) 001MITr - 1. KAC[ N MAIN '' 001"'T" 3t. Luole 66-OZS . •. STATE Florida 3t. Lucie e. a rtAEE ar OEATM R clnr. TtMNa oM tACAT10M s. aTV. TtIfR 011 1DCAT10M s. a s[sloefeE ws1oE cm E1111TS/ stsloE cm twlTSr Ft. Pierce TESm •oO Ft eras rES ~ /. MAME ar (ry vest Iw legtti, Ei't slut •U-M) fmmoM°"Ft. Pierce Melt. Hospital ~. STIIEET ADOM[SS 411 North 25th Street S. DAB ~(r.lt Dq Yea ~. """~" ~' s tember 5. 1969 •[~ M ~ THpHpg f `" C88gTEB DIXON r 88. oEATM eP ( sex s cotaM oM MACE ). t1AMM1EO MMw MIw1EO t. OATS Ds will !. AiE tt. u.-s f uittw 1 ttAw uw a, was. brltlrlM•r) AI.•rr D•n /•an Xr. gale Cau• aroMCEO Feb. 5. 1905 t/worlEO 10•- IrS11Al OefJIIrATxM1(OIM N•/ ywrt b•e 10l. KwOOi s1R111ESi Os wIp11STMT 11. wT11rtACi (8•M K /Yreisw t•••t-p tRit010T n1AT Dp11MrMTt 's1""''y`•r~"""r'~`"y"""~) Goods Athens Tennessee U.S•A• Merchant ' 1 rATi[M'3 wAllE 1 MAIOEII MME tt. MgTNEw John G. Dizon Nancy 3tuddard . 7 0CIAa sECUwm sa q. • •ta1MTYw[ ANr.M . 8-14-548 Mrs. Fannie Dizon 411 North 25th 3t. Ft. Piercer Fla. K e/wN[ •/ MATH (i1r11- •wl/ wr .vets Pn M•r M tu. ts). ••I ts).1 IMtcMV ~ ~ of o /AwT t pEATM wAS cwaEO fT= /v~,c~Y~-~) h',S wrEO1AT>E weE ca . ouE To p) t '~ ~ • ~ ddlw/ tAr ••Ie-- DuE To (r) M•I T..ar 1•d. . w A -AwT 1L sru•rrtAUr oaanoe OoMrMwYr•rt r0 DfAtw •1rt MOr weave m m[ Talr•M muse aaaTww awes w /Aver 1(•) /EwrOMME0/ ~. oE~MSK r1Dw MUYMV OCCVR11E0. (bluer ^d•rt yy(•r/ M P•A 1 N M f! yMs~ tIJ ~ ~' 3 AOCIDEMT wx:roE MOMKIO[ ~ ^ ak. TWE Oi i/••r Me•rA. D•I. Yts raMlwr •. .. F ~• wtuwr Deeulal[o Zlr. rlAtE o- rwwr (.. r•. b •. •M•1 b.e. 7D/. em, Tars. oM toulTxlw eOUSTT STATE >~ . M1111E AT ~ MOT snlwt ~ l~/A. E•ttr-r, d-ed. MK MIr., dl.) rOMR AT woMx ~ di.• •e l` •ne! tut ••. A 21. ! •tt•n1.et tA• eto••••I Irom - . to ~ m on tM d•r• •t•t•d •!or•; •nel tot t d m)' •norrArtt~•. Rom tM eau••• •1.1•I. D••rh oceurr•A•t jjM iIOMATYwt ( K M tY4) ~ ADOwESS ~. ~ D L1•. f111r14. CRr!AiOlr. Z! DATE 21r. MAME Or rXMETEMY 011 CREMATOMV 211. LOCAT ( . A1Mw. M «eawfq t8tde) ~'~gj`y'' -8-6 Hillcrest Mem. Gdns. Ft. Pierce, St.Lucie Fla wAa : ss ts. OATS wECO. •r LDCAI IIEi. . wEa1sTMAMS s1G1M S. 4th 3t I' ~ hN+sby priify this to ba • trues and t~ott+act ~ of t11a Local , . , , , , .,, - I~pignr'a raoord txr fiN in tl» St. Luis County liaal(h Oapart- FILED AND RECORDED •. _.. ~: •r•'"` want ~ Fort Florida. ST. LUCIE COUNTY. FLA: ' <<:•~-~ ` '~ % •- Pi~ae R~COR VFRi~'lE(~ '`:'• : '- lM-~Iw Not valid unless raised seal of the St: tad! " - ~' ... ~ r,. { ~ - Co,KM,, H.ahh opsrtnlsnt N affind.) - 183, ~ :`~ • • - ,. N. D. ANLIERe M.0. ~ - • ~ . CourMy ttaahh Offiosr •i Local Ropbtar I- ~' ~ _ ' _ ~ _ ,,`= ~- ,.: .~' ROGER POITR.+S-= ~,t ._ .. % ~'~ •~ `, . ERK CIRCUIT CflV1~T: _ •_ ~,.. ; .• i DsM ~y Loai R,apis(rar !` . ~ ~ ; L _ .,. --~.;;~ aooK 179 P~E2668 ~•~ i -, _ _ _. z_