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is; yo G Y ~ ~ ~ ~ ~ , 153821 ~ , ; ~ , ; t~i. nwTC sowRO o~ Nswt.TM CERTIFICATE OF DEATH e~~~s • W11~I?U OF YITAL fTAT1ff1C~ lTATt /tLt NO. ~•a•i FL08IDR •r1 ~~e~ s1 N. 11[O tT11A11•! NO. ~e~~~rlf 1. ~aACt M~[ATN CODt NO. t YsYAI A[N~tMCt(A~.swirwL l/w~a.w~ ~.wr~.+~i.frw) •s~e~t~a a ao~rr ..a St. Iucie 66-A2 ~ s,~~ Florida 3t. Iucie ~Ise~~ ~ f w r- GTr.10~1L oR wuTwN t. ~s ?uKE os OuTN a Cm. tOrN. pl IOCAT~o~ t. ~s ~Ei~oE~tt .a~•¦e Ms+a cm awirn crtr w.irn r:~.. ,res Mo Ft. Pierce ra iw ~T.°Fi o~ c~/*~ i• ~N~. N~•d•er•~+~) t sr~ccT eoo~css . ~srmrta~ w..rr w n?~t xwY. t..K - an ~I..M ~.r Ya. ! 1~ ~ B1an~he Fsshaw ~TM 10~ 196? . SEIt OO1011 011 11ACE MAMEO Q IIEYEw MAl1w1E0 OATE OF MII7M ! Ait 1/~ /Mra • 1/~Otl11 r YMO[~ ~1 Mf. /M~r~y.~ ) x..r. O.w I.... x6.. ~ ? ~ e. Female Ne o rinoo~co D o~va~cm A]~`il 1 f 1~ 67 j ~ t~f ~ 10~. uwK occursnoM 1 obr ~w yw~ ~..e Kro os «awcsso~ wanr~r ~ I. ~rwanu teiw r I~M+ ar.tnl cm~ ar ~wu aouia~?~ , ~ie~ ~~r- tsriq M~? hp.rwwl/rfMn/1 ~ ~~w~wt ~omeaL~a Houas Work Florida U. S. A. j 11a~t l~t 1 r1M11•s 11AMt Il Mon1E1l't w?r~ • ! tn~~rsa~• Robel`t Ashl Mattie tkilaio7~r1 - " i . locu~ sccv~m ro. 1. s s~~w?w11[ Mha. • i 1lalmown N.K. Faahax 1609 A~e. H, Ft.Pierce, Fla. ; 1 rw~f ~ 1 Il iA1Mt N KATN ~bl~M KII wr ewM p Ihr h i~. Q~1. ~ l~).) IIITEI~vAI KMtM i o~aat Mo otnrM ~ ~~~•ce•• r~T ~ ou wrcoun~cw~c U2'C~i~a . .¦~t ttl• ~ ' t~• c~r- ~ ~ ~~«e•~• Interstitial Cell Cs. Hladder 1!~ T~1ka. ~ ; .~t~ e~• ~ ~ ;~p",~l; wc ~o t~1 , f j t• e a 1 ~ nur (i). ~ r~~i~t~~~ ~ atae W. ouE 10 (e) ' f • 1 t S f• 7• ~ ?AAT N. Of10 Slil~/itNR OORI110N6 OGIO~MIrt~K 10 OUfN /Yf 110~ IIOA7[O 10 M 1G~1/rl 01lfAlE Op~11100 QIIOI ~ fY~ 1(y . MAS A ~ Urr• ~h ` . KIIF01trEO1 ~ i~• ~~~tM V YLS? NOQ ~ •r ~•hr• ~iono[~r w~aa eormoc 2M. ase~~c ~ww w~u~roeeu~~co. ~E~ra ~.r.,e yb~a~ t~ Iw /N Nrt 1JMM•~» ~ ' ..~~.s O O ~ •t mt. TwE Os Hwr X~N. DM. Ya? ~ IR1Y~11 A. ~ A. mf. IIIlY111? OCCURIIEO mt. KAtt 0? atN~11 q. /~..t ~1~~ M~f wwt. ~J CIT11. IO~R OR IOCAT1011 OOIIMtY STAT[ ~ wMK[ AT ~ MOT 1fNIf.E ~ ~~.I~MI. ~d~d. y~a* WI•. d[.) y MOwR AT ~OIIK ~ ~ I~fe~nd«ftMNw~~I/r~w 3~~6~ .to S~1~fi'l ~ ~11r /Nf M~ ~ ~NN MI t DwtA ooavrnd ~t a on fM d~t~ ~t~NI ~b?~: ~M te tM AMt oI w~ lne~l~I/~. /ro~n fM e~u~p ~bt~/. 111 it~~• ~ ~ •r• t• ~~aMHNrI ni A0011ESS ?tt.OI1TESICI~EO ~...~.a. a ~1 th St Ft.Merce Fla. -18-67 •se~r~t~. 21~. w~r.arr~m~. tI~ a?r[ ik. wrcwa~ctt~ro~car~~r 231. wu?tq~(~iry.M~.rcw~~) (ewr) ~c.an tsyrcyr~ ~ a rove Ce~ete Ft.Pieree Florida s. ~sis 2~. swE~ o~ s ~oo~ss ss. arc ~cca w ~xu ~co. a ~s siw? . a••.'~ss A.T. Stase Ft.Pierce,Fla. 5-19-67 Anna Lse +~enieon, d.r. - - - ~ - - - - -f . ' ~ - ~~'~Y ~fY thM to 6~ • trus ~nd ooR~tt tapy of th~ Locsi j , Repiarari ncord on fik in ths St. tuci~ CouMy H~ahh Dp,n- FILED AND RECOR. 0_M, . m~nf a Fon Piwa., Fiortd~. ST. LUCiE COUNt-Y. , ~ fz~COR~: ~/~~1?~~' . t ' (yVaminps Not wlid unle~s nised ~al of t!» St t~ < f:; s~',' c«~? H..~ o.~~ ~ .~.a.~ 18~: 582~~~ ~ ~ ~ . . + - ; . ~ sr . ` ~ ~ ~ '69 OCt 2 A~~~~:t~`= - ~r ~`4 ~ ~ N. D. NUL1ER, M. 0. ~ ~ CouMy i~l~alth Offiar •i L~oca! Rpbtrar ~ - ~ :t ~ ' . ~f~': t O1~ + ; ~ CLERK CIRCUit ~ ~ ' ~ ' ` . , : D~N ~ . ~~T:~;, r~ ' ~ ^ i O~pWy t+oai itpFpr~t . ~ : .,l _ ~ , _ i - ; e~~ ~so ~ ~s . . . , . ~ ~ ~ ~ . . _ F .,.c -.~:i,..%. _ _ _ . _ . _ ~ _ . . _ s~~'s-._,,.r...._< . _ ^s .'s:x > '