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HomeMy WebLinkAbout1275 / y y . . ~ Ny ~ _ ry' 184258 :si. ~rwTS ~owRO w wrw~~x CERTIFICATE OF DEATH ~ ; ~o••• • ~u~uu oF v~wi. rrwT~ancs _ s~rwTS Ftu No ~.s.~ r.a- FLOBIDA ' •td ~a~a BIRTH NO. - ' - " " - - N RAR• O. . 2~ : yr~~~rli 1. ~~AC~ 01 ltwTN COO[ N0. t YiuAL wtfIKMC~(~4.Ir.ulwt l/t..a.u.v t•ir..r~...i.i.i.~J ; •t~a~t~a a STATE ~ •~sl St. Lucie 66-12 Florida St. Lucie ` ~l~e~~ ~ 0. Gir.?OMN.O~ tACATqw e. m tw~T51 G111. TO~M.OR WGIT~ON t. lS RES~MY UMIT~ ~ i;;~ ` Fort Pierce ncs~C1 .00 Fort Pierce res~ ¦00 ; I. wrc os ~t b w.~rd. ~i~e wat .u.w) ~c~crM os I. sT~ccT ~oo~ss ON A iAlM1 Ft. Pierce Memorial Hos 1~~~"rs 2800 Okeechobee Road ~ O ~ p ~u~tt N iYrM /iliNls Lyt i. DATE lifw~t? Dq YNr ~ M;~•n ' John Joseph Reschak o?TM 6 21~ 58 ' 3. su s. co~n~ o~ ~ucc wu~~co rcvcR wuu~co a~n as wn~ f. lh r~.•~ s uo~w ~ rw woa a. ~ws. ~ r r i s. Male White ,noorcoD dY011CfD 12-?-01 ~j~'~~ w••w o... r... rr.. , ~ 1~ 1~l ~ 10~. usu~t oCtWATqM (Qirr ti~/ Nwri Iw[ 100. KwD OF ius~NESS 01! YcOUSTRY 11. WTwIACE (~~ee w/Yrs~ araE?tl . q~~a as ~wu OOUrfattl ~ aa~ ~t~r tvfy ~wt drat6N b~r. ~n ~/?tw~ Pals Grocery Pittston, Pa. ll~~t 1wt 1~. ?ATiI[R'i wW[ - 1~. MOTIKA'! NA10EI1 IMYt ~ P18rEfri R68Ch8k Me?1'y NOVBk . a~...~ t.. 1S. wb 0(UnSEp t1K11 w Y. i Ml~EO IOItCtS~. K. SOCULL SCW~tt N0. . lMIOR s aaw?w~c J.W.YBtes ' v........rl....? u~....w....w.,?«..W ~ 1 Au?u+ Fort Pierce Florida ~ r~¦•r.~ 1~. CAYf[ K~G1TN ~8~k~ NJ1 Mt twrt at? lias p)..at (r).) ~Nrcer~ ~rrca ; ~tr•es•r ~~i~.OtA?nw~SCAY6EO~Y: ~T~O~TM ¦r~t !1~• WYtOMTE C4YS[ W U ~ a ' t t\~ O~f- , titieat• G~lKyy.~~ti/. pyE TO S ~ ~ •lt\ tl~ r~~ ' ~ ~i~ j ~ r~jistr~r ~~I ~ pyE 70 (t)~h l~fs/ n~~t l~N. ~ • i s\f • Ti O f~uT a. O~~ Aur?Wi W~omoi6 CartpwrtK t0 Dun~ «Jr n0~ I~nn t0 M R~rwLL O~w?f[ Oo~aii0~ Cw[~ q M~i K~ . w~5 • I lo~r• •f- F, fE~FOiIrEOt f t~~ d~~t\ _ rES? IDQ ; ~ ..r.r. Gout i 20.. ~ aoe. ocsuisc Now ww~v occu~uco. ( s.ew• yiy..~ 6. Prrt t.. Arr yw. ~ta ~ ..ss.s ~ ~acwcwr wK~a xowKw~ ~ ,~•o••'- ~ D O O ~ t~~ •t IOe. TwE os Hwr ~fwt~. D~I. Yar _ . ?•as. ~ wwr ~ o ~ i mt. wiwr oeeu~co mr_ n~ os ~wuer e.. i. r.n..e ~..e. em. m~rN. o~ ~oewTaa aouimr sT~t~ } MM~I[ AT ~ roT rmac ~ la•.!«N?~. rrw. Mks erN» ae.) ~ MO~K A? MO~K ~ ~ 21. I~f and~d fM d~~ad /r ~ ~ . to ~'~j••~~ ~nI lut wr A~~ dJr~ oa _b.s~jT~B ! DutA oceurnd ~t Z:~~ • rn on ~M d~t~ ~t~t~d ~bo?~: ~nI to tlw ONt o/ wy~ knorbdh. lrom tA~ uuN~ ~t~t~d. ~1~ lt~ss ~ NdIMTYRC (Or/raaftllr) tL. AOD~ESS ?lt. DATESICIRO - - 6-24-58 ; ~••r~•~• • Alfred ~ornille M.D. 903 0 e Ave. ~ •tlR~~t~. p~. ~MMA?. pfr~?Tp~l. 2~. OJ1TE 23c. NAME OF C[YETEIl11 Oll CREMAT01111 ?3/. tOCAT10N (GYI. f~V~. M apwl/) (lY~ft) ' Bu~r~`~8~' 2?-58 Hil2crest :leiaorial G ens Fort Pierce, Florida : r. s. ~eia u. ru~ciu+. oR ~s s+WU?ruec ~ooecss ts_ wrc Rcca w wcw ~ea. xc. ~cc~sruus s~crun~wc + iobs Jose W. Yates, Ft. Pierce, Fla. 6-26-58 nna Lee ~enis on d. r. ~ ~ hereby oerrify n~Is to b. s true snd oorrea copy of tl,. l~oui F~L~~.~? ~ ~ _ ~ ~ ' Regist~ds reoord on flk in ths St. lucie County H~alth Depart- ST. l~~ msnt at For1 ~Pieroe. Florld~. „ . i . . : Not valid unless raised aeal of ths St. Lu~ci~ C~.ounty Hsahh Dspsrtrt~nt i: affixed.) • ~ t ' . , ~ i - ' OC~~Y-13 . ' ~"j; ' r J~4~ " . ~ . , N. D. MILtER, M D. : c}~ Co~ty Heahh Offic~'~ L~ocsl Rsyfstta~ ~ ~ ; r; ~ . • ~ z-,~-~ ~ ~r `'~~,r'~~~R ' . . p,i~:~lft~~~ ~i. • _.'~~~`~''1;`.` . ~~f) ~ > 1`. . C / " • ~ . f _y Dd~ Dsputy btsl Registrar . • ~ , ` . ' ; . ~ ' i ~ 600K ~UO PACE ~~r~~ . ' . . ; - - ~ - _ - «r...~~~_. ~ ~.~~~F__'~~,