HomeMy WebLinkAbout1296 ~ ~
~
~O'~~r I ~
T~+, e,_ nwT~ w~o or Mu~r+ CERTIFlCATE OF DEATH
co~es • •U11[AU OI YITAL fTATIfT1C~ fTAT[ qLt N0. ~
lex~! r~e- FLOSIDA ~
ord .e.. . s~ T N. R[ti1tT11AR•f wo. 538 ,
p r e p~ r 1~ 1. MAtt N~[ATM GODt NO. YIYA\ w[fIK~ICt ~rrid IW. /l:w.wnw- R~Yw~ W~n d+iwiw) ~
eieeut~~ ~ ~r STATE Florida ' •
.~a .=11 Saint Lucie 66-025 St Lucie
e. ~l.e~~ .
1 e p~t• CIT1I. TOMN.011 LOC~T~OM t. K KKE Oi OEATN e. p?1/. ~II.OA IOCATIOM t. K 11ESIOEMGE
o.c.¦s aa~oc tm ~w~rn x~s~oc atr ~w~.s+
r~~.. Fort Pi rce +~s9 w0 Foxt Pierce res w -
I. IU1Y( OF h~M/Yd.1is Mrpf NdeM) 1_ STII(ET AOO~ESS ~
IqSMT~L 011
~71T1T101 Ft. Pierce 1~'-e::~orial Hos ~t 3255 South Federal Highway
NAM[ ~I f(rM ~fifYt Lqf W?TE ~I~N Dq Yt~r
n'~~'~ R• '=ST ~Y
I-IU~~-: DL.~r^Li~'JALL ~TMDecenUer 31, 1968 :
. SEk ~(OIOw OA RACE y 7 MUUIEO V M[11t~ MA11RK0 0~T[ OF /MTM ! Ait MM! • YMO[11 ~ itM {IMO[~ l~ ~ .
9/12 /1912 ~"v+~a'
*<< e• Ma 1 e iVh i t e .~oowc~ ~ oivoRCCO ,
p 1~ 1 n 1~ ~yK ~y~~TqM (CiN ti~1 aMt ~se 1~ RY1D Oi ~VSIMESS01l MOYSMY 11. ~Mi1MlAtf w~h ~'M~h/1 1 q~lap 0~ wN~T 00{Rl~f .
. f c ~ P~ r- In1~I wwr N rath~ hEr e.r~ y retird~
..~..e Owner - C erat r r'otel Indiana United States
01 ~ e t f w! 1 /A7ME11'S 11A11E 1~. 1qT1E11'S Y~IOtM IM11E ~
~,P.•.s~.. Geor e'rV. Deffendall Elizabeth De Jarnett
socM. s~~r. ~o. ~N 3255 ut e era ig cvay ~
06-18-6298 Halene ~t. Deffendall Fort Pierce Florida '
Fv n s?~ 1 1~ iAYft N KATN EYer Nr/ wr ~wu i~7a-.rr (~1.1;yf .~w1 I~/TE11VAl ~EfwRM ~
d 1 r ~ e t ~ • ?~IIT L 0(ATN rAS C~YSEO ~Ye M. 7,1J~~~/; 'p_ _ ~ ~ ~ ~ I
~ /~j~ ; .
wrcor?R t?u!E N) V Cf~( / ~ cL
•u~t f/1• `1+~ • I
t~e e~I- /n~[
•9 tn"t*• ~~~~•1/p1• 01R TO (N v' ~
~r r/~ b ~'T~~ ~
1 o e• 1 ~EMr twat (i~
~ r e 1~ t r~• ~f~fiy t4 ¦~tr• .
,f • f c n f n sf s 4iM nur 1Wr. oY[ TO id - . w S
O ~A1~T M_ OflEA 4i1~rKMt 10 OUtN ~11~ M0~ 11M 10 C10~M1~011 fOO~ ~1 ~Mt 1(~!
i ho•ir• •f- KI~01111~ ~
~ ter d~~t\ ~ ~ ~ ~~l ~ r f rES~ M0~/ . .
~ o r e. re r• _ i 20~. sanc Mow wu~ otewa~c I`tMer ~~nr.s Ma~.~ 1~ Pwt 1 r M ~l yMr~ u.1 ; .
L! ns ~11~ ACt10[MT SYIC~O[ 110Y1C1~
dl~pe~t- ~ ?
tt~a •t ~ ~ T~tO~ HN•
{ r o e~. Dq. Yw.
n~i
~ R w. ,
= m1. ruu~r accwuco ~IAC[ O~ MUUAT ff_ a~ «.~w ~..r. aAl cm. ro~. a~ wuTn~ oou~nr sr~TC •
~rc ~t ~ uoT wMac ~ lr?•~.1~.?r. r.ss. Mkr e+y.. de.)
*OIIK AT tilOI1K
21. /~tNnd«f M ~Ncwa~f froa~ . to •nr l~at Mv A,w ~/i~~ ~w j
oce nd ~t rw en tM a~f~ ~f~f~d ~low; ~wd to tM bNt oI wq Ans~hlN• frow tM uww ~tuN.
A 1! f~~~• ~ (/Aryr~e r/Yk tL A SS O4T~ 0
~e ~,~a~~~ ~ ~ .
~o.'~.~. a = ~
e r a e s. tl.. . aera*o~ t» wn iUYE Oi CEMETEwr OA CA[MATOAr t~l. i Tiow (~Vr. N... r erswl (~.a?
11[MOMK (3 1
Buria'~ 1/4/ t. Pierce Cemetery Fort Pxerce Florida
y.~. ~ e i: tr. ~ E Yat e!9"ERu ne ra o a,c ~cca wcK c~s*.+?si : .
A••. ~o•s Ft. Pierce, Flor' a Jan. 2, 1969 .~~~~G~~ ~(Y. ~ -
~
~ ~
~ f
~ F1LE0 ANO RECORDED ~
~ I l+~r~l~y aKMfy thh ta t'~ ~ trw +nd aor»c? aoP~Y ST ~I.UCIE COUNTY. FLA. ~ '
Rpistrars nco~d on fil~ In tM 51. L~ Counry lbahh D~put~ , . r
- .R~~Qf?C GRI IFD ~
n~t at Fat Pi~a, Florid~. ~ ` j . ~ _ ~ . j.84~~ 1
-~~~r a~
Mlamkp~ Not valW w+bs~ ni~d sMl of th~ St lud~ ~~~r~r~;t
cA,~, M..hh o.p.rM,.nt ~.~frx~d.~ - '`a c~ f=~~~{ AM 8: 4 6 ~
• • ~ ~ J~~ ~j~,
N. D. MILLER, M. 0. <_;~,f' c 1,~.~':#' c~- . ,~c C~
CouMy HwMh OffioK i l~oat Rplstrar ' ' ' ~ .~Oi7R :S ~
_ ~~CU~T COURT
. z~;Y-~~~~~~.:
~ c _ v ~ir , ~~A~}.
~ ~ , i~ ~ ` • . Y°' w c'~y . ~ ~
~ . f.'
~ r`~i!'.'~ y~~~~y F _ti i
, . ,
' ~'/!/~I~/~r
, ~
-
!
_ - . . aooK 180 ~~E 1293
_ - - - - -
~ - _ ~
-
~ ~ =~~:€~~~mr.~~~. _ _ ~