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- . - - . - _ _ _ 1 y - - - _ . _ _ l~~• - ~rwn ~ a~ M~TM CER'T1~ICAT1~ OF' DEATH 'Y ~ wRt~?u a~ vR~ ~rwn~ne~ ~r~ttt nas Mo. ~ ~ '•s•~ fLOSZDJI .ra -..r - ~r~~-?l~ ~ ~~M MAtM Coot N0. 11w ~~M~I~tl~a..wrrw: Il~ w+w~Mw.~r.b.) fl~! ~~~1 ` a 4 le i. ~~e- . iar~. o~ ~ ~s rua a? oun~ s. atr. ~o~r~. w ~ouno~ ~+oc arr twrts~ cm twitst r u res ~w ~ ~ ~r~ o~ ~ ••r ~N~• •r.r w?w? ~ sr~ ~na~css rsTRUt~01~ n?,r t«r an x..~ ar Y.. t .,~+.n WHITE a?TN Jan~ i 1965 ~ac oo~ai o~ ~a t~o rc¦cR wue~~co an a~.Tw t~ c~. ~ ~~.a e~~ ) r.~+~ w... r«.. f, ~ i r i i~ r~u~co avo~cco 1-1~-1 2 b3 • f t! IOr ulNAl oCtY?A OM dwrt Iwt tMa(~I ~usME3soa Mousr~Ir . M~tf1MtJ1Q (~rr w/MryA eiw~?~1 a11~1 t/Mt O~fARrr F- l.ri1 nqt ~ l ~I M1r..e~ y.~tl~p~/ ~~~~r~~~t natructian Illinoia U.S.A. ~tnc.~s ~ . rorncR~s r~ma «n~ •R tl}~*rl t~• ~tisOfl rss a[ . M u.: uwco ro~ccs~ socu~ ~ccwnrr ~o. M~w t e ~ ~ r.. IfJ.n..u..... ar..?.....? ~M• 1011 Mt ea r~..r u ~~ws « lsr~w p? r cu. c??...~ te.~ - n~r~v~ a.,.~. r•~ r a?~t ~ au?rn ~~s uwco sv~ a~lt ~o ouTM ~ ..~a tit• ~r~n cnux c.) ~~r- ~•y a,~,o u~ Presun~tiv~ Cardiac Arreat Instant .se~ ea• r1~ 1 • • a 1 ~ a~w r•~ltit~r q~awrn~ ou[ TO (d, . t a~~~ 1! ~ ?ul'r M. Or~ awrrain caorn~ Qorwwinw~ ~o otan~ ~ur ww +~w?ue ~ nt ~rw~ o~u oow~T+oM M~ ~ M~er K~/ ~ c~~rt •t- . t~r F~~~Y ~~p •r ~e[~~• ~ b •~~t~~ M~ noaot~ ~1xe~ot ~K~ae ~ otft~MC wow wiuar oocue~EO. (~1wr s~.~ y~yv~ b hre ! w Prt 11 y ww i~.l •~~~t- O ••r ~ o? r~... x..e?. n+r. r.. .oa~. ~ wwr a. A. • s. IRNI~r oOGMN~[o ~r. RAtt 01 NtltMlr (e. i v~Awt wr. ~ GT1r.1'O~rM. 01~ tACwt wN ODYA71r fTATt ~R AT ~ ~~a x O fr..Aw.~.~?«r..~+~•..e~.? !1. l ~ta~Ml tM Maw~J I~ew -~A . te ~w/ /wt ~ A~w ~1H~ oa •'1~ DwtA ~rn+I ~r 8; A w on tM pb ~t~N/ ~Mr~: ~wI to elw iwt ef w~ tw~.J~Ip. /~e,~ ~M wrw N~t~I. ~ i i t t•.s . p~w~s ~Dp... «rrr.1 t!~ ~ooa~s nr. a~ f~co • ~ • 1. ~ M D Ft. Pieree Fla. 4 Fab. 65 ' .s•~~ i~~. 23. w~rn. cw~rRnoK i» arc !k ~urE 0I c[MEtt~~ OR C~E~ATO~~ tai wuTww (ar~. aw. r...,.ti~ c 1 ~IIOYY (d 1 Hillcreet 2~ks~rial FL. Pierce Fl~. ~ ~~sis u¦c ~ s~.n~c7ate'P°l~id~teral Home a o.n ~cco. w wcx aca ~~Ktiuu~s s~wu? ~ ~ w Yatea Ft.Pierce Fla. 2-4-65 Anna Lse Denia~n, d.r. -.s~•~-~,; „ ~ Merb~r a~ify this b b~ ~!n~ and ao~r~et oo~p~? di th~ Loul ~~~`Y ~~piN~ar's hoord on fiw in 11+~ St. luti~ GoueNy H~ahh p~part~. FII.ED ANO RECORDED'~ ~~,~,:a~.~~ a~} p~; paid~. ST. LUCIE COUNTY. FLA. • ~1~;~~.~`, . RECORr VERIFIEO ~ . . ` tw ~ ~..'~,~'~i. wa. 18514'7 . t:, . ~ - - ~ x } ' : : <<, '69 NOV 4 PN Z : 39 - ''r: - ~ ~ . . N. M~LiER. M. D. ~~OL,4,~l.~% ~i~',~ ~ ,j;~~ ~ j'.' . CourwY H~slth Ofiiar i t+oal ~ar ~017RAS • S izOGE - ~ ` ' - LERK CIRCUIT COUiiT.; ~~:t?': , ' ~ ~ /D / S~--Lo ~~`i('-~,,,,.. . ~ p~ Loal ~pbtn? ~ ~180 ~2447 a ~ - y~ _ ~ ~ ~ ~x,.~~~-~u-~ _ _ ~ -