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HomeMy WebLinkAbout2780 - . `y e) _ t - y ~ 185392 FII.ED AND RECORDED' i ST. ~UCtE COUNTY, FLA. "F!:~~^ v~^!lfi~~p ~ 185392 ' '69 NOV I 0 AM Ip : 4S ~ f' ~h?. rr~T~ ~owwo o? NuL~ CERTtFICATE OF DEATH ~ • ~uRUU or rn~ nwr~a~nc~ F b O$ I D A ~~-'n~? H ' 1e6~1 • . . - yr~p~~1~ BI 7 NO. 1 ( e:~ertN 1. KAC~ K1?TN COOt NOi. 2. YWw~ wtNO[MCt(~M~ir~rdMr/. qi~riwu biM~ ' . "JDYM" Saint Lucie 66-025 ~ r lorida ~ ~ ~ Saint Lucie ~ e. ~l•e~~ i a ~~f~ CITt. TOU0.011 tAtAt~On t. 4~'l~tE O~ DE11TM ti dTll. TOMR011 WCAT1011 f. iS ~EStO~KY ~ ~~~~~t Mf~OE C+~t Iw~TSt MS10~ CRr lW1Yfi . ! . rii.. co o' rc w ro ns w ~ 1. wrt 0~ (Urt 1~ M~hl, ~it ~OrM Mjra~) I. fT~EET ~n011tSS t wOSMtaI OR ~ ~*~T~ct. Pierce Memorial Hos ita 2409 Atlantic beach Boulevard w?r[ ~r 1'ir~ ptitie tur I. arE Xwtl Ay Yhr Ji,.iI-iUA ~I:C~L~S YUli~~~ °~TMreozuar 14 1969 S. i[II ~ t. cOtw o11 UAC[ 7- ~w~tts Q wMw M~w[o OAT[ 0~ ~uSM f. ~i[ f 6~~ r Nec~ ~ tw wc~ ~1 Mll. • r t l • ~ ~s.11@ II~lYte ~I00'RtO pYORt[O 9~V~18~5 Mw~~ O~w f~w MM. ~ r' •?,1 r N•. ~ W~~A[~~ hRdi• : y~ 101. Rra or w~cuoR ~.ousnr n. w*wa~cc ts.a Msy. aswr? ano r ww mMwn ~ • s Bricicmason Eui].~in :~ashin ton D. C. OSA • l~~s! l~L 1 IA7MtA'3 MM[ {L NOTMG'f tlA10~111Y?YL . . ? om You S h But '0Ci"`a11TT10~ • ' f°""T"" ~ 4O9 dtlantzc Seacn ~3ou evard ~ -i -~i G r S ~oun~ Fo P' Florida ; irn~ t~l - IR tAYfi N K~TM ~bl~M wI1 W l'MN p~li~t/r W. s~1 (tl~ . ' IMTt~YAI KM[l~ eir.es•r rurt~ ouTwr.swecow~ / ' .~nourn - r~~t' fll• w~~~ ~wx t~• t~r- , • . . t i ti uc• A~:rM~. s/a~. out io N r.a+~~c~ ~Kt..+-~~ ' ' tt• w~ ~ - 1 • r • l ~wt ~~i~ : . . r~sl~tf~f K!«I Mt t~e/~ 04Y TO (d ~ • vltl~fa 7~ Z ~r~ , ~ o ~ r• • f• o N1~T 1L pW SKrKYR COrM~06 C~11~MI~{ 10 04Tw M IOf KUR~ 10 M TOrrMI O~Siu7l OOr1f4w iqa ~1 /IM~ 1(~I . MUt ' r K~FpRrtp aar ~~~i~ s - ~Q p~~ . . r s. f~ r~ 70?. eetqre Mow ww~ oetwuta (i1b ~~rve ••r i~ionocMt w~uoc Nor~tpt N~t b tirt !r M II yMr~ u./ , ~ O C - ~ ZDs. Tw[ or fNr? ~N.H. O~n. Yar ~ ru~wn a S ~ i i MNM~ 60LYiUltO mr. rM1Kt OI MIUaY (t. I.. i~ r 1+Mt 1~nt. ~ GTt. TO~M. 011 ~OGTI011 ODYMT? A~Tt ~ ~ ~ ~ wMa[ AT ~ M1T ~MQt ~ M~•NvMb w?r/. ~~te WI., MeJ _ . MORK AT ~IOIIK ~ ti • 1 ~It~nl~ tlb ihswrM /nw ~ ~ . a ~ /Nt w~ ~kM M / , ? 11 lt~s• ~~fA eee~re~/ ~f 7 ns On tlw d~f~ ~t~t~d ~aw~: ~M f0 tM 6Mf M pl~w~~N/p. I f1N C~~N~,IA~tM. • r• t• 1~ ~ Ns~ ~ (~MK r Hrkl 7~. tts. DnT[ SK~tO e~~yl~N ~ /L• ~/]/~~'Ti--~~~'+- i •eer~~t~. 23~. rwa~?. roa LM. wtt 7]e. wwtosa tc~rattur~~r 7Jf. wGTO~f~r?.Mrs.nasrp t8we ~renat~'n 2/17/69 Ft. Pierce Crematoriu Fort Pierce, Florida ~ r.s.i~i~ at~nera HOII . an~ccanwc.~fos. s ~j~ ~ ' R~~.i~~~ Ft . P' , Feb. 18, 1969 ' , ~i~~ 't?"JC• ~ • MG~Of~ Ofi file ~fi•fh0 $t LNCiN C01Jff~NNlt}i D~/!- - _ , i m~nt at Pwf Pierce, Florid~. - , ,;,s; ; ' rcj~~ :-Z< (Wimirp: Not valid unkss rai:ed s~al of th~ St. luci~ . 1' ~~,:1 X'=~r;+ County Hsalth Gpartnwnt is affuced.) ; ' , : ; Y • i - _ . _ : ~ ' . 'f~<~;~:~i.• . . -'~3.f~S~, i N. D. MILLER, M. 0. - ' j ' ~ --7;.:` ' ; Count~r H~alth Offiow ~ Lad Rpktru ^ ~ °r~~ ~ ; : . ' . ~ . , , ~M:~:~ , " ; DaNi l~oca! ~trar = i z~,~_ ~ . .-t : r' ~ I _ e' . : ~ . : . . i . _ l.s~ ' ' ' ; . • ~i~ ~ ~ , ~ r y • i 1 . ' ~ - - aoo~s~o ~~~~'r~~r ~ x ~~~~~"'~1'°t,s,.-_~.n. rsd._~ e_ . ' ~4_