Loading...
HomeMy WebLinkAbout0026 t 1 ~ + ~ _ _ = 185~81 ~ ~ j - ~ ~ ~ TAfa n~T~ wwwo or Mrw~TM ~ CERTiFICATE OF DEA H ~ ee~~a • ¦U11</1U OF YITA~ fTATIfTIG~ 1TAT[ RIL[ NQ ~ 1~a~7 r~e- . i : ~~a •*•R einT r+o. FLO$IDA Rco~sT~w~•s No. 466 ' preC~rli 1. KAC[ N Kw~M COD[/ ~NI~O. t YWwL w[f1KNC~l~?..M.~rw.± R•rr.ww....r..~i..) ~ ll~tYl~A 0017M?Y 66~VLS T ~ s•~~:~ : St. i_u~ie .~Iorid~ S L•1 ie ~ 1• 1~f- CITr. TOMM.d1 tOCATq11 t. K ~U1CE OI DEATM t. d?Y. TOMM.011 IOCAT1011 t. K 11ES~OEMC[ MKtOE C1Tr UYITSt NrS1DE CIT11 UMI7St i tii.~~ ct. PietCe res8 No0 = t. Pierce res Mo j _ t_ MAYE Oi (lf N! i~ ~M/ih1. Ii~t ~b~et N6wI I. STIIEET A0011(SS ' ~."nnTUT~ rt. Pierce ~~:eriorial Hosp Q0~ South lSth Stree~ ~ MAYi ~I ii?~f A/f~/If LMl WTE ~/MM aI Y~M ~ OF c~s~«r~r.n - Lillia^ vertrude 5au hr~ar. ~"TM October 23 196y s. scx s ca~o~ o~ ~ucc 7. r,u~~co 0 a[vu wiuuKO wrc os ~1M f. ~.c enn s u~oa i.w uroca ~~rs- ! trt NrN/ql r..e~. aw r... MM_ i r ~ i s. Fe^~ale !~fiite ,noo«eo orvo.cw June 10 lc^,~9 70 r ~ i~ s w 1~ 10~. uwK oeeur~no~ ~ore Nwr y...~ r..• ~ae. Kwo ar wswess at w~ousr~r 1 wTw?~ (er.ee p.ry~ a~~a~) t. aruu as wwr ooumm ! •~s~ ~~r- fartN~tNMrtWnk.~~q~~~ ~ ••~•~a I:ouses~~ife lfor~ ::ew Hari . iJSA ll~ek f~R 1 /ATM[~~s w?rt 1~. rOTMEI!'f tufOtw ~u?ME •f •~....•a.. Joi:r. Den:~o Jose hine Cod r~.~.,r socu~ sccu~m Mo. n. ~ ~ s~sw~ww~ w~aw _ 'I`f`A~ , .'1 T: ~'"'r.n ~ ~ !j ? ~ -~i.~n:?li_:1~ ^ , n '7 r t~ r n'"` f a ~~A~~~1 1~. CQY~[ M~fATN (b~fe? M~f~ w~ e~w lO IiAt !S (A). a~1 (t).) IMTLRYAt iEi1KCM ~AwT L OEAM MAS UYS[O j~ ~ pKET AIO ~UTN ' ~lf~tt~f IMMCOMR CAYlE W i ¦~~t tfl• ~ ~ Ua~.~.Pe.~ ` ~ ~~rse.a. a.ttrr...r~..s. ouc ~o c~l ' .~e~ e~• .+k~ ~..r . a l ~ s f l• s a 1 I d~tty e~ •dn- E r~~f~tr~r 1~~y awr Jrf. OuE TO (c) ~ ~ 1 t Y l¦ 11 O ?AIIT R 00101T10~6 CON1N ~l0 OE~iM ~IR IiOR R TO M 1[f11~ML 001~01T10M i1MA M?Mt 1(~1 /EAfORM[MY f ~o.r. .r- / J \ c.r ~..tr ~ v ruD ~oO~ •r ~~[~r• bprHlrp~rll/yYas/~-) j t ~oe. ocscauc Now ruu~r occuRUO. (bt.ro ..tv~ Nt./v~ t ¦~Liwt ~ ACCWEMT 51/1CWE MOMK~C 4 ~1~~~~1- a~ 0 ? ? ~ tl~~ •t 70c. TwE as Har. af~. Dn. Ynr ~ 1~~~. ~ WNW~ ~ 9 g r. = i tOf. w~r occuiuEO mr. Matc os w~r u. I•. ia ~r .n~.r y.r. m/• crtr. ror~. o~ ~ouT~ cou~mr STAT[ ~ 1n1O.E AT ~ ~oT rvM~ ~ Jp~.l.d.?r. r,ea. N~a wy..te.) ~ ¦O!K ~T 1011K ~ ti. l.tr.nd~d rM e~v~~N /~o~n . ro - J` .nd !wt s~. ~ ' .l:.. en ~ D - •Z3- 9 •tA oceutnd ~f a on fA~ d~t~ ~t~t~d ~be~~: ~M fe fM i+~t d w~ Rne~HIN. /rem fA~ au~q ~~~~~A. ~ ~)1 1 N~ • ZL. ri11~ (pMa a/Wt) ?2?. ~o011[SS • ~ t2t. WTE S~CMEO ¢ 7'1~1- ~t ~ D - 2.3-6 e•.*~.a. a 5 • ~e~r~ t~. 2~.. w~r. ae.~tvi. t~ Te 27t. E O~ CEYET[11~ 011 CRCN~TOIIr Xl~. toewTq~ lCr~. w~n. r ewuep (errel ~ ~~rs 10/~S~~y :~cCalls :'t:a el Ce.:.ete Cross Cit~ i~ lori~a ~ v. s./ s i s i~. ~ o~ s src~u?nr~c aoo~css ts. wrc aca ~r wcK s. c~srw~s siwrua ~ ¦...1~.6 ~~-ates : u~eral ::o~e ' ~ Y ~ - - i • ~ . Ft~ED ; c~~ ~ECOROED ; ~~~r_ c~ur1T~ F~.~. ~ . . , - ~ hereby oerNf~r this to b. . trus .nd aorroa oopy of th. Loc.~ ~ ~ ` ~ - ~ ~ i Registrs~'a rscord on file in the St. Lucie Gounty H~alth O~part- 18rj~~1, . ! nwr?t d Fort Pierce, Florids. ~1.:•• r ~ ~~r~1 I ~ 1 !~-~l "r2~ 1 _ (Waminp: Not vatid unless raised seal of th~ St. luci~ ' , ~ Cot~e~ty H~hh Depsrtrr~t k sffixed.) ~ ~ ' ' , : ~ ; # N. 0. MIItER. M. . G%~;~ : : ~ . ~ ~ t~- ~ ~ M1 , ~ County H~ahh Offiter'3 L~cal Rpl~trar ..~'=~lj1T Cf3Ur~T t ; . , i ; .~..cq ,s~ q _ r - ~ ~ • - I . Dn~ D~puty I~ocal ReQistru ' : . ' . " . ' ~ = - , , :y,~ f.; - • . _ - . . j,~: , , ~ _ ~ j _ , , R . ~ eooK r'"cc " . _ - - - - - - - - - - - _ - - - - - - - - - ~ , , ~ - t ~ . - - - - - - - ~ ~ J ~ y ~ ~ ~~.i~+~ ~ .~~mm..~^-~-