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Home My WebLink About2053 4 i i . - - ~ - - i . ' _ i ! Y ~ 1s~121 _ tei: s.- srwTC eowac o~ Ncw~TM CERTIFICATE OF DEATH eo~es • PURGU OR VITAL fTAT1YTIC~ LTATE FILC NO. t`ai1"`_ FLORIDA - ord ~4~n BIRTH NO. ' REGI6TRAR•8 ?10. 6 prop~?1~ . 2. Ystl~l R[f/0[NC[(~~...an...rert U...~w...~ R~~wr?d~~iwwr) ea~tul~d ?uC[ 0/ WTN CODE NO. Nd tlll l. STATC COUNTr - ' a t Zucie lw y~r- TpMN•OII ~OG?TqN t. K?L4CE Os pEATM e_ C~TY. TOMM.011 LOCATqM t. K I1ES~OENCE uo~~t !MS~DE CITV LIMITS~ tpS~pE ITY IWITS/ r,~.. Ft. Pierce YES~ wp Ft. Pierce ,rcs~ w0 I. ?4~YE OF y~ ti y~~~. ~ w~td dIr[a~) lEK6TM Oi f_ STREET ADOIIESS ~ NOS/IT~I OA T W 10 OM A iNM) ~ IhSTITUT1pN Ft. Pierce Mem. Hos . ~(rs. 312 N. 21st. res0 No0 ; 3. wwrc or ~nf Ni/~t~ L..r wTC X~.[? Dq Y~o oceuus 1 2? ~~0 M r~+f Clea Elizabeth Crouse oi:TN S. SEX E OO1011 OA RACE YARRI[0 ~ NEY[A MAMKD DATE OF ~IIITN AGE (IA *nr1 I~ Uti0[~ 1 TW 1U+pE~ N//ei ' Oi?11/~i: N~~ D~w Nwn X:~. Fem31e {ni213t6 w~oow[o? avoacco ApTll 2~ 1898 ~ ~ 1~1 al ~ la. USYAI OCCYIATIOM (QYeliwl W/k 4~~ }OD- K1NOOi ~USINESSOR 1M01lSTAY 11. ~IIITM~LAC[ 137~ft t . i s e o~ t..i.~ ~t w.taa b/r, ~.rw q r~r.d~ 1~ v. c...n~t u~n~ as rwT ow~f..r ¦~~~p~ Housexife New YOIk O.S.A. ?l~et lsk il. fATME11'S ~u?rE 1~. MOTNCII'S y~WEM ruME ~ Charles E. Thom son Clara Cassel t IS. MAS OCCEASEO EM[R 111 Y. S. AAMEO FO~C[S~ }6. SOCMI SECUIIITY Mp. 17. IN/O ~ NOMATYRt ~ ~ 1~'N.r.~?wlrw~ U/M.www~rlw~~/.s~uJ J•W• Yates No 0? ~-09-952`l A~+~~N r. erce, : a. i Fua~Nl 1~. CAUK O/ OiATM (F.dtr N(I Nu twrt per fiar/.r lsl. ~•t (r).l InT[~r~l ~ETtifC[N ' ?~er~. ourNx~?sc~usco~r: i4 ocarciial 1Y1f8I'Ct OU li8 S T~ ¦u~t Ill• IYMEOU7E CMlSE (a) i s~• e~r- 'I titie~a• ~ . - ~ •1tA -t~• r4r~ per r q~ DuE TO lAi ~ 1 • e • 1 ~Dan cnar~i). ~ r~ai~tr~r ~t~tia/ 14 r~frr- 04'E TO (r) ~ • 1 t a 1• 7! 2 l~i~/ n~at lrf. _ f O NI~T H. OTIq SIGI~KYff QppiqwS ~¢(~wyyiK i0 OG1T1 I)Yi NDT IIW7ED i0 TM[ TFfr11Ml pSGS[ Cp11p111pN G1Y[11 p?MT [ \o~r• af- ~ N~) . MASAUTOPSY ~ t~~ d~~tA 3 ~ERFORYEDI E •r O~fe?• ~ rES ? tq ~ i € •~klea ~ ~ m0. 0[SC~N[ NOw wJUR~ oCCU~aEO. (Eatn wrrrr Ni~Jr?I i~ r..r re~ y~.. ii.~ •ccwcMr wK~oc ?wrKwc ~ •t.P•.i- v O O O a~ •t TWE Oi Hwcs M~t~. psr. Ya~r ' 'aT• ~wuer ~ ~ y. ~ tor. uuu~r occuiuco mr. nwee os uuuer c~. i., u w.~»rr a..r, I~/ em. rorN. o~ wuT~ oou~Tr ST~TE ~ wNr.e sT ~ wT rrNaF ~ l~~. Nct..r. rne~. e~a erq.. e~c.) . MO~K AT YiO~K ~ ~ ~ 21. I~tt~nd~d th~ d~u~s~d /roa~ +~eC • 1959 . to J ~ •nd Ju~ w~ ~/i?~ on J ~ D~~th oce~rr~d ~t • m on t1~~ d~q at~Nd ~Ao?~: ~nd to tA~ bwt ol m~ knorNd/~. lrom ~A~ uuNa s~~ad. ~ •11 ft~~• ~a~ri~ ~ •r• te 1• ~~MK M!4(s) I70 ~pp~F55 71i. WTE S~C~ED ~ ~ °..~'.t. a Alva D. Orr rt. i'ierce Fla. 2 60 ~ ~ •ttYf~~~. ~v~w~ww~ ~~.~/.Iwc~.w [H1~l~/ ' iussfj ~ ~ a~:. sv~y,, i.~ : w.r,~-_-~,_ _.~.,..ti., r:. ~ I.ucia, F~. 3uria~ 2-I-bC ~ Hillcrest ,:~a. Gardens Ft. Pierce St. ' Y. S. jA19 j{, ilitiElULL OM1E OR S SKrNATYRE ADOqESS 25. DATE IlECO. iY LOCAL REG. ~ It. REGKTMII'S SKNAT4RE ~ ~oee Jose W. Yates Ft.Pierce Fla. 2-5-b0 Anna Lee Denison, d. r. i ~ - ~ ~ ~ ~ FIIED AND RECOROEO'S _ ; i hereby oertify this to be s true and cotteet wpy of tna Locai gT. LUCIE CQUNTY, FLA. Registrals record on file in the St. lucie Caunty Heatth ~epan- r.c~p~~ VERI~IED ~ ~ msnt at Fort Pierce. Florida. Q~y (IM1fun'uqs Not valid w?less raisad scal of tha St. tucie ~o . , ~ Cow?ty Ftsahh D~panment is affixed) ~C~ O[~+ 's M , ? ,Z~ : . ~ •I _ ' ~ C ~ . .4 > ' • ~ . , N. D. MIItER, M. . (~~JX~~ ' ' ' ' ~ County Health Offiter'E~ local Registnr 0._: ~ P i~1T R~S ' : ~ ~ CIERK CIRCUIT CQURT~ ' F~ ; ' y~ , , t y Dah Deputy Local Rcgistror - ~"~J . - . - ~ . , ~ - ~ ~ _ .~i~ . ~ ~ ' . - _ - - ~nRr~v~ ~'A~f~U~~_ - _ - - - - - - ~ ~ ~ ~ . ~ ~ _ 'k~ _ ~_s..~.:~K_t_,_5.._ ..t " ' . c~ ~.~~~~x.