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Home My WebLink About0338 ~88OU1 ~,~~~___a~~ CERTiFlCAT~ OF DEATH _ co~~•s • BUREAY OF VITAL iTATIQTIC~ F ' - ,~s., FLORIDR ord ~A••n• 01RTH NO _ REGISTRAR•5 KO. 570 p~upl~ly ~~LAC[ O/ pCATM GODE 7~0. 2. USYAI A[SIOENC[(~1'?n~~Kr~dl.wr !•w~.~rn+~~ kr.~wa,1..•>~~s..w~w+) eateuled • STATE D W:,NT~ .ra .1~1 co~«Tr _ ~S_n~5 F'lc~r; da St Luci e e~ oi.c~a .s a~s~c~,c~ in pe~- A. UTY. TOWM.OR LOC~TqN :5 PI~CE Ui CLATN 4 f. UTl'. iOWF.OR IOCATION IAS~6E CRY ~1MIT5~ t ~hS~9E i.TY L.v:iS} ~~n.•nt ~ rES;~ ~rt ~ F~. Pierce ! •ESv ~.'",~y r,~~. Ft. Pierce - - N4Y[ ~ T,{/,r,etA~ ?wy~t~l. frr ~heN ~S~rt+i~ ~ SIRER ~ODR[55 r~OSIiT~I ON L ~ lJ ~ !1 • ,NST~s~T~a+ I't. Pierce Aier:iorial Hospital 123 Aldea_Stre2t 3 NAM[ Oi_' ii~N S1i1Cft " - LS~f ~a G`c ~fo,r? :~..a Yra• - occcwsco ~T>aww~+~~ ANTHOi~1Y JACK FALCOI~E ~A~~Decee.~ber 24, 90 S SEX 6 CO.ON 011 NACE 7 y~qq~D ~ wf vCA MANiiIED ~ b G~TE Oi B:pTM ~ 9 ~GE I lq prs~! ~ V~uR 1 IE~A f;f ~~~f i:~ 1 IsI~~vNd~i~ Nwu. WH i//.r.. i.Y•. " t<< Y,~~e ~,mit~ ~,~*~r~ ~,~o~<<,~ Sent. 21 1907 62 i , : pl~lnl~ 1J~ ~Sw:JCCbo~TK.NIGatiiel..f.i..:~{pRf If/.K~wDOiiuS:nESSJRU.DuSTpY 11 G:RTHiLACEiSratrWJo~apwcuL~try) 12 GntE+:sK~ic(x:nr•r~ .ItA per- Qanny.~wte/v.u~~~~1~Jf.~..~~J••!~rdl ~ LSt1 Exec. Enaineez ~lectri:. _ Pc:nnsylvania p]~CIL jqi I3 iATNENS N~YC ! 'i~ M~THCR~S M~~.1:N NAVE Of , ~rv•-~i~•~ Phili Falcone j +~~ary A. Dovella _ 16 sOCUI SEWM~Tr bJ 17 INSOwtAwNT s sICMwTURC Aad.u, ~7-09-404 Cath D. Falcone 123 Aldea 5treet Ft. Pierce, :lorida Puner~l IS CAYf[ OI O[4TN (Eafat~~l~~~tt~r~t J+trl~~tl~f ~'.7. nr.2 .[?.j ~ . ivTENr~l8E7K[E~ ~I /11qT 1. DE~TN W~S CA~XO ~Y~ /j ` Gh$E7`AhJ uCA71' I .:lraelOl WMEWATE UUSE (~)~G~=-'~ ~-i~].~-'`-~• ~ ~ _ - __V`i?~:.~^~:`~~L_~Cr~'.~-____ _.J___~i_7_'. auet flle / ? i cEe esr- ! l ~ tifte~te Conditi~~~.~l~wt. DuE TO l4i ' •1tA tAe rAu! pare na~ b ~ - . . - ~ - ~ 1 o t w I aAort f~4X . re tstr~r M~f~W tAr rnGr- _ ~ R fl~s/ [~uK lu! DbE TO (tJ . . . . _ . _ _ _ . ~ •ft~1n Tl = hxSAI:JPSY O ?APT II 0T1[II W.NiK~Mi ~OwptqpS CMTII1WT:hG TO DC~'N 6Ui 7~OT .~iU71 D T'v TM[ TCRYIMI DtSUSE COh~'71TiOn GIV[R Y~ 7Ni 1~~) Aoufs ~f- PLkfOA~ME~~ tet de~tn < YES~ e~J:.,- V ~iG 6ESCFiBE ~Ni'w ~wJVi1Y O:O.ARED ;Er.!rr aWnrt oJ~Rjr~/ i~ P~~f I or Ya~f 11 o/irrs~ a~k1nR •n1 ~CG~OFNT SUK~D[ MOYICIOL i'~ ~ o~ Defore - ~i-rw~ebl - - - atsposl- u ? ? ? i llOi1 O~ J ~ T;Mf Oi «O~iI ~~OAI~. ~I11, Z~[O Dod7. ~ uuupr w. o p. w. W Z ZOI iAlU11Y OCC4NPED ZGr rucE or ~~l~~r ~r. ~.~n w c'~o~: 1wR~. 201 CITY. TOWR. ON IOCATIOF WchTY S: ~TE MHRE AT C MOT wN~~E r R~~. l~lor~. st.~rf. rjfire :dSp.. rr:.i i WO(1K AT wOFK ' I 21 ! ~ttend~d th~ d~c~~s~d /rom ~ ~ ` ~ , - ~ `%~nd !ut s~r nIm ~lirs on.. " ~ - -~--~1~. ~ - ~ . ~ ~ T D~~~A occurnO ~t v m on fAn dat~ ar.teJ ~Do~e: ~nd to tha A~at ol mr knorl~dQe, lrom the uwea as~ted A i 1 1 te~• jj~ fICN'7YRE ' / :IN~ru rr 1C~:r. .'1 L'. A6DaCSS > ~ 22[. D~TE 5.:,7`EJ •re to D• / ~ r - ? - ~ ' , ' co~ylet• • , / / ~.~~'ii[.', ti. ' . ' / i L-i c I / . - f! "~i ~ecur~te. 2Ja 3.A~... Cotr+~:~ow 2b wTE ~ 2': +ayE C~ .^E~+E7[Rr o~ CF~a:oqr ~ 23d lOCA7:ON 1IY~. fOtfG. W CGSF!'JI 1Jtcr, J RFrLY~I I~tiWt~l~' / _ ~ T i3e*aQV~asl 12 24 b9 M y' 1 Banaor, \orl:ha.~~ton Co. 1~" ~.11 ~.g.7d~~ ~f,~ ti(NAl'. i TO4 S-}Gh~TURC AO^Ft55 f25 :,ATe~iC3 6r~oC~~AEG-~~ ?~G~STRAR'S5'~GhAT~,nE J ~-.ff 'i/l Vo+r~c C~~+-a Y~l 1-:^"'-~ r~ ~ f~ / ~I~• . ner.iJe~ ~`t•VPierc~ ' ~"r+c.•.~z. 1nC,0 f v.~.v y n.~, !~:sr~by ce:tify this to be s true and corroct c:.py o` :ne l;,cai FILEO AND RECORDED` - :c.gi:ira(s tecord on fite in the St. Lucie Coun Hea:th De ar- ST, LUC4E COU~'JTY, FLA. tY Vf"~':~'~C mont at Fcrt P+erce, Floride. _ ~ (Waming: Not valid unless raised seal ot the St. lucia 1880U1 Counry FSealth Department is aftixed.) '70 JA~a ~ P~ g 9 ~ _ , ~ . N. D. MI IIER. M. D. - nfy He Officer Locai Re ~ trar C Cou 9 , ~'-F - LERK C~~~IJlT COURT~ - • f ~O 9~ . ~ - . Dz,y Deputy Local Rcgistror • , ` . . . ~ ~ BooK182 ~~E 336 ~ ~ } ~ _ fi _ . . _ _ . __n .