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HomeMy WebLinkAbout0538 y 188153 r se~. Dt- ~TATE .owRO o~ Ksw~TM CERTIFICATE OF DEATH ~ . ~ ~ ~e••• • ~upuu oR vn~?~. ~rrwn~mc~ srwTi ~u No. ~ .t., FLOBIDA er~ sl~~a BI T NO. R~GIiTRAR•f HO. 179 . _ - _ . . . lrtr.~:..irl . t:~CY{~1 ~ w?u or ouTM - - - . .¦a .111 °0°""' St. Lucie 66-025 ~ ST~~ Florida ~~St Lucie ~i.e.~ a. K IIES~OEMCE s. p~~- qT1/. TOM1M. d1 IOC+?TION c_ ~s ru?a a oun~ e. arr. TowN. oR wurwN ~«s~a cm uwrn •~~~~t. IN510E GTr IIMIT5/ r,l.. Ft. Pierce .ESID .00 Ft. Pierce ~s ~ ~E OF (IJw~t 1~ wryihl. Iwe ~Ersut Mlra~) I. STREET ~DORESS ' Ft. Pierce Mem. Hos . 51~ S. 8th St. 3. NAMt OI Fiqf XWk L~N OATE XMtI D~f Yt~r ~ i ~rs~«s?r.q ~pg~W M. CALLAHAN SR. °~'TM A ril 20 1968 S. scx t. ao~o~ w~utc wuu~[o Q~crc~ riu~uo t. w~ oi u~n~ iwc (h ~..n s u.oc. s.w v.aa H ws. !pt OiKW~) x~4 Os~ Rwn M:.. r, t s. M Cau r.aowco p wMORCCO ec . 9, 1895 7 2 j I~ l w~~ 10a. uSwl OCCWATqM (Qi~r ti~/ y+~rt Int 100. KuW OF ~uS~NESS Wt YtD1KTIIY 11. WITNKACE (SY~tt ~r /INfI/~ a~~d/) 1 tJi~7EM or qwT oownTf . .is? p~r- fwuyawtKwrtiqr'k.an~/r~tird) Su e ' s r ' Sand hook Conn. USA ~ ll~ek /wt ~j~ fATNE11'S 14wE 1~• MOiNE~I'S ~ulOEt~ W?ME ~I o•s.••~~~•~ N.icha~l Callahan Rate Barnes ' it. socui sccuRm w. n. s aew wc wu.w ws~ , Q 154-01-082 -~'1 ~ ' Ft. Pierce Fl rida ~ 1• I~Nt ~l 1~ CAYi[ N~t~1TN (E~k? Mll Mt twrs ~erli~t p). q~ (tl. IMiG1YAl tET~t[(N ~ ~MT L OU111 MAi WIKp ~s OMSET AMO OEATN a ~1T~~t~t WY[OM1L C~II~[ (~1 ~ y ' ¦~~t !11• • t~• e~r- ~ }-r esrie•c. aa~rtw.?~p/. ouc ro G~ .is~ er. ,.~;c~ ~.u .y~ u ~ - i • e • 1 ~e raae r~sistrar x~~ ~ a~- py-E :O id t/ny dwt !~a[. . •itel• 7! _ . WASAIliOKY ~I Y~u • f- O ru~T a_ oTKw s~asKairt oo~onoa oo.mownwc m oun~ ~ur Nar ~cuao ~o rnc aarwk o~susc caa~ ~na w?r~r i~.) /ERFOIlriE07 i- c~r a~at~ 3 trES? Np •r ~.hr• ~ 20.. ~ a0e. ocsuu[ ~wr uuu~roccwuco. (sua.wnyi~/w~~w Piwt Ir P~.t 1I yt~s.lla uki~s ~f7 ~ ACC~oEI1T SuKwE MOMKtoE il~P~~l- u ? ? ? S tl~~ •f mc. TwE Of I/~rr ~fwtt. Dq. Yur ~ 1~11. V YWRt 0 a1. ; Z 20/. w/Y11Y OCCYIIltEO mt, rI~CE O~ WIU~Y (t_ /..1~ M~t w~t. m/. MT. TOxM. O~ LOGTION GOVNT1 STATE xnxc ~s wor ~ii2 ~ ~ _-/ws. t~r. anser. yks aq., dc.) MO~K AT ~fO~K - ~ ' ~ . - . riitinaid e1t. a~iwaM /rom ~ l n ~ , ro '1~0 - .ud bu N. .lir. on r ' OwtA oec~rnd ~t a~ on tM d~ ~ sr~t~d ~3w~: ~nd to fA~ 6wf oI aw tnowNdN. Itom tA~ e~uau at~t~d. , •11 lt~a• ?2e.0ATES+GUE~ f1aNAT N M l lt) /f •r• to 1• ~ Y _ , / e~~yl~st a ,vi • / /a.rt~--- •eertat~. ~u. ~ ~ . ~ E pF CEMETEII~ OR C1ICYATO~Y 23[. WCwTqM (G~f/. tMrw. ~r as~tp ~~t) 3 Ft.Pierce Florida ~`u a~ 4-23-68 Aillc s s.leis zt. T" ~N . 7th St ts. wrc ~cca nr wcw acc. xc. ucaTwi~s s~wunau a.~r:zosa ~ .Pierce,Fla 4-22-68 ~ -i • r' ~ ~b,p a true and aonect copy o~ the Locai I here, r ~'~Y Regi rs.l~ecbr~~fRe~ifi-Hie_ St. Lucie County Heaith Depart- ~ ~ prt' ~ierce, Ho,r'~; ' ` w~~ ~'~p/~ ~ No~~ali~ unfess,~~i~ed seal of the St. Lucie ~:~Su~ct~;H~ajth pe~ait~ri~nt is affixed.) FILED ANU RECORDEb~ _ ~LA.- ~ , : . _ . . : - . g7, ~UCIE COUNTY. ~ , . ...1~'; 4~FC0~~ `1F~IFIED ~ _ r:.,~ ~ , ~ . Q ~ (Vt~.,M1LLER,.M. D. • 1S01Ja~ _ 'r~'~~( ~~;~,r ~ 'C`ounry;.H~alt~i.Officer~~ Local Registror s y ~ 2 A~I ~ 8 ; ~ ' "s c _ • i'~~ - - .R._,~ ~Zp Jt~t ~ ~,'~p ~1. :Loc~t_ R,spistrar {/~~~//f JZ~Lt~ 'iT ' .l- : _ - - . « T hO:;E~ t~Ot ? R••S = , .4,:_,.- ' CIERK CIR~UIT COURT; , . ~ . • v..,..~ .r: . . ~ _ . , _ - - • _-__j - , ~ - . ~ _ . _ , w.r~.:'_ ' _ _ _ ' . _ " ' _ . " . ~ ~ i ~ - _ ~ . . ~ . . . . , ~ ~ ( ~ - . • ' " ! - ~ -_ae x 1~~ ~ 536 - - _ ' . , - _ _ - : - . - . ~ ~7 . r ~ - - . . , . . , _ . - - ~ - ~ - , ~ . ~ . t s~..:3,r -~xr , . __.v,_...~n__ _ ~'w._4~r~~~_