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HomeMy WebLinkAbout0940 irlS IN~TRuRtENT WAS PREi:,:<.~ a~ : „t~~c~~~ FiLEO nND RECORDEO SPENCER B. GILBERT. Attorne~ at law `'T• ~CUhTY, FLA. t,: r~,.;" ,,~~;~;r,: z~o s. s~.ca+o s1R~. ~r. WfRCE, fLA. 33450 ~ ~HH~S~ ~ ' i~~i~i~ I 9 AM I I: -c~`' "t-" 'ni~~~s CLERK CIRCUIT COURT ; ~ . T h t ~ s.- ~wTC wwwo or Mw.TM CERTIFICATE OF DEATH ' e c~~ a • ¦Y11[AY Or YITAL RATiCTiC~ fTAT[ RILt NO. ~.a- FL08IDA ~ ord •A~s pi TM NO. II~GIRIIAR•• NO. p r o P e r 1~ GOO[ NO. t YfYAI R[f1KMC[ l rrra ~f 11 wa~r.r.: R~.4.w Mt.. 4+.r:w) ' e:~tutt~ ~ KAU K~~ t STATE A. COYNTT .^a .111 00UMT~ Saint Lucie 66-025 Florida Saint Lucie A• Plae~~ K RES~DCMCt 1 u P~~- e4 C~ .'7a'I~M. OR lAC~1qM t. IS rLAC[ O~ OEATN t. C1TY. TO~IM.011 IOC~TIW~ IId10E CI1Y LIMITSI . ~~n~~t MKIOE CITY IwITSt . r,,.,• Fort Pierce •ESSd NoD Fort Pierce ~s Mo I. NAME Of ~IJf~ i~ ~M]ihl. /bt ahl~et NiItM) 1. STIIEET A0011[SS MOShTAI OII ' ~*r*v*~ Ft. Pierce Memorial Hos ita Oran e Avenue Extension w?r~ ~I I7rat J1/i1Qs Lrt o~tE Xw~M DrI Yra tn`r:~«"i•~~ ~SAYNARD [?IELVIN HASKELL ~?TN Ma 17 1969 . sEx t cao~ o~ iucc ~~u~~uco O~cvc~ MwKO wTC os ~urN f~c u. ~..n s u~. ~.u. u,a. H~ws. :Male White rr~oorrco avo~cco 2/23/1895 x~ . ~I r t t • ~ 1. i"4 ~ ~a.±usu.~ aocun?no~ io~ y:«~ ~ IN. KIMOOi ~1lS111ESS OQ iMOUSTAt 11. WlT11RwCE (8de M Mtl/~ ps~1h/) 1. trt1ID1 CI M~Ni p011Mf~n . .~o~ En•lneer &~,i~ ~.y.d,..r~ • ~ ..,.se neman Power Com an Penns lvania USA ?1 iet l~![ 1 IA 'S 1YYE 1~. MOTMER"S M1110EN IMrE ; : ~ ~ ~ Jean Haskell Rose Daniel # ~ :~oca? sccv~m No D. w ~ a~Tw~ A~« tlt St r@@ _ ~ `,265•48-182 A Audre Haskell Fort Pierce Florida • ; u d i t.l ' ~ N. ~ iwYS[ N KA1M (El~la Mh M~ e~w /Wy~ (e). a. (cl. ~MTC~v111 ~FTwcES j . eir~co•~ ' r~sT~ oun+rwsuuscow~ ~(~9 (,~j/~ ~I~ L 1Jx [%1++v ~r~i r~s: '_1• . wr[iw?TC cwlc (u ~tr :~r- ~ 1. C:. t N • G1~[iHw~. ff pt. OIIE TO . •S s!t i\• q ~ 1 c e• 1 r~E±stt.~r S , x~~ ~ r~• p1~E70I~) .::n1s 7! f~i~/ t~ut lNf. ` fAIIT M. Oft61 SKIIKYR 001b11~0~6 OOII1~Mllwi 10 OG~Iw ~IR tIDT 11W1[D W M iEAMN~t OIfFAft OOIOITpI iN[11 ~1 /M1 1(~) . NAS AUTOO~~SYY ~ M~'k c~- . ~ . rE11FpIM~ t.~ i..s?• . • resD w e~ rc ~ 7Di t. • 20s. ocsc~rc No~v wu~r otcu~~co. (s~tn wwre y t~/w~ 1~ Pw 1 r Arr /1 y e.k~o~ ea~~ ~:c:~~T w~aa uorK~oE sl•Fsaf~ ~ ? ? •r ,~+.c as ~r~, xwi. a.. n. set;. ~ . ::tA:+~r ..s. . w. ~t. tN1Yl1Y OCtU~II[D mt. KACE Of WlUll~ (t. ia M~r( wnt. 20J. CI~. T01M11. O~ IOCA~ION OOYNTt STATE ~ MMK[ AT IOT MN~LE f~' .d~. /~dM/. ~t?td. ~tt Af~/•. Nt.) . ' ' ~ wO~K AT ~IOIIK .-i ~ ' :T - ~ 21 _ I ~tt~nl~J :Aa daeNS~d /rom . to ~nr /Nt a~~ ~i~ ~/i~~ on ' DptA oce~rr~dat in on ~h~ d~te s~~t~d ~Aw~: ~nd to tM 6wt ef a~ lnowNdN• ~rom fM uuws ~t~t~d. ~~il :N~• ~ t~:,.,- (lArMtt~rWk) 2lD AOORESS ?It. WTES~CMEO . r c . ia5 ~ N th St. Ft.Pierc 20 6 ~ a: c r.t~. 2~:•Mwu. txr~raK 27s o~rE Z3t 11AME Oi CEMETEIIY O~ C~[wATO11Y 23r. wcaTq~ (CSr~. t«n. r nwl) (8.ai ~ " "`~01'~-`s~"y"' Gardens Saint Lucie County, Florida ial S 20/1969 illcrest Mem. V.9.~S2] ~ 2~ ~i E s t~p"qauneral HOID . wTCaco.~rwu~~. ti. aisrws TYI1E ' ~ . ~~~~~=~~~~Kiif/ A"•'~6-~ ~ t. Pierce Fla. 22 1969 i~ . ~ : ' i. . • . i~?etaby qAify ~ thk fo b~ a ttue and ootrett topy of th~ t~otal . ' ~ ~y~ist~ra's ree6rd on fik in the St. lud~ County Fi~alth O~part- ! msnt at Forl~"~a~ • florid~. ~ i: r~`" . • '~~J s ~ L"'~~.!~i , .~affl~flQt NOf Ni1~ t1ff1!!3 taifOd Na~ O~ 1F1! St. LtlCI! ~ F : , ' County ~H~alth D~pattm~nt h affix~d.) `;,•1 ~ ~ `~i~" ::`~''t . ~ ~r ~ : ~ ~R ~f'Y ~ i~ . . +i ~ ~ ~ ~ ~ t~~~: ~ N. D. MIItER, M. D. . t , ; ,s~ , Rpisirar ~ ~ ~ : , =x County Hwlth Offic~ 3 iroal ~ ~ s ~ ~ ~ ~ ~ ~ ~ ' . . ~ /9~ v~`"~ul~X.G;C~ - . . f~ - } . , v 4~ ~ ~y ~OC~~ ~QlftfK - / ~ ~ „1% ` ~,~:~,~~f *~t'<-`r~ ~ ' 'r}~~' ! ' . , . j ~ 1 , . I ~ ; ~ . - - - ~ ~ = X. ~ d`~a.- ~ BOOK~~~ PACf e7e~8 ~ ~ ' - - - ~ _ ~ - _ ~ ~ ~ _ ~.~r s. ~ : . - ~ t~~~~~