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Home My WebLink About1701 • 1 ~ I • ' ~ ~ 189~~.~~ ~ - w ~ CERTIFICATE OF DEATH ~ ~ ~ ~ ~ fTATt FIL! NO. aY~o~~.TM FL08IDA ~ rrrt. oa ?nNr u, 41 MtMANtM~11K ~A~_N~ wr~enwe~ r~ u 11tO1R11A11•~ NO. ~ S~ YNI00[ IM SEI ~AfE OEAM ~ roNt~. wt, t~u ~ 1 fl?C[ ~w+A. wNO. urrcu~ r~uw. AGE-uu wa~ ~?t~a wa~ ~ Nr OAtE O~ Mt1M ~ra~ M1, tu~ ~ wcrr ~ ww~~ ~ nus ~ roa. ~.n ¦aw~ ~ ~ C'OUIiIY CF DfwiN ~ ~ @ s. s~ x ~,l"C 2 .10MiM. OEA .u+e crn wn MOS11Gl Ot OA1q NS ~r pp w~ e~a, oM s+~e~~ w.w+x ~ fncrn su w ¦o ~ . ~ ~ H 70? North th : STATE Of MRM Mo~ r wr di12W Oi NnNT COUNt~tf ~ulet~EO. NEVE~ wu~EO, ~ r ww. owa arww wu.e ~ i ~ ~•,~••a•..••~ Florida `w~••~ U.S.A. woowEO•o+w~ao'.ra..~ 1~ 7 wrr Mceue~ N. 11.1\618 ~ ura. r M~w SOCW SECY411f MMA~Et USUAI 00[WAiqN ~ane c~w w ro~ ww www row p I~O Oi MKNEit Ol WYSTt11 ~ a«,~... M ~62 5t~gg5I -0-.4,~. ...u.~ - - b r ~x ..w«~....o. ~k Common- y+ruw». ~ESIDENCE-StA1E COtINfY C1T1I. iOM~M. O~ lOCwi10N M~ Cn ~rwi if~tlT `~~r ~ srK+. n~ o~ ro ~ Florida Saint Iuc e~ Fo e ' fAiNEl-?L?rf ?rp r~Me w~ MOiqH-MAIOEN NAME HW r~w~ uu . ~s ~ John Moore a ~~'rORMANi-NA~ MAI~'!Q wDO~ESS IMM~t O~ L~J. MO.. dh O~ ~Orr. WM. trl ~h e ~n 2. Florida } r ?~t awn~ wns cws~o ~r~ ~aa[~ a~ar aac uun[ r[e u+r w~ N~, A~, ~ro k11 ..n..w ow.r ......w~ _ ~ ~ iI ~O ~ C.r~ . ~ ~OMMT~OMf, u ~M~, ~ r.,~~~. t ~w~O O~t~ uff q ( A~ ~~r~M~n UOt~ 1M. ~ OII~ ~f • K! O~: l~AtIMO tM~ rM~p- , ~nw0 U~M u{t s' IN ' . • • 1nRT OT~E! SK.wF~[~ ~ COM~wO~+f CO~MMwO q NwN Wf rOt ~Y~ q 4YY ONrlw w~YT ~ W wUtOKY ~f 11ES vin n.Nwes cw- ~ 1~lf p MOI MMeH IM N!lvw~10 4YM Or ~utr No M~~ Ot IIM~1f~YNfO - ~ ra+r+. rr, ~tu ~ Npw ~?wtr OCCUttEO ~ ew~ w~M p aw~s r?ut ~ p~~n N, w~ u~ ~ ~ 1w fk. M. Itl. ( INJUlt AT ~MO~R ~IA~CE Of Ml{~Y ~ ro+e. ~u.ti srrar. lOCA110N ~ Y~ttr O~ ~.r.~. r0.. dn o~ q~M, aw ~ • ~ wan ns o~ .a ~ owict ww., nc. awv~ ~ sl. " ~y. - ~NTIO~J- raa M• n~r TO ~owr nu ~a r'~"~u~~ ~~u~en ~.x ~ ~ ~~OCCYUEO www w a~i~e~ieu . , Ta Nu f~ono ~ ~ 1N. 1~G1~7Q tk 1~G1~7~ l1~. !M. Mltoiiuw`NO~`~iew°Otsrww ' j CH1iKAT10N-M~AI EXAMlrtt Ot CO~ONER: Ow iM YY! O~ M ww a~ ~we wcwe,a wu woMOw~cs w.~ ~ 1Yw~~Ow O~ M! YO/M a! ~MfUW11pr. M~n OIw10~~. ~~OM~M Mt ~ N~IM OGQitlM p~ fl! W Yq NR b M 411f~W tYtt~. ' a....~? - _ _ ~ 5 10 A. S+Gtan ~ . .w... w u.. ' i.w.. r~, n.n ~ C . ru?il1NG -CH Er suen oa ~ v~ nn w ~w.~ tk. 2f1 ~ tr ( i ~ Wb~l. C~fAM Al Ot CiANT ! ( tOG an o~ ~o.M su~e ~vecrr~ ~ } Burial Pin Fort ' I- ~ OATE trOAl. Mf, ~fYl ~W'~~Al qQME-NAME AI~ AOafSS 1 al~t~t, ~J.~. MO.. C~ O~ ~O~M, N~M. !Y ~ ~ - ~.s.s612 ;"Fe ~ ?r 2 Ave~t~e D. Fort Pierce Fla. ' sicr~un~[ neo n ww Nw.1970 ~ ~ ~ an~ ~~970 ~ - . ~~1QfQ~/ OErfifi/ tE1~i 1'O ~ i tftJA afld Q^!fa[! CO~I O~ 1EN LOCaI - ._a:':~t~,a~ i Registrars record on file in the St. lucie County H~alth Deps~t- ~ ~ - ~r.~. n~a1t at f~ort PierCS, Plorid~. ~JJ~ i ~ ~ . s ~ (Waming: Not valid untess raised seal of the St. tude ' =~'-r'.`r~t',f'~'? ~ . ' Counry Hsahh D~partm~nt is affinsd.) . ~ ~ . -4'.~:, . . . . '~.Y' _ , N. D. MIItER, AA. 0. • : - - r• ~ ~ ; , County Heatth ~ , ` _ Offiter Lou~ Rsfllshar . _5~;; m , . s . • } ~{x~- j~` ~~.'.~:F;.:,~~ - ~ 'j i. • . ' a7~;~7• ~f - , - . D~+~y bul Repirnar ,~~r~.. .•~t-. ~ . _ . . F1LE0 ANQ r~ECORDED ~ • ' ~ ~ .:T. L~CIE ~~OUl.TY, FLr. v;- ~ 18901~~ ~ i . . , - - - - ~ ~ - - - .,7~- ;'ry'; -_3C--AN~?":-1~---- - - - - - - - - ~ ~ . ~ "0'`f?:.~ ~j O-G r~~ -~,Y ~•~(~••~r?r C!~UrZT BOOK 18~ PA6E16~79 ~ ~:-4 - , % ~ ~ 6 ~ ~ . . = i'i'