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HomeMy WebLinkAbout2045 FILcD i.~:i~ RECORDED - - .1g~24t~ ; • Ll!CI~ ^n~`~TY, FL;,_` . - .1b32~4 ~ Q FEa 4 F~1 i: 27 ~ . .~°.,n-d,~t/~ . ~,~~~;~w; ~ c~~?~~: c~~~cUIT COU~T . sn~~ ti~- ~TwTC oowwo o~ MGLT14 CERTlF1CATE OF DEATH ~"O~~s ~¦URdU OF YITAL fTATliTICf tTA7[ FIL[ NO. ~l~ai1 ~~a- FLORIDA ~ erd ~~~n . p~p7H NO PEGI6TRAR•S NO. prep~ri~ si~eot~~ 1. 14?C[ OI O[ATN COAi NO. 2. YsWI R[NO[Mitl~4~.Mr~tM.I !!.ww.r' fw/w~WrMwwiwd . f •a~ •~11 C011MTY . ST~TE COY~T~ - St. Lucie 66-a2 ' ' ~•r- a_ nrr.~ow«.o~~oc.taN n n•cc or oc.TM c. arv. ro.KOS ~oc~Ta~ t. K 11E5~0[wCE . IIWOE Tr LIM1751 1~ C/~ UYIi1ii ~ r,,.. Ft. Pierce .ESt~ „~p Ft. Pierce ~E „o ; ' f. s~rE Oi (//Nf h~M/dd. /i~r N/tN ~I4rN) I. ST11[[T ~OOA[SS ~ . NOYiTAIOR ~ . ' UISi1TUT1pN gt. Pierce Mem. Hosp. 1402 Boston Avenue ~ - ' . NAM[ 0/ /'bN d(iir2t L~l O~T[ A/Mf1 M/ YtN o[ecatto os «'a'~'~'""~~ JOE R. SULLIVAN °tATM Januar 20 1969 ' - ~ _ S. SEl L. C+Old1 011 RACE ~ MwRtQD,~ N£Y[w MUNIKOQ ~ WTE OF NRTN lGE /tY1 • U~0[~ ~ IW YWD[12~ MS. ~ IYt AYtyq) M..r. On~ Nwn K«. ~ . s. M Cau ,~„~„~ou a~cco D0C.24 1895 ?3 N ~ i•f wl ~ 10~. usu.l otcw~Tpw ~ow e~~t yw.~ fwr t0e. tu~oos ws~w[SSO~ wousrllr 11. ~urN?t~a t3~Nt r/?.~~n c~r~tr~) . anto~ o/ w~wi caATa» W rl a~ ~~r- fr•:~~ ~wt yrMU~/hJ~, ae~ iJrtlirrll ~ o••••-~ Ret Ca enter Buildin Desoto Co Florida USA ~ O~i 11~ek lwk Ix ~~7M[~~S ~ME rOTr~E~'S ~aWtN hAME •r . A~~.•~~~~•~ John Sullivan Ma Hall If SOCIAI StWMtr u0 17. Y//~w • NGMATUwc A~/rn~ ~ ~ 61-10-8166 Vir ia R. Su?livar., 14C2 Boston Ave., Ft. Pierce, Florida ~ fue~~~i o~uu or YLATN (Swfet ~J/ ~M ttrM pt~ /i~t J~ l~). ie~. ~a.l ~ IMTC11Y41 ~f7WC(N _ d 1?~! t0 ~ ?A~T L OCATw Mi?S GYS[0 ~Y: ~SL~~,,/~[~A TM tV ¦rf t f 11 • - 1MYEOMT[ CWSE (H ~Gr C~~ U ~Qin,t~'r ~_S~f_fis~~1- • ~ se• e~r- ~~JJ 1 l / satfe.a. C..tr4...s/.sr. p~ ro pl j~!J SGIi~.~'OSl~ Vil~f.!`~~t/~t • .f e~ tw• .~id ~~.e r. - . Q i• e• i Vert t~r~t d 1~r rwlrr- r~R~~tr~r l1~~c~rK laN. p~,[ TO (rl Asar ~w~ f' ~ IMT tl. pi1tA yGIM~(MT ('OI1p11pIK (pN7~IM/f~fi ip p(~TM M AOT I~t4i[Y TO ~11[ Rf~1Ml Oq45[ COliliqll GKl1 ~1 f~T 1(~ . wAS AUTOISY • r tER~O~~[D/ t~t d~~t~ V . YESQ IW ?~f~I• ~RM~~ 1 ~~k Iwa •w~ ~ p' ~caawT wx~oc ~qrK~a asc~uc wix wuar otcuRUO. (Eatn ~~rrr~ N~~ry 1~ Pa?t I r M l! yYr~ ~fJ f. st.v••~- W O d O ~ s.-- .r ~ ~ ~ ~ 20t T~ri p/ llwr X~wl~, MI. 1ir . ~ uuu~r 0 1- W s. 2oI wuwr ottu~~co 20r ?uct os wu~~ u. i• ...+.rr Mv. 2e/ GT?. TONN, pA ~O('~110N tou~Tr sT~tc MM~IC AT O qpT MM4[ ~ JV w. /~[IM/. tl~t[(. sQ{C[ SfI~.. Ht.) - MORK ~T MOIIK 21. (~tl~nd~d th~ d~eNS~dplr~ _ 2w Z~__I. ~o .~1l~.s~.~ 1%~ •nd l~~t w~ Ai~1ir~ oAY~ D~~rh oew~r~d ~t m on th~ d~N st~t~d abor~; ~nd to tM Ouf o! m~ hnorNJ~~, /~o~n tA~ uuNi ~f~f~d. AI1 ft~a• u~ ~~YY11[ ~j (/It/I~r ~r I t ZL ADDRf55 72t, MTE S~GiKO co~y~~t~•1 !~e [n7' • ,4 ~ ~ ~ ~-~_~i • /--t~G/ ~~C C'< i. ~ Z (O ' •tet~I~t~. 27[ MJ~u~.UCr?tCw. Zb WTC 23t. N~?~tO~CEr[T[II~OIIC11iw~TW1• 23J.40C~T~DN(CY~.lN~A.MtNAf~) (S7~M) RF•OVall1 ~~f1 ' . ~ ova°~ -20-6 Oak Ridge Cemetery. Arcadia Florida Y. S. ~ A 1~ j~~~y+ jM[~~ S~ U~E ~pp~ES~S • ~ y,~ S,t • js. p~TE ~(CD- ~Y IOCAI. IIEG. ~ KTMI1'S SK~UTU _ - ~~7.1000 ~~1 ?V I..il ~ ~ / . Ft.Pierce Fla. Jan. 24, 1969 ,~~!~t,G •(~A~2%teC~ I hereby oeftify this to be a true and correct copy of th~ t.ocai Registrars record on fife in the St. Lucie County H~atih Depart- - ;~~z ~ rnant ~t Fo~ Pierce, florida. ~ . . . : ; , . . . ° (Warning: Not valid unless roiscd seai 4f the St. lucie ~ , - Counry Health Deparm~ent i: affixed.) _ - . ; ~ ~ } : ' ` - a` ~~f 4 ~yf~ ~ M ' .i~tX~v,.~~ ' . . _ ~t t* ~ ~ N. D. MIIIER, M. D. • ._'i"` j' . - ~ ~ .c ' ~ , .r.~~:~~~~~~ - . County Health Office~ 'd~ local~ Ragistrar . . ~ : ' - ` ~ = ~ . • - c . ' : " o ~ , , ~ ~~~~~~s,`~: . I - - . . . . ~ 'J ~ ;~,t ~~~,ys.t p~ peputy Locai Registror _ ~ ; - ...:=:i~t aoox ~ac~ ~Q4~ . . , _X _ _ _ . . -