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HomeMy WebLinkAbout2337 ~ ~ . . . 18~~~0 ~ : CE.--.TIFICATE OF DEATH ~ a:,..~.~.~ f~.~~ ..a e~~i~~~~.~ s~..~. fTATt Flt.! NO. ; avwor+ oF ~a~nr F L O R I D A 56 ~ rr?E. oe rdr~r tN •~'••••"•••••10•O acaisTAM•s No. ~ IttMANtNT INK ~~p_H~ rw~ ~eae u~u ~7t DAiE OF OEw1M ~ rowo. ~.r, ~w ~ SEE MAr100[ fOf ' ~sr~rcrw.s , W a Janu r 2 i RACE .~.~w. reow. .,unuw rrrM. wGE-w~ ww~~ ~ n.~ woee ~ e.r DAiE Of N~IM ~wiwM. Mr. COIM11f O! DEAiN ""`~~White M 79 y~ June 6 1890 St. Lucie ~ ~ fa A k f Cif~f. TOM~M. Ot l OEA r.a~e cn ~rwf NOSMiwI O! OTMN NS ~r pp w enMn. a~w s~rn .w.re~ ? ' sncr+ ns o~ .a ~ Fort Pierce Yes Fort Pierce Memorial Hos ital ; SiATE Of M!M ~ r wo~ r~ ~.f.~., wr~ Of Wlti?T C01lNil1l M~RRIEO. NEVEt ~RAfO. SUtVIVNG SlOUSE ~+e. owe r~re« .Mw ~ ,,,r„p,,,~„G' Germany O0Y"~', USA N~DO~i~ec~'~`~~ Evelyn O~Brien ~ ~ vrrr wu.~e~ SOCYLL SECUMII? lRW~E! USUwI OCGIrAT10N ~ure awe a rwc wa wwww .wi a KM1D OF MlSRESS Ot MDIlSTRY u.es. r et~w p ~ r0~~4 W!~ N!M M~I/YH 1 087-05-8146 ~a. B 1 Ca tain ~s. Hotel ; nr...K. wo.~ .nr. c~v sraET Ma ur~s~a+. ~ESIDENCE-SiA1E COUNi11 CIi1I.10w~+.OllOCw110N , ~ ~wcnhsww ,y Florida ,».St. Lucie ,k Fort Pierce ,N. l~to ~.2412 N. Slst Street /wTMfR-N~wE ~wp .rw~~ usi ~rOMf!-~uiOEN N~E rw~ .xeeu uu I „ Christian Waibel Katherine Walther I WORMAMT-HAME wu?~NC, ~DDRESS ~snu~ w~.r.~. ro., an a ro.n+. u•w. tr~ v. Evel n O. Waibel ~n 2412 N 4 ~ ~ r~et oum wws twsEO ~r~ ~Errr[R a~ar o~ Gus[ rE~ iw[ rw NL AL ~ kA .n~ru¦ o wr u:.u.w N. ""'~w . . j ~ ~P ~ . ~ r ~ corMno¦~, v .w. ~ ~~~J~~ ~ ~ ..,cM o..t .~s. w n) ~t~.a~ ~1+~*'' 2 C,. C.l.l.l \~.rt"~"-- i u..eM.n urs~ ~ ew w. oe.s. ca.siwer.ce a: ~ ~ 1t~TIMO 1M~ YN~q- ~n.o tufe uu kl . ; ~wRI OT11ER SIGaM~MIt COHiDfT10NS: cwauo.n co.rrrr ~o ~uw~ w+.w~ uu~n ~o a~+en w~ • ~ w wYfOfS1/ If ~ES v.eu nrNros ca+- ~ , ~ ~ ( n ~ns4~ ~••o~~~ w iewri~ wna.rMrw uusa , ~~r~ l.S~" ~ a~s~C ~~l.\ [iX 4' w. V~-~J ~w t : ~ O! IR~DE7EW/~W ~ra+rw. r~, n~ MOW Rr OCCYRt ~ arwe~ ...~w a u.wn ~M ?.n . q?.n r, ww ~ ~ ~ !M. D[. M. ftl. i INJUtr AT WORK KACE Of l/A~r.r wo.r. ~wu. s~~ea. r.c+w~. IOCATION ~ anen w u.~_ Mo.. 4n o~ ro~w. w~w ~ ~ wa~r ns a.a ~ • ow~ce ww., nc. ~ sncrv ~ 1p. nwM r~ wa .o.~M w~ ~eu ~u.s usr a~w ww/.e~ ur.e o.~ ~ w/ae ro~ v+e~ Me OEAiI~ OCNUto .r ~.e n~a. a+ ee . T~~ ~~M Y? ~/Y ~0~7 IVrp ~f~K IMOII~1 A NR 4nC. 10 M[ ~l3T ~ ~RlMOEY 1M! t~ ~ q [MO~RlOGf. OYt ,.u.uo ~.o.. 1 13 70 1 29 70 1 2 tH. x~o °y u-°°. i CERt1FKwiqN-~CAI Ot~MWEt OR COlONEt a. ~.n w~s a we wow a euw~ rwa Nceee.n ~u rraww~a~ wa ( ' ~Yr~u~~ON M~1! W~~ ~1+/W ~ MI[f71G~~ON. M r? O~MIOM. -~IOM~M Nt A11~ wOW t N~w~ OCCYM~ ON 1! M~! uM OM 1O M! C~I13l/31 1~wR0. .1 7 i ~ ~ M 1 ~ , CERIIHER-NAMf ~m~ a?wn S~GN~itlRE a mu w SIG~EO ~.~o..~. M~, ?eu~ ~ . Wm . H Me er M A ~ ~ ~D0~5,~-fftOlEt s*~[n w u.s. ~.o. o~ ~o~r. siw tv 7U ' M1RU?. C~fMA1~ON. ~MOYAI Of GfM~IORY-rr~uiE tOUT10N cmr a~oi+~. uwn ~ srK/R ~ ~ Cremation x~Ft. Pierce Cre~atoriu F Florida ~ OwTE ~~b 3 , r~, nu ~ Rl~+EtAI MOME-MAME nND MOtfSS ~ sinq o~ v.~. wo.. cm w aw~, a~n. :v ~ ,y. . ti,.. 1970 n._ Yates Funeral Home ' Box 777 Ft. Pierce Fla. 33450 i v. 5. s612 f q~ S~GW2iWE aEG+S -SK'.ruTWE ow etteneu tocu teo~sra~e ~ Rw.l9~o n.. c.f. - 1~~- tw. Fe _ 2 1970 ~ ~ • • . : FI~EO AND RECORDED= ;~~.:-~st j ~ I OO~tI~/ t~flf f0 tfue ~f1d GOi~ed di t~1~ I.OCa~ ~~.K R~istn s rocord on fils in the St. lucie Coun~~alth Depan~T.~ UCt ~R OU~;TY. ~LA: l;,~,~ 3'';`~ ; msnt ~t For? Pierce, florid~. . - 0 1 V E R i~ E~' ~ f~ . {'~L \ i Y~ I' S ~ ' E / ~ ; `f ~~a ' ~ q' y. ~ . ( W a t ni n g~ Not valid un{es~ raised seal of the St,lucie 1 8 5 4 9 0 ~ 3f 1!~ ~f • Counfy Fkahh D~partment is affixtd.)~ t ` - : : ~ _ '70 FEB 9 AM IQ,: ~ ~ ~ ~ - ~~~•-~.s~t~ ~ , N. D. MILtER, M. D. - ~~d~ f';~~s ~ 1 . ~ County H Ith Officer'b local Raytsttar r C ~ -0 ( T ~ . $ ''<o"`.,',-`~ ,~~~i; ~ ~ ; C RK CIRCt,?tT COUR~: ~=:;1~~=~ i'#~~Y='1; ~ • - ~r_ , ~ -_r9~~ as l~.~r ~l~ LOCi~ ~IStfM ._..~~fr ~-ir~ s.: ~1= . ij ` ) ' . sooK182 PAGE2333 ~ ~ ~ - - _ . _ _ . _ . . .s _ ' S • ~l ti _ . . ~ ~-~y~~~_ . _ _ . . . . c~• :~.°~^-vi~+' ~ t