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HomeMy WebLinkAbout0378 ! ' S . ? FiLED aND RECOROED ~ y . ;T, LUCIC COUNTY, FLj+. ~ ~ ' , n:v{~r \j='l~Y~~~ ( ::19G282 ~90282 i '70 FEQ 26 AM 10:42 - _ ' . -c~-,c c~, G~J :~i. R~TC .o~wo w wu~tH CERTlFICATE OF DEATH ee~e• • .oURGY OF ViTAL RATf17W ~'iATt ~IL[ N0. ~ ~ ~.a.t r.e-"7/ ~ f:: = t~~~ A 442 ~ orA •p~w BtRTM NO. ~ N<GIiTRAR~! NO. ~ Pt~ye~l~ ~ iYAI Atf10[MCt(~4nrrrdi~./. J!:.w+rr. tr.M.wN/.../.w:..) t ~ es~erL~~ 1. /LAtt OI ~~1?YN . . .~.a .i~t ~ COU""' ` sT.TC 0O1"~`siat Lucie Saint ucie 66-025 1 w ~~H 1~. 4Ttl. TOwr.O~ IOC~T~ c. K KKC Ot Of~~ e. pTr. fOrM.011 IOt~T~pl b RES~O[~C[ ~ ..,~..c wwoc un ur~TS? uwa aT~ ~w~rs~ r:~.. ~ Fort Pierce .ES wp - rc w R w?rE Oi (//Nl b ~M~ihl./ire Wref N4u~) ST11[[T ~00~[SS . • ~ MpSNT~I O~ - ~ MST~TYT~OM Fort ~CrC@ ;~:e:corial ~ wwrc /tint ~furts Lrt a. a?rc XMu D~t ' Yrr ~ i?i~«s +.r~ t,artha Stanle oi~TNOctober 5~~969 ; ~ s. scx ~ co~o~ w u« 7. DATC Oi WTN f- .cc tr. re.~• r,na. ~ sw u.oca H~.s n.iu~co O•cvc~ wwiro hn w~ai.il w..+.. a.. r.... r:.. r~ t e. rea~ale 2ieE*,Y'O moorco~7 a~cco :~Tovamber 12 1 1 ~t.~wl~ IO~. YSYKOCCW~TW(Oilrti~NN?~I~t Ia.KU00~WS+M[3S011MOYST1lt 11. WTMr4C[(BtWMM~M~twMr11 .vnt(~O/~tOW~ASt •ie? ~ow.wr?rw~wbN...r.y..wM ` None Genr?i.a II.S A ~ fl~sk twt 1/A7M[s't w~r~ 1~. rOi~K~i r40LM m?r~ . •r Jessie tanle ^ r Travis ~ K. socu? sQ~cu~a~/tr ~o. u~seR • sw~u?n+~~ wttrsu ~ ~ • OS~tFC'~W/'J i ~ . ` P~w~r~~ 1\ ~wYK N Oi~TM ~taMaNt~wswr ` rlwr/w l~). 61 I lr).j ~wiCwra~ ~ETw[Cw . ~ Afr~et~r ~~wTl04TNMwfCwYS[O~Y. I ~ / ~ ~ . g~s RY~DO ~R l r~~. wrca.n cwsc t.) ~~'~D.f/ i P/ U_r,~Q ~ cA. c.r- _ : ttftc~t• ~w?~~ru~/+i 1) •lts tA• ~ ~ ~ 1 • e • ] tlw~ [~we (il. ~~Ristr~r sf~t.~I f1r ¦~fe~• W~E TO (t) - . ~ ~ fl~w/ h~K /wf. - + 1 t S t• T~ ~ /~T w. Oa~(a S~GMtK.~i Cp~oiTqAf CO~frlwyfwG 1p p4TM M/1 Ilpi 11[uA~ TO TK i[lWwt Oa(aS[ OOIdf10w GKM 1~ ?Yi ~(y . M~3 AUTOaST Ao..r• •f- F fERiOArG(J , a~r •~~a• ~ - f~~ ~ ~ or l~f~r• ~ IIES? hOiJ .~kt~j ..7 ~ ~caa~r wiua MorKwc °EK"~c w~~r otcuRUO. (E.~o s~rve y~~/~ry i~ M Jr Prn 1lyiua q.) ~ ~ YI ? ? ? ' ' V .r~~• 20t TIMf Oi /!M/ XwN. Oq. Yt~r ~ ~wlu~~ 0 7- ~ - Y = 20t. wUU~~ OCCUUEO mt. ?Utc O~ ~wY~r te. I.. :a M~Mri N~t. m/ uTV. TO~?u. W IOGTqM COU~TY sT~T[ . Mw+IC AT ~ wOT WMM~ ~ N~rI. rl~tN. ~~c( Of~J.. d:.) , . WORK AT MpJIK ~ l~fr~nd~dtMNewwd/rom __Q r~. to ' ~nd/utwr~ ,~fir~ee ~ ~ _ _ m on tM d~t~ ~t~t~d ~Oo~~; ~nt te fM 8uf eI m~ Xae~bl~~. ~I01l~ fA~ GYNf lbf~J- •ll ~t~~• jj~ IGr4TY~[ _ ' •r• t• 1• ~ c` /j~, Y1U\+p~e~rWGl 211. w00 SS ~ L ~ c..,l.t. . 1/.i~tif i(X , fC/~ O~I''t ..CKdC ~;it C/r. l,ol8 v/ ; ~ f •ClYf~{~. ~ ~K.CMA~T10A. ~ WT 27t wAYCOiC[Y[T[1110RCwCY~T011r ~(.?Q~AT (~I.Nr~.M~'N~l/) (~YlI E ~ ~°",~~"j'' October 12 ~ 1 c9 Pine Grove , r Fort Pierce ~ Florida . Y. 8. f 012 j WE~K D+~[ttM SK.N~TYi1C wOW~iSS 2S ,'~TC ~(CO. lOt~l 11Ef.. M ~EGSTM~'S SKM~TWE ~ ~...1Y60 k~ 8 Aa e. D. F~. P i e ~o3er 9, 1969 ~ y~ ~ - - - - ~ ~ _ f i ~ . . ~ . . . • .'-"U. ' ~ • . I hareby oertify tt?ts ~o b~ ~ true and cottett topy o~f th~ local A > Registrars record on file in the St. lucie Couny H~atth Depa~t- s~_' . ti ~t~~'x~_.~~,~..t.'' ' msnt at Fort Piefce. Florida. . ~ r , (WuninQ: Not valid un{ess raised seal of the St. tucie - ~ ~ c- _ - ,3 Cpynty Heslth Dtputmsnt is affixed.) - - . - ~ . . (s'~ . t 4 : ~i- ~ ~ , N. D. MILIER, M. 0. ~ , ~ ,s ~;f~~:t yy CpyR~ HN~~1 ~160~'at ~OC1~ ~tilfaf ,T?: ~ x'r~is a~ : , ...~t ' ~ - , ti ~ • _ .L;. i y~ 3 :w~~ ~ ~ 2..~F1'' f 27,. - D1b D~ptAy Loql Reflimar • i. i . , ~ ~,M: ~ Boox183 ; . ~y t . : ~ - _ _ - - _ . . , w c . . . . ~ ~ ~ "'w c - - - ~ ~ :