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HomeMy WebLinkAbout1970 ~ ~y v' v Y 191390 ~ C~RTIFiCA; E OF DEATH ~ Depr~..tN .1 I Ieultl awL Re:..L:iwwe $en;ce. srATt F1L[ M0. avcswa or ~~xw F L O b I D A TY?f, Of ?tlNl W 11EG16T/1AR•i HO. • 6 ?LRNAN[!IT INK OECEwSEO-NM~f ~M ..~a~ uN SE[ IfiiCri00t FOi ~ OATE OI DEAM ~•0.4. M~, r~u ~ .amcrars ~ Aavid ~~1i21i~:~s ' ~:ale , Fobuary 2'Js 197~ . iACE wq, MNO. ~r~K~. .~ww AGf-ua a~n~ . n.~ ww~ OATE Of W1N ~.or. rs. COINiT Of OFAM • 6602 ~c. ~~c..~ ~rw.j~ uas. ».o~ i ~,.s .wu \OV• ~i 19~ $ti• I.LiC~6 ~ O ' k ~ f t~ . tOwp. Ot ~ iWM OEwM «sw crv ~r..s eWinTwi Ot OTME1 nSictYi~On rp r aw. ow~ ~wa~ w u„ra ~ snan r~s w .a _ n Ft. Pierce Yes Ft. Picrce ~:s~o. Hospital SiAtE Of WA1 ~ r rq w r.s.~., ww C~T~2EN Of ww?i C01M+Tt7 w~iuED, wEVEi rMtaED, SYnInING S~OI/SE ~ r~w, ewa ryw wr ~ COrr~~ WDOylf~. ~vKVr~ ~~~~«K• ~ 'rlorida II.S.~. ;~arr~°~cc~° Odessie ~/MM MC~~Y~ u.u. •~e.a . fOCw SECW11r MrrE~ uiuwl OCN?wtqn ~ an ar.~ a wr ww wro .oa a Kwo a wsr~u o~ wousnr OCMY~ M ~M ~W~ M~ Y YMy ~ K;"•,. 266-14-5 i':-uc:c Drive: Citrus ~ iES~DE?KE-SiA?f COIMttt GTI. iOM~N. Ol IOCwTWn ~ae~ anr ~rw~ Si~EEt MIWf~ 1 f?KM'f f~\ p Np ~4 'rlo~ida St. Lucie ~k. rt. Piorco Yes ,~.518 N. 15th Straet /ATM[~-fMA~E ~~tlt wA~ Wt MOTME~-w~wOEN N4ME Wt ~w~ W7 ~s J~nsos David ' '.~fil2iaxs Fanr:ie Jaa:es ~ WOtMiwT-?+~wE ' rwKwG wDWESi ~~w~~ a~ .a., cn o~ w~n. wr.:n Odessie t,hlliaaes 518 r. 1$t:~ Street Ft. Pierce, Florida ?~T ofwtN wws Cwus~o ~r. ~ENr[a owr owt Cau6E ire tr+t ~or (.L HL ~ro kN u~i: o«si; ..o :aw µ ...a~w trw {~1 ` ~ . ~ : co.~mo.s, N ..r, ~ ..~c.. a•n ni~ ro i?1 . ~~~lM~I~ f~Yi~ N1. ~M p. W tl~ CO~LO~IKI M: LI~t~MO 1~11 rw~lF ~I ~tIM~ ~~rM YN ~ 1~ti a OTnEt SK',ni~iwT iqn5: ea.r cw..we.e .o a.~..~~ r.e..n~ ro uwe ew~« ~.n ~ w ~~r ~ ~ES r~.e ~~.n.os ca« 17lf W.O~ YNtI~ 1w Nt~4wr0 iw3~ M NY~ • 1~~ IR { ~~Or ~ Ol~M~OEf~~EWrWE40 T~ ~•owTM. r~, n.. ~~OVi ~MOW ~NJYl~ OCCIIVfO ~~•w~ w.wir p rw~. r. r.n . p r~n r, wu ~ ~ Iw %c M. 231. ~rWt`l wT wOLt RACE d ~+lufY.~ wr. Wrn. ~.no~~. tOCwTfON ~ swen o. ~r~. ..o.. un o~ a..., w.+r ~ ~wCM~ ~ls p WI OwK~ hK..~IC If/K~1 ?'w. IM. Y.'~. CfRT~FKATION- .Owr M~ eW ..O.ti M~ ?W .N w~ Y. w~?r.lw7 Or ~ M/FO W~ ne~r fr O[wiw OCCVY! .r M nwc~. a. 1if rwrsKUH: TO ~.Ona Mt nv pN ~t~ M~1~ ~ ~~R~Mf~ M ~wOW1 HR. ~.0. q M MN n. ..cuH.,.o. / O ' Z~/ ` ~i t~~ Z ~ :t~- ~ O ~k. _.2 O ta. t4. o::~au°`~u.no. CEtT~fKwTqr~-rEWCwI Et~rwf~ W OtONEt: a« w~.s.s w w .ow a a.w r.e «cea~~ w rwwowa~ ~eu ~ ~......r~a. a a~a ww ..~/w ry wnsm.no~+. o?«o+. ~O .ww rr .w .q,. . 1 Nuw O~ M M4 nwf M p ti 4q~W WpY. ~ M. t!?. • 'Z, ~ . .r0 , ~y t ctnu~a L ~ ~ ~ ~ Tu+t M4M~ ~Y ~~Oww.M~.fW1 ~ j~ ~y. MWMKr AOOffSi-Cffi~rt~ srrn w ir.o. w. cm o~ ~ow. ~ ~ 1 7A/~ ^~.1 n•. ~~-n,ni~c~ T/~~wL ~i nrn G 7. r7.. un~ ir iW4LL. CaEM~i~O?L ~EMOYAI CfMEiE2t O~ TOiT-NM~f IOCATION p w~w. W* 1 II~~M I ~ • a P~re G; ava Ce~c ~e r t. Pierce Florida OwTE ~.o.w.. .~r ~ h/NEW MOrE-ti~wE ~ ~DOIffS ~ sru~r o~ u.~. ..o., un o~ w~w x.w. [r ~ 2:-r~ 8 1 ~,s.. 5to:,e Bro's 317 7t.~ Stree~ FT. ~'ierce~ Florida 33450 r. s. s612 r pNECtOR- ° ecersr, •_SK,w~rwt.,/ ~ ~cce~•w n ww aasrau f ~~r? 1970 ,~~iiii / i iii ..-c- i sa ('n.~•,.•~ i u~. ~ 3 ~ u ~ ~,,y ~ffy ~,k ~ ~ ~ n,,, ~,y ~ ~~EO AN RECORDEDj , Repistr~: rsoord on fils in tht St tucls County Hedtfi IUCIE COUNTY. FLA:'. t: - msnt ~t Fort p;eros. Florid~, RE C O RD V~ RI FI S~LS~ (Wunin~: Not va1W unleu raised ssal of the St Lucl~ ~-.3 ?~;~~~-s` ~'~'-~•.~s.' County Hwhh D~pa~tma~t k aff'uced.) ~TO ~ ~ t:~~~; ~~~r .4 ; r'A ~ i.~~~r ~~~i ~i t~~~ i ~ ~~390 ~ . y. ' ~ ; ~ N. D. ~u~~ ~ D. . $ r.. t ~ t : ~ y' . ' Cou~qy Ith Offiar ~ Loa! Rpi:tr"~0 GE R P OITfiA$ ,r~.~~, r. ~ " ~ C ERK CIR'CUIT CQ~ii~ ~:~'~:r`~~,~~'`s ,;::sa : , ~~~t. . 6r?~ . Or1M . , D~qtly Loa~ iEplstrar _ ` ~ •c~;~ : ~c. r ~ F±.j ~ r ( . . t~j'~~:ti~ - ! " . ! ~ y' ~ 11 . ~ .~7F.4;.r ~ goo~ ~~3 ~ 1~~8 ~ ~ - - - ~ _ ~ _ - _ _5~~~~ . . _ : ~ ~ ~ _ ~._.t~~~~~