The URL can be used to link to this page

Home My WebLink About2076 ~11~5 INSfRUYENT wAS PREPAREO S1f i y' SPENCER B. GIIBERT, Attorney at Law i~~l~ i O ' Y20 S. $ELt2ND STREET. FT. PIERCE. FUl 3~4~0 . ~ ~ Re: All of Lot 30, except the North 15 fQet ~ thereof , in Block 23 , of PINEWOOD SUB~+ DIVISION accordin to the Plat there~ ~o ~ g F.? ? - n , recorded in Plat Book S, page 24, publ~.~o s~~,~'a records of St. Lucie County, Florida. ~O :i`~m ; c:r_: ~ ~ .Tn . ~ ~ r ~i ~ .T~TS .owRO o. M~TM CERTIFICJ?TE OF DEATH 8~ • 7~ , .u~uu o~ vn~ ~rwn~nes F L O R I D A ~*w*~ ~s SIRT NO. ~ REdISTRAR•• NO. 1 KACt K~[ATN COOt NO. t YWAI w[M~[IIC[(w?..el~wdt.wt !l.w.w4w~ R~.~nrs.•s~w~.«.w` °01N~ A1 achua 11-045 ~ STATE e cou~rr pTY. TOwM, O~ IOCA~qN F 1 o d • o t~S i~~CE Of DEATN CITY.TOMfp.OR IOCATIOM f'~c •[S.C(~_[ •rs :c uTr uwrn , rt c.•• ..~.•s• Gainesvi l la rES~ „,O F p' e .t~ ~r, MAM[ OF 1//~wt i~ ~NyM~I, /it M?tst ~/A~N~ f. STIIEET ADORESS ~ Ty*~Shands TFachi Hos ital 14~4 South lOth Street ~ MA~[ K Fa~t YitQe Lwt ~ D~TE Xw~t~ La~ e p - OF-------- - - _ _ _ BE~~HA _ _ - . - El.?LER _ - - ourN ~ ~ S scx t eao~ o~ ~e[ l r~uu~cc rcveR wNe~KO ~ a?T[ or aen~ 9 rwc ~4 re.n s u~oc~ .wae ~ws tat Abr~h/) xw~1~ L~a xw.. • x.+. . Fem e' lh! w~aowco ~ avo~cco Ma rc h 1 1 1 c G 2 5 ~ 10~. tISWI OQCY?AT~ON (Ou~ ii~~ y r~rt Mee 1~ Rr~t OF a.S?I~SSOI! INOt15M~ l i. ~111T111tA~E (yy«t a/rny~ cpi~lr~) 1 ClTlal~ ~~IMT 001,~7+~ lwby ~f y rwtia~ fye. u~s i/ rdir~l ~ . . HousewifE • „ United Sta:~s ~ Il iAT1KA'S N~ME 1~. YOTNEIYS WUpE11 ME Andre~v Ste hens Rebecca Cornette ~ ~SE°"'~""O~"'" `"OMAT"'~NedTcal Records Shands Teachino Hospital 40 -0 -ol $ Gainesville Florida ~i. eAws ~F ~snrn (Elu.. at~.s~ ewar a~ A.rp? t.) cH.) ?~ro..a~ ~cr+r[cN ~~T t OtATM ~~S Ci11SE0 ~Y- . 0~6ET uO LE1Tn . w~EOU?ncwsccN Mass~ve emorrhage, sur4ical a a? ~ ~ ~a~• ou[ ~ (N ~Pi~fRMOiD ~ARGi,YoM~ ~RV/Y CaT?iMr]~~_ . .e.r ~"7•~' Pos* RA~ot~ERwn? wNy Me •der- o~E TiD (ef MU e~ue f~t. ~ MRT 11. oMR SIL~sIGw1 C~oMD~T~O~s COIQ~Ri 1o R~111 RR 1qf AEtARD to nK TFRrrMI Olgi?SE GOIOIf~ON GwOI M fMi 1(p ¦ S 1U.~51/ lCwiORtltL'+ ~ • ~Y i~ ~ Yt'3 MD i~ ~~t AKIOEMT 51lKi0E ~~aa ~ ocsaen[ worr w~u~r oeeuRaeo ~a.ro..r~.. y~.~..~ ty wrr r« A..e Itytas u.) t~ T ? ? ? ~ me. TwE os Nwr l[n~t~. Dq. Ye~ /UYAT 1. ft. s R.. 9ECIJRED AF7Elt ORIGINAI WAS FIlEO ~ 20f. MJU~r OCCUR11EO • mr. KntE os wiu~r te. i~ «~t ~onr. m/ GT11. l~Owll. oll tOCATqM ODUNTII STA7L ~+tt ~T ~ uOT ~rMKE ~ N~s. ~I. afrtd. ~c[ d1I•. de.) 1G~R AT r10RK ~ I~tt~+~d~ItA~d~c~s~d/iom Febr~arX 2S„~ ~5r~~; to~''c3CStL 4~ 19Lc u~dWts~ ~ e6?~oa _e~rC.. ~ ~p OMfA oecu~nd ~t P a~ tlw d~b ~t~t~d ~Ao?e: ~nd to tM Awt ol m~ ~mnhdp. /fpQ~ fM 4YM~ ~tlt~A ?I4 fYR[ _ '((K~M jjli ADORESS jj: W1TE SwMED / Shands Teac::? i na Hosp i ta 1 3 f~ ~ ~ wi~. ~ , f CEVETER~ Oq tREMATO1lY 23[ LOC11T10N (CYI. IMOf. p ONnf~) i$~t~ !ti ly ~ ~ ~ - ~ . Remova~' ~ . . Ft. Pierce Flor:da ~~_1~ 2S OATf,REtO • IOGI. REG 26. 11EGKTRAII'S SIGNATURE i~ILI. ~ . -x~~Vllle, . Fla. 3 /.t~ Y = ~5 -i~s~. . ir - ~ - ~ ~j ~ ~~r.~d~. r}}++ c y~y ,F ~ - ' "a ~IFIED COPY ~ ~x} ~ . ti~{ . ~ f : { 4~.. 4 y-•~~ },:;6E A TRUE AND GORRECT COPY OF THE ORIGINAL x_, - . • ~ ,tQP V~TAL STATISTiGS OF THE FLORIDA STATE BOARO OF ~ ~ ~ ~ ~DA. _ h;: _ ; R. . ~ ~ s r_ ~,~EAL OF TME FLORIDA STATE o0AR0 OF HEALT1f If AFFIXW) _ ~f ~ Z^~ `x~Y ~ _ _ _ , ~,~,,.~T ~o~a~C D . ~ ~ ~ tTAT[ IKGI~TRAI~ -t~rr~e 'JUL t ~ t969 ~~rC.~- O~~[Ctpt. dUllEAU OF VITAL s'fATI=TIGi o~~[t7o1~. DIVIS1pN pi VITAL RECOROf eooK F~t~ ~7~ ~ ~ ~F k ~ ' _ ~~.C"£'s ~ ~a`~f, C ~N' ~~'~y#'-~-~°~ ~~~"i . _ ,~w~~~r_' ~s~"°'~ r `r ~ ~ ~a', ' ~ - ~ ~r.~fi~ ~r - ~~-,~a~--~,~*`"s°'~'~~ . .