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HomeMy WebLinkAbout2097 ; ' Y ` r t ~ --l~i4ss ~ CERTIFICATt OF DEATH • D~ep.~.e.~ .1 lk,1~L .~d RdrMlu.u.e Sr.~ce. srwrt F~tt No. ~ a~~woiv oF ?~w~.n~ F L O R I D A rrrt, ot ~nNt ~H RCGIR11A1~•! Ho. 159 - ?lIMANtNT IMK ~_Nµ~ ~us~ .rx~ u~t SEx OATE Of OEAM ~ rowr~, Nr, ~e~~~ Sff ILL~CIOOR f0t , RAIPH [JILSON FISK ~ :AtaZe ,1?iarch 20 1970 twCE r.m. .rOq. u.enc.n .w.... AGE-ul~ uwe. e a•t wea~ ~ e.? OAtF Of NRTM i.o.~w. M~. COUN~1f Oi OfAM ,1C. ~WCM~1T•1V~.~~i ~•~~Wfl~~Of. M~f +~OY~f rM. ~r• 1 1H9 S ~.IZ 6602 '~~a 6 pt1/. TOMM. O~ IOGi~ON DEAM wsee cw~ u+m MOSMt~I O! OiNER NSTIM - ~r wa n. emr~. owf u~eu ..e uwre~ ~ t/lCY1 f~S O~ MO n Foxt Pi.erce Yes Fort Pierce Memoxia Hospita ST~TE Of WM ~ r wo~ M ~.s..., .urt dT1IEN OF NR1Ai COIR~TI~ MARRIEC. NE~IER MAR~IED. SURYfVNG SI'GNSE ~ r`nw. 6~w r?re~ .~ar ~ ~,~~u„o,,,~ ~ New York USA ~rra%~~~`~'~ Florence Know2es ' ~~ta eea,xo t urto. w a~r SOCW SftUfrtll MJWER USUM OCQNATION ~uw awe o~ rw~ oo.e swn+o wir p KMD Of M!SlESS Ot MipllSitY = OCCWMO w 1r0~[MO M Y tlIMH j i ~~q... ~M ,t037--03-4954 ,y n ercvriter Insurance .F~.e...~. ~ro.. •wss~w. ' RFS~DENCE-SIATE COIMrtY dTV, iOWN. O~ IOCwT~ON ~•aia c.n ~~ws ST~EfT wND HUrVER - ~ " 1 W[N~ T~f p M~ r ,y Florida ,y St. Lucie ,4 Fort Pierce ~a Vo ~y 280 Celestia Court ~ fwihft-NM~f ~~qt r'ow! uft AWTHER-MA~OEN NAME r~W rOx~ us~ „ Hiram Fisk ~iar Rrances Wilson ~ I WO+WAM-?+4ME +wwrwG ~WORESS ~uwn o~ e.~.~..w.. cm w~o.n+. u.+e. :r~ Flozence K. Fisk „~280 Celestia Court Ft. Pierce Fla 3345C ~ ~w~T 1. DE/UN Ww5 GWSED ~t: - [f~ITER O?~lll O~IE GUSf If! lME fOt hl A!. ~?iD kN ~etie~w~a+u~ u.~ ei~~w ; q. ~uewn uns~ U q Ar / 2,rr`a.sc%rv-~i c 17e~ a~•~asc - ~ e~t•:~ ' 4 • ~ : o/~kc/~/-fi~ coMas.ows, i~ .w+, 1 . ~t ~ ~y / ~rwKw O~r~ nf! q (~~~h ~Q?~~{ ~'~(~P . ([Q'tC~T stt~ •~1 ~Y GI.{'/JN QOI C ~ ~ ~rrlN~~t C~Y1t f01. ~ M q. ~f ~ CO~S! ! p: frAi~MO tw~ rr~t? ~ \nM0 C~11lt 1~i1 ~i~ r: ?wtT OTnER SIG?i~f~GwT ~ONOIiIOrIS: ea.anan caww~nuw ~o ee.n~ w~ .q~ ~eun~ w u~ aMM r~n ~~a ~~Y If YES we~e r.waras ea+~ Itl! p~yo/ LOt~I~ IM Nl!• MMfO 4VH O~ OtI~tM - Iw. ! ~ f N? e ~~wbey~~ ACC~OfNf. SUK A . i~OMTw, M~, s~~~i 11WJR HOW INJU~~ OCCUttFD ~arn~ w~wM p~wrn ~w ?ut ~ p r~n w, wer ~ qpMqOE: O! lMIDEiE1MWED a..~wn ~o. tw ~ M. ~ ~ ~?LI/R~ wt wORK KwCE Of N1WY wor. ~ur. s.nn. .~cw~~. lOCwi~O?+ ~ smn o~ u.~. .w., cm w ro~+r~, s+•e ~ ~ ~ srean ns o~ .w ~ oa~ct ~ue.. nc. ~ srecrr ~ 7M 111. MI~ • t fERT1f1UT10M- .o.nw ~.r nu ra.w w~ iw .+r usr s~~r ~.lwe~ /une w~~r/ao w~ vev w OEwM oKUttEO ~r a[ n~c[, a.. w~[ . - /N~SKIaM: ' rO~M Mt RY WO~ YR~ Ot~M. IwOV~~ O~R. ~~aY. p 11E Y31 Ta oeern.weo~ O~ ~ ' Q` 6 i0'\. ~ 1¦:~i1r ~ ~0 71c 20 l 9l0 71l 1 tH. ~S_ 1+~ ,o Mt ~wou, oa CERTf1GT~ON-MEOfCwI EI~+Et OR CO~ONER: o.. nw uHS a n~ wow w oe.w. n.e aewersr .wf ~a.ou.c~e ws ftAMN~nON W M! q0~ ~MY/q ut ~NOlS~W~b~. M~n O~Mqw. ~OMIw O~~ r[u ~ S ~ M OCCLY[0 0~ M W 7! ~M M M Mf 4Y6f W ff~RO. K~. VC~~ i a Q 7~ M. j ~ CE~T~i1E~ ~n?e w nr.n a i~~f SK,t~~Tt1tE wen~ a/ ~n,ru OwiE ~+w . w•.nu~ ~ tA l.1'/L~ I~t ~.ss /Y(• t7~ ~.Lt ' tIc 1 V ~ lAA4NG AOORF~Sj~t/ 1F - S tl!i M Lf.O- MO. p q~+~+ uww ia - . r~+ r o-.~,.j,• ~7! i r/'c~~ T7~a 3 3 S saw~?. c~no.,. ~ov~u o. c~,y?~arr-kwr .ocwn«+ u.. o..o.~. u.a ~ ...~r.. • Cxemation ~ - DATE ~.aww. n~u~ fU?+EtAt MOME-I~u,wf ~ND AODeESS ~ aran w~a.~. Mo., un u wvw, sr~n. z w. ~~~xch 26 1970 ,s.. Yates Funeral Ho~ - Bo p r, s, a612 f rtEC,~sr sier+~ru~ ,~eaarw RE R/~j~- R~r.1970 / ~ fw ~ tY:~.4.• r "Z4''~' - ~ ~ ~ (~l~t t0 ~ ~ 1fUQ M'1~ ~fTdd OOp~/ Of ~IQ ~1 -,°r~~_?~-'~"-=F .t ' ~ v'e Repistr~rs reoon! on fik in the St. tud~ County tlestth t~ep~ra • ~ ~ m~nt ~t Forr Pience. Florida. FILEO AND "RECj~~~^ ^ ~ - . F sed teal f ST. LUCIE COUN ~_.~~.''f':';~., ; (Wunin~• No~ vaNd unleu rai o tfis St. Luci~ c ~ ~ G ~r ~ ~ ~ : . , - : County Hwlth Gpa~tment is affixed.) i9~.4 r,~t~'..~~Y 4 .,:y t . , ~ ~ ~ ` ~ ~ E i°` ~~y ~ N. D. MILLER, M. D. \ ~TO l~Hn ZS ~ ~ ' , ' Counfy Hsalth Offic~r d~ l~oaJ Rpistru c `~'~'yi~,~ - r . _ ' _ ~ 7 y ~ ~ :~;ll,l~.~.~/ icOGEP. ~ 017RAS Dr~ • Drputy btai R~imar CLERK CiRCUIT C~URT• ~ BooK1~3 PAGE2095 . ~ ~ °~s, ~ . ~ ~ { -y _ _ : ss