Loading...
HomeMy WebLinkAbout2417 . ~ - ~ S _ . _ - _ ~V. y ~ - _ 191696 tA~, s~wT~ ww~to o~ Nu~TM CERTIFICATE O~ DEATH ~ t ~o.•: . ~ue~wu oR vrrw~ rrwr~~e~ srwn ~u Na : ' lesal ~~o. ~ FLOHIDA w~Q~ Rwe•s No. 540 ' ~ erd ¦\~n SIRT NO. ~ - y r eP~ r 1~ I. ~aACt 0/ ![ATM GOD[ NO. t YWAI ~10tNC[ (1?~wt M.~M liwt ll:w~or.: s.:Iwr Nl.. M.:..:w.) :na`~`si~ 00Y1~1 Saint Lucie 66-025 ` s'~~ Florida 001MT1 Saint Lucie . e. ~?.c.~ ! !w }i~- - 1. dTr. T04fN.pllACwTqM t. K KACE Oi OEATN c. an. Tom+.o~ wuror t. K RES~DENCE . FOTt Pf e2'Ce "~'0E "TM ~~~~TS' FoTt Pi@TCe ~0E r i i•. res ro O as ~o - ~ ~u?rc as tqwaw.iir.t.r're.e.a.u.a~) a. sTacT~ooRCSS , ;R,w Route 1 Hox 522 Rural Ft. Pierce Memorial Hosp. a~u?~e er fs..e ru~ws Lyt DaTE x.,n , o.s Y~o ; +.n ZUDDIE FAIR u~ December 4, t 969 . SEX ~lOw OR AACL YARRIEO IEKA MMRYO DATE Of MA?N 9. ACE (111 ~N7~ i 11M0[~ 1 TtA~ 1/~OU t~ MS. ~ 'R p lYfNrfW~l YMY~ Ww Ywn M:n. . r r t t• F@I081@ riALl • ~ppN~D? pY011tE0 NOV • 2~ ~ ~O 6 ~ y 1~ 1~ 1~ 10~. uSUAL OCC1M~Tqw IOwr H~ Nwt fpe IM. KaW OF WSM[5300 ~NOUSTIItI 11. itRTNqAC[ (37tlt M M~M~ ar~!?I) 1. at~+ or r~Mr a0u~n~rr .te1~ ~~r- f~?W~wtNvr~Wh/t.aeay~d4d1 ¦~w~wt Hou ewife wn Home South Carolina U.S.A. ~i• •k s•Y t r~n~c~y w.~rc U. MOTNtR'S MAIOLM IMY( ~~s•~~~~•• Ha on Alliston Sic? son Tanner _ socuw ucu~~n w. n. s s~aMwruwi .ua.a 41 -64.. Mr. Ro G. Fair Rt. 1 Box 22 Ft. Pierce Florida ! f un . T~ 1 1~. CAYK N~fAT~! (61&~ Mf~ Nt u~ut ter ~ Jbr p1. (A1. 01 (d.) IMT[~Ynl KTM[[M " ra~T i ouTM r~s wrsco w: / , j' i a• ~•et.. . wrtOM7E w~St cs) ~ - i ~ wt f11• ~ ~ ~ ae• e~r- i.~ ~ / ~ c1 ~ ' .tcl tl~• ~?ir~ /rr~i riK ti ~j . - _ , E ~ .rs~ ~j. / ~ 1 O! i 1 ~M[ [A!f ~ i tJ4y f~f ¦u/n- 0{1i i0 (cT 1..~ ' V ~ . < C ' r~a•='s~r fluK drat fMf. - •ttpl• 72 ~ _ . MASRUT Y f O w11T x. O WAat10~6 OoMRY1rt TO Op ~trt 11oi Aulco 10 iMt 1GrWl CO~nfDw Ct11~1 i 1(~) € Aour• ~f' ~ ! _ KRFOIIME ~ ~ t~r d~atY ~ ~ ` /`rf ~ ~ ~ 1/ES? Iq or ~~t~r• ~ •~k~o •w~ m"~ ~ ~ wc Moyr uuu~r occuaiuu~ ( a~~rw~ d~U~I iw PVt I r Art !/yY~~ ~/.1 ~ s ~ ~CCIO[MT SYICIOE 110YIC1pC . . d1~1~~~- Y ? ? ? cle¦ ot ~ 7~rE os Nwr Xwtl, D~/, Yt~r - ~ Dod7. V ~RlY1111 A. - ~ A. ~ = 20/. IMJWY OCCU~[O mr. ?uCE os qiai~r ir. i~ ~r r++at M~r. 20/ p?Y. TO~M. OA IOCATIOM COUMTY STATE ~NIIE AT ~ ~ ~ec ~ !~?s. /.ar~. w.~a. Nk~ erq.. ete.) ~ MORK AT ~IORR _ _ ~ l ~ - ~ 21. ! ~tNnMd fM d~ews~d / « . to ~ ~ •nd b~t wr ~li?~ on ~ ~ i D~~tA «c~ii~d ~t m on rM d~q ~ut~d ~Awr. ~nd tA~ b~at d m) lnorNdh. /iom tA~ s+uws ~t~t~d. A11 ft~~s ~ Nd~TV M ,~V~ j~ ~ 1?t, OATES~GMEO ~ .e ~ y~ ~ ~.~1-fit'~~'i~L~ i~ - s- ~y ~ ~o.~i.a. a ~ . ~ • e e~?~t~. ~ jk- ~uME Oi CEMET[R~ OQ CR[YATO~Y 23/- LOCATqM (G~f/. /wr~. M eN~af/) (3dli MrOU~t~ 1 ~ o dlawn Cemeter enoir Cit Tennessee ~ V. S. ~ 61Z 21. DM( OR S 516~ A001lESS 2S. OATE 11CCD. ~r IAGIL REG. 1'~ R[GIST~AR'S 51G1UTYRE ~ R...~oda ~ 4th St. ~~x. 5 1969 • ~ ~ , : ~ FiLED AND RECORDEQ::.,. ' -s ; - ~ - ST. IUCIE COUNTY..~t,A. ; ~ I hereby ~eetify thk to b~ a true and cotreet oopy of tha t.ocai F~ C 0 RD `1fiRl ~'!L(~ S~? ; Registrds rec~d on file in ths St. lucie County H~a{th Depart- ~~c~~~;~,`•~r - ~ t ~r ~Y' F~ .~-a w.~ + . msnt at Fott Piatte. Florid~. V , (Wuning: Not valid unless raised ssal of the St. lutk 7~ A~ ~ ~ ~t~=~ a'dr~:,:' ' COUMy HOaFth D~parfrtwnt is affixed.) ~ ` ft~_ ~ ~ vti . y~. . 1 ~ ~L ~~~s: _ ~r' i i, ~ t~0 R r 0I~ ' -~~r~ ~ ..~4~. ; ; N. a MiuEa M. o. • ~ ; ~ ~ CAUnty hh Officer'b Loul Rpistra~ ~L~RK CIRCUlT~~ _ ~~~r; ~ . .~r. .t't'~,%..~ a., ~e,: ~ ^ ~x~.?~ i ~ t ~ , ~ ~ 4'i~`. ` t . - LOCi) istfat ,~~~r~~~~~~~~~~ Da~ D~pu~y ReQ f.. r~, ~ . ~ . . < ~ 40.y.. . aoQK1~3 PA~~~.S ~ ~ ~ _ _ _ _ _ . . - ~ - ~ :3:~ ~ ~ - Y 4 a~~~,:_ _ _ ~,a ~ _