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Home My WebLink About2829 • . . - YM7r~.,t: aya . ~ . _ s - . . _ . ~ . . . . . _ . ~ ~ y,,.. t, j: . . ~ ~y 1~~ 1~) DIVI)IUN 01 VIUI Rt~ukUS, aul w. ~•uuiu~i ~~k~~~, nnltiMUkE, MAk~tAND Z1201 191993 ~ , CER11fICATE OF DEATH ?`i - - ~ ~ t oi(lA~iu N.tiM! tas~ Ib~f~ lo~ 1a GAIF OF UfAIN 1S MH1R . ~ ~i,~~ n~~? /~/~.E' Jr'0~2/L ~{/oN~J N~ L L c"~ r..r . - ~ P M i~ 3 Sf ~r ~~f ti DAIf OF BIRiH 6 A(d i+ e.x~ +~~+'n i hu r uu~ H wt ~3 /'-'l`~/7?/~ L~ (N H ~ TC 6 bti~~ rr~~s a.s w~us ~w rts _ c~~~:i~ ~ , le B'R(!eF14tE (S?ou a iaeq~ 16 [IOIFM 0~ 1M1~1 (OUNI[t? ~ y~q~1F0 NfYFRMURRitO[] ~(~n ` . , a ` cwnrn) /y/Q~~ ~ ~ VYIDO~MFP OIVOt(FD . O NT F, c~ E,,e S/ w x~ i ro cnr oc ~oMr~ a a~iN 11 NAMf q NOSM1Al OR INSIIIUliON(If nW nlatip~d I~a iISUAI 0((UPAl10N (Kad ol wa1 done I7b [tM00i 81)SiNESSOR -1 ~ ~ KO/1')/~ ~/~R ~~M~ a~~y) ~T Q~ „ dunn most ol wqting hlt,~en d rtlu~d ) ~NDIKItt ' - ' : Il~ 1lSiW t[S~WN(I (N~er~ dereotird 6ve1. d wntA~A~on tesdenu befa~ Ik OI~ OR IOWN ~r,~a im ir~n~ lk. SItEEi ANO NUM6ER ; . ~ a;~ : suiE ~y D, i~e coumA~pN . SiI~E~S ~ r~s~. "o~ ~S I~JAyNE ~VCNvE ~ ~3 i - ~ M! ! Il Mi?~R5 NAMf Frsl I~d~ lm1 IS MOiFIFRS MMDEN NAME f I~dd~ lo ; . ~ ~olPh? KA~n/ O3E /~A~~VS Q Ib WIIS DE(EALtD E4i! 1N U S ARMED fOR(ES~ lib SO(IAl Sf[Utt11f ND 11 pIfORMANI Rdlnst s: ry~,; rn.~.a,~~ P~w+t~•~rM~rvvaH VNKNoW~I ~i~Tit:~V7''s cA~A~Y~ : : ~ ; ` , . y .y ~ 1~ (AUSf OF OEAIII (Ente~ anlp ou~ cause M+e 1or a). (bl md Ic u.u 4 ~ u~ v~ ( 1) ~m4. asrt rc u~*~ ; q J ' ?ARi 1 DEAiM INAL~ D E ~ ~ ~ ~ ~ O - ~C/" J'' 'z ou~io.aRU~c ,~p~ ~ Z~s ~ - cor•a:twns. d w+ wAir? - ~ ~ . , . ~C"--/~GI~R~%!/f1X'UC/~iC C lOC~ifJ! c ~ll~5y/uv -~/o,~ir . i nt! to ~mmtd~atf tOV}R 4 t~ C7 , M~~ ttOh1191MY~~N.~~, 5,~.`~'~:a j~ Q f~_/~ . - M ~ b~~. - .v.: C. ~ G /l 4"JC / - : i ~ ~ i - PART 7. M16 i0 OEAIH NII MOl lEIATEa 10 TI~ IERMWM DISEASE OR(OIOIiION f,1VEN W IARi I(~) ~ M ~ t~~ p : , x . ,":s ~a. , - ~ Hn - ' OPERATIOM WAL PfRFORMED 200. AUiOPSri 40b. li YES, YYERE FIIqU1GS (ONSIDfREO M(ERTtF111NG ~ '-I . ~ I ~ . r. ~4:`-~.~~~::~'~i,-.. ~ (AIRESOFOEATN7 _ E-~ ~ ' - . i ~:i' ~ t c~ w zi~. How awer acua~o (EMer natun ol ~ury in ?a1 I a Pon 1. Nwn I~) : ~ p~. ~1 - ~ ~+O~~t~r.~t r~ oo~r r.~ , » o , ~ , } , - _ - • - ~r ca ~ 2 w~pt~ a ~..o.~ ~w~ ~m. ~Kro., ~ in ioura~ Stna1 a R.f.O. No. CAp a iown c~u,, sa~. ~ - . y_, dR[jIRO/6.F1( w ~ t ~ ~ ~_,~1 _ :I:i._ - _ ~P[~ r 1 . , ; H ~ ` 120.'1 cKt~ j, yt j1~ eased tr " ' 19 . to ~ . 19 , that~l , (we) st . ~-4 0 ~ w ti' . spw, ai' ~ C~_14~on thol in (~yj (our) opinion death acurred on the dots and hour ond from th~ , _ ~ ' f cousei St e 'r )(did t) view the bod~l after deoth. H ~C Y1b SK~NA1 -t` 71c DAT SiGNED A ; ~ . ~~~t 5ic-~fe ~ENO~ f[L~croe ? S?ins ? 7 G ~ NA~I ~ ~i CC ~ / ~ Q /t~~i~- ~ , G~~'•~ ~ - J;~ j ' 7lo tAl,(REMAIiON, ?3b. WTE ~ y~MFIER? ~p Ot1 iION (CAp a Town) ((ounh de) H ~ ~ v L.. O ~~ifp~~`~L. GST~ie ~ • . ~ ~ ~ N ; t ~u rat T~/7 s~ ~t~ n tA. , ~ + t. -1~~~ ~~R ~ .N v 1 ~ ~ _ • ~ FItED AND RECOROED~ ~ ST. LUCIE COUNTY. F~A. ~ ~ R~^C?~?~! ~lFitIFIEO ~ ~ 3 ~ '70 APR 9 AM 10~~~ ~ ~ , ~ .~ct~~ ~ `'~1:;Ec? ~ 4iTR~S CLERK CIRCUIT COURT ~ • ~ aooK 183 FACE'~Oz6 _ _ - ~ _ _ : . _ _ . - e~a.