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HomeMy WebLinkAbout0181 - / ` #16, 258 ~ ; _ ~ ~ ~ ~ a e FlLED AND RECORDED' ~ ST, LUCIE COUNTY, FLA. N ; ~•~Ct~~~~ VERI~~FO .1922~~~ i i92249 'TO APR I 7 P~4 2 3 ~ iAts ?e- ~TATt ~owwo w Nrw~TM CERTIFIC TE OF DEATH eo~es ~ ~YRGU 0I ViTAL fTAT1~C/~ ~~~~TR~..S RAT[ FIL[ N0. l•a•~ i:~- ORIDA [ 'e~A •Aea BIRTM Ho. CIERK CiRCU1T COt)F~lj' RCGIfiTNAR•f NO. 5`~~ p~~~~~11 1. ?U?i[ Of ~[ATM COOE N0. Z. YWAI A[NO[MC~(~WI~N4./ q:+~wwr~?' /nH~.wM~.~+wiM) ~a~erN~ a COU~ ~ ' a STATE COYrTt ~t. Lucie • 66-025 Florida St. Lucie s. ~1.e.~ iw ~•r- uTr.TO+n+.w?ocnr~ a~s nuc or ocsn~ e. arv.TO~IM.O~ IOGTqM . K ~tLO(r+t( •~~~~a IMS~O( UYITSI ws~ dTr u~usr : rli.. Ft. Pierce ,~5~" b Ft. Pierce „u .o ° ~urC Of (IJwt i~ M~~itJ./irt NreN M4sw) I. ST~[E7 ~OWKSS ~ ~T~ gt. Pierce Mem. Aosp. 506 Azalea Ave. a. ~.rc oi f-'.r u~. Lrt WTE x..ra a.r Yra (7ypt~?piM) . CORA M. BARTLOW ~,T„ December 19, 1969 ~ ~ s. ux t ao~o~ w ua rw~~~[o Mcvc~ ruu~[o t. aic w su~iM f. ~cc x.r~ r u~oc. ~ iw v.x. H~+s. If f t t• r' Cau M100KCO pVO~t[0 ept • 1~ 1~~0 ~~n~ M~Y~ O~M Kww Mr. ; ~ D 1~l wl r {0~. uSU~t OCCW~7~Ow IQirt tt~f ywq fwt aMOOr wswissw woustar 11. wr~?u~tc (sr. r M~"v. a..a~) M~G 0~ w.wi ~t? , u~.~- s•}rbm~'~l~a~~r~..... y.awt? Own Home Elmhurst Pa . USA • cn ~ ~ ll~st twt 1~. ?~TM(IYS wr[ 1~. rOrNts'i w~qtp rar[ . •r z~,.••••~•• Eu ene Maddox Bianca Barclay ~ K. SOtul S[W~~Tt AO 1). N+~ s NGM~TYw[ Affr~ ~ i / / ~ ~ ~ f o None ~ ct-_~-~'=~-~l S p ~p.l'-.v-tv : ~ I~YO~ f~ I 1~. NYK N O[ATN (S~ld wJ~ Mf t~Ne /e~ fiAt Nl. I~l. ~~1 (tl.~ 14T[~IYII ~[TM[CM € l r~! l~/ ~~~T L Ot~TN MwS CAYS[O r+ W~SET YID OUTM } . ( ~I ~1 w~s hl• wr[DUTt cMK[ (a - ~ ~ ~ i A c?• c~r- _ ~ f t3tic~t• t~r~ ~~iu~~t~ OY[ TO I~) ~yt _ •~^G_~~ ~O ~ ~~ts tA• ~ ~ 1 • s • ~ ~E~?e r~wr (i). ~ - //y~~, ~ /~s` ~,1 QQ/e ~ I .icaa~rT~ x ~u~ill ~~~e W. } Yb[ TO .~~(~~/J_~~~ `!^!!-!~~~~CY~ - - - ~ ?A11T p. Ofitl~ SK~/ICY1~ COwpT10nS ~R1K 10 047M ~Yf NOT ~[U1i010 t~[ iG4,wK 01f4f[ OW~O~TOn i11IfA n1 IMi 1(aj . IfxS Al:TOPSr-- Ao~r• •f- ~ ~ KnsaMC~~ • t~~ ~~itA ~ . •[S ? 14 ~ •r N t~?• ~~~M1~ aXA1~[ NOw YU1MY «CYRA(O. I~~p A~wt 1~~I~/~ II~ PVf / M Pr1 JI W~l1~ ~ ••tii•s ~ .ccwc~r wK~a Mo.~Kwc ~ c t ~t•..~t- u O O ~ ~ ~ ~ •r 20t T~MF Oi !l~rr A/W~. pI. ~iY C ~ - u iwu~r n. o I. = 20/. M/W1 OCCYR~EO mt. ILKE O~ YVY111 (t. i~ v?~rf ~nt. m/. GTt. TOMM. OA lOCA71011 COYMTti . ST~TE w~~tc ~i Q wr rmnl ~ Iw~. /~M?. atn~r. ~Jic~ erN., dc) MO~R AT 1~IOIIK ' 21. /~tnnd~I tM I~ewNI /ieeo f . ~o ~~nd /ut a~~ y~ ~/ir~ on O~~fA oeourr~d ~f in on fM d~t~ ~bad ~Aor~; ~n1 fo tM M~t e/ mp inovNQp. /roin fA~ uuwa ~f~r~d. ?Il tt~~• - ~ ~ ~ f TY~ (LM~rtt MlYkl ?li. w00~ESi 11r. G?Tt S~GKO ~ •r• t• 1• ~ . ~ZZ - . ,s Q1 N. 6 S~ ~ 15 ~Jec. ' S9 ~ •s~~r~t~. ' 2J~ ~c+ovy~,~uo~ t76 WT~ t3r. ~4rE0~CErC:c~ro~ucr~TOer t~l. LOGT (GY/.twR.anaary) (St~f~i ~ emov~a'!~`"' 12-16-69 ~ Elmhurst Memorial Pk Lackawanna Co. Pa. ~ v. t. iu? ou~c oa s u ,fyYl SSN . 7 S t. ts arc ~cco. ~r wu~ ~ca. aaTws sKwnn+~c ~ ..•.,ase ~ ~'~~t.Pierce Fla. 16, 196 ~i'~ ; ~ ~ 1~+~'Y ~fY thk t~ b~ • trus and aoer~ ooPY of ths Lood ` . ~ Repisttd,a ~~cord on fil~ in tM St. luds Couny Hiahh D~rf~ ~ . ' ~ m~M at FoR Pieros. F{orida. ~ ~ - _ _ 3 . ' i ~ (yV~rnirp• Not vaNd unless raised ~el of the St. Lucl~ :,.t ~ 3 County Hwlth GpsrtmsAt Is affixed.) S~ ; i. i ~ ~ ~ ~ ~ = ~~~•~`G•' ~ ~ N. D. MItIER, M. D. • - ~ .s - • ~ ~ ~ ' County Health Offiar 3~ t~oca! R~pistru : q'.a: ~ . ~ ~ , f j ~ ~ ~ r~.,. > y ~ ~ ~ y ~ r~ ~ ~ - ~-t : , ~ ~ ~ . ~ " '~~.;~ti= ~ j ~ .t ~ :ri . . ,/ys ~ v ~ _ ~ ~E` : 7j '9 r ! _ ',~{FG.i'~'i1'~I?~~=~ ~ ~ d R~!~•~ ~ ~ . ~ ~"~?~i ~3r,',s~~.~<<~. ~ . ~ ~ aoo~1~4 - . . . ~R , P~ i81 - - _ ~ ~ ~ ~ . _ ~ _