Loading...
HomeMy WebLinkAbout0225 i ~ ~./~i ~LJ fVlVVV ~ C~.tT1FlCATE OF DEATH pep~~tAe~1 d f Iea1J~ awd Re6~6~liu~ive Senrites fTAT[ FIL[ NO. ~ ~uvwo.v o~ r~w~n~ F L O R I D A iY?E. Ot ?R~NT IN R~61sTRAR•s HO. Z9I HRMANENT INK ~~p_N~ ,.,qv us~ ~Y pwiE pF DEwiM ~ rOMfr, N~, se~~ ~ fEE vUi~100t f0t risrwciaa , HUHERT ALBERT PERALTA , blale , Agril 14, ~970 ~ twCE ~.,~ne. reow..wueu. p.M.r. wGE--usi u..a¦ ~.e.~ r.we~ ~ w• OwTE Oi WnH ~.o.... wr. C01M~iV Of OEwTN ~~e. ~ ueevr ~ w~ww. ~ f.~s ~ ..os. a..s wows ~w ~ 6602 • White 4~ s? k ~ April 27 2 St . Lucie CrtV. iOwN. O! lOGT10N OF DEwM r.soe cm w~n ?s05?rtwl OR OTMER HSTItUT~ON~ ~w ~ w wse~, ene srru .,e ..w~u ~ s?tc+n *~s w ~.o Fort Pierce Yes D.O.A. Fon .Pierce Memorial Hospital n STAiE Of WiM ~ r rOt w ~.w+.. .u.u CITIZfN Of wlu?T COUNTRY M~II~lED. NEvER w~R6E0. SUtVIVNG 5~01lSE ~ r~rw. o~re r?w.~ w..r ~ t~owm ~ ~ FD. ~ snarr ~ „~,.~.,,o,,.~, , Florida U. S. A. „~iarrie ,,.Iris Beville rMtl eKt~seo yp~~K SECYtltY MNNER USUAI OCCWATION ~r.ne awp o~ ~Ota OOut waw0 roat q KWO Of NAMIESS Ot YOUSTRY uvw- r se•~ roaw un, ni. u un~w ~ ~ Sears Roebuck & Co . „26ry-O1-~786 ,y Div ,fanager # .~~.~«..~.o„ .w~aaw. ~E5IDENCE-StAif COUNTr CIi1/. TOWN. OR IOGTWN ~..sw tm arws STlEEi ~u+O ~wWiER i ~ s?lcur ~es O~ MO ,M Florida ,p St. Lucie,k Fort Pierce ~u No ,~231 E. Arbor Ave fAT11E~-HAME r~w rKWt ust MOiHE~-MAIOEN NAME ~w~ wox! u~st ` ~ ~,s Louie Peralta Hermania Gonzale DeMendoza 1lYWMANT-NAME i+~AYU~iG ADGRESS ~uun w~.~i. Mo., twr o~ ~o.~, w•n, tr~ Mrs. Iris B. Peralta ,n 231 E. Arbor Ave. Ft. Pierce, Fla 33450 /w~T 1. p~ATM WwS (~WSEO ~Y: (E/~TER OMr O/~E UUSf IER IINE FW ~??wu.u. ~ wturw~ (~l AL wMD (cp ~enretr o«sa~ •w w.tw rrwn uws~ Coronary Occlusion FI~E~~AND Immediatz • • E COUNTf~Y. FL ~rw [wr~G~ l f l! t0 i~~ rSlf % ~ ~rr[~~~i! UYit tW. ~ ~ q ~y ~ ~y~p~~~ p~: ~I f~~nNG tw! ~»e.._ _ 192 S~ j \~INO C~YM t~it i ^ ~ fw[T i. OTMEI SIGNi1C~Ht COPiDIT~WiS: ea.awo~.s co.~ww,..o ~o oe..a. w~ .a~ nune ~o c+use ~ ES ~e~e r~ws~~es eo++- j Ot~fN Oliltrtr~wG UV]! ~ • . ~w ~ ~w ~ ~ R~f 1~ ACGDENf. 911~CWE OR DA ~rOr.rw. wr, r~.~ ~?10UR MOW INIURr OCCU[REO ~ t~nt~ w~A~e p~wwn ~w rut ~ w rwn o, mr ~ ~qwGUe; O! tMOETf~MwED * ~o: ^ ~ ; tw x~. M ri. r:U i=0y1T A ~ ~ INIU~Y AT WORK ?IACf OF WAllY wo.t. ~n~+. srrn. ~.c»n. tOCAT10N ~ snen '~t,; V T~'~0 U RT' ~ ~ anan ns a.w ~ oN~ce we., e~e. ~ s?ecrr ~ lo.. 7M. ~s # CE.tttf1UT10N- no.nw w~ sua ra+s o.• ~w ..o uu s~R Mw/w urn or~ ~ ao/o.o w~ v~[r nr o[~tw OepeuuED r u.e ?u~n. a. we ~N~SKUn: ra+m w~ ru~ wo~ un.~ x.o. "by~ I~1~0 n. ...o. m n.t ~ear ~.m..oeo 11i@Y6T i~ Never Never I C~~C~ ~F ""O"'~0~• °i` tta ace.uo ~so.. ~ilt tt~. tl~. tM l A ro n.E uwxn~ s+.no. CE11tYKwTiON-MEDiCwt f7GwtNER OR COtONER. o.. r.e us.s w nr ww w oe.a rwe oeeea..~ wu r~a+ou.~ceo ow tau~+~nW p M WO~ ~i+0/M nl! uwfSf~G+tW~+. w u~ O~w~~O+. rd+*w 0~7 ~!u nO.lt a.TM«~a..«.o.....».,~.w~~.~,.~~~....o. 3:1 p~.r~ Apri 14, ~970 ~ 3:3~ P M n. 1 CEtT~FIEi-N~E ~me o~ ?wn SK,NA aeue d nru ~ OAiE 51GNED i.owm, w~, n~u~ ~ E. P. DeFreist m. . • Q~ MAIWG SS-CEfT1fER uati w e.~.o. ..o. ' m w w.~ sr~n :u nr ~ c n ~ t Ft. Pi rce Flor~ ~yMM. CRE~,Ni~p~a, Rbapyw? CFMETEn Oa CRFi+~Ai<~RY-NAME IOUTWN un q~o.r.. s~•n Burial Hillcrest Fort Pierce Florida ~ 7M. - ~ DATE ~ . rr n.u ~ M ME-?Ntitf AND wDORE ~ ar n o~ s. m roru, r n, t~r ~ ~ Apri1~6, 1970 ~~r~ P1erce ~06 ~ou~~i'~~ S°~re~~~ ~'t. Pierce,Fla33~+5~ 3 r. 5. i612 Fu+e~M ~ : / .~G+s~urt rwE w*e sK[nco sr ~otw? ecasrw ~ tt~v.lvTO :u. !~/~i>~. 1•'"L:,'~~%i-- x. ~ :y A ril 15 197(1 ~ ~ har~bY oartify th(e b bs.a true and earoet oopy af tfie L+owi a Registrafs record on fi{e in tfie St. Luci~ County Heshh Qapatl~ ~ R10111 ~t FOA PiefCO~ FIOfIdi. i z.: . ~ , ~ (VNunin~: Not va{td unleu raised seet of the St. Luci~ ; _ Gounly liealth Department u affixed.) ' r 's ~ ~r ' , ' ~ ' .:e.',~.+,f:~' ..7r....:_ ~ N. D. MI1lER~ M. D. ~ • d ,3 ' r y:. ~ ~ ' County Health Officet ~ Locat Ra~istru w ' . ~ ~ , ~ . ~ ~ s: : tr ~ ` ~ t ' S~~ q. ~ ~ , ' tj' %~~~r-~ i~~ ` ~ ~ ~ a. r ' ~ ~,-:a:/?i `t. t 0~ DeptAy Laa) Ragistrar . ' i,~~{' _ ~ ' . i ~ . ~ ~ BooK 184 P~~~ 225 ~ ~ - . , :K ~ _ _ _~.~n _ ~ _ . _