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HomeMy WebLinkAbout0712 / j . r 1~2~g~~ t~,s De- BTATE .owwu or M~?~TM CERTiFICATE OF DEATH co~es BUREAU OR VIT/LL i7A71Y?ICf RATE FILi NO. '°R•l FLORIDA ord •lfen g~qTH NO. REGIBTRAR•6 ?~o. 38 ~ ; ropetir 1?UC[ OF OLATN G04E NO. 2. YWAI R[NO[MG[lV~...I~.y~hW /!...e.i.t..c Rrdw~.M....t~.ww) eittuted ~ ~WMT~ STATE A. COIINTY •nd St. Lucie o6-025 Florida St. Lucie be pl~etd y~~_ D. CIir.TOM~M.ONtOCA7qN t, K?~~CE Oi OEATN t. CITY. TOWM_OR LOC~TION t. ~S RESIDEht( t~i.~~ Ft. Pierce ~~s csr,~r~NO? Ft. Pierce 1res~~Tr~~- t, NAME O~ ~ ~yih?, ry'~t ib~N Nbt+r) STIIEET AOOR[S$ NpStITAI ON INST1TUTqNFt . Pierce :Kemorial Hos ita 601 South 8th Street ~ 3 NAM[ OF iia~t V~Gtli Jw~f DATE MMfI ~Nr }~p ERNEST LLOYD TAYIAR ~TNJanuar 19 1970 S SEII 6 COtON 011 MCE 7 yAR111ED L7 NEVER MARRt(DO a DATE OF tINTN 9 A6E (l~ ~vtpl K~+~R WOE2=1 MS l~af OirUb/) y~y p~ N~. N~,,. • • i ~ • ~'~?la ::'::~tz »,~w~~~ C~YORCE'J June 19, 1892 77 , p 1~! u 1 r t0~. ~Su4[ OCCUI47qM /Ciut tiwl ~/rpr! I~st lOD KIAOOi tuS~NES50N 1NOUSTNY 11. P~1lTN/~ACE (S7~ft M/~?fM~ ~M~f?/1 IZ t~i~4/ Of Mw1i OO~y~T11Tt •f tA p~r- ~~yri~y wart y rwti~I A/r. nrw yrdir~l ¦~n~nt Li~ensed Realtor Rea2 Estate Iowa USA C1~cr Ink ~~TME~ S N~~tE Il. MOTNEII'S MAMEM w1ME ~ or t~p~~rit~r Fred w. Ta lor Alena Durr 16 SOC1Al 5(CURITY /A (7 ~M~O/~MAM S NGMA7YR[ A[4t~s - 261-09-865 Theda f;. Ta Ior b01 South Sth Street Ft. Pierce Fla. Fun~r~l t~ C1YK OI Y[ATN (6nln aJ1 ~+K r~ws yr~ h~r pr {ai. 1~ 1. o~~ f~l.j ItiTFRVAL iETWEEN ~ dlr~ctor ?aRT~ pE~TNW~SCAUSEO~Y~ , WrSETAnDDEAiH .wc r~i. ~MYEDtATE C4YSf Renal failure _ _ `A~ BPH ' tlflc~t• Cen~uw~~.r/~¦~. • 1 t A t Ae r~(d ~kc ri l~ ~ TO (sl , o~. ~ .r.a.. ~..x 7.~. 1 Frac, hip, ri~ht with surgery reRistrar +t~fq/ ~k YRIff• ~ t~iq c~rar luf. OoE TO ([i_`__ no u r sn~ f2 ~ /ANT 11 or~e~ swws~e.~T to~o~r~o.~s eo.nenuru,e To oe•TM sur wt Reureo ro rwe ruryw psusc ep~wnoM enu w ru~r . w~s ~u1o?sr ~ VER~011M[D• cer de+te u _ . or O~fore YES? ?~O I~b~? ) • b1D OESCNtK /q1M 1RJUNY O[CUpNEO (~Aftl ndLL~t • 1~ W tq PM / M PMf ~It~ !I.) raklna ~w~ ~ l1CC~OEMT SUK~Of NOMK~DE 1 1 I y ~io~~~er ~ ?x 0 D fell at filling station bod~. TtuE Oi ff~rr Mmu~. Po~. )'~a . ~ uuu~v n. p r: ~ 20J ~tiJu11Y OCW ~~1[O 7De ?L~CE O~ uuu~r tr. ~e a~'+ort b~t, 20J GT7, TOMN. OR LOGITIOM COi1NTY ST~TE W~~l[ AT ~ 1A~ 1~NKE N~.. l.rrw~. arerr. ~giee uq.. n:.) c WOpK AT MppK Q ' 11' t~ Pierce Jt u~.le 21 )~fNndtd tM d~e~~»d hom _ 1~4 7O . fo ~ 9 7~ •nd bsf ww~ ~f „~lir~ on D~~M Qcevn~d ~e m on tA~ d~t~ ~~~tW ~bor~; ~nd ~o th~ L~st o/ mr knarl~d~~, ftom th~ uus~a ~t~t~d. Ail fte~a co s. u' s'c ~ r~~„~`<<;~^Z u. .ooRCSS 7p6 N. 7th St. Ft, n~• a~res~c~.co eo.~1.t• ; L~~ ` W ~ ~s ~ ~ ~'GS:~=~G. Zla &M».. C F•npu jyj p~T[ 2.1c h114E 0i CtwEi[RY UM CMt~~TpRy lfi~A~1CIM (Clf/./N1~. N fNd?i ~~i:ti R[rO~u . j~t~J~1 ~L22 70 Ft. Pierce Cemeter Ft. Pierce St. Lucie Fla. S. { 01: f~nEa - AiCTOM S S~GN u11 po ~ jS G~TE pCtG. ~Y IOUL IlEG. tt~- GISTRAR'S SM'.NATURE 8er.~p6S ~a~es ~"i~fi'CSral Home Tl`"~'~*{"~Ft. Pierce .7anuary 23, 1970 ~y,v~q~hJ !f, 1 herEby oert?fy this ro be a mie and corrett co~y of t~e t.oc~`.t.~LED ANa RECORDED - - Registrors record on fite in the St. lucie County Hoatth Depart~ ~ fLUC~~.COU~ ~Yi~~A~.~ ~ . ` : / ; , rr.enl at FoA Pierce, Florids. - ~~nnQ ~ _ (Wami~g: Not valid unless raiscd seal of the St, lucia '~VO~ . . < ~ . ~ ~ ` ; ' Coun F{ealth De ment is affixed. 7 PM r> . . ri ~ ) '70 APR Z l ~c - . ~ , 4'~ ~ , _ , N. D. MIIIER, M. D. - - :r :~.:i,;-_ . . " Counry Fbalth Officer local Registrar u n ^ r > > ~.J ` . ;'t ~ ' ~ _ . . i (.1 RAS . ~ ~ , ~ LERK,Ctr~Ct'!T COUR7:;'~a't-• ~ • < ~ ~',~,s;n..~~'~. Dah L~eputy t~ocal Registrar . QOOK ~S~ PAGE . 71~ , _ . ' : ~ . . . - - . . . _ . . _ . . " - . .?a . --3 . ~ , .