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HomeMy WebLinkAbout0803 Y ~ - - 1~2`735 ~ CE.=;: IFICATE OF DEATH Dey~rl~eM1 ~ IIe~ItI~ u~ ReIuL1Ii411~re Se~rites fTATi FIL[ NO. ~w~~~~~ F L O A I D A TY?E, O~ ~bNi IN pEG1iTRAR•! NO. ~lRMANtNT INI[ ~_N~ ~~u~ rwKe ut~ ~lf GATE Of OEAM ~•Ortw. ~~r,. n•~ ~ SEI IY4o100[ IOt ~T"~101~ e Iz.'.? R~1N C: i:~R:..E S THO:••i~'1S t. rla le ~ A x i l 8 7 ~ACE •wn. Meow. urencu~ wa?.., ~GE-..s~ ~•w~¦ ~ n.~ w.o~~ ~ o.~ OATE Of MITN ~+o.ww. w~. tOUNiY Of OEwM ~rc. ~wcr?~ Y~MO~'I~~WlI ..os. ws rwas ..a •w~ Ssq9 . White w G9 ~ ,Aug.3,1900 Saint Lucie CRV, TOMM. OR IOCAT10ti Of OEAfH wime c,n a~.~+s MOSMiAI OR OiMER NSTIMION- ~ r ppr w t~~t~, cm fr~u .uo nw~e~ ~ s~tc.n •es a'.o Rort Pierce .~o 74b Altura Port St. Lucie _ STwTE Oi W1M ~ r.ror w ~.s.~., w,,.e 4i~2EN p ww?T C01INtRY w~tRtED, NEvf~ MAtbEO, SIR~IVMG 5~0115E ~w ow, oM .?rw .«r ~ coww~ ~ W~DOwE6. ~ v~cn ~ ~.,,,+.~„~.,a , Pennsylvania , USA N r9arr~.e Alyce Golightl rwae eecweo u.e~. r w.a SOCUI SECURIT1f MW~ER YSUAI OCCUMT~ON ~use we w wn ww ow+a ~ou a RWO OF WS~ESS O~ 1NDUSit1/ OCCVUlO~w rOtNO Wt, trlr~ u ur~~lD ~ ~M~~~*p.•.~~ „1G4-32-7510 ,y Accountant Tax consultant ...a.~....o.~ ~°'ri~". ~fSIDEHCE-SiATE COUNri UTT. 70WN. OR IOCw110N wsw cn ~rwi STREfT ANO NY~MER Florida St. Lucie Fort Pierce ""S~~'o"pMO ~46 Altura IN Ip. t4. 1f1 IM. s iwTNER-N~?rf r~iw .wpe us~ MOiMEt-~uIDFN NAMf ~ru reat wr f „ William G. Thomas Annie C. Christsen ` 1 WO~WANT-NAME w?RWG wDORFSS ~s~an o~ ~~i. .w., cw~ w w~+w. u.n, iri „~Alyce G. Thomas ,,,746 Altura Ft. Pierce Florida 33450 ~ r~T oEwm wws ewsto w: ;tNr[t awr o~ uus[ uro[ we N~, (s~, ,wD l~ Ji nnreeM onsn u+ w rw U. wewa n~u ~ Cete~rk ~,,~r-~~.~r ~ sc~~'o s~s 3 e~r t . . .o: COM~~nOw1, w~n, ~rw~cw o~rt ust to (~1 ~r..~a.rt e.rse ~a, ~ ro. w u~ eo.nepre..et a. t~~uwo tN~ VNO~!- lnNO C~Yf! usr - ?ART Oi~fER SiGr~YK~WT COdO~T~ONS: ~~na+s e~aa~wnw a se.w wr .~or .eune ro unsa e~r w.u~ ~ ~a if 7E5 ~+[~r nwei..os ea.- ~~es ~ yw~ts .w prtuuwwe ewse ~..po!'~1~ e~-~~-Jt-ve 11~zscu/~ ot~~«:~~ /7~ ~./~i~s t ~ll% lr.t ~a I~qrKJOE: ~U?OEt~D A WNR11 ~ wa+iw, w~, .tu ~ ?IOllR MOW INlNRY JCCUltED ~~•~e~ wnr w.wvd rur . d~.n we.. ~a i ~ 7M Ih M. 201. INl{1Rr AT 1NORK l1llCf Of WIURY.~ wor. s:reT, ~.a.,n, IOCwAON ~ aoen w u.s. wo.. em o~ ro~r, u.n ~ ~wan ns o~ wo~ ow~a ree..nc. ~srecwri 7ti 7M ~1 's CERlIfKAT~ON- ..w~w w~ Ku .o..w. e.T ~w wo wr i.. w/w~ une o~. ~ eo/ao ri0i v~[~ me OEwiM OCNl7tE0 w~ua, a+ e~ ~ ~M~SKUW: / /i~ n~ Mt Ru ~ON ~ie~ M.M ~wW~ oAn, ~+0. q M ~esi ~~n~~WtO iM L' ` r/. I/„J ~ ) ~ ~ tp ~ A W r~ [MO~RlOGt. OYl ?la OlCt~7t0 s~0+ { C~V V 71~ f~ r 8 ~ Q~l~ ri. ~ 7 i 17~ t1~. tb. ro n.e uwst~u sr~ne. CEtTIfKAT~ON-u~EDIGI EXwMwER OR CORONEY. w me vs a rti Now a w.a rw oec~oe.w ..a r~o..ou..cee oe.a f+Y+utiOr~ p 1M ~OOr ~r10/p M 4n/fi~WnO,+. u+..~ Wwp~, s~t Ru ~ M~A OCCWYO OM 1Mt N~! ~MO ~Y! 10 O! UVSt~1~ it~~lO. ~ / 3 M CEtiYfEt ~me w rw ~l SK7+~wiUtE M rn ae e o~(~ DAtE ~.wa., w~, rw~ ~ iH. c~ s y m ~ eLt rk ~ wuLLNG SS-CEtRirtt ~ ~ sruf~ o~ ~.r.o. ~ f.n ~ swe ,7 t~? ~ ra~ St• ,G[ci ~i _3 f ~ i ~ !1. f ~ / r z Sc3 ~ Wn~l. CRf/~u~i~0a. ~E~W~?~t tEw OR Gf~iORr wuME ~OCwi~ON aR w io... u.rs i ef+[trr~ - - :a Removal :..Moun G a x~.Shavertown Penns lvania - DwTE ~.awr. ~.r. .w~ fYNfLH MOMf-NAa~E ~ND ~ uuo u.~. w , u~ ru ~ ~ H,. A~xi~ 8 1970 „~Yates Funera~'~ome, ~ox '~'1erce, Fla. 33450 # v. S. a612 fa+ t[~e,~s -S~G?+~twF a.*[ uee~veo s~ ~oe~u ttanrw ; a.~. iyto ,A +~1," x. , K. Arn+il 9 1970 ~ 1 horoby asrtifY th4 t~ bs • true ~nd aorroct oopy of ths Loosl Repistr~rs reoord on file in ths St. luci~ County Heshh pepsrf• F~~ED ANO RECORDEO;~ ~ ~m .t w~+ P~, F~a.. sT. LUCIE COUMTY. F~;~~ (Warnin~: Not vaitd unteu raised seal of the St l.uci~ i r~~~' ~~!r ~ n I Ft ~ b .~`..;r..: County Heatth Oepartment ls affixed) 1~~c. I a3J J' ~_~.~_...~~.~_u~`'-Y_ ^ - . -Y t~. ~uuEa, M. ~ 'TO APR 2 9 ~.M i0 _ . ) I ~ j ' . ~ • ~ ~ ' ~ Ith Offie~r ~ Loal Ropistru ~~'1C „ i • ~c -s h~,,, e •L ~ . ; ~ -,i : z-~ r ` - - - ~ "L'~:. , ~UtTF.AB: ~ ~ , . ~ ^ in ~ o _ - - ~~K ciRCU~T cou~t~' o~,. • o~,~? ~.i r~;s~~~. ~ ; ~ ~ ~ ~ # . ' s . _ . . _ „r, : ~ , 600K184 ~~E., 803 ~ 4 ~