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HomeMy WebLinkAbout2740 ~ ? . i•~~~ SY. UIC E CO~I~N~.1~.~ • FtFC4Rn VERIFIED R~: Lot 25, S~ock 74, Unit 7, L~ICEO~OOD PAI~lC a~~(, Z~ ~ : s0 plat tbereof on file in Plat Book 11 at Pags 13 of the public recards of St. Lucie County, Florida. aO~E~ r''0l7RAS CLERK CIRCUIT COURTI ' R. _ . ' . . . . e . ~ ~ . . )q.~ . ^ ~ TI~F I ED COPY ~ . ~ . ~ - s~ ~r~-CER - . ~ wE NERE~Y- `'~ME c~orr a~aoouc~ o~.ow To et w rnus ~wo coaa~ COPY OF ' EOORO OM RLt _IN TMe 6UREAU O~ VtTAl. lTA118TlCS Of TNt sTAT~ OF . Ai~z,, RTMENT OR MEALTH ANO RENA61LtTATIVE SERVOGES. OM~iON OF NEAL s ~Q~ s. _ E. ~ORIO~ a • . INCR VA , T!~ ~ATt pI RLARIDA. OVARTM[NT OF NEALTM AMD Il[MAe1LITATiYt ftRY 1 - q ~t_. ~ -'.T: ~d :'-y~'. _ : ,~-~y y~~, t1 , r : • • ~ S ~ - ~ ! _ ~ ,r. ~ . w.r~ti r~ N 1 ' : _ ~ cH~w. wit[wu ~s wtiu. ~Tancs : b ~ ; ~7~. ~'S ,y.~w - ' ~ • ' d W~~ w~1.~~. . ~ 4.c~_"~ :~^r• ;=R'1 - rrwTS saua~+i oascrow. artaw~ b~ ...,,~jC ~ ~j ~w~n~ ovaRrrr~rr os Muun wMo j~,i~ ~E ~ ~ _ w~~t.twms ~~nw .-a i• • ~ ~ ! - - - - - . '`~g~..~ GERTIFiCATE OF DEAa'~1 • ~ ' F L O$ I D~ sswri stct Ko. ~ + - - ' REaliT11AR•f NO_ ~ i NAMf - L .ewe uu SEII DAtE Of OEAT1 ~ ro»tr. N~, rt V~ : ~ligene~ :ii:san ~ook ,I~ale ~ June 27, 1970 ~ ~ twCE .u~t. +~ee+w. ••euc.u .~w.n. AGE-w• +~a~. ~-w woe. ~ e., owrE oF Mtn+ ~.a.,. cou+n oF oFwi+i ~ ~ . ~ ~ite ~4 ~..a . ~.R ~ ~.~"~arch 15,1886 - Bak,er j ~ : QIr. tplMl. O! LOCIITION Of OEATH ~.aoe a ar~a l106/1iA1 Ot Ofl~ liSTRUIION-NAME ~r rw rw toea, wrt s~Ee~ ao ~wrrt~ ~ srecs~ ~s oe .w , ~Nacclerm , Florida Ro Northeast Florida State Hospital _ 57wTf Of ~7l1 c v MOt w r.s.•., wu~i OTIZEN Of WNAT m1JCi1 MAtl~~. PEV~ NA~Q. SI*1INMG SlOIISE ~r wvE, wn w~eew w~at ~ . ~tash n D.`~'~ . U. S. ~rr e~°- n Gladys ~ook - SOCtu SECWm wwEt. uwwt OCCwwi1O~+ rra :~a a..oec oc~+a aNr~o .nsr a RWD Of w6t1ESS O~ wDUSm ! : ; u 2~4-03-0/~6 1.'°s." "H. Salesman Jecrelry k- ; a~s~oa~-su?~ cour+rr ~owN. oe wunoa, ~v~ :h oa w S ' Florida St. Lucis Pierce ~v ,~~~~s~evood ~r~3056 ' ~Na_~ .ws. .~o«. .~s. .wr~e-.wo~ nu.~ - .m. ~we , ~ Q Eqgene +~ilson Snook IInlc~o~na l1tOiMAtQ-IeAME l~Om Ca MA~MG AODRESS ~sme~ oe ua. w-, cc~ o~ ~n., u~+~. L;llia M~e Ahaden Northeast Floride State Hospital, Hacclenny,Fls. - r~1a a DfntH wnS CAUSEO sr- (~+tER Ol~ar or+f Uusf rft uNE foa [eb (b1 ~u+D kA .e~u. own ,.e ee.*. M. "'r°°'n cµse ~ ~l~bT81 h~IIO1T~~ } - . . - ~ LO~iRtOMf. N ~M?. . ..KM o... Nu ib~ Ccrronary thrombosis - 1 I~ur ,..~.~t u~u ~ a ~.a.~.~ a. sr~nKa rwe ~woea- GeIIerellzed Brtel`1osCles~osis Unlmovn w~lI11_ OI~R 91C~MNGwt CONOAIOwS: co~raa ceraw~c +o a.w wr..ot uu~ ro c.use oww w w+ ~~w A1lfdir IF 1fES ~nn praras cow . ~~onic brain ayndreme assoa3aled vith cerebral arteriroscleroeis. "`~Po"°' ~ OR Y~[i~MMitD ~~aiR r,.t.~~ ' MOW INJINt IXGU~lp ww~e a wwre? w an ~ oa ar M. ~a. ~ ~ M.7~1 ~ Ot~ld wt wpK MA~CE Of l11uRr~n .o.e, r..... a~. tOCwi101~1 ~ wnr w ~.s.~_ w.. an w~, n.~ ~ : ~sAC+w r~s a.ai orrae wec..~+c. rswcrr~ i i~ IM. ~F ~ ~iKw110t~= ranw m n~u roe~ aa, rus u~~~u« q~r .c..e o.e ~ior ~ re aw+N OccYe~lo o~.~t~, ..~~w ~ IAty~ytN: y~~~wi p[L T ry~ t ~ wMMOtO *M! 1'~i1i f~i~il rG3 ~ 17W 'tO 2'~', i970 June ~~O id IG=10 vOrnl00l. Wt - ~ MC/AflO fIOA TN. Itt ~ ZN ZM. ~ TO M GY7[stl RnilR . C~i1G?TION-MEDKAI EII~wl~tINER Ot : a. w~e nss or .o~r w oaw nn oata~an ..s rroMawt~s ~ue ~ e~rw~ow os we wo? uofoe a[ w~nswc.nou, ~•.e orr+o. ~o~w~ r~ ~tu i+our M~~100[?I~C Ou OaR /wo oUe 4 n~e CwSe4~ stAt~O. ~ M. M: y ~ _ _ CSTlf#l.•.HAME mn o~ rawn g• • ~ • ~~uee wt A Ll~@ L`/ ,1 i 10, i . ~ ~ ' ' • ~ f ~ ~ """'''G A0°"~~`~'~"" Northeast Flor1~ °~afie Hospital, ~`~cc~"umy, Flor3~cla 3~63" ~ au~w. na+, w~ o. ar~?~o~.--A , wu ~ . ~ za. L. ~.aa~. e.~, sw ~ filNEtAt MOYE AhD ~ ~ne o~ ro_, an o~ ~t, t? ~ ~ p~.. Baird~ s eraf~~ome, ~'t. ~ierce, i'+~~1e. ~ i j Ot ~ . sw++~ ~ ww ~u~w . 1 • . fM, ~ • ~~F~ ~ ~i8 Legibility of Writing, tpping ~w or .printing unratisfutosyr io ~LL~? ~m'AN d WILLEd this docu~snt ~ot ~eicsofil*ing. o. ~ox so~ - ~ . IORT MiRCi. /LORIpA ~~p . a~~w~ja~~.~.~~..'`$~.~'~s- ~3e'.~..... ~ : - ~ ~ ~ ~ ' - _ . . - - - - ~ -Lr~~:~-~~s.~r 6~ _ `