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HomeMy WebLinkAbout0669 l ~r ~ / 196g64- - CcRTIr 1CATE Ot'- DEATH F L O& I D A RATt Fllt N0. ~ o:vnw.~ nr e~a~rn TY/E. O~ ftlM IN REGIRRAII•• No. ~ 263 . ~f3YAAtNt IMK ~A~_N~ ~ ua~ SfI OwTE OI OEwM ~•a.a, ~au~ ffI IIL'.Oi00L /ii I~EL~,~? '•r~''' :Fe~ale June 3 1970 d6~2 ~wCE .~+n. .wMO. urMC.w w..r. wGE-ua~ w.au ~ a.. J ~vu ~ r OwiE Of MRiM ~ra~. ~.r. 001M1f1t 0/OEAM nt. ~wcr~~ wr~~ ~~ws~ .o~. rn .ows ..a nu~ .~Tr.i ~e ~3 ~ i ,k ~Ju~v 8, 1875 Saint Lucie . TOMfM. OEAin ..sw cm wn • wOS~ITAI Oi oTNEa Nt • n ~p w ura~ Mw Yra~ ~r wwr ~ wcr..~s w w ~ w^ort Pierce Y, s r~ i35 A2rr.a Court iTATE d M~TM ~ r wa w +.r CIT1tW Of ww~i CONwStt rwR~EO. NEVEIt w~tlIEO. f11R1IMNG f~OYSE ~r ~w. aw r~w wr ~ Cpwrn~ WIDOWEO. WMQKED ~YK+~~ . .sw.w?««a ~!@t'1 York t?S1 `•'arried Sidne .J. W@SZ: SOCw SKWrt~ WryEt uiu~l OCCWwr~O~+ ~c~n a.o.a ~ow wrns .aa er tw0 a NIS~Eii a a+0YS1lY «C~~ N _ r10fM0 \Y4 fhw Y tlM~01 M~ytqq,~M ~t. ~ ~y. F'LOUSQLYI:2 ~ u~. M~I[~ MqM ~M~ ~ES+OE+~Ct-ST~TE COw~itt Gir. TOMn+. Ot IOGTWw ••a~e ew u.n 3 e~w~E~ ~ ~ ~ Wtvt q~ O~ rO _ lyr?orida 1~St. L.UC'1C~ ~w. C~Z'f .~7.v?:CC~ ~N. Yes ,...135 Alria C~L:it ~ /Ail~2-NAM[ rrM .rw~ Wt MOiME~-M~DfN/MME. Ntlt r~M~ Wl Isa~ck :Ci::kaid Unava~ lable 4 I WOMW~T-lMMf MA41HG ADG~ESS uMl~ p LII. r0-. M O~ ~Ow. M~~ 4~~ . ' - Sidnev J. tl~~s : ~n 235 AIT~, Court Ft . Pierce . ~33450 ~ ?rui i oum w~s twsEO n. (tnr~R owr o+rE C~usE rFe u+E ~ hl Al M+D kN .m o,.s~i w wu. i M ^ ,/1~, ~ . !~1 - '?/J~C~• ~Yl~C~/i rI~ ' , • x .ti . to.~mows. w uw. ~ ' G~ "~~LL ~ / . • ~ ~r - % " ~r: ~wKw 0~~~ ~~N q j ~ 1 . a ( ~ ~ . Iti~M~t~ (~11N N~. ~ M q. p U~ OOMfOMi+C! • - . ~~~t~r0 ~r~ ~M~M ~ . ~ ~~MN C~rM uN ~t~ ~ ~ i ?wfi Y. T CO?+W ~ a+o.ao..~ co+~r~ u~ //a~ ro4 /r.~ ~ ~ . MIiOK~ V/ES ~u~ nrN..os cor ' _ ~ t(r~ . ~ti"" :,t/ i-~J,i-~ .C - C-LiC~~( ~~.%v~G~~ LC ~ ~ * ii.°t~ «~~WUwe tHrw _ ~ ~w ET~6a ~.ow~w. w.~, ~w• ~A ~ ~tUW t CYYEO ~ ~ra~ r~ w ww+ w rrr . o~ ~.r ~ i ! Ol 110l1U~1~t0 ~ • . pi~uM ~ 70. ~y 71a. M. Z4. ~?~AN~ wt wOVt ~+AMr ..or. ~.a.. ~.a~,, r.n.x.. ~OGTWr+ ~ wae~ o~ ar.~. .s.. an a ss..ti v.~ ~ I ~MKM~ Af M ~O~ OMK1 W..~K. ~YKN1 ~ - s. ~r ~ CERTIfICAt~ON~ . ~w Mt qY ~b.w M~ f W ~w~ uM Yv 'M~ ~M Ow ,p w~r ~f ~!.?1M OCCYM~Y ~1 ~ A~OI. O~ M ~ ?111~~" i0 ?7 ~10~.11~ M AY W~~ ~AM M~~l ' ~~W~~ M~. W. ~O r MH ~ ~~Mw~N Ua r ~ ~ ~G . G-~ 7 c n. «~~...•..o. ~ is~ ~s. ru. r M O ti GwrYW w:: ~f~lfl(~TqN---ME~I(Al (~AM~df~ O~W'~Ef. O~ M wYS O~ M ~CIM p M~Y ~M q[~Mw~ ~IY ~CM Nr ~~.ey~ W~ q~~ W/O~ w~~wv~slr.MOw. w n~ O~wiO•. 4~ Mt ~W ~A~ ~ ~uw OCLrrM Ow rl W~M N11 ~O M 4Mlw lV~1~. - i K JM M } CEfAh w ~ o~ ru o.r. sur~ ~ ~ . .~/S `!J '.»~i- -F!?'f . y -~'~C aooass-cr.rrr. • ~•^O ` ~ ~ ,~(~t ~ % ~ ~.r- 1 . ~c! Ct . c' ~ ~ ~iN~A~. CiE~Mtip~. ~EMOwAI Cfw~fid10~1 CiFMATO~!-NAME ?OCA110M On p.orw wp ~ wt~n. ' 3urial ,~..':z?.'•-cres': ;:e::. Garde:::... Saint Lucie Cour.t r :=2c:~da Owtt ~.a^. r~, w~ W?+EW MOrE-waw~f axD .~0+[Sf ~ s*rn e~ v.~. w., cw~ o~ w.w, wr. w ~ t.. Jvr.e ~ I970 rs. i'a'.~~c ",.Y- ' «~x ?o>c• 77 Ttit. °i~r~n. ?O~-~r Y. S• s612 / O~- nME :~:.+siY -LW+•n:tt rcuvw ~i wtr rc~stu~ ' A~v. 1970 ~y r~ h, a• ~ . ~ S, lUC E COUNTY, F. RfCQRO VERlF(~p ~ ha~y asrtifY th4 tn b~ a true and co~.aoPY c# tha Lacsl ~.~c R~qhtrara ~eeord on fil~ in th~ St. luel~ County He~ehtt Da~ ~.t r~ P~.. 'l0 AUG 6 PM 3: 5 9 ~ -(Wunirq:~ Not vaNd unlsss raited ~al of the Si. LucJa ,;,:,;1 - c,~, ,~+.~hn o.~~ u b~~a 1~168~4 - . . ~OGER ~o~TRa~~~ ; . CLERK CIRCUIT C ` N. D. MILLER, M. D. _ • Courity H~alth Otf;cet 3~ l~oca! Rc~istru _ . _ _'r . , 3c ^ . ~ , : f ~ . ,f ~ ~ ~ ~s ~ , - ; aa - ~o h~ . ~c ~ ~ ~ . g, ~ pet~r • Q~pufy Q;,pistrar ~ . ~ " ; . . . , ' • - , ' *y:. . . f . ' , a 1 MICROFII.M I~MO ~ ~ t ~ ~ Legibility of ~+riting, typing ~ .T ; t or printing unaatiafactory in , 6~~~~ ~~~p . thia ducumant for aicrofilming. 0~~ . - - - - - _ - - : -