Loading...
HomeMy WebLinkAbout1463 ~ i - ~9`7411 _ . G~.~TIFIC:+TE OF DEATH De~e~oewl ~I 13ea1t~ u~ ReL~6i~iblive $crvfces *TA7[ FiL! NO. av~von o~ ~~~rn F L O R I D A ir~E. O~ ?nNT ~H ~'~•~'""O1° RE61iTRA~•s NO• 358 Ii2MAHiNT INI[ ~_N~ rrst wou us~ SEX GAfE DfA1M ~ rowt~. w~, nu ~ `S[E 11i1t9100L f0~ ~siwnaia , KEV\ETH HAR'?10\ FRr1~1ES Male ~ August 12 , 1970 RACE wn. .woq..rnc..~ w~w¦. wGE-u~~ w.w~ ~ n.. u~x~ ~ w• DwTE Of MRM ~.aw. COUNTII Of OEAiM 66~2 ex_ ~vicr?~ M •~~uas~ .os. w» wws nu~ ~ idhite ,~~J~3 . u ~ Dec 2, 1896 St . Lucie dir. TOMM. tOCATIW~ q OfA wsy~ cmr MOShTAI OR OMN NST - ~r pa r. eww~. aNe satn uo wrw~ ~ vau, .u o~ w - w Fort Pierce r, Yes D. O. A. Ft. Pierce Memorial Hospital STATE Oi MRM ~ r wr r w.~ T1TEN Of MRU?i COIMRRY ~utt~FD. NEVEn ~t~1E0. SYlrNNG S1'OIlSE ~ r~nw. o~ w~rew ~wr ~ ~w.?..~«.~. Mar land U. S. A. u~Marrai.~ d~~~~ Mary Emily Hrooke .wer Ncwee. SOCW SENMTY tM1WE~ USU~I OCCWw1~Ot+ ~u.e c+.~ a wa wn~ wwwo .osr a RINO Of MJ6~JESf OR fOUiTtt ~.vn. r ww~ •rOa+a wa, tve» u ~eu~te ~ '""'""i0"~""' 1 2-O1-1 9kA Mana er ?s Re~ail Sales ar....c. ~aw.. ~ RESIDENCE-SiATE COYNTY CfTY. TOMM, OR IOCATION wyw t~ ~rws Si~EET A!q MW~Et l I ~yart n~ O~ wo Florida ~o St. Lucie~~., Fort Pierce I~.~ No 711 Bimini Dr. ~ fATNER-NAME rW ..MOa~ us~ MOT1~R-AMDEN NAME s~Mt .rM~l ui~ - ~s James Fuller Frames Ora Cosby . ~1+nOtMhNt-t+wwE . w~~wG ~DGtESS ~s~ra~ o~ i~i. w.. ~w+r o~ w.n. a•a tr~ ~~.Mrs. Mar E. Frames ~n 721 Bimini Dr., Ft. Pierce, Fla 33~50 otwm wws uus[o ~r. (fNffR Otrly QNf GUSf IEit UNE !O~ hl hL kA un+e~M o..ut ~ T+~a.*w N. rre~'n NI l_ 2 i/C i ` S_.. ~ t.~..T/,,~t.- . • ~ ~ corMtw~s. u ' ~ 1,{ ~ / G{w~ ' Gfj,jJ ~ Cl?i.'q,'D ~ orKw O~~l ~~f~ q~ ' ~ jCf G u.a~MnTt U11f~ IM. M q. U• OYaKt Or:, ' lt~flMO tM! VMIN- ~~.n~ c.os~ us~ kl ~ARt 11. OiNER S1GN1fKANT C01~WIIONS: ca.ar~a.s canw~i:.w ~P oe.w w~ wi rune ro uat o~m+ ~.ar ~ w MROKY If tES ~.~~e ~~w~~¦os co~- /y ~ 111f O~ IA1 W WN NT[YYM~MG CAr3! r? ..'s~GC.+C-t-A'. (-A ~G3 i~="-,~ tw 7 ~w ~'i -~1/~1H~iwiD ~ra.i., a.., n.~~ FK%~ MOW INJURY OiCWtEO ~ e~wa~ wwre Or ~wwn w rut ~ O~ r.u y, rer ~ f J0~ pGc. M. lY- E - € _ IHAMV wT WORK IIACE Oi NA11Y.r ~o+e. s~re~, ~.n.,n. IOC~i+ON . ~ ssea o~ ~r_s. ro., cw~ w q.w. w.ie r ~ ~ uwn as o~ ro ~ owae wa., ac. ~ snc.n ~ si. ~ € CE~'f1f1GTqN- ~o.w~ nw~ .a+~ w~ .w u.a u.sT s.r w.i.w .une ow ~ w/ae .o~ .e+ we nt~rw Ottwr[o rw~ wn. w u~e t ~wtsKUw: TO +.a.a r~ nN ww un~ w+w. ~waw~ wn. .•.o. a se ru ~ 1~nlwOtO M /~~ijiL.~/~ did ~V11 M r~ [rO~+uOG, DuE tt~ otca.fee no.. tD. 71. t/~. 2H w ro~.e cwu,s~ su~no. CElT1fKAT10N-M~KAI E%AMViEt O! CORONER. o.. n.~ ~.HS p rwi .ow a x.a nr Kuww~ ~r wr ~u~we0i+ O~ M W~~ ~M/M W~lSrvWt~. w n~ Gw~W~+. ~M Mt ~lw~ wOY~ eu~w occwr~ a. wt w rw we a nr uusea~ s~.no. t!~ ~ ~ 7' 45 ~ M !T~ ~ ' CEiT~fIE[-wwE avn o~ n..n SeGr~wiutF:~ nfu S+GnED .•a,.. o.•,.w~ John N. Sias .yi. D P . f~ _ yi 8 13 70 wu~w6 wOD~ESS-Cfti1~ER u.tn a ~rp cm a w.n+ swa :r JL n n ~ e N~~wl. dFwMi~O~+. ~Ew~OV~I TEY11 OR CIF~NTOQYTt~ ~OGDW+ un o~ aw. ss.n Removal ~ Druidridge ,.~,Pikesville, Maryland CwTE T, FUNERAi M4~tE-. F~~tD ~OMs S . aun o~ •~wo. cm w iovw. K. tr ~ H,August~~,'"~9~0~ Fort P~erce ~.06 So. ~ Street, Ft. ~Pierce, Fl.a 33=+5o r. s. s612 f oe-sry~ • r,c:.isr -s+cwrwF Q n neo n.ow .ea?uw ~ R~Y.1970 tS~ /~.._%C=t ~C-.l ~ l,,~ C~ ~ ri?. ~ +k,~,y~y~,ti~b,~~~~~y~~~~ FILEDaNO RECORDED Rogisn~rs reoord on file in ths St, lucto Cour~ty F;;,:;;n G;,,~:,-p. ST, (.UCIE COUNTY, FLA. ~ Vc' r me~rM ~t Fort Pisrr,e. Fbrida. . R I F F f) r~- (W~rnin~: Not vua-{i_d unlsss raiud sea! of tha ~t. ~ ~ l9`~'411 .~~"y=~'~-• . . ~7~f~• ~~~~t is affixed.~ ,to f7~ 'v - "~'~,iy~ . ~ . M~ k'-a~ :u='-'~'f~: J . N. D. MILLER, M. D. - ~r, ~ ' ~ z 1 ^ ` ~ ' ~ ~y - ~4=L- I' : . . 1th Officet & ~opistrot R 0 ~ ~ p . ` ; - ~ . £'Dl~R~ts` . ~ ~ - ~ CLERK CIRCUt~f.;~p~;~q? a~ • - : ~ ~ • Depury Locai R~istru ~ r- ~ , ~ ~ ~ ` , . . r~~ _ • ~'t , , i.. . ` ~ ~ . i •~'~~i~.t,' . r.. ~ il. • , i a~ 1~ ~ ~4~, _ ~ : . . - - ~ _ - - -