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HomeMy WebLinkAbout2159 • - _ - ~ a.___, - _ ~ - _ - - - 1 _ ~ - 1 fI / L_ _ • 19~'86 ; ~ :a~. s<_ sT~?T~ aow~ o~ au~TM CERTIFICATE OF D~ATH ee••s • ~uauu OF. vITAL tTwTIfTiG~ tTAT[ /1L[ NQ ~•a•1 FLORIDA eN •1~~w O1R7 N. - R[61sT11AR•s No. 57fi ~ y r~ p~ ~ l Y 1. MAt~ OI ~fATN COD~ NO. 2. ~i1ML w[pY~Mtt (/aw~ 1~d M;!!~ ~ R../wu M~. r.w:.+) ea~e~t~~ ~ ••a Sai.nt Lucie 65-025 Florida Saint Lucie ,i.~.. tw 1~~- A. GT1/. T01MKOw lOCA7qA e. ~S ?Z~CE Of DEATM t. C~Tr. TOIrN.011 IOC~TDM e. ~5 11[S:D[rtE uw~wt INSIOE CITr UYITSI fMS10f CITr IIMITSI ~u.. Fort Pierce rES~ No? Fort Pierce t~urc as ~q..ei.~..rat,Nn.e~«r.raa.~ Dpq sr~ccT •no~css NpSMT~I 011 ~*~T~*~Ft. Pierce Memorial Hos ita 515 South Sixth Street Nwnt o~ tirN Vif~e JwK on7E ~fM+? Lq Yea - LOUIS NF.MMFC E"T" December 18 1969. S- SEx i cOto~ on iutf 7 M11UIE0~ hE1KA MA~1[0 ? Q~TE Oi iUTN f ~GE Uw rw~ r woc~ ~ rw u~o[~ H Ks. l~itNrt~~W) M~W D~w Nww ~r.~ . r.~ s. Ma le Whi t rnoo.rce D awRCCO 8/12 /1898 71 1?~f~1~ ~ i0~- uSU~tOCCU?~710wlQirtliA/yNrfMAt la.K~MOOiWSwtSS011w0uST~Y 11. N11TMIi11C[(~dtK/?7yAar~h/1 ~ CrtHEwO~~rw?fCOYMnr1 •~c* fviy.wtyrrt~Nbk.e~ny.uirN) Baker Baker Brazil USA ~l~tt l~k 1 ~ATM[II'i M~WC N. MOTMER'S ~1MpEM NAM[~ . ~n..~aa.. John Nemec Unavailable ' u. socui sccwun ~n i7. s s~ownTws wu..« Otl r@ Q Unobtainab e Louis F. Nemec Ft. Pierce Florida . : r.¦•r.i . u. erwsc w wrN lsw....4..ro...r~..~:.ew.t.~. cs?....r c~~.~ ~ ~.~TUr~urYaM ~ dlr~et~f /ARTL OEATMwbC~Yi[O~e 016ETAMDQGTM I ¦Y~t tllf W1~[OMTE GYSt W~ AL.~cL ~ a.~~' O-~..~~/ t\• c~r- 1~~ cf1'fe~t• ouE TO A) . •tt~ t1e r~ ~r~[ rw N ~ - ' 1 • e • 1 ~r . nsr lil. . ~ ' •~~tstr~r a0~tiy ur rw/n• Ob[ TO (a/_ j •ftpl¦ 7~ 2 l~ay nut [Yt. I \~1/f t•~- O ?AAT M O~~O SKfi1CYR COIYTIOil6 CO~T~MYf~i TO OGTM RR MOl A[tA. i0 M f[i~IMMI 01345[ ~O~tCll CIRII /1 IMt 1(~ M'AS AU:OKY ?(IIfO~Mf O~ ~ tif d~~t~ s ~ , ?ES? MO . •r l~t~r• ~ p~~y~ Mpw .+uWV o[cu~ n(E:na. wrr,e ynjv~ i~ Pat I~. P~rt l1 yir~. fI.) - •~tfwt •~7 ~ ACCWEMT SYKWE" MOMK~OE . ~ ~1~~~~1~ y Q a ~ •f ~ - '~t'. ~ mt T~rE Of //wr ~fiat~. Dh. Yti uuwr 'o s- r z 20/. wlu~~ OCCY~IKO ~Dt. K4[E Of aUU~~ Ie. f.. ~w x dor: 4~ar. 70! C~ TWMM. 011 IOGTq~ COUwT1/ ST~TE f1/Kt AT O MOT ~UIE ~ ~A. hrW/. ~trM. c~ca Of1/-. d:.) . rIORR ~1 MOII[ !~tbw~M fM Mcws~I /iow~ ~ ~ ~~11:•to •nd lut w~ A~~ di~~ s~ _ 7LSo~~J ~ OwtA oeevn~d ,~~t! m on rM d~b u~t~d ~Dorr, • d ro tJ~ bwt W w~ wnorJ~dp, /~om fM e~upa ~t~t~d. 1 ~ t~~s urpu w Nrkl i2; AGwESS 72c. a?T S~G?.[ •r• t• / . . - 4~c;~ d-~ cK .1~, ~i Z3 ~ E •ee~e~N. ~Wr ~ a~ . ~ A~rE Ot CEw[TL11Y 011 CP[Y~TOAt IpCATD11 {Llf~. tw~. r~wsq) iSt~t~ ~uiza'~~'' 12/20/1969;Ft. Pierce Cemetery rt Pierce, F2orida r. ~.+~ia 2y+~y+~~~~/~~j~ a~ wrc uco. ~r wt~ u4. aTw~s SrciunM[ ~ , ate~ uner_ o~~ L~ I f ! ! :s•aL y/-~ v ~=j 3 ._b• Pi~.i~.n~ . ~4• ~ :/CC:f.'':~1f~r 2~ ~r ~G7f • ~~~EO a RECpROEO' • I harehy canify tnu to a.: . mie and ootr:.~ copy of tho t.ocai COUNTY. F. IrAf""*° St~.,;istrars rc:ord a~ file in ths St. Lvc:v Counsy Kaa~fh O~psr• ~E ~Qan vE~~F,E ~ maa~t at Fort P~tsu, fbrda ~~~y 4.~ O~± ~ ~ (W Nat valid unless raiscd seal of the St. lvtk ~OV~- " t arnir~.^- c~~,~,? ~.,~r? ~P,~?, ~s affixed.) '70 SEP ~ A~ ; ~ ' ~ ~r - ~ . ~Z ~b - t a ~t_. / ~ j ~ p ~Y~ N. rJ. MIICER, M. D. ' ~~r~ .r~!` • ~ ~ ~ ' ~ .s . j - Counry Heo Officet & Local Regfs:rar ~ 't 0 ~ R +'Q~ ~ r - 4 ~ , : , CLERK CIRCU_. ' r.r. 4 ~ ~ /il ~ ~ ~ }.4 ~ a-~ sfr ~ ~~'i: . ~ t~~=-' _ ~Y . D~puty Local ReQistrar ; } ' ~ . ~T ; ,y , ~~~`.l, . - ';i, . a~i86 ~2~.55 ~ y _ . _ - _ _ _ _ _ - - - ~ ~ ~ . = {T~ A~~~ , ~