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HomeMy WebLinkAbout0304 f Q~ a~ - _ _ _ 1~~,~ : C1 ~ t~~~ !e- ~TAT[ .o~~o or Mu~rn CERTIFICATE OF DEATH eo~es • •U11GU OR VITAL fTATIfT1Cf ffATt FILt N0. ~•s•~ FLORIDA e?d sA~n SIqTH N. R~OIiT11A11•~ HO. ~ ~ pNpe~l) 1 MLAtt ~I ~[ATM COD[ NO. 2. YW4l R[N~[NCtl~~~rrrs~W U~w~.w~ Rrd~wW.r~~ww) ea~CUl~d ~~TM ST~TE S. COYMTY •^a SL. Lucie 66-02 Florida St. Lu~ie Iw *~f- A. CITY. TOMM.O~ LOCAfp11 t. ~S 1UC[ O~ DE~TM CITY. TpMN.011 IOCATICW K IIESID(h~C •lw~~t ~MS~DE C;yIT~~ lWITS~ ~RS~Of CI?t l~w~isl fll~. ~CTCe v[S{Ey MO? .r'~.. °ierce ~[S NAME Of ~/Jwt /w W~tN, rrt ~frtd N4ta1 f. STREET ~ppR(SS MpShT1l d1 ~~~T~*~ Easter 1~:anor 170~ Behrens Rd. 5 ] ru?Yt or f1.d Al~Ilr L..r • wr[ Kr.N U.r Yrs. Kiru« i•r•o HFr~1RY BF!iRENS a~TM 1~'.arch 18~ ! 9b? ~ S SCY ~ COI~ 011 AACE ~ MAll~l[O • MEVEA YA11111[O? / WT( Oi LIATM ! /~.6~E (l~ Ka~ M U~OEA 1 fW 1M~0(At~ ~MS t t t• ~ n MIIDON[D ~ dV011CED vu~.1l ~ f ~ 073 ry~y- IMtyt/1 N~My MM Mwr~ Yr. ~ l~~ wl ~ la US'J~l OCCW~TIOA lOM! t~~/ ~JsMI /Mt 1~ KINDOf ~U54~ES5011 ~MOUSTAr 11. ~IIIiN?U1CE /9~It p/1?f1~ INAf?Il 1 t1tlZd~ Gi ~Mi 00N17i~~t •1t~ ~ari a t~~ 1~ m~iJrd4d1 dw'~~ Qpe~r~tor Confection Aus. Germany ? at. USA ~l~ek !wk 1~. /~TN(il~f Iu~rE 11. rOTwE~'S r~WEM 1u~r[ F~ederick Eehrens Unobt. ~i Socu? 5[tu~~ir ?a 17 MI s uc~uTUwt AWrta 118-14-b~7 ' ~:elen 5e:~~rens x`t. Pieree, F3orida /un~t~l 1• CAVKNKATN(E~I~?M[~q[dw~pt?h~t/~vf~l.f~l.~~~~r).j IMT(11v~1~(T1N[[K ~~IIT 1. pE~TN Ul~S CAyS(O ~Y~ 01lSET AhQ~ M e,..«a. ~MM~~tt ~w~'.~ Pulmcnary F~bolus probable .~.c r». - ' a~. e.r- ~•r•~•~• CM~Y1~M.~i.... o„E To ~a Carcino.::a of Lung-----~~g~-~ 1 Yr. 5:!os. •ttA lA• r4a~ ryrt rW t~ - 1 • e • 1 ~Dat t~~ar (il. rt t~tr~r w~~N ~?e r~Irr- ::ediastinal. ::etastases ~ _ 6 f~~y q~R !W. 04C TO (tl ~ ~ 1 ~A T7 O MIIT 11 Of1E11 51f.MIfKYrt Cplpil0l~S COMi~~1JfYK. }O Ot~TM ~{/I MCi MUi[D TO M iERr1Wl OIS[ASt Cp101i1pM GIY[M /1 ?MT 1(~) w~S AUTO/Sr ~ \enr• •t- r ?[IIi011YE61 i l~f d~~tA < 'iQ ~ Ripht eu~or_etoc,yr , ~-abetes ~:ellitus .cS O „o ~ ; o. e.r... _ , , •sYla ~ ~ ~ ~ 1 ~ ~~XaiiENOwurI~~YOCCUA~[O (Ewfaw~ftrt~/t~/rr~f~P~rf/MPbf!!~/4t~l~J i ~ 7 ~ ~CC~OEMT SUK~O( MO~~CiOE ' •P~~~- v O D ~ ~ •t J m[ TIME Oi /IwI ~(~N. [h~. YfY ~ ~wfu~r € o r. • € W ~ ~ 201 ~lu11r OtW1111co mt ?~ACE O~ iNlu~r (r r?~rt 4v, IO/ C~Tr. Tp~11M. OII IOCAt~ON QOyMTr Sr~TE rM~U AT ~ MOT wwilE ~ N~w. lkt~ry. Mr~~t. ~~fu My.. Ma.l wORK ~T Wp111I ~ t~ !~ft~nd~d fh~ d~eMNd /rom ~~1CN1 . to 7 •nd b~t w~ A,T ~In~ on 3~ ~~~b~ ~ D~~tb oceurnd ~f aitnllt_ 1, ~ P~, in on tM d~t~ ~t~t~d ~bo~~. ~nd te tM 1pt o/ m~ Ano~%Ip. /ro~n tM uua~s N~t~A ~ •ll lt~~• ~ NOMATYIK ([hper ~r tYlr~ I2~ •D011C55 Z?t. W1TE SkMED • J.H. =+atsche l~:.B. 906 Delaxare Ave. 3-22-b? •ttrlCt~. ~~~K. ~~T~ ~ aT[ 2~t h~ME O~ CE?~ET(1111 OII C~Ew~Tp11Y j3/ ~Q~ATIOM :CY/. fMt11. tNy~) 13~fI/ . ~ ~[rorK ! ~wnJ/~ Burial 3-22-67 Ft.?ierce Ce~ete Ft.Pierce, Florida Y.l.1al] j~ iuME~IAIO+R[~C~pI1SSKM~TYl1[ ~ ESS~ 2S WTE~[CO.~~LOCALIICC ~.~t[GKTU?t-SSKM~TYRC ~ 901 44; th. St. , ! a••.,ose NsZtor~ 4r'. Baird Ft. Pierce, rla. I 3-2?-67 Anna Lee L'enisoZ, d. r. ~ ~ - - I i~~b'f~ c~rtHy thl~ ta b~ ~ trw ~nd aoR+~ct oopy of 1!w loo~l ~ ~ Rpimae's r~oord on fil~ in th~ St. Ltrel~ Counry NMhh O~puf~ ~ ' : • ti n»nt at foA Pi~. Florld~. ~ ~ ` - ~ ~ LEO AND ~ : t • ~ ~ (W~rNnp: Nof wNd w~ss r~ised ~I of tfis St. Lucl~ ST. LUCIE C rt ;t' ~ : ~ c«~? f+..irn o~.P,n~ c~ ,~x.d.) r~ F: c o?~ o :~~r^~ - " ~ 1~8~'"' ' : ; : ~ . N. D. MILIER, All • . ! l~'.;,'~.j ~.s-' ~ ' c~h? HN~~n offic~r a t~ood woi~t~ 'TO SE I~.~~ . , 4`y ; ~ w ~ 7 ~ ; ;a' 4, i.~= tF ~ , w ~i, 1 ~ ~ - - oc R j~~~'~~3:~~ ' ~ OM~ D~pufr Loc~l Rpistral , ~ CLERK CIRCU • ~ n~ . l~~rr, ~ . i aoQK 187 PACE 304 _ ' ' _ ~.f ~:$s . . . ,