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HomeMy WebLinkAbout1158 ~ ~ - ~-~`~:~.lii CERTIFICATE OF DEATH ~~tp~Awrw1 e~ ~~11~ and ~2~~IuI{bll~t $e~Ite~ lTAT< RIL[ NO. ~:xw ~u: ~i ni F L O R I D A ir~t. O~ 1l.„t IN ~~~~~0 RldifT1~AA•• NO. 7~ ?~~MANINI INK ~GlwSEO-M~M[ ~~~p ~1 ~~1t SlE Il4WIOYl f0~ SEl( OATE OEAM IMOMiM~ n~~~ ws~a~s , . . - , ~ FF'ARUA.RY 9, 19?A . uCt .••n. w~Oq. uM~K~M x~Wr, AGI-u~t I ~.w~~ u..w~ ~ e.. O~TE W WM ~ra+~w. wr. C01~~+tY Or OtwTH ~ ~ C o7 ~K. ~ wcr. , a~n.~.• ~ q.n ~ ~O?. rq wwf ~ ' V , ^ ~ 1'...~1::+ ~N v_1 _ N 1~ • '.V ~ ^ t~ : ttl~, TO~. O~ lO~wt AM ~ w?N C~n ,~n MpShTw~ OR OTnE~ NSi - om wrv ~wru ~ wcu. o~ .w ' Y1..~.:~'^, . li. .r. _~i.:l 1•~SN7"'"i. St~tE 01 WM ~ w wot w v.~ ~,.u~ Ut~2E~l d ww~i C01M+T~r MAI1tK0, HEV[! MWIAEO.• SUfY1VNfl S~OU3E ~r ~w, ~M r~w« w~ry ~ cowM~ ~ Wi00wE0. WMOIKlC ~ wcn ~ yfuu mwwc~ ~ ^ . ~ . _ . ~ 1i . . . ~-i • IL ~ r~u Mc~•w• ...i i:.~~-_ _ .~.i_..t.. w r N.a. SOfw SEtuailf Ml+r~E¦ YSUwI OCCWwiiO?+ ~ o~~ a..~ a.ou oa.~ wM..o +ou a KwG Oi k1SwES3 OR w+DUSt~11 xcwwe w ~orr.o ua. m.. ~ u+..~o ~ i ~ s1nrWWu.On1 ,r.. " 1~ 1~ .tt.'.~~r u~.o~ru wwr `••,.•r wuNf twr ~~m •3TlE NU •~a~ iESWENCE-St~t COUnt1l ' Gr. tOWN. O~ IOC~iIOp ~ 1 WCM~ T~{ M MO ~ 1y - 14 - I4 1~~ IN' _ C Mir+E~-p~w~E . na~ .~ow~ wr ?~WtNE!-~urOEr~ ?+NwE rw~ r~a~ uw ~s - u - - .,i. ~~MOiww*-w~M! ~~1w6 ~?OO~tSt ~fn~n w~.r.s. w. cm o~ a.«. ~r.n. ir~ ii.-::i. 7:i-.s.~r_-vni.la'_-1 it~ ~ ~l.~U:~ U. .:vt: i• 't 1 ~i.:. i:.s ~ , , ' , . : ~ . . ' - - IA~1 L ~ - - .n~ ur. ~r • ; OEAM WAS CAUSEO (ENT(~ W~KI O~ GwIK[ I[R /M~ /6! ~j, (Lj~ ~W 1~~-- - . . - - - ~~rv.~ir. OMft1 ~W Ofatw - ~ N w c.rs~ ; u~e a ta 'rc~~a ~ ~n~I'~ ~ ~iL a ~ ~ i . • ~ ~wwC~r~O•! ntl W (~i • r/Grtcsc ~er-o ~~'c ~Carf' ~~secis~ ~ /'S ~..~o..n c•~s~ ~m, ~ ~w +o. w .s . co+auw..ct a ' . l~~l~NO ~w~ YM~~~- ~ ~~IMO C~Y~i L~LI , • 1 ~w~i r OTME~ SIGN~IKwI1T COt~W1t10NS co-a~nowf co..~wur..w ~o a.n. ~.n ..o~ ~ew~~ to t~vw oMr w r.ar ~ r~ wYtO?S~ ~ rE5 III~D~MOS COM- IMf Mq~lO 1w Wfl~~1+wOUVM M ~I~1M It~ ~O IM ~ ?~.~eM~t ~CGWE~~- AT(~T-- ~.a+~w, p.~, ~u~ ~ MOW INlil~t OCCUttEO wry~ p ~wvu n~ ru~ ~ w ru~ n. Mr ~ ~ nOrK~Ot~ O~ I~D[T[4~WE0 - . F ~ Iw }I~ M 7M ~ ~ I~+IU~~ wt WO~R RnCE Of INNJ~t.~ .or...~., srr~~, ..nu.. IOCwT~On ~~ntn w~.~.~. .w., t.~r w ro.n~, w~n ~ . Me4n tia w w0 ~ oA~4 Nw ~ fnc1n ~ F ~ ~ ~ ~ CEtt~fK~-TqN- .a.*r w. .w l .a.*~ o.. ~.~o usr u.+ w~iwN u.+~ o.. ~ w/ao .a~ ar OEATN OCCYI~lO nu wt~. o.~ ~w ?Ml{I(1/~M: / TO ~ ~~A1 Y~ t~Y WO~ Y/I:M~A1. IMON~~ ~A O~q. ~M. q AY Mlt ~ ~R1~.0~~ ~H t.^ J" p rr ~wo~nloG. ON j Zl~ WU•f~Y ~M~ ~H? ~ 7~ ~ Q O IU lb~~ r~ ~o ny cws~n~ ~uqo. CEit~fK/~iqa-MEWCwt EAwMIr+E~ O~ COaONER a+ rwe ~.a~s a n.~ a x.n. tM~ MC~MM ~~f ~W~OY~~O MM s" fu~~+~f.p.. p Iwi q0~ ~~+0/W M~n/ft~W~Dw. ~~a rr W+~W+. rOMM Mt w0 ?O ~ B Pf•w. ot[uYlD W~Y YR ~rM ~u~ b M 4vY+f~ St~qC I7~ ~ K')7? ~ ~ ~ M. tM TMIf~-/-~ ~irRGZ.~s~ ~O SS . ~ ~ w uRE ~ ~tc e w~• ~ ~ E ~ . o• :•w~ ' .~X Ik ~ ~ ~ ~ rtd.K ~~EtT~E • . ! . u~.r.o .a. (~tiy a wr.. t~r- J71 ~ G.l.~./'!~ SAO ~ C~/~ I l ~ ri . ~un,u. C.tEratqN. ~EMpv~u E~r C~EwutO~r-ww~wE ?OGhON un a a... sur~ ~ ~ wurr . • 7N .~.~:1Jfa'u N~ ~~1~::v....'.~i~ ~:L~.J ~PL~IIl ......•1~+i. i`1J?."(111:~ pwTE ~.o-n¦. •w~ fUr~EULL MWwf-?+~Mf ~ua0 ~DOitfii ~ w~~tt a~.~.~~.o., t~~o~ w~r.~ ~r•~~, n~ 1„ - - i ~ .<a.i,~ ~ 1 ts~ - i' - : vv J. 1..1 b v. i v..i 1'y...:l..:. ~ . _ ~ : lial ~ 1_.. ~lCtrvtO ?OC~t eEOifiW ~ r. 5. ~612 rwff.u aecCroe-srG?+~~ . aG+s va-swN~rwt Ii~v.2970 TA.~C ~~:'~/'1 l. ~Ci<"c.i.L~ fM~~hT'13r3T`~7 U j 8 ~ . ~ F~~O AND RECOR~~D~ ` ~ heroby aYrify ?hI: fo b. ~ m,e s~d cotrect copy of the ~.oc.iST. LUCIE COUNTY. FLA. ' Regisnds rxord on file in ths St. lucie Counry H.aith Oapart- }~c !:(1RD VERIF!f~D ~ f110fl~ ~t FOf~ P1OfCf~ F~Ofldi. ~ ~r y~:R3 ~`~i, f . . , ~ 991 1. ~ .~t'~ ';~,#c.~l~l~;,.' , _ ~ (Wsmir.g: Not vaiid unleu roised seal of the St. tucb • ` • °i• _ ~ Counry Fkalth Oepartment is ~ffixed.) ~ ~~0 SEP 30 PM 1'~ r~• ~ a ~ f.;•"i~~'`~ ~ ~ N. D. MIItER, M. D. '~~c C 4 f , ~ ~',~r= ' ~ County Fiealth Officer d~ lou) Registrar EiO~~ ~iT •x.'-~~:1...•, ~f~~~1 ~ ~ " c~EaK c~RCU~~ q ~ ~r ~.~t~,-~;; . ~ ~ , MYr~L~~ ~ ' 4~~~? _ ~ ' _ x~ Ra ' pit~ Dsput~r Loca) Reg;strar , ~ •,.~f : ~ `'x~'"~ • 1 y ' p ~Q 'i~~`!-:~~~~~~`1 0 R ~O~ GE~1i.X7 : . ~ ~ . 600K PA i _ . _ - - -:.j,- _~~r Y 3_ - t . ~K',_,~: ~ . .