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HomeMy WebLinkAbout1192 ~ u~ 1`~:~133 i> e.- ~T~1c ~OApD o~ Nu~TM C-~~~IFICATE OF DEATH • •Y11[AU O~ VITAL fTAT1fTIG~ lTATI i1L[ NO.__ _ FLORIDA ora .n~n BIRYH NO RtG16TAM~3 NO 290 ; rop~tir Z. YtYAI A[110[MC[(RM~I.r~yMAM ~~.w.wr.« R~Jw~.M~~Nn..~w.) e c u t~d ~~u« 0~ ~~4TN COD[ NO. ~p~hTr T 4 •nd •I11 COt~MtY St• Tu~i1e CC~/1.'`n • SiAT( Floricl,a A Ut~ Lu(~rie L U l) c. pt~c~a ~ ~ p~~_ S. C11t. TOMN.O~ IOC~~~ON t 4~UCE Of DUTN G CRV. TOMM,011 IOC~TrON K RES~O[wC[ Ft Pierce ~~+S~DE C1Tr ~IMITS~ ~hS~Of UT? Ur~iS~ r~i.. • ~ resU w~ ~ Pierce i r~s w~_ I. N~r( pi If/ iwl iw MlNfd, pa sireN dlrurl L STRFt7 ~DDMSS ~ . w'p* 4806 Palm Drive ~ 4806 Palm Drive 3 MAY( 0/ il/N .V~QQt LYf D~TE Mo~f\ IN~ }'tO . n~ M a~.?~ OBAL HTFi~M oLMSTEe1D ~•TN June 5. 1969 S 5(II ~ COIOw O~ RACE ~ MA~II:ED ~ hEVCN M~II~~(D? ~ D~7E Cf •III7N ~ l6F (111 pa~! • II~DI~ 11U~ UtiOEAt~ ti1S i c• F t'.elti~ Mnoowco ~ ava~cco AuS. 21 ~ i$92 Irt Dnl,f1~/) ~r.,.?. w.. x.... r., - 1. t n l~ 10~ uSU~i OCCw~T~ow tQik l~~Ie/wri I~~r IOD K~MOOf ~~S~hES50~ uiOUST~Y i l ~IIt1NhAQ ( 9~ff I~ /I/fyl~ f1Y~fr/! 12 anu+ os nut oou~rwrr y~ e- c~rwri~I ~pw~t y r~N~M lik. ew~ 1/ rdvNl A •~n~q{ L7~ VYi V ~/I~~p• •or ,'a ~ATM[A"S 14?Y[ 1• YpTNER'S M~W(M M11M~ s,~_`=`~~ _ ~!G -Dan Ol~astead_ _ . _ _ _ _ _Cho]~e 3hepAr'3 - 1~ lOCUI S(N~~t~ MO 17 IM t NYfY1TYR~ A/Irm..... . . ?0-14-3131 Mrs. Gwendoline Olmstead 4806 Palm Drive Ft. Pierce Fla. F.:r.~?~1 ~ ~VK~IK~TN($~tt~MJ~Mtt~wfOt?l~w~/v1U,~A~,~~~~N.~ FILEO ANO REC~RDEO 'MOhS(TAMDED[ATN ~ 1 r e t t o r ?~AT 1. 0(ATM rA5 CAYS~D \r~ T .~at t?1• ~rrtOUR C~uSE (~l ~~~Qnt ~Q.ax't~tt&CK . S:_. LUGlE C 1NTY F~ S_-Min.- in• e~r_ .._!`j~;{r, ~~t_'~y`.~~i t ~ f 1 c ~ t • C~~/ilin~. i/ a~/. pJ[ 70 ~ ` ¦ ~ ~ a t tn lM t!w? ~Yt ?W N 1 , ~ 1 e r• 1 ~Dwt t~tat li?. S - r.Ststr~r xr~y e4 •~kr- ~ n^ = f~i~y nrit 1W ~ TO 1~1 • - - ~ u~ - - - - • t t^/ n 7! 0 IAIIT 11 O/~[l SKMIf~[Y!i COMOIi~OwS CO~111Nt/iwG t0 OUTM ~{!t Npi RCi~i[D i0 iM[ JiRYlWI pSfASE COMpTKIiI~ WYfM M?Mi 1(~l W?S AUTOISY ~ocr• ?f- .er d~~t• V ?EFf011Yf0~ t.ro~• ~X rrsD w'~ = p. irrw.? ? tDS ocsts~u Mow ~w~u~r octuaeto (F.~u. ¦rr.r ~/~~p.i ~A. I s q) ~"s ••7 ~ I?caa~r wK~oc ~orK~a r ~ f~ . ~ O O O CL~RK CtRCUtT COURT e o s~. 20c T~r[ os NN. AfwN, MI, )'er V uuullr ~w. - - O W = 2O1 MUU~1I OCCU1111[O ~1( KAC[ Of M1WY ~t. ~r N~rt ~aw~, Z(IJ C1T~. 70MM. OR IOC~TqM C01)MTY ST~TE ~ MNIL( AT a 1qT NrNK[ ~ ti~+• ~M~. N~ttf. ~~lt ~IN., N!.) 110AR 11T 11011t1 2t l~t~~nd~JtAed~cwNA/iorn Y1BVSr- to Y1BYC2' _~ndbsta~r h~~/.r~on -21@46,r tA oceurrd ~t ' . R m oe fA~ d~t~ ~t~hd ~bo~s. ~nd to fM 6~st oI m) hnowbd~~, lrom tM uu~~a ~~~ud ?i: 1tl~• ~ y - ~ ~ ~ ~o Gr/~tt ~r /Ytr~ 22. ADO~ESS 7It W7E S~GMiO :'e~pl~t• f ~ ~ County Court House ~~C~~v~f •;cur~Le. 23~ R1Mw. C~lr~Tqw p~TE M~ME OP CIYCT[R~ OR C~( M~TUAY j3( LOCATqN IC~f/. bs'A. K fHt~f~1 ISlYf! iaror4 t ' ~h~ Crema on~ 6-8-69 Palm Beach Mem. Park Boynton Beach, Fla. . 5. ~ e l3 NKMI M~[CfiO11 S S •TVRE ppwCSi ~2S pAi[ 11[CO ~f IACA~ Il[G Tna11'S S~GN WE '.••.,DbS ~~I~IGL? ~!_L~l6i~tCt ;06 S. 4th St June 6, 1969 I hereksy oertify this fo b~ s trus a~d totrect oopy of th~ Loc~i . Registrers record on fila in ihe St. lucie Counry H~aith Depan- , . ma~! at Fwt Pierce. Florid~. , ~ ` . ' . ~'~"i'.~*,~'--- - (VY~rnirp: Not velid unkss raised seal of the St. lucia t~i ,.Y , ..y ~ . County Hsahh D~partrt~?t is ~ffix~d.) ' ~ , ' - ~ ; N. D. MIItER, M. D. 4i' ~';':i~i ' ` ~ ~ + . ~+~D~Y Ith Officet b Loul Rpistr~r ~V.~«; ~ } y . . . / ~~,.~`rr~ - _ ~ ",f' 3 r A ''+~i~~~y ~t - R.~ ~y ' u_~ c~ s . V a.~a~, _ • - Yn~ ~ iiflf.~ w~y k ~ .r ~ l~~ / ' =~r~ t~ } i~~~~ . ~f-! 4~ iY ~ i~~R~' F'~i1 ~ ~ .r.f~ n~3~ ~~R~ 187' ~.~~,f 11y;~ , - - _