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~~?~S~o ~ v~4 c i ,u:_,~ ~ 1 ~~3n~g ~ d ~ e•- ~T~Ti .ow~o o~ Nw.rn CERTlFlCATE OF DEATM • ¦usa?v o? rnwt nwn~e~ rrwta Mu tw. 1eR~) t~~- FbOSIDA ord t 7 N. 11t STRAII' NO. 23S :tsp~rl7 1. KACt ~I WTN GOO[ NO. L YWAI Aifl~[MClIIM.~rdIW dirwM...• t~.N.~Nr.M+wi.+1 a~ e u t~• 3~I1Tt Cqqlt .1~, St. Luale 66-025 Flor~da St. Lucie e. 'l.e.~ i„ r•?- t~rr. rowr.ae wai~w e n?ct a a~n~ e. arr. w aa~rp~ e. n ~cs~ot~ct .a...• re~oc n u«~rs~ anroc arv u~ ril.. Pisrae res ~p Pierae ~s ~ wuu w tM w N~~r~t. r+~. r«+.rar) sTKCT ~wrss St. Luole Lve. IakeKOOd Park Ft. P~erae Mem. Hospt. NAM~ ~I I1rM N1/Mf LMf OiTt MwN~ d/ YtM . i`~;.~~;.~ ci~ e x. - ~ d,Y Johnson o~*» May 2. 1969 xx t cao~ w R~a ~«.~~to ~rcvc~ wwKO atc a wTN Kc ~h ~w• • Ma. ~.w u.ae a~s v . 1 a • tCmBle liitlite rtoowco aro~cto NOV~ 3~ ~ Z$9~ r s.~. rww Mr. ~~•~•l ~ N.. uw~l occu~~nos IObr H~ y ur~ Mw IM RMO o~ w~sresspe wa?sr~r !1. w~r~+l~a /a.h w~Mey~ ewM~) . a1M0~ ~r w~N mwAn . . •ta¦ .fr ywuvM.wr~yMMr+f? ~ oo~ee er Pa er Co. Covi ton Va. U.B. ~ ~i..: ~.a ?~n~c~ s ~ws ron~u•~ r~~ocw r~rc . ' John Y. Pough Sr. alga Babor ' ~oc~r xcwx~~ w • u~~ws ~ i~i-24-2~ rlr. G. Foster Johnson Ft, Pierae . Fla. ~ ?r ~ u~ 1 1~ iNl~t M WTM ~?tiM w~b Mf swM r/r i~ • d.j . nrt[~rK ~tTw[q A~ r~ e t~ t ?~AT l Or~~11 !~3 CAY![O we A1q 0~1tM~ • a f I 1• ~~~x ~w~ 1d t.~lL~ i~. e~r. ( t~ t ~ a~ l• AdfIM~~. ll a~. J . 1 b~ ~ oui ,u pl ~ . s • ? .•+w~. e~..~r~ • ro~l~tr~~ ~~+V f~1 •~M- ~ i n i w ~ i ~M+1 n~ar iw. erc ~o c~r 7 ~ w r• • f- ~ /M7 . OOfI Od~i~OO 10 Ou ~Y1 1Rf R R~ 10 M Re~~l 06fAft t011~T0A iAit A MM 1(tl t t~r H~l• ~ • ~ KMp~r[ er y~f~t• v ~y p~ r~ iccaerr w¢ro[ worK 7a~. asurc w~r occ ~co. . MrWr M wrr l~? M/I yr... J1J . ~ o ,..ob.~~ va~. ~!Or i~OI l~He~ I/wl~. Dst. YNr R ,S'.~ ~ i t0/. wJ1M~ OOGYnto ~LAtf OI ~wJfM~ la I.. M r 1w~ MAr. 701. M1r. TpM11. pl tOfJ1i~0U ObvA7Y it~t[ ~ wNKC ~T ~.or wwac Pn~. l~.arr. r.en. Mn Mw., ac.l vCI'O ~ldC ~ K Enst~s~n Art nw `i 1~70~is~i~ ~i ?tr F/ir~da ` Z~ 1Nb I /1~ T~ ! . fe 5"2~09 1MlN/ M~~ ~k?~M O+~e cv w~w ~M /~N at~~«/ ~!e?~: ~M te eM 1wf ~I w~ ~nw1~I/~. l~~a N?~ s~r~w ~t~IN. ' A11 I~~~• ~ ~ ~ ' H ? n. .~o~uxi 5n 69 , lvin Wolkow k, M. D. Fort Pierce, F a. f e ~ tif ~ l~. ~ w~`. ~V~ ~ an Y( p/ UY[t[MI OR fR(YATOAY j~/. ~~Tqll ~Cy . h~~. M tMd/I (~ffl re~Y9tlSsl1'~""'' ~-3-6g Sestland Mem. Park MorriB ~ouat~, N. J. r. 1./ I l! rwtu~ s s~iA~ . ZS. oaR 11cca ~r tAG1L +W. ~/~~~Q~ /y ` Ft. Piarae, P'la. ~ S 1969 ~ar~ , • ; 'F1LE0 AND RECOROED~ ~ ~ hKebfi oxtifY ehb ~o b~ a trw and cornct cbpy oi th~ loca~ ST, LUCIE COUNTY, FLA.~' Repistr~s ncor~d on fik i~ ths St. Luci~ Cou~ty Mwtth Dspa~t R F: C 0~i? V c R 1 F' F i ~ ~ F~~d.. : _ . . 199308 (WWnirq: Not velid unl~u rais~d ~al of th~ St luti~ . - .~i.. ' ~ ~ ` ~ ~ t Co~ty ti~ahh ~put~ is affix~d.~ . ~ ~ - ~,;,:'~'..,~i• ~ S ~ • ~Z : Z 6 ' .,t. . , 'v~,, : , - ~ r° ~ ~ ~ ~ N. D. INiItER, M. 0. ~ - ~ . j ' , • ~ ~ ~ ~ C~r ~14r i LoCal Rplah~r , `:.'-`-p:. . r. ~ Ii 0 i~ R f'Oij'RAS ' ~ . , ~ ~ . , C~ERK CIRCUIT COURT_' , h ~ i ~ F. " , :r i ~ 7 tZY . aP~?h~ t'°Cal fEpil~M' , c.;;..i«..; - r ~ ~ ~ ~ ~ ~ ~ ' ` • . . . ' ~ { U ~ ~U~ ~~~U ! - ~ Boux PAGE ~'~~-t . , ~ ~n"~a.:.3,~-F ,'~a~'.:c~_=: ' . . ..>..~r_~_..~~_,~.~._y~Y?',