Loading...
HomeMy WebLinkAbout1905 ~ - " 1~~~ ~O zn~. De- ~TATt ~o~wo or Mu~n~ CERTI: 1CA; E O~ DEATH co~es ~ ¦VAUY OR VITAL fYAT1~TIC~ iTA7[ /!LC NO. FLOBIDA 559 'ord •Aen B~RTM NO REG16TR4q•S NO. p~Opl~1~ 2. Yi{iAl 11[f10CMC[(~~wU.rryM~l /I~VM/W~' R~J~WMr~~~/~ww) •i~trt~• 1. ?u1t[ OI O~/1TN ~GODE qNO. •e~ •111 CW~~T 00-~CS S7~T[ C01lwTY T . ~t. Lucie Florida St. Lucie lq S. CIi~. TOMM.OII lOC~7qM t. iS ~.~CC Gi' 'vE4TM ~ f. C~: Y. SOiA'N.O~ tOiATqN t. IS 11[S~D(wC[ ~~p~A~ {AS~Di T llY.:ji IMi. CITY \~~t111 Ft. Pierce ! Ft, Pierce yF~t, r,1.. tics:.. , ! Of (!J ~N i~ ~y.fd. /w ~h[N d~r~ql ~ STAECT ~pp~ESS wOS~~T~I O~I 1 ' us*.*~*~ Ft. Pierce Mem. Hosp. ~ 506 Azalea Ave. ~-a~ ~~~rc e~ si.r af.:ste L.u ~ aTC Ma.u U.~ Yr~. el~r'twpiM) . CORA :i. BA~TLOW a,,,,,Dece.-nber 1~, 1969 S StX ~ OOIOA W IUtt I«w~1t~iD NfYCA Md~A~EO~ • DwTE Oi ~~NTw ~ ~6E il~ if~~1 ~ ~~Dt~ t~U~ u;,~ i4a 2~ ~.K ^Sept. 1, 1888 `~Yy~il o... , N.... N... ~ r r t s• F Cau rinwwta,_^_j oivcr+.m~~ t ~ G y 1~1~) y ~a. usw~ «cw.T~o« ~cw. ~„~y.«~.... 10p. R~~OC~ ~~S.~ESSu~.wJ.~ST~Y ~ i! i A'wa~~C[ (~7~tr a~~[Nw tN~W~1 It 4tLL[w Oi ~~wT Cp~wi~Y~ ~,y •1t• y~~- Iryr. n'y b4.tu~1/rNVNI c,: ....a~ ndm~ ~fa7~~r Own Ho: e ~ E2:nhurst, Pa. USA ~ ?latt lw! (ATMU S IIaY( 1{. w.?T~1[~I'S Y~~p[q 1a~N[ •r ~,,..r,:.. Eu ene Maddox Bianca Barclay ~i sOCU? sctu~~Tr ra I) wr wr~r •~~Ckw~rwt ~aa./... / None ~,c~ ~ C'~.? ~C-~/`"lv ~ C~ C ~'t.~.-[%~v (~~C'~''~ ~ Yun~~~l 1~. iA1/K O/ O[ATN I~N ~w~ ~~tqNt p~r b~r f•• i~7. ~~d. +r~,~ty.. !nT[AYM iIT'Ai[!` • Q1?~[{O! 1/Af1.O(~TMN~SCAUS(O~r: W1$(TAhO,(~TN .o~a t11• ~rM[OU1T[ Ci41X _ --[~~1.~C f- ~ ee• e~i- - , ~ ~ u. Ces/Mi~w~. r/~~t. py[ TO (?1 _ 'C.yC E ~r-~c.~y~~C4--~-~-~~- - -l~ f AMA /Yt 1u~ ' ' 1 • t ~ 1 ~1esf [~~at (~1. - r~Rt~tl~t Nv~~I Mt r~4r- " . • J~ • ~ ~ _ t~~,~ nrn tur. ~~otN`G~~i_~_G~_-7'-~-ty ~L~l:"~/L ~CGt~! F_~".~% nou~~~~ ?~t u o*~c~ s~cwr~wi ta.niows cownu?rt~wc ro oc.T.. Aii /wT MlJ1iJ IO iK Ti~~1•~Y GS41( CO~OIf~W GMF M?M~ w?s ~~tcasr ~ ICkFOnMiD~ e~+aw ~ ~ . or ?~f~r• ~ 11`r.~.~ ~[SU W~d" •~k?s~ .w~ ~~tuo~wr w~uot no.,K,p~ ~ ax~+K w,w .wJu:i~ OCCeAFCD ;b'.ra ~~rw. y~~~r.~ i. P..r f r Pr~ t! yr~. r~.! a~.~~.t- o`c •t v ~ ? ? I ~ ~ p[ TIY( I(NI NM/~. /H~. )~fM ' t„r 1111u11• A. ' n I- Y = IOr ~w~wr oeeu~uo tor ruee os ~wu~r ~e o.~+ e. +•.o~r to.u. ~p/ C~TY. TOwM. pll lOU1Tqw tou~rr st~Tt WM~L[AT r'1 hQTwNK[ ~ ti~A.~[KI.L~ttf.4f,:ft~ilOf..ft~.r M011K L~ ~T MO~K 21 1~ftend~d fM d~e~~~~d hom _ieE~. f' . ro '~G~_GT_ ~pd /Yt 4~+ •l:.• on O~~IA occuirM ~f _ m on th~ d~t~ u~feJ.Do.~. ~nd ~o tA. A~~t o/ mY ~~rl~dj~. /rom cA. uu~~s at~ud ?il 1t~u 22i t TY11 (IX~rtN!'?:f. .2L• •G:.p[SS •r• t• 1• ~ ?I.t. p~Ti SwAGD . . ~ ~ T O1 N. 6th S~ . e~~ 1~t• ~ L-~ .t72, ' ~ C•:.-~~. ~ l.'nr~- ~i~r ~ ^i 1 ~?J liEC. ~6~ .eerr~t~. • 23. ~aui.e~er.no. ~ ~ r- 2b WrE Il n~~i G~."EvcriAr i.w c.....a7~ar 23I :OC~Tqe ~Cr?.:w~~. a scr+cryi iSt«~ A! rC~~l t ~ ~'rt~/t1 emava~. 12-16-69 ~y i El:r::.urs ~~:e: :oriaZ Pk : Lackawanna Co . Pa . Y.3.1012 2~'~,i.j~~iaAC a~ss- ~~ss~. 7t'1 St T~ ~ - /j . • . ~ 25 ~~c~ ar .GCAI ~[G . G~STR~II'S S~GMATu~[ i 0.~r.1060 7~ ~.-.;,~i ~1~-~`•Ft.Pierce F~a.~T:~cu:~~~ ~6, 1969 ~..sf~x.~ ~-/l : ~ herebY cs~'?ffY this to bs • true ~nd aomect coPY of tF~ toca! ; Reyim~r's record on file in the St. Lucl~ County Hr~hh ps,~ n~nt at Fort Piene, Florida. ` , (Wsrnlrp: Not valid unless raiscd seol of the St. Luclo - - ~ Counry H~atth Department is affixcd.) • - . ~ ~ N. D. MIItER, M, D, r - ~ . ~ Counry Health Officer 3~ Lpr.~l Ropisttar ~ . r. -'t; ~i~t.~./3_ /9~a ~ ~ ' \ ' L.~~ ~ ' . r~~; DrN ~ ' ~ ` ? Daputy Loe'.~1 Registrar e-~, e~v4r''' , t • . ' " • . . . • i . . . . • . ' ~ ~ ' ~ . ; ; f{LED AND RECORDEO cT. L"JC:[ t+': ' • . . r 1~~f i;'~O +1 I 3 l~M I J: 01 ~x~ • ~ :s CI_ERK C{RCU1T COURT i i 3 i ~ BooK 187 r~,~E 1~a5 ' ~ : K~Y.~.:~~ - , . . . ' _ ' . {sµ'.,.