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HomeMy WebLinkAbout2890 e.- n~TC ~OARD w MuLTM CERTIFICATE OF DEATH Z? ~wt~ F~LC No. co~es • ¦URC4Y OF Y/TAL ~~C~.,~~ teR~l ree- '~h FLOHIDA ord ¦~en SIRTN NO~ ~'h•~ REGI~TIIAR•i NO. Z O ~ r o p ~ ~ 1~ ~ GOD[ NO. 2. YW Al KMO[NC[ t~M.~ M'r~ M~ l/.www ~ br.w Ww ww.~.) .seculaa ~u Of ~A~N a STATE CQUMTr .~a .~11 •"01NTY SL. Lucie 25 Florida St. Lucie D• y1~t~~ K RESiDfhCE 1 n p~~- A. C~Tr. TOMM. M IOC~T~O~+ r. K K~C[ O~ OE~TM c. CITY. TWrM.OA IOC~T~OM I~SfOE lWIT51 INSIp( QT~' UYITSt ~~e~rt }~~pierce ~ES~ MO? ~E='Ca YESr f~l~• N~Yf (li ~l/Nl h M~~ff~f. /+t MrtN ~4n~1 5T11EET ~DOiI[SS 1q5?~T~l Ow ~ WSTITUTIOM Easter Nanor Convaleacent 407 South 16th. Strect ~ 3 wwrt e? I1rd Miflte l.~t a aTC AI~.+a q~ Yrs. SAH DANIEL WIGGINS June 7, 1967 S s[x i CO?O~ O~ n~tE 7 r~~~~0 N[KA MA~AI[O ?~~T[ Of M~TM f a6E Il~ K~r~ s u~o[~' rw uwoca ia w~s. ril 6 1888 ~~~"~n~ r..~.. a... w.... r.,. i. j~( rnoowco avwccn P s p 1~ 1 w I) 10~ USU~I OCCW4TION ([7Ne f{~/ ~J ~M\ N~t 1~. RIMD Oi ~YS~MESS OA ~MDUS?AY 11. wr~K~ (9~te r/Mrya ew+nrl 1 C1i1iE11 O~ twf 001Fr~~~ .st~ ~•r- I..fy~wf~/wlfybk.nr.IJrefvdl •~w~wt Kerchant Mena Clothi.z Thamson Geor ia U.S.A. ?I~et /wt 1~. i~7M[IfS w~WE 1~. ~OTI~EU'S ~~~DEM MnrE i~1.T. Wi ' s f}nma Vir s Daniels li SOCYI StC1M~Tt NO 17. i N~MATY~[ A/6w . bg_26-pq36 Li111e r. Wi s 40? So. i8th. St. Ft.Pierce,Fla. ~l ewus~ ~s w~n~ ?slw...t~ ..r eaw ~e. t..r /r a). e~)...~ lo.) ~Mru,~l ~ETrrcc~ ?un~r~l D[ATN a~ e~~ r '•'t' °u'~"'""s cwxo w: Cerebral VaaCU1sT Accident . a rf i. wrcou?~[ uwx c.1 ! ce• e•r- «r~~.~. ~ t, Arterio Sclerosis ' .~ce c~• o~ic~ ~w .u~ u ~ ~ l• c• l ~Dwt cwt ti1. ahtiiy t~t t~/n- ~ r~ s 1 s t r~ r flnl nw~r Irt. DIK 70 (t) •ftt11• T7 . M~SAUTOIS~ ! O ~ART 11. OT~N 514itMf OO~ITO6 COiRMY~wi 10 DUTw ~1/t M6T IIQAI[C 70 M TEIt~NMI Mf117[ tOlYTIOM GNG 1~ MRt 1(~) /ERfORYEDt • ao~r• •f- F ! c~r d~~t~ ~ ~fES? MO~ s o r O~fer• mp o[SC~yt MOw w~wr oCC~Mn[o (Atn ~~nv~ yh/s.t h Pwt I r P~rt I/ yYr~ ~ •~tf~s •w~ ~ ACCrDCMT SUIC~DE MOrC10t ~f~o~~f- r~ ~ ? ~ ~ tl~~ •t v r IOr Tw[ o~ Hwr A/rN. Dq. Ye~r R ?~e~. ~ ruu~r s p S y ~ i 20/ MJUw~ OCCUMlED ~r ~ut[ o~ wu~~ te. a r~nwt a~~s. 7D/ Crtr. To~r~. o~ lou~~ oouMtr sT~TE ~ r~kt ~T ~ sor wnat ~ M~. hcp?~. ~t.~d. ~tt~ ety.. ~r.) ~ \1011K A~ rOAK ~ 1~tr~nA~I eM I~ow~sd /roe~ . fo ~nd !ut w~ a/i?~ on DwtA oeeurnd ~t 1 15 A•~a• m en fM d~f~ ~t~t~d ~bo.~: ~nd le tM lert d ml k~~~N• liom tA~ uuHa ~t~t~d. ~ •71 it~~s 11[. D+TESKMED ~ MaMAri~[ (LM/nr r tY41 ~ 6-~ k -67 ~ a M.F. lafatldns,M.D., ~ Ft. Pier:~e, Fla. ~ .eerr~t~. 2]~ ~ww. C~a~na. Z7! o~tE 2Ir ~urt o~ ar[T[~r o~ C~tr~TO+~r Z!/. WuTOM (GYI. twrs. r na~yT (3~r~r h'rens(Jefferson Co. ) Ga. P.emov~"`~ Jwne 8 1967 Krena Cenete ~ P.3.+o12 2~ NN[~Al Ow'SSIGUT{NIE' J~• Str• ?S WTEIUCD.~YLOCAl11EG. ~.REGKTIIAII-SSKK~TURE ~ A...,ose Ro er L. Ft.Pierce,Fla. b-21-b7 Anna Lee ~enison, d.r. ~ ~ z~:; - - _ - - - _y - ~ ~ k* ,~,1'' ~ ` ~ f j ~I~ /!I/~~/~~' ? " .`~~~ti ~~~~~s.~::,a+'- : ~E AN R~ ri :~p th$C1t~ be ~ MJe and tOrre[f tOpy Of the Locsl sT. ~`y ~~~(pi~ 1il~~~n"tfie St. lucit County Fi~ahh DsPi~ ~EI1 ~Ot ~ ~ ~IERt CIRCWT~ ~c ' ~ r•~' -(yy~~ No?'v~~! un)ess r~ised ka! of the SL luu~ RECORO rEIU f tEe _ < . ~,,~,t, Oc~ 3Q 10 ao ~t!'1i 4. ~ Q - J.=:"•,;;` .,e-~ ~ ~~~,•'~~_~s~ c~ " N. 0. MILLFR, M. D. ~ ,=,;~+z1 , ~ County Heshfi Offita Z Lout R~pistrar 2C03,51 ' • . , ~ - (p - oZ- ~ - t1t ~ . . . c. _ L~~t~ ti ~--~-i~ ~ p~ peputp loui RpisnK ~j . ~ ~ r-~: ~ so~ i$7 ~1, . t~e4~'`n... _ ,,.',r';t,?=^~~~ . ~ . . . ' • Y~,. ~~'4~: . . ~ ~ , _ _ . . . : ~ _ -_"~'Y:'l_'-`~`.>*~~