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Home My WebLink About0016 fIL~p AMD E - - ~ ~•'I~UCIE CQ . ~ ~j . 2G2332 K.E R~ ~ ~~~t~~~ _ 2G2332 ~ ~ 6 CERTlr= tCr :T~ OF DEATH p ~ ~ iTA7C Fil[ NO. . F L O R I D A • REGISfRAR'S_ NO. BIRTM NO. y 1. PLACE OF DEATH ~ co~E n~. L USUAL RESI~ENGE ~w~.•a.~....a u*.b tt ~.w~~c~..: n•w~. n~r.t. ~ counn ; srw~ r. couNn St. Lucie ' Fla St. Lucie _ s. cin ~u a.s•~w w.u.. ~r:t+ YC8a1-~ ' c_ iEN6r~ oF G c~n iu «~.w .~.o..~ u.,~.. Riu RL'R~L~ ~ OR ~ STAY iu w, wn~ Ot ' J 4 70WH Aur'al ~`t ~ierce i lit y1'?"S TOWN Rt~'al - Ft. Pie2'ce _ ^ ~ d_ W LL NAME OF cu ~.a r M~tN ~r ~.wiatati s:s. ww~: w:1c..? ec 1x.::ao> , d. STtEET ~tt nr.?. s~•• rruM.l lA i HOS?{TAIOI AD04ESS " !i IASTITtiT10N aPS1[~PT1l!P ' Rt]7' 1 S~.Ii S- ~l - . ~ ANl. ME OF a(Flnt1 b. (Y'ti:die) a(La~ti ~ i. DATE (1loati) (D!7) lYear) ~ ~ DECEASED 1 - ~~-~~'ici_:~^ i 6St.~ ~ DEAiH ~J11~ I6 1I70 - w~ (tyw M Priwt) , S. Sp( L. CALOt Ol ~/?CF 7. W1AtiED. NEVcR lAARQIED, l. DATE Of ~lITH 1. A6E ~t¦ n~n ~•~a~ ~~t~~ . u r~~~~ ' ~ WIOOWE~, DIYOiCFD ~~y.c:.7; +..i ~nea.si ~~twa~ ~ Dan Hwn i~[u. d~ ~ale lYhite warried ! n ril 26 1875 ~ ?S' .'J. y :~10a. IiSUAIOCCUMT10W~pt» tW d sarai~Ob• KIND OF ~USINESS OR Iti- 11. tIRiHPiJ1CE ~eat~ ~r f.r.ts~ aoawrrt IL CITIZEN OFWFIAT L' ^J- lA ~i mw d+r.z t~t ~l ~tl~t Ltw wa I[ nW WI DUS?RY ; COUNSRY) 6 Const En~ineer l Euile~ r~ + Os~Y:at~er S1Reden i 2~at. S. ~ 17. FATHER'S NAl~IE [t MOiliEt'S MAIOfN. N~?ME a4; ~ ' y ~ ~ Ancers A ?ies+in '_fTnastir_e ~-•araon (;IS_ WAS OECrcwSED~YERIN U. S_JUWED FOxCES? soc~w~ sECU~t-r , n. u+FOawHrs sisw?n?~ ~elborg C. t'Festin , a M ~ ir.~ .n. .~,se...~ Ilt 7M. i1a sar ~t rW d wnb) I NO. , ADDtE55 - ~ ,in ~ ?-..T,A ~t_ Pierce~ ~l~- F~~ pF p~~ ldFsD:CAL CERTIFICATION IINTE1lYAi YLiWELV ~ u ~ F.ater onbc ooa cwse OISEASE O! CAId~iTlO!1 ~ ~ oMSCr wNO orwTN ~ xr 3ix tor DIQFGTIY LEADtN6 TO DEAili•~~~ e i 2~'S ~ Y .a aud le) ~ ~ = ~ '3 : /?NTECFD6HT GUSES ~ •72is dos~ a~t seaa. . D{3E i0 {b` ' i^ ; O ' YorLid to~.'itEoai. i! ta7. tir::sp . ; th~ r_ede ~1 a1i~D.I ~ • n ~~d aa Leert lai:we..riat W W aEoe~ oas.r~ ftI ata:- i ~ c~tA~.ia. aa /2 ~ua~a'u~y tJY~ rad~r+ri+ay caa~s L:~ D:: E TO (c) ~ C ~ ^ ~ tJC d:ata+~ uajTUY. M~ - . . ~ ~ co.y:iocti~s ~~i~A'11.0iHFi516NIFiCn.\TCO?:~'.'•?Oti5 ~ - _ cawcrS deatA. Coaditioaw avavi6r::a~ to tE~ irc:~ L_: a:! ~ ~ ~ ' . 3 rtfat~d !e tks 2i~eese e? e.. :i•: ~ r•~•-_;7 "'tF ~ C ~ Ha DAie OF O?c]A-,Nb. MAJOR Fi1?DiN65 Of OPiwAT1uN ` 20. AY70KT7 ~ ~ ~ na+~ I ? ~ ~ ' . YEf NO M !~~l l~~yvl l8i~dts) ~ 21b. ?U?CE OF fli:Ui' i:_:. 's ~s sDxt ; 2.c. ICITY O~ TOWN I~UNTY) (STATEI ~ 21a. weetocrT ~ M~4 ~~ea. tac'ocs. x.-se:. a~a D:9:-. «e.? ; u ewl waM sL'~Id sutctot ~ ~ ~ ~ NO 1 IpL ~ 21d TOf U[sW) 1D~71 ~irr> (Srs~ i 21~. IWl:2Y OC.C~:~-c=D 2. HOW D{D INJUtr OCCYti w ~Ytli~: 71~Sie:_f;--7 ; ^ ~ iNJULT ~ ~ raaa ? ar ~c:.c Ll ~ ~ b ~ - s Q 1 Itefeb~/ terti~p !1?at I atte~d¢d tF.e detea~ed ~rom 2G :s 50 , to 19_. tAot / ksl scw t3.e u.•t.n.rd R~ w ai•ve on v"1 1/9 5o cr.d lf.at dee.~ o_c:.~r~~ a. ~'~m., {ro~t the tuu+u ar.d on the date atat~d a~~r,r.~. ~ 1' I3a. SIGNATURE /Lrs:aY w ritie) '3~b- AD~RESS ' ~23e DATESI6>icD S ` ~ ~ ^t. Pierce Fla. ' ?/lc/5~ ~n ~ :~i.ch~ F. Sinnott 1 ~ o~ yV;{A~, ~Ey(/~.=~, p~?iE :2;c. MYE OF CELlc.~.AY OR GiEMATOtY ~2W. LOCATION (CitJ, co.a or eounts) iSuu) N yTl0tl,tFNOYAL~d~ r -•L ~~c••C~ r'ti. Pierce F~a• ~ ~ # i'+'uY1oi 7 2v-70 • ~ ~OATE RECD LY LOCwI tE615itAlY SiBNANR~ ~ ~S. WtZE~?L GtRFCTOI'S S16NATURE ADDIESS • ~ ~ ; V e~ Q l~ „a• r 1 1• v. 'E< ~ ~ 1~Y ~~Y thtt ro be a true erd ao~soct copy cf tFss Lo:~l - ~ Registr~ds reoord on file in ths St. Lucio County Hcshh 0.~~.rt~ ~4~ti.''= " msatt at Fort Pieroe. Fbrid~. ~ - ' ~ (Wunug: Not valid unleu raised seai of tha St. Luc:o . . y'~~°~.: ~-e.~`~`'`' i. County Fledth D~partmutt is affixed.) .%ts . ~ ~v~ r i ~ 4 ~ ~ - _ ~w.~~`~ = N. D. MILLER, M D. .i '~-..~:-~~~4.~-~`',: ~ ' County Hca(th Officor d~ Loc:! R~isrru _f • ~ . . ~~i• ~~j-~~•7~t,`il ~ _ .~,t' t'~ ~ t ~ ~ ~ ~ ~ ~OC~~ ~INtII~ s ~ ~ . ~ . r ~ ' ~ ot~GK ~C7c7 PACE ~s ~ - ~ - • - ~ . . _ - - a~~'~. .