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HomeMy WebLinkAbout0317 ~ vr~ ~u. ~r - -'_`~V~~~ i~ . Gc~Tlir.... E OF DE~,. e-1 o~p..aK.~ .1 tk.~~ ..d R~L.b~l~~.n.~ S~..ke. F L O$ I D A srwTS R~LS i+a ' 1~'LSION Of 11FAL711 1~"?E, O~ ~tlNt IN ~~~~~~0 pt(i1~T11A11•f NO. tilMAMtN1 IMK ~_N~ nes~ rrae us? SE1 OATE OF QEA ~ roMtr. ~?r, nu ~ SfE IMr100[ f0~ "~i0's ~ *larie . Ar ust re t fec:ial ~ cember RwCE ..m. ne~w. urucu~ wwN. wGE-wr ' wee. ~ n.e ww. ~ oAtE a MRR~ ~raw~. COIMt11 Of OEwiM . white ~ ~ ,•W" ~n ~ ~ ~A r il 2 1 0 . Mar t in CrtY, TOw~~. OR IOGi~Oa wiN w.s~w cn uwq MO6MU? Ot OM~ NS ~r ua r aa.a. a.e ~n u~ wrw ~ . ~rec~ ns o~ wo n Stuar~ es ~.*lartin htemorial Hos ital STAtE Of M~iM ~ r wor w~ ~.s-~•• ~ur Uf1iW Of MnMt 001JMi~1f MN~IED. HEVE! MA~AEO. SUw1rNG SI'01lSf ~r rw. o~w wraw w~e ~ ~~V~~ ~f~~ ~ Penns lvania U.S.A. w. marrie~d It~illiam D. Moore ~ ..eu ~eo~~eo u.eo. r w~r SOCW SEC11tlIV MMyE~ tISUAI OCQMATqN ~on~ cw a ~oa w.y wua .wr w R~O Of M/SNESS O~ MOIISiRr occwt~ r~ ~wawo ue, aew r rrs ~ :;;,«."~'.c. : 0 0-10-1202 ~,..Re istered Nurse ~s~~tartin trlemorial Hos~ital •e.iasa.~. fESIDENCE-S/AtE COIMRY O11f. TOMM. O! 1OG110M Ms~e an wn STIEET AND ~sncn m w w ~«Florida ~•St. Lu~ie ~kPort St. Lucie no ~w Altura Street fAiMER-NiM~E rNte rowe ust MOT11Et-MADEN NAME t~N nwu uw ~s ~Jilliam Ar ust k. Barbara Mahad 1, IMNOWArR-NiM~E Au?AwG ADOIiESS ~swen o~ u~. ro., c+n o~ w~.u. wu. nr~ i ,h ~~illiam D. bioore ,~7 7 Altura St. Port St. Zucie Florida r~utr oEwM wws uu1sED ~r: (prrE~ ouar a+E uuaE r[at ur+E ra~ IoR AL ~ kA " . NMM OwYt w N~r. N. , . 1~1 ~ ~ coMNr~o~s, •.n, • - ~M~tw o~~e nu q 1?1 ' irYM~4 C~~H /a~. NM p. O~: ' / i , {tAT/N0 tw! YN~H- ~ lnMO C~YM tnit /~~j~ ~ ~ ~t~ C~-Y.~C~~L.~J , ?ART TNEt S~G+~i1CMtt CONOtI10qS: coMewws ws wr ww ~eu~a~ w u~ne a.Er r.n ~ ~u wYTOKt If ~ES nrNrss co-. ~ I ~ ~ ~~es w Mo~ a~t~u w Nne.i~ra cws~ ' f pw6~ ~ w.ri0 ~w wr~ MOrK~OE, OR 1ROEiNrINEp ~•a• w~ ~ MOW IMlUt1 OCCUflED ~ ewen w~l Or w~win a. ru~ ~ M rur K ep~ ~ I . ~ f1i- fk. M. 7M. ; 1llAl[I AT M~pK ~lA[E Of N1Ut1 •t w+e. ~~r. snn, r.c+otr. IOCAl10N ~ snen w u.~. .w., an o~ roww, su~e ~ 9 1 ~NOA ~!S O~ NOI OAKf O~O.. [R. 1 YKM~ 1 ~ CE~f~iCAibN- ~OMM M~ t~Y ~WN M7 ~W ~MO uft L~+'w~/MN un! OM 1 M/Mia~lr 1q OEA111 OKIM~lO ~t M~UO. Ow IMTfI(IYi: Il iO 11P~111 Mt RY ~0~~ Y~ ~l~R IM17M1 YR. ~N~. A Mt /ts! ~ ~ w~~s ne / ~ 7 7 V ~Z / ~ ~U ~ ~ O~ r~ ~sp~Op~. ~u' ' t~a ~eu•see no. tt?. Ik- 7 ~ tN- IM. *o w~waew wno CHTi1Ci?T~ON-r~lCwl ExAMNER OR COlp+Et: w o~e w.i a ne .ow a ~e.w Mca~en ~~f ?wrowa~ ~w ~ u...~.won a o~e nw iw/w w~ ~.v~s+c•rwN. .n or~.w. /j .a.w w nu ' ww M~IM OOL11~Y OM M! MR w Mt p M G?M!M WRO. ~..~~K M ~ ~ ~j 3~ , M . J CHiWEt-NAME mre w niwn ~acre o~ awr OA i.a~w. ~.r,.w~ - n.. Vlilliam G, tl~ ers H.D. ~i D n.. 12 18 ri`~~~am~`~: ki ers ;•R.D. Br~c~ e~~~oad Ho Sound~ Florida ~ , a~w?tqa. ~trov~u o~ c~ioe+r-wwc ~ouna+ c~. a..o..~ wa ~ Burial H.. Fernhill Cer:ieter S~ a Fl ida ~ DwTE ~ra.m. Mr, .w~ NMEt~I nWrE-N~~wE ~v+D ~OORESS ~ s~ua o~ u.~. ..o., c~ w ro.n., sun. w~ : ~ Dec. 1 1 0 k cock Fune al H me 0 So Fed.Hcv~ . Stuart Fla. ~ v• S. ~614 f - -SiG~+~ wt~ nto ~t ?otw? ~[c~srut @ A~v.1970 ~ P'~~ fY. -t C . # . - - . ~ - . . • , ~ . , fILED AMD RECOII Eo t h~nb~r ahif~? ~hh tr 6~ ~ trv~ ~?o oornu aop~? of t1w bca~ ~ iT, IUCIE COUMTY ~LA. ~plstr.~t noK1 ~n fii~ in p» M~AM Coue?ry NNhh D~puf- . ~ , ~~~l~ll~~~~A~~~i J ~ 2 ROCER P81TRAS at 3tuut. Hori~a. CLERK CIACUIT ~ OU RECORD VERI/I~0 (W~n+iry~ N~t v~tN urs4tt rais~d s~at of tFw Mutfn ~ ~ , ~i~~'~3 `,:''L~•.~/ . ~ • Gunt~? flWlth OManm~nt b ~ffix~ . ~ _ A~ V2~yy • . ^ ~ . 4~ O~c 19 ~ i0 44 ~M ~0 ~ • i ~ ~ Y~ ~`~F~~ ~ `I ~ . - . ~ . ~ : O ` ~ N. D. MttifR. M. D. ~ ;',t: w'y ~j q _ ~ . . • ~ Cwnty M~altb Offiar i Locrl Rplqr~ ;rR;~ ~ o~~'~'~' ~ ; - 2a2531 R . " ' - ~ - ~ . ~''n~,.,, ~S. . pat~ ~y ~v ~ . . ~J r t~ . ~ ~ ; , f . , ~ . . ~//i~il?~l~' ~ ' 80GM,189 ~~E 317 - - ' . _ ~ N ' : - . = _ .