The URL can be used to link to this page

Home My WebLink About0397 A~Q ,f ' r Q ANU R ~~~ialOH :r~~~E ~Q~~_ a~~~~~;~~t ~~p ~(~z,,s . ~ ~ ~A.~ . . . ~ :F:C.~, i ~ 0= DEATH o~~..~.~~ .f t:~_: ~ :t .~'~°.':u~:•~ ~ ~ i7AT[ FlLC NO. ~u.•~::~a. F L O.. I~.~ 255 tYti. 02 T:~AT IH ~'"~~~°~~~w RE6IGTRAR•i IiO. ' i:17.::.tC:~T 7hK ~wt ~,ua u~~ ~1 OwTE Of OEwM ~•o+~¦, w~, ~~u~ S:i F:::.::~: Fiii JiCiwSiD-++~wE ~ . ~ ..r-,~„'.~ ~ ~•.1~.~.T~ ~ 1 .7i~t~n ~ (1 ^ :s:.:a;~+s ;:~..L',S ..L•. . I t. .•i~l e • . LCE r..r~. r~o~0. u1aK~w wr.L wuF-..~+ •~•a '.~t~ ~ a.~ Dw7E Of WM ~~a~4 w. COHllit Of OEATM bOO2 ~K. ~Wtr~~ iw~w..~sw~~,.os..~ a.,~ ~..ow~ ~.J:i?ia? ~9 I9~ • S'11Zt T..L`(`~.~ :':.l1tC' w v~ ~s~ ~ s: GiY. TOwN. Ot ~OCwtN~ Of DfwTh ~.•.so~ c.n .~.-s f.Wih:wa O~t O:?+Fl NiiliYi ~r ~p r MM~. Mw Wu~ w.wr~ ~ ~ vac.n •~s o. wo - ~o; ~ Pierc~ I,~ ~r. :tal.~s Roaci f ~ w~wT COv.v:ar ~ w~it:FD. ?.E~[t .iuer~o. ISUavn~+G si'0115E ~r .iw. Mn ..ra. ..r ~ - ST~Tf Oi M1M . r wp~ ~w ...r G7~Ii?. Of _ , ~ w+~.m ~ I t w~w[oYO.v,sCE~ ~ wun ~ ~~....w~.~. ~ .:e :.uc.cy ~ -1:~r..e:~ F]o..ence r~~ ~ sot,,,i sccwar wwfa ~ ~w.? occw~r~, w w.. w.. e.w .w~ w a.w a wsr+ess o~ wousnr .~~J. 31~M ~M~^K. W~• ~Y[~ M ~ll.~~i I occ.w~.c..~ 17 ~':O.^.v toy ~..'.C~..-i.^..1CC: .*~~?:C1 F?r'~C Rd11~0aG~ - . t.:. u.or ~.fw tw aws Si~EET wq0 ~+YWE~ RFSaEN:f-SiwTF COUkT~ GTr, rOwrt. OR ~OCwt+Ot+ ~wcr~ n~ w w ~+y 74 =~101"~~.:. ;u?`~T . ~.L::.' ;a: .'Oi T'~C ~CC~. iiJ' '~'~A ~a. ~.ll ~.S Ro _C? iwinf~-Mww+E ~.w wo.~ ua* 1 rOTnE~-~MlaEN NAME wY ~ .rM~ uM ~s Ci:~_~1~s C. - :s-:.,~e Ac~~ie ?.o,•~ s~ .Iar~~•~ IN'(~1MW4T-NAME ~MA~I:t+(~ A~~ESS ~lu~l~ q L~J. ~O-• tA p Wr~l. M~M. i~// ~ ' ^?ore::ce `•~7. ."~astai ;:;.'?s :toad, ~t. Pierce, :•~a. 33%~~ ~ ~~127 L DEwm wws CwuSEO ir: ;fNrcz Owr O+rE 4.iSf ~Ea iurE ~ hL PL ~r+D (¦A JIW~W \ ~Mtt\Vy ~lM1tlN owfll u.~ w•d~ ~ ~rlrM • N t•~ ~~'t~,,!'~.~; L~-t.~- z~ ''y 3. . . - o.. ( ..w.a:~~o.i. .w.. .c. c.n ..s~ .o ) i?i . ~~o.... c. ~aw .m. 7 ^M N. O~ tl~ CO.f~4wKl J~: s..r.wa i.. a~~- ~ ~',I .o~c c.~w usr ~ t i ~ ~ ~ ~wii Y. OL+fi ~.y~.ijCwn7 ~.:itrp'.T4?M1S v~}w.s co~.rw.i..:. ro ai.rw wr wo~ w.reo ~ uws~ ~w w r.n AYfOKY If tE5 r~.s~wOS eor- ; ( IL~~~~ M/~~}•O~ a ~Uf~ wtr~rw~w0 4YN r ~ l~, ' ~~i ~ • 1 Yi 1+N ~ Iq . i ~ ~v 7~.-: /wsC~ ~ •a,.uD: t n:G:.Fki. au:s.D. W ~JATIE ~ Y ..o..r.. .1.r, ~lu ~ ~ nJUi ' ~ : MOW INIYt~ G D~~•r~~ ••A~ M u. r.~~ ~_p rut K au ~ rw.+~.C.~ Ot VwDaiEa~u+~tD ~ ~ i ~ ,7'y ~:x M ~:Y. .V.~~~ ~ ~H:..:r ~T w0:[ ?.wCE C~ u.:Jr ~or. uru, ..n,a.. ':OCwTWa ~ s..u~ o. .e-. c.n a ro.w. sw ~ ~ s.ac.n s o. w~ ~1orr.t~ w6.. ~+c. . anc.n ~ tTJ F'~'. ~ Ci:iiF::wT:ON- .4•tw rr s~.~ ' w..w. a.~ •a.~ ..i.0 uir Lr w~Iwu naM pw ~ r/er ~.W ~4'~ M OEwTw OCNV[O .i w~uG. o+ r.t Iw/3ti~~ti: TO ~'a`p M~ t~Y ~0~~ VN~ Mw- 1~01r~~ NA. ~O M Yf! 1 ~ ~ i:a • ~rtlwil0 !M ~ ~ ~ ~ / G~ I V twWUOG. M o::~.s~a ..o.. ~ i ~ ~ ~i~ 7:t. \ !7t: ~ 11~. IM • ~o w.~ awxa~ s'.n~. CE~t'~:Gr.Or+-.+ioU.t Ei~u+u.Ea Oa CO:J.~ia. a. .i~. ..s.a ~ uK w~.. a a ~~r «u~a..r wo.o~ca~ w.u ~ _ . z~ ~~ua.Tyw W tM W0~ ~M/O~ iM wv~l4i.~i:pr. w~~ O/wFt«. • /iOMM Mt ~L~! ~OY _--~.a:l:.• : O~~Tw OC.CW40 OM M M~! ~wi Wf !O W C~WI.M Si~ifO. i ~ \ m . M iEi:~i.E~t- •.:w~f .n•^w p...»~. ~c ~s ~S~~:vif . i K .w Dwi ~~o..r. r~w j 1' I~ L ~ ~ !~'ll~~il:; r' j•~ ~ ~ ~~Jl. ~..L ~ ~ ~ . .,nf:~r:c h~~ctuu-c~rJ~:~ - Q •...r o..._ - w. , ~ Pe • • ~ ~ ::a ~7 V f ~ / ^ p- 3 ~ ~ _ iu::w:. CiEMAi.n7M. _ VA? ~~EMt:c~T Oi C:iMA:v:f -1V:~L ~ T101~ • tM p q~. f~~ fl~C.n . . { . ~ i ~I - C~:-.~~c_; t~. ror~ Pierce. ?i~~ ~ ' DwTi ~.wrw, ~•w ~ i F~nF1w. n WrE-n.wF ~v~ wG~altS ..~•uu w•~.~. wo., un o~ qrw, a.p. cu ~ ~ 7y J~~` .~'f _'~7~ ~ :`:.n;'-.,~ ^C~V ~ ~1- T~i~z-^,~ 9n. v. S..S 12 rw~.~ c~ Sryj~c*~;E .,~...s:u//~~' y~y~a ruai n a..n T~no ww .tcKU.r ~ A1Y.:~/~V JSl ~ ~lr~`~.•.1~ ~ .y~-.i:~ / . !~O ~4. U~ Z ~ ~ her'eb'y oortify thb to bs ~ frue ~nd CofTeti . oopy af the Loal ' Registrars record on fik in ths St. ~t~cle Counry Heahfi D~ati~ . ~ ~ ment ~t Fort Pierce. Florida. • ~ : . ; , . (Weming: Not valSd unless roised seal of the St. Luci~ . .-s`i-~;,~-. ` t ~ County Fieaith Deputmer~t is affixed.) ~ ' , ,~.~/_T,~ • .4. ` . ~ N. D. MIUER, M. D. i ~`:4r`: - • ";~;r ' County Health Officer b Lou! Ropistru ,i_~ _ ~ . ~ : : _ ' ' • t ; ~ O ~ t a•?• ~ y ~ . 1r~ . ;y 't ~ ~ Dat~ ' Depufy t~ocs! Re~titru " ~ ~ ; . ,f . . . ~ ~ • • -~',L . . _ ~ facxo~~ ~o ~ Legibilfty oi writing, typing sOp~(~,~9 PACE 397. ~ ~ or printing unAatiafactory in ~ Lhi a document f or ~i crof i lming ~ ~ ~ ~i..b°~.~` : . _ _ v.~.- ~r.. , ~ ~ _ ' `S- ,a.. L.-~`~.t.