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2(~2~38 ~ C:= ~::?i:.:ti OF DEA i H Dep.raieM ~ 11.wGb .w~I 1a~L.1»«u~.re 1rn.co t7AT[ FILC MO. ~L.,.:.ti~ ~~t ~ n F:. v:'. I s7 n 365 T~~:. 6~ ?t~h( ~N REGIGTIIAR'i NO~. •::Y:.\:AT 1xi[ OtGFwSiO-+uw! ~~y~ ~u~ ~SEi OAtE OI OiwM ~~OMiM, N~~ R~l1 ki .,:~.:::~i[ i0f ~ w::w~a.ti ~ ~~ILLYA,~; . ::1Z7IS +fale , Au ust 19 , 1970 ~wCt ~.•n, w~~q. W~KM +MMR wGF-..u ~ D~TE OI htM ~.a.nti s.r. C011MtY d OE~TM ~ ac. ~ .~~.q. t~.~ • ~ ~rw~.~-.o~. : a..i ~ .w..? . ~ 00~2 ~~~l~z „ ~l~:ay 6,1885 St. Lucie ~tOwh. O~ a t-~/~~in T.vd~ :.n .~a e.017:7w. O: JTnia ~tiSi.TUT - ~r awy~. ~n~ Nra u~ r~r.~N ~ ~ ...c». o~ ~a ~ :'t. Pierce :T: s i t. Pierce :~emorial Hospital a?• . ZiAiE O~ Wih ~ r wW w~ r•.~ ~ui~2th O~ wN~T CO.~i•' Y~.~w2:.;J. w:~'Fii iw~ulLfO. S411V1~I~+G 51011SE ~ r s+~. ~m ..+Y. «w ~ Car.ada ~d~. ~J~ ~~r~1:..3~~"~'+ifS~:,~~~~ I Hazel Pollard ~ ~ .fw U~aK~ ~ • :7 ~ 11. sot..? stcw~sr wwla I uww? occ..+.: ~:,,i. . w. ~...a a.o.. w~.. a...+c w.~ a awD a winESi Oa wauttr OCGMyJ ~w ~10~w0 W~. ~Nti N~/t.f~~ 1 No;, 265-56-6811 Cor.trac~or ~A Construction , tES:DEn~.t-S«tE iOHhTr ~Gtr, :J~i.. Oc :JUT~Q~ •••s.~~ crs ~~rs STa[t~ ~ ` D' ~r ~ ~v.c ti.uo~wo s-~ ,.,?lorida l,,, St.Lucie : i~_c~ '~,o 3244 Lennard St. - r,. ?~I+.it-la~rf .w .rw~ ..V MJinfi-M~.JFN N~4~F ~rN ~MM~ uY " • ~s Aleicander :iurris Isabella Edqar - IAft~YMNt~~IMMf n ~ ~ f ~ 'MAM1 \J Aa,i:Z?L W~~~ p LI.~. MO-. CM~ O~y~. u~t l~! f / 1 ? ; ' ~1j~ 7 ` ~ \-~t 1/~.. .i ~ ~f -a" / ~ / .l;•l n/ ~r~ / ~i '~i . - ' - ` n • ~wtT t pEAM aS GwSEJ iY. ;i~'Ft .?~.:'J~ Ui.Si ~ft :uvE /OR AL nN0 .~i: V ~e~~.ruw owu~ a~.r.. ~rM~S CMN . . _ _ ;.t ~-t y~ n ~ ~ rn ~ ~ ~ ~ e_ It! : 'E-n }Y1~c-~ ~ e~ f = Rt'N~a"i u . c'3~i .ww.%.c: = y 2O288`7 ; - - - r~1~.~~'+~rfy r M q. q~f ~(O~ilbNK~ J~ . ~ ~ : ' " j flLED AND RFCOAOED ~ • ' . iw~~ • OTNIi SK~MK~WT GGA~~TANS. CJi.PAO+~ iGwi~.~rt.u.: ~l :t~h Ki ~~i~ •w . ~u ~ wUTOK'I ~ ya,ei .w~iir~ar~...~w~o~c~..~ir CLERK CIRCUIT COURT ~ t,; •.,a-+.~.1 KC.At*t; Sui:~J[~t f ~I.+i . y..i.. we, •i.~. Ep ~ ~.w~ ..Nr a.rwn r.n . w r.n r. ru ~ ..:v....l(, Ol ~Ioltitir.wt~i ~ '~i0i~i~ `~~YI ' • ! 7i ~u ~1 ~ ihh,l~ A~ NOiK '~4~~f ~ II..Jif ~J~. r~~.. a*r~~, ~r-s~.. tI 41s W tO~w, N~ ~ •N~[.nASM..O~ Io~~G~a..aK .YK.n. , :fw t 7M •:1 . CLC'i:~wTAr.- .o~w s~u ~ ~o.:. o.. ,.••a s.r a+ w/r.r•r~r r~Di~TM OCCYUlO .t rw~ r..ci. o. *w IwtfK~w: ~ 7O ~0~:~ hr nY fIO~~ Y4~ N.~ .~py~, o•q. ~+0. q LM ~ist ~ ~DI~J~~ t~~ / ~ .70 O~ 1~7~UOGl. i~! r:. ~~..,,~..o.. a?~ J7 ~ ~ 7G t~,. y~5 PM .o.,.~.,,,..:,.~.r,~ CUiY~:.nT-0r+-rfJ : Exur,r`E2 Gt G^v.G~ia -.i a.. s a~~. a•a..a T.e wcea..~ .a rw+w~u~ MM /'-~+:was~ ~~~w~'+a7~ M ~JOS ~V/M fN w~~fi~:+'J~. .w Yw.J~, . ~O~iw Mf RM w0~~ y. • ae~s OCCMtl~ O. ti C.w W 1M ~O u.~ Urs~,a, st~'~0 ..2 M ' T1~ M GF~i.f.iR-n.WE .~.n W • o r~~,,,,,, . 5,:..~w...~u - ~r «ar~!, M ~ ~DA 5' , ~.o/~^~.~./~j ~.~w~ 2A / ':Z~Dt..rn S. .UL:.Z~"~ 1 _ . ..s~`~-~~ ~ ~~'.~:/J/~ -C /V MA u b~>~~' ):.~a~ .w: ~ ^_~C`~JM- fp.r~'~ ?t~t jJ ~ 7/., n~~ 3.~y~~ i~:..~.. G+Enu~i~OM. 4rOV ~G4si:d~ v+:+:~ni.:.:.t-~.~vi ' i.OCwS~ 4n M ~O~w. w*i . v~cw . • Burial = ~.?~z=~~ ~_~~~E=v F~.Pierce rlorida _ _ - _ 1 J~if ~rO~~T~. M~. RNI . evA°i~A: kJ.•'L-~AVG :.\J .~i~::j~ . 1:~/l' O~ . ~0.. tm o~ ro~~, w4. tr ~ ~Lg. 21, ~97~'-.,3air~ ~~=a~ :o::a,90i N• 7t2: St.,Ft.Pierce,Fla.33~~0 S. ~E:2 i~.hi+ut.:+tfC•: - ~ .-i.G.~i.:. ~ Wil HCE.rW ~OGu ~S4~fi~+~ i~r.:Y7'v ~i C' %.~i~.:' .jr.f -~i~i*,'~.,~!~?`'(%'~? '2.? 14::R'.:5~~ ~cji i~7i ~ ~ 1 r.~reby Cetiify thls t0 bs a true Md o0fr"'~..."t copy G'f ttKi taxl Rcgistrds racord on fite in the St. Lucio County Kcs~h Q.-~ ; ment at fort Pierce. Florid~. ~ (Wuning: Not vattd untsss roised seai of the St. Luc:a Courry Hesith Oe~rfinent is affixe.~«) ~ . . . - : N. D. MIIIER, M. D. ~ County Health Officcr & L+oc:.! ~,stru " " ~ • . • ' t ' ' ; Q.'"A ~@p~1T~/ ~AC~~ i'c9gl51fa/ . . ` ~ - ~ ~ . ~ aaDK ;~icf - ~ u~.,~.__r _ _