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HomeMy WebLinkAbout2826 - - FILEO ANC aENTY O~~ ~ ~ =T. wc~f cou ~ . ROCER PBITRA . ~ ~f 204(~3 ' CLERK CIRCUIT COU~f ~0~3 ItECOA~ YERIf1E0 FE~ 2 10 41 wH'T 1 ~ CERTtEICATE OF DEATH ~ Ko ; • o~..~., .r t~ .a wi.~ s~ o~vs,o~,~,~'~ F L O B I D A •cts~trw,u,-s ,,,o~ 7 trrt. O~ ?Mqt ~q ~ WE Qi OEw1M ~+~""ti w•~ ~ /[IYAN[M1 INI[ ~_H~ wW i°Oat 1 1 ~ 1971 ~ CLIFFORD JAMES PE`i`ERSON , Male Ja?~nuary raurctaa ~ ~wCE ~n.m •rMO. urrcnw rwM. wGE-ust w.w. ~ n.. wx~ ~ r~ ~ Of ~IN ~•e~~ w. C011MR O~ OEI?1M ~ Aug.24,1902 St. Lucie .x. ~ ~ r 60~2 `"~hite ~ A ~ k • ..sr~ ca. a..n NO6Mw? Ot oAHt faS LiO~ G1r. TO'WN. d l TION Of OEAIN yKr. as o~ wo gt. Pierce Yes Ft. Pierce Memorial 8ospital ~ wHwi cownr ..~s.~o. ~a wurEO. wevMw s+aaE ~••e.••~••••w ~ STwtE Of WM ~ s Mw +.s.._, w.~ ~ . USA ~~arr~ie`~"~~ A~a Connell a,,.~,~. North Dakota .rrer ow.~es 1JSU~t OCGIrwnO~+ ~c..: cw w.o~a sow wr+ .ov w o0 Of rYSlf15 O~ lOIR1~f? ~ ~M SO°°` " ` RR Building Budd Corp . „173-10-2398 Superinter.nent ~ a~fia+~u ~rw~e U:r. i0~. Oi ~OCwT~Ot+ M~~ .~:,oe~c~_u,?,~ cow+~. lpg gia Vista Drive .~'lorida St.Lucie Ft.Pierce w Yes ~ . i y . Mpi~H-~u~D~F+~ WYE ~+r .r.¦ ..a. ~ fAtMH-fMME ~rA ~E James Petersoz~ Sena Christensen ~~~~~_+M~ Fw~~~G ~OGS~SS ~vra o~ a~~. .o.. on a~ ~w.. a~.w. a~~ Anna E. Peterson ~1,~109 Rio Vista Dr.Ft.Pierce,Fla. 33450 ~ti~ ~ q~ «Mn. o.ee. M.a. fAlf L OEwA~ wwS W?SED ~r_ i~rH owr avE cwusE ~ urE rO~ N~ AL ~ k~ ~ ..arw uwrse ~ w N, _ R~ Immediate ~ ~ ~ ~ cow~uo~s, ~wKr a~A nu q ~ PI . 1~~lN~f/ C~Y3l NI. ~M q. O~ tl~(OM~OMKt p. 'x lT~~~MO ~w~ Yw~M~ . ' lt~MO C~rN Mf7 ~ ~ k! MI~CK`! i~FS ~e~: aw..ss co»- j ca..wwa cwaawc.w n r_.e. wz ..w rww +o cwaa uww r r.w ..r . wa~O ~ a.~e~ w war+..w c..u.~ } S-~ ~waT OME! SKiN~flGwi QONDmONS= w~ww i Q ~ E pw~y 'tUWY ..a.n. w., ~ ' ew~W nQw uawNlf OCfu~Ep • a.e~ .rwne w .•wN• ?.w . w ?.r w. u. ~ p,y~00E; O~ 11lOEiE~Y1NEY ~ ~ . ¢ ~A I*. 17Ea M lY • ~ ' ~ ~ YYt~ O~ L~.~. wO.. w~ O~ ~0~. Y~R ~ IfilU~~ AT WORR r1AiCE OF lIXI~Y wor. az~n. ..cxx~. f lOCwilOn ~ ~~rKin ws w wo~ aw~a ro..nc. ~wc+~~ ~ ~ ~ ~ ~ wt OE~w OCtY~to ra hKt. o~. srt ~ ~+M Ml ~4J •~10 JSi f~~ ~w/~l~ Yw! OM ~ M/M ~O~ rM~ ~ CEtTlfl[wi~0~+- +~01 nr .o,.~, r• wr ww rra rw~. ..w~ ~ a.w. .r. .o s+a .~u -g 1w~Mtuu~: . TO r .•c.eaerw. o.~a ~ r~AErM~ tM! , ~ p~ K t0 a4 4rft31 u.a.7 ~tN ~21~ .~j 7~~ NC4f!! NO+ lr M[[MW ~rt MO~Or~~O~ ~M~ wO.M I~ CEiTf1GTWn-MEOKJ?? Q~~~Ef O! COed+E~. a. w w.s d wr .~w~ a~c•rA + r* .w ~ ........a.a...o...»~a......~s+.o.w.......a...a..~t.~: /7!'• 1 3°7I , ee.w oatirr oM ~r Mu w w ~o wr uwus+ sure. T3: i113T'^ ~ 2h ~,rvwT o~ w~t ~ a... ie.~~ ee.,,~_.~ _ , ~ an . 7 0 ~ ,k E. P. DeFriest Coroner "33450 w~a~+G Auo~fss-ot~tsE+t s~~•, w ••o . St LuC? e Count Cr ~ - ,Otn„0~+ o.. u..o... suw NJtl~?. CJEMAi101t ~MO~~AI E~Y O~ C~AT~-tv~ME ~srecr~~ r. Removal-Cremtn.H.Delra Cre~atoriun ~ Delra Beach Flori a ai-~- ' 3 3 4 5 0 N~~nO"~-"~"""~`~`'"Y v. ~It~i St.,~t.Pierce,Fla. ~ w?" ,'-g;"Y~"t1 aird .~:^ara .o:na, ~ ,,r- ;~-s~ewn,e~ „ , Y. 5.1612 • ha ~ ..x 'r !r i1$.'1Ut3~~/ N~v.1970 _r.. .._:_.a....~ f ~ h~f~l aA~fY ~ s_, . ~ this b b~ ~ trw and aorred ooPY c` ~ Lccal },r. tl ~„~+~~~y, ~ RpWtars r~cotd on file in th~ St. ~uw County Hcakh Cap:.ts :~,s ~ . P~u ` . ~~~r Y, e , . ~ mK+t ~t FoA . Florid~. . =.t° _h . ; ~ ~ (VNamir?9: Not va~id unless raised sesi of tha St. Lucis ' ~ ~~ty 1{~alth ~epartment ~s affixed.) _ . ; . . `m, ~ . 'f • N. MIl1ER. M. 0. ~ ~ "~~'~a : ; C~w»~r ~th Officer ~ Local fio~~snu _ . . . • _ Yi . C ~ . ) ~ ~ ~ • ~ ~ p~pyt~? Lpui ReOistrit 1,~ t~~~ . _ . ~ . ~ g~ i~ zs~.7 ~ t . : + . ~ ~ ~~'~~C~rT.'i:;N.~.Y~i ~ e~~ ~•w.',{s X•4'~.~. _ ~~`~..~'`C~~e~e.._~. _