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HomeMy WebLinkAbout0551 U _ 2( )4;'~~~~ C~RTIFiCATE OF DEATH ~lep~N~w1 Ik~lt~ ~wd ~~Iwlilalive ~enicYS iTATt FIL[ NO. IM~lVI1V ~If IR:\i 111 F L O R 1 D X 3G tr?(. Ot ?a.Hi ~N ~0'~"~~~'~R•~O NEGILTIIAR•! NO. 7IiMANiNT IN[ ~EASfD-N/1M~ ~Nft ~ww! ~a?r $(i OATf Oi OEAM ~~ow~w, s~~t ~ Y[ e.?Di00~ f0~ rs~~~~ , Oris C. Marshall : Male , January 23, 1971 lACE ww~n. weoW. ~r~K~w w~•r, AGE-a~a~ ~••~e~ ~.r.~ ~~...:H~ OwTf Of ~:Rin ~.~o~aw. r?. COIJNTt Oi OEwiM ~0~2 , T~ ~-~3_14-02 Saint Lucie . White ~ . cin,-~owN. ot ~out~p+ a ocwrN Msw~ c.n .~m II~S~iA~ ~R OT~1FY MiSTITUIIOH- 14 Ip w ~~RM~. GM fti~t uO wYW~ ~ sry:,.. .ia o. ..o ~ ~ Fort Pierce ,,ye s I~,. Fort Pierce Memorial Hospital SiwlE p WM ~ a wor w ~.a M~+t di1ZEN Of WMAi CObATtY {wutRSfO. NEVf! f.NtOfD. (SUtriVMG S~ONSE ~r rw. OM n.r~. w.r ~ cowrn~ IwrpOwED, Orv02CE0 ~ wcrf ~ ~ y~yy , Indiana U. S. a. t„ ~arr~ Nola Benton .rN Mc~.~s .,.~e w w~w 30CW SEGIlUt11 NIlWf~ YS11~U OCdMAT~p?~ ~an awo a wua owi ow.w +w~ o~ KWp pF N/SNESS q WpUST\Y OCCWpO M ~wa..o u.e. m.. u~nuw ~ 435-16-2726 „ Restaurant Oneratar I„ Restaurant .~.~..K....o.. .w.~.o... ~swt?+u-SUrE touwrr urr. rowr,. oa ?ounon ~••w. c.. .r.n ST~fE7 ANO NiM~JE! ~ W`~~' 2406 N. 44th St . ~.Florida ~p St. Lucie Fort Pierce no ~4 fATNE~-NAME nq~ rpp~ Mit MOil1Et-MAlDEN H4Mf ~r~ ~~OF1 uS~ „Otto A. Marshall Lula Purkhiser u+~04~uNi-NAME i w~wrwG wDGttE55 u~un a~~~. wo . CM p~ qrw~ s+.p. ir ~ E „~Tola Benton Marshall 2406 No. 44th St. Ft. Pierce, Fla. 33450 ; r~uT i. DU?n~ wwi GuSEO • (ENrER Oai ~ OnF CwusF K~ ~wE ~Oi1 hb t?1 u+o << ~n u.u ~~.u , n - a..~., ..a E r.eww e.us ' ~ 1~1 ' : ' %11 ' I E , .~ea,~_ ~ o . ~ COMNf1J~1. ~M, - ~w~fw O~t~ ~~3~ ~ ~ . R ~w~~Y~~I~ C~Vi! IW. ~ IM M. W~! ~ CM+atWtK~ a7~. 1~~~IMG !Al YM~l~- \1~M0 C~YfI l~~I I ~ j ~ ?wft ¦ OTI~A SKsNfKY'~T CONWTIONS: COwpnOwl ~OMW~n~ q p(~tw ~~r wpt ~~JryD q 4VM G+~'!r~ w..n ~ w~ ~?~T~~ 1i 11E5 r,~o~.os co»- I1~S MW~IO Wt~trlwM6 GWU ~ ~ f~~ e .e.~w i ¢ th~oN~ 1 KC:D- E~N ,-Si1~1~ ~ ra+r~. P~r, ~ MOI.i i NOW IIUUt~ OCCURtE~ ~ e~ee~ .urwe o~ u.wn w. ~ W r.n w, nt. ~ ~OM ~ ; p 11~n[fEL41MfD 7w ~ C< wi ~ }pt i IN~UR~ AT M~OR1C KACE Of HIURY ..or. ~•u. arrn. ~.c+o~~. ~:OCwTWN ~ snut M~ r.~. .w., tm o~ ro~... N•w ~ ~ ~snc~nnsa~..o~ OwKlM~f..~K ~vK~r~ ~ ~ 7R 7M '~i ~ CEtiYKA(ION- ~anw w~ nu ~ .a.w. w, .w ;.•a ..tr s.v w~ne~ u~ o.. ~ o.o/ow w~ .r. ~we o[~tw OCCUttEO rw ru~c~. a. e.~ ~M~iK1I~N: ~Y•iw O~r RY ~00~ ~~1l~ p• ~+Ow ~ O~n. u.0. 10 ~Y NS~ ~~rtl~WfO iM / 10 1 r" i p~~ [wpvUOG. OM ` tt~ o~c~.se~ .w. / ~ ~ / : tu / y ~ ~ ;2:~ ~.2~ ~ 7~, tt~ /U~ ~ !b y ~~w~ ro w ew~a~s~ su~to ~ Cf~iY.CwT~ON-MEDKwI fiAWtiFt OR C ! o.. ~.e u;.s a~~ ..o~a o~ w.n. ae ae+a..T.u worar«cw ~a~ ~ . ~ Ww~l~y~ p M W~~ ~MO/O~ bf MtS~f.~t~~. w.n p~..p... ! tl~~w Y~~ ~eu .py~ "~r j~~ Ot~~w OC[Y~YO W M Mh ~M~ iM ~O 4! C~vft~f~ )t~qD. I ~ Jt~ 1M ~ It~ M CEtP.f1(t-N q~.r.n . 51Gr+.a7l' / + ~ue nr r ATE S1G?aED ~.o..M. ~.r. ri.~~ ~ t} n, .I~ 1 ~ ~ eu:a:~ ~oo~ -~rrrt ^ y1 ~~u~ o~.. ~ 4~ i wn rr ~ r~ _ . ' . ~ Ol.'L ~ ~ WtUI. CfEMAiION. ~MOVAt CFMf7ft OR OEMATOiv-N.`,v' IOCAT+ON un w q.w sntl ~ v~t.n ~ ~ t... Burial Hillcrest ::en. Gcns. ;,M Fort P erce, St. Lucie Co. Fla. + OwTf ..we., M~, a.~~ fUt+EtAl MO«~E-w.wE wr.0 wDGRc S fre~~~ w~.r o., em w row. suri, - 1 For~ Pierce '!~6 South ~th St. F't. ~'ierce, Fla. ~ ~6 IT ~u E Ot-W.~+~1Ylf ~tiG~STR. ~titi..ru~tf ow eecE~vEO ?oc,..~ ~[o~s~u~ ~a ic~r. 1970 ~ t~lfi~ a,/- ' 1:a : ~ IM Jc3.^.i~dT'V 26 ~ 1~7i x F - i nereby cer~ifY Mis to be a m~s ~nd car: ect ca~y of th s Locai i'-, ~ ReQistr~rs record on fife in tn~ St. lucie County i;ea:th c.~^.~a~- !~~1,~ j:~ ( • - msnf ~t FoA P'ro~te. Fbrida. • • . • _ . Ftt£D AtiU RECORDEO Y ~ 't.~ ~ (Warninc: Not va:id unless raistd seai of the St. Lucio' sT. IU~IE :.OUNTY FLA. = Couniy Fieakh Department ~s aff+xed.) ROCEF POITRAS ~ T` CLERK CIrtCU1T COUR1:';?• ~ !i`!,~ ' RECOR~ VEr~FIEO+,~..~~1?,j ~ ~ ~ ~ N. MIIIER, AA. D. . ; _ ~ ~ , ' Counry kealth Officer 8 Lacs! R~~i:trar ~~~"~j~ . ~ -.~~':;'r~ f Ff8 I5 8 43 ~r- ~ ~ ~ •t " -~0~-~"_~~ , ~ p~puty L~ocsl ~aais:rar - ~ ' - ( . ~ ~t ti , ~ t ~ '•~..i y~'•`~ ::r U Q 1~, AU ~tJ 5 ~ ~ ~ ~ _ - ~ ~ : ~..r .v,. . , . . _ _ . ..w_._,_ ~..~~r's~t~