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Home My WebLink About2476 d i~ l~lE C R _ ROCEN P01 2 0 5 8~ ~ CLEQR CiRCWT COYAT ~ RECORO VERIFIEO ~ 11 ~ ~~~~1 . ' 205846-- . GERTlFiCATE OF DEATH ee~~s ~~~1~ ~wi ReL.b1G41Ae ~its fTAtt IIL[ MQ ~sa.i r.e'j ~w~teor~x rw.~,~~~ FI.ORIDA •r• •~~w ~ IICGILT11A11•f NO 3 ~?Cpl~l~ 1. n,t~ K,TM GOJC NO. I. YtYA\ ~1[NYCiKtl~~w~rr~tl~f 1!wwww~s: R~d.vN...r.....w) !iflYl~~ - •`~,n a ST~TC ?.tq;~T~ ••11 St. LuCie 6b-~25 :`2orida St. Lucie ~i.e•• ~•r- an. ra.a o~ ue.Twr ,s ..~ee o~ a.*~ e. e~r?. Torw. o~ ?oe•ro~ r. ~s ~es~a.ec ¦~+~~t ~wyJ( C:TY Ur~TSr j ~ MS~1[ G~T~ ~.r:rs~ 1't. Pierce res~~ .~r' 1 Ft. Pierce ! ~ts w~_ ~.~c o~ iryr.~ a~..~.+. i+• w.~..ra.,.~ STIIC[T .oo.cu w:*~T~*~. Ft. Pierce Me:a. Hos~. ~T~a « ~ Rt. 3 Box SI9D SunSet B2vc. ~ MAr~ 0• fYd N~ii7t ZYf OAT[ ~IMN Dt1 YtM ~i`'ii:•`?`r~+n FRITHJOF M. TA,\GEN ~TMJdriua 2, 1970 S xx t co:o~ w ~rC[ 1 ~~~~KO ~ wcvt~ r~ai.co; ~ a.t[ or N~iw !•ac fl~ ~rr~ r u.o[s ~ ~ua ,,~x. i. ,n,s ~f n 1y~(pS«+NV) r..w ~ a.. ~r.w j ar... Y. 1 l• M Cau WIDO~R[D~,~j D:1."171C(D~ ,OV• L~ I ~~7~ !V ( ! 11 ~t ~ 1~ ~p~. ~yu OCC~+~Tp~ ~Cw tu1 yswi rsa~ Ia. 1(MOO~ ~SMCSS JA uJJSTII~ { 17. i:~7MRk[ ISl~lt M/Mty~ p1~AfI/) 41~10~ 0~ ~w~T O41~A11 .se? ~~r- t~: .wMw~~+~W?.nny?rre~1 ~ ~n ineer Refri era~ion ~ Norwa vat. USA ~ N~et ~~l 1). II1TM[A; w?rt l~. rOT+.CRY Wt~[h MM[ ~s.•••a~•• Unobt. ! Unobt. t~ so[w sctu~~rr wo ~7 a~~~wr~wT ~ wtu~w ' ~ 094-IO-576 ,~cz ~l c:. , :~a r~;. ~ ~ ~ ~ 9~ r~ I ~ ~c.~. ~~tt. F.w~~~l NVK M K~TM jf:~fN wt[ww p7.v Pv (~l. ~iL u1.~U.) MTl11vp i(TriLti Z •tr~st~• /~~TL OUTw1~~SGYS[ ~V- ~ OI~xT~O(~.TM ; ...a ri~. wuca.n cwsc w ,i ~~C~ • ~ ^ a~. e•r- ' ~ J a~rie.a. . n~ls\ a\• fe.trry.~l~~R pl[ To (~i __~(!~'~.:-.u J_ . _ •~~r~ ~wt r t~ ~ 1 • e • ~ dw~ cs~w~il. ~ ~ r~Rlstr~r d~tN/ /~t •~ikr- 01.C TO :r~ y,~ = fP~t n~~t 1W. ~ _ .ia~i¦ ~s r•s~..:cnr ~\~~r s af- O ~YT N Onlil SK~/tUw~ CO~O~iW COw~iwitwG 10 O[~:w M K:.: ~i.~7fi ti. 4Mt 7iary~K OW~Y CO~PiO~ GiK~ r I~~ KU > ~ ?(asOa~r~[~ar+ ~ ~ a~~ •~w~~ s ~ tFSU KG.?~~ •r ~~f~?• _ ~~Y ~/1j ~ ~ ~CC~O[1~~ SVK10( MOrK~DC O(SC11.K w0+~' W~~~ OCC..4ili0 il~rrr ~~rtirr ynlv~ n Ar~ !~r Art IJ yi~~ ~~J o ~ ~ ; .r ~ , ~ 2Gr 7~wt a~ f!w• wlwr~. l~r. Y~r wu~r G ft' u I 23( eUV~rOCCWR[O mr ?i~t[ Or wv~r ~.t. f. ai ~'~nri M~f. i 7D; UTt. TOrw.O~ ~OfwTiW [OHATT N~T[ r~w~.[ ~T O pT wrK[ ~ ~A• ~NY. Y~tH. srlct 6ftj.. d[.) i MpIK !i ipAR ZI IIffIAd~I fM I~CMl~I/H01~ 0 ~ G . ro .~f'~~~ /~~r w. ~x~ ~f:•~ en ~2-?~ 11~~rA oceurrNN m on tM O~t~ u~t~d ~ew~: ~n/ t0 fM MN oI ~J 1m~Nd/~. Iroaf tA~ uuNS ~t~ted. •t: ~a~~• ~ s/{e rw[ •r• a• ~ ~ (L+f~r~r~?:e~ ?~~SS O01 L~• ~Zia Stree: ~.~Tt'~~`, ~ ~ : ~ e~q1~a• • t~ .~~.I i,~. QZ~ e' '1 n r r' .7 7G •acw~t~. ~~ANdCbc¦.r~o+. 1]e Wt[ ~2k w.rci:fC[rCTi11YOA.11ir~TGaY .2a1 i0U1T~GwIC~f~,t~s~.MeMYf) ~:~.rr. ~urial`"~' 1-5-7J _ 2ierce Ce:cetery Ft. Pierce :'~ori~a Y.71.I~Ii 2 1~YDM[C7W ~S~i. S 2S GtifAiCG-~taOGLAti If. •G~STIU?~SSKA~T~tt .r' 90~ ti. 7t:~ St. ° r,~ ....,.ss ~ Ft.Piezce,r^~a: ,'~:,:z.^v 9 1970 ~ ~ ~ ° ; i~. 1 here'tyy cert,fy thls 1o tx s trua a.:d corroef capy of iha Louf ~ R~,giurr.rs record on f~le in the Sr. :ucie Couzty Fi~aith Dc~an- ~ i~;~" . msnt at Fort P~erce, Florid~. . ~ % - ~ . . ~ , . (Wuning: Not va~id uoless rai:,~d xal of the St. Lsicie 'E ti`_ ~;,.,rY Cour?ty Hea;th D~partrrwnt is affixed.j !s ~ " ~ - ~ • .t:Y r ~ *~~r *4•. ! f~~: Sy_,~i~`~:~`,~~~' ~ - - ; - N. D. MIItER, M. D. ; : - - _ ~ . • - : County HealTh C3fficer 1~. local Ragistrer .;t~ ~~'i ~~~;~~Y~?, , ~ ,(~~_.r ~;s ~.s'`: r',`:~~ ~ t `1. ~i2~ • ~ ~ Daputy Loul Rc~,stror u- ~ - , ~~j'~:~,~~ * V ~o~~ 247z ~ ~ . _ . _ Y _ _ .