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HomeMy WebLinkAbout2479 2458g9 i i~~iuciE couN~Y 2 0 5 y ROCER POITR~t ~ CLERK CipCU1T QOIMT RECORD VERIf1E~.....,.~.~.~. ~ ~ ~ ~ t3 ~ ~7 :a: ~ e.- ~T~TC BOARD o~ tirn~r+ CERTlF1C 4TE OF DEATH eua~s • YUAiAU OI YITAL ~iTATIfT1C~ ~'fAT[ RIL[ NO. ~ or;•:~ A F L 4 R ID A R, RAR•S No. i7 yrep~?ly P~RTH Pt0 ei~CYt~d : 1 ?UC~ 01 ~[ATN GOOi KO. 2' ~ssTAT IItNOCMC~(~~Iw~/~ /~M.~w.wtwr R~~wrW~nN~w:ed •4A •~1] C011MTY ~~_~_r v,~~~a St. Lucie Florida St. L;;cie fs P~f- A. CITr. TOMM.OA 1ACATqM t. ~S ?L~CC Os D[~TN t. GT1I. TOMM.OR lAG1TqR K atS~Ot~tE s1A~~t IhSt,~( GTr U41T5/ ~NSIq~ G~Y lIN1TS) ni.. : ort ?ie~a Y~SC~: ~D Fort ?~erce r~ p w? MAYE Oi (IJW G1 ~M~td. /+s ~Gtd ~14tM) c LEwGTN Oi I. STI1C[T ~D011[SS OII A~A~MT NpjpTaL 011 ST4r u1 is wST~T~TqM 22p 3ostan Ave. 22~7 boston ~lve. Y~sp w~ 7 NAM[ OI flrat V~11t L~M OA~E Dr/ YtM c°?yw«i•wr FiARCI.D C. :io:.t~: o~u`TM Jan. 9 •~63 S. SEX ~ COItM O~ IIACE 7 ~ • DAT[ Of N117M ~?GE I l~ /tM~ ~ 1~~ 1A~0[~ i~ titS. MA11111E0 M[YiR YARAt(D ? (Yf BvfY~/) X~W O~M Nwn Mr_ r i i:ale 'e~ilte wioow~o? a~ro~a~ ~iOV lf~ rl•ial~ to~. uw.~ocw~~~n~+(Cwi~.~yw~s..~ 1~ KIMOOF'~LAN[SSJRtMDUSTRr ~~R~wuuccc9.rr..M.v.a..d~) ~ unara.wraa+smr a~ P~r- ~utw~ sNt y r~+tq/ lyU, ~r V?en?eU T i~t1~ ro~rae ~1C81 , ••r•p~ Chiro ractor ,.ocicr• Ieua ll~tt ~ak Ij. ?A7NE11'S 1u~ME 1<. wOTNCA'S Ya~DE11 ~uM[ O1 ~rv••~1~•~ Unavailable t~ ~ IS. MfAi O(CUSFO tKR 1N Y i Al1YE0 fOi1CCS~ 16 SOC~A~ StCU11:TY MO. 17. W/YRY ~ NY1YTYw[ Tirs. LC1 8~O~ M ~ Y.w ~..aro.~ UI w. w.. .v ~.w d rwr~ - - Yes '~t1:~1. I !:z -~i~-~~I B ws..~a sua.r~t WVK 01 Y<ATN (6att?~~t/Nta'~wtyt?AwtJv:~).1G~.a~f ~c).~ IMT[~ R waM 61 r~ t t~ ~ ?AAT l 0(ATN ~AS CAY6F0 ~r: ~ OKSCT AMD OEATM UaYI01~TI WIS[ f~ ~V •~~t fll• ` t..a e~r- ti:.e~a• pK tiu Dut TO N) .~Tt.P_r' ~ 'f z r t ~?n _ t ~ ~ scler.~' ~hear~~s se t o e. 1 ~at«. w«"(•). r~atstr~r «~ty1 tM ukr- ~ TO (c) - •Stplw T~ ' ~I~~ 1~. O ~~RT M O7~tA fK~I7Wi OWD~TO~6 COUtMJTK i0 .~GTM w{T NDt Q~A~[p i0 iw[ RirNY 06EASt OD~b1ilOM GIYp~ M f'Yf 1(~) . W~S Alt?A/SY Aour• ~t- ~ /EIU'pUMEOt a~r d~~iA S rE5[~ +~OJ ~~~Of• W ~ OESCftIiE MO~Y YUIiRY OCCLRRfD i~.~~, s.nve Mnhur 1 r tbe yre. ~~.f .~l:as i s ACC~DEMT SYK~O( MOY~i~OC •1~po~f- u ? ? ? ' ;s •t p~ T~YE Oi Nwr Xwt?, Dq. Yrr .rodj. ~ uuuAY A. n F. s. I 20/. WJU1111 OCCUMLC mr. ?UtCE Of WJU~Y I.. ia ~r ~or:l ~eNS. m/. pTf.lVMtl OII IOCAiiOp COUMTT STATf wNwt ~r ~ wr wN~tt ~ N?~.f+ewr. +~nu. odus ott~., rte.) MIOwK AT MO~I( 21. l~tt~ndsdtA~d~owNd/rom , to •ndluts~~ ~ ~ ~lir~on iL~~ Dw~fA oceurrM ~t 1' ~ ~ ? m on lA~ d~b st~t~d ~bov~: ~nd to fM 4Nf o/ m~ Ano~Nd~~. /~om tM uuws y..se.: ~'1 't~~• 12r- NiMATYw[ t• 1• (aNttMlYJ~) AODitES+ 1 N• 7L11• SL.~ w~S~"'' ~..o~•~• a Alva Crr,:i.D. :?L ?ierce Fla. -~5-6 ~ee~~~t~. ~ q~4.U[M~TIqI. j~. p~T[ 2~c w~rEOfCEMET[IIYORCREM~TORY 2Il. LOCAT~OU(Glf/.NVf.N~wwf/) l~~) nuriaMO~`"'`"y`' Ja.~. 11, 1963 :t. Yierce :.e.:,etezy Ft. Pierce; Florida •.f./All 2~. fUKMl61R[ OII~SSK/t4TWtE at~~~ners? [:O: ~ 25. DATEI~EC0.~YLACALIIEC_ ~.11E6KTIU11'SSIWAT~RE •.•.loa6 Joseph :i. YatES, FL. rierce, "rla. 1-18-63 Anna Lee Ler.isoa, a.r. ? ner~~y wrtny mis to be : true and correct copy at tha Local - Registr~~s record on file ~n th~ St• tucis Co~^tY Health D3part- ~ m~nt at Fo~t Pierce. Florida. ~ (YVamin~;: Not vaid untess raisrd ual of the Si. Lucie .~`,,4,': . , Cqunty health Departme~+t ~s affi~ced.) . t.. , . . N. D. MILIER, M. O. . ' r - s ~ ~ . ' . Gounty F~alth Offica~ 8 Loc_: R~."Sist:ar . `:~°r~,w • , • ~ . ~ ,~.~~r.;~'• . • ~ ' ,~,~.s. ~ ; t : ~ ri 't'~`~d~ . ~t/// Z.t - ` r ~ ; - h•,.~s.,> ; f}~• .;.~1 D..s~ Depu1Y Loc.l Raa~strar ~ * • • h ; ~ , , ,~~l. : . . ~+r.; . ~ sooK 190 24 75 s ~ ~ i i ~ ,a _ : . . - _ ' . . - . a~cc_ _ ' . ~