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HomeMy WebLinkAbout2861 ?Mls i*~s~R~~?![tit w:.s ~~Eenq~o dY~ v / SPENCER B. ~ILBERT, Attom_y ~t l,.v ~ O~~~~ 2fp S. ~ SiREET , FT. PIER~E. fU. 33tl0 Re; Lot 12, Block 4, Replat of Palm Gardens as shown in Plat Book 12, page 42, public records of St. Lucie County, Florida i FitEC AND RECORQEO ST._LUCIE COUNTr FIA. i10CER PQITRAS CIERK CIRCUIT COURT . RECORO VERtF1E0 ~ : . ~ o$ i~~ ~ is II s~ aM~~i . :~is De- ~TATE YOARD Ow NGRTM C~RT1FtCATE OF DEATH ~ BURiwU OF VITAL fTATIQT1GO fTAT[ FIL[ NO. "a"'"' FLORIDA o~d •A~n BIRTH NO. REGt6TRAA'd iVO. prop~rly •a~t~l~d t. !L/lCt OF OtATf1 GOOE NO. 2. YWAI R[f~0[NCtI~?M~M~rdAwl l/:+r~wr.r: trd~~rye~~/..,M;..) •nd • 1~ 1 a ST~TE apywTr yl~c~0 ` F So GT1. TOINM,OR WCATqN t. i5 K4CE Oi pEATN t. GTI.TOMIM,OA ~AGT~ON R NES~OEMCE \~O~~t JNSIpJf C/TY LIYITS) . fll~. Ti rES? Np IMSIO( CITY UYf7ITSt IU1YE Or N! iq ~My~NI. fr~ WHf ~!lr~N) IEhGTH Oi' f. SiREET A0011[SS ~S a ~ u ~~~T~~ ~ STAY IN 10 ~ ~ INSTITUT1pM ,.G y ~ YES? p0 3~u?iw[ O• f1.~t .V;qtr Lw p~TC X~at? D+~ Yra ocec~?s[o ~ ~~'~'rr••,•~•r> FA:~T~'Y OP,A ~-1 KULP oE•,T" I~SARC}i 1 19b4 S. SEX ~ COIOA Ow MCE 7. MMlA1ED ~ NfYtR MARRKD u~. L Oi ~IIITM ! A6E (Iw Ka~ I 1W u.pf~ /i~_ lMf AYIW/) Y~w D~w Mwn Mi~. . t e• w:pp~1ED ? atiortceo r~UG. 20 - 1 g p i~ i a 1~ 10~- us~u oteu?~tq+~ i Oise ti~1 yrr~ I~ae 10~. Ktli00i 1~S~hESS OR ~NGiiSTIIY t 1. N~swutC (Sr~ts w Nnyw tww~) 1. anzu a? ~w?1 spwrRr~ .itA p~r- tpiywNl~/r«ti~/djt.s~~i/rdudl HCUS~4T C~:;.~ HOtW ROA :OKE VA. USA l~~ek f~k ~3, fA7HER"S xAYf ~ l~. MOTNER'S YAIDEN NAY[ O• ~~a~~r~e~• :•TZ1,I~I~.' H. 3ASH~ AP~'•ANDA J. HAUS~R IS~ wIAS DECEASEO EY[II NI Y: 1 ARMEO ~ORCES~ 16 SOCUI SECI:R~TY Mp. 17. IM • NCMATYK ~j.~~.Ct J• ,l1~aS ~r.........r....i w......«...~rwr«....r NO 27 -O1-OLCb COLU:"BUS OHIO T~e~r~l 1~. CwYSt OI O[ATM ~Bakr pI1 Nt carN yp Gas J.r (si. (0). sat (c).j IrtTfAY~i .:E71vEFh dl~~tt0! ~AATLDEATNWASCwySEO~r: ONSETAApp(ATi~ ~M~.cou~c w,sc c.~ ~~oea.^dial Infar~tion 7m~e~iate ta• e~r- aitle•e• Co+stili~v. i/•~1. OUE TO (1) •!tb t~• ~elK~ /vt ?u~ l~ - 1 e c• I ~Gort ~swt l~). r~sistr~r +~ql t~t ra4r• r7tAfs 77 z ~/~M h~x 1W. ~E TO (t) ~ /MT M. pilE~ SKNIf1CyR Qp1~p1T~q~S CONTAt~17i1~G TO OGTM Rii I~OT RELIi[O 1p M( ~Y1Ntl plf/ASt Cq(/ipU CIYFA M rMi 1(~ . WAS AUTOYSY Lours •f- ~ c~r a~~tA ~ERi04M[MD? or D~tor• u " YfS? ?A~p7 ~ ~11D. DESCR~Yf MpW INJ:/AY OCC1~RIlED. (S1tfP f~fWf •aklni ~ ~~OEMT SU~C~OE NOY~C~OE ~/~I (r P~! JM Pr1 JI ~/flr~ /IJ u D D D •r ~ mr. Twc or x.., xw~, n.r. Y~.. ?~dl. uuu~r n. o I• . W = 2G(. MU~11~ OtCURllEO m[. ?LAC( pf ~tUUqY p., u a a~ccl ~eas, m/ CtTT, T01MM. OR iQCAT1pM COy1071 STATE wh~~t ~T ~ r~0i wMa[ Q h~~.l~w~. u,~st, eSu~ tly., uc.~ WORK ~T MOIlK 21. I ~ft~nd~d tM d~ewNd /rom ~%K . to ~nd /MI ~ww ~~a ~I:r~ m D~~rh oeeurr~d ~e _ahnt~t_ f3 _?Q an on th~ d~t~ sNtsd ~Do~~; ~nd ro tM 6Nf e/ m~ ~ew~bd~, Irom tM uuw~ ~tatM- ?11 lt~~• NGIiATYRt ~ . ar~ t• 1• _ (Grpru a tult) t20 ADDR[SS 77.t. DATE S~GnEO ~~•a~•~• • M.F. '~tiatkins :~.D. ` F't. Pierce, Fla. 3/3t/6t. •Ctyf~tf. Z~_ ~~4. ~~t~. ~ p~TE Zk MyE Of CEwE:EN~ OR CAEU~Tp11? j~. (,p~~i1pN (CY/. hrA.MMCat/) (STW) I1[rqtu ~ n 1 P,~~O~IA'~ -19-b4 ~i~IG:. CE:-~.'~.~.~?Y C~LUMBUS;- OHIO i.l./Al~ 2~. ~UM[IUIOME OR~SSKsNATYN ~:,Qp"7'jjl. 25. WTERFCD.~7LOC~LAEi. ~E6lSTMR'SSIGNATWE •••.~~es N.:lton W. Baird r:.PI::?C~,?:..;. , 3-3~-~4 M~-~a Lee Denison, d.r. , r~cr~by ctrtify rhis ro bs a m~e arxi correcr copy et fE?~ Loc~al Rcgisrrars record on f?1e in tM St. Lucie Ceunty F:~~th D.ipart- rr,ant at FOA Pierte. FlOrida. ' , {Warni~: Not va:id unless ~aisea seal of tha St. tuc~e - County Fieahh Depanmem ~s affixed.) - ~ _ • : ~ _ ,:f ~ _ N. D. MIIIEQ, M. D. - . ~ . ^ • ~ , .sl~ . r . • Coun health Off;cer 8 Loc:.f P.cgistrar , _ _ . as~ ~ Depu~Y local Reaistre~ ~ ' • . j ~ ` ' ~ ~ , ~ ~ , ~4 i` ~ ~ h . ' . ~ a_ • ~ aU~K 190 zg5? . - ~ . _ .