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HomeMy WebLinkAbout0005 -c~ f ~ / 2062~U CERTtFtCATE OF DEATH ~ Ikprt~er~ 1 k¦I~{~ ~wd Ite6.k.iL~~~i.e lenices fTATt ?IL[ NO• „~.~..~~4_.~~~~ FLORIDA lY?f, Ot tl~Ni iw R[Gf6TRAR•f NO. g0 ~ftMA/itNT !N1[ ~CEASEO-NAMt •.~ft ~~ow1 ~~st ~Y OAiE O~ OfAM ~ rowtr, ~u, ~~a~ ~ s~E ruawa~ ra ' ¦stw~w~ , JL'LIUS ~~VID TODD, SR. ~Male ~ Februar 28 1971 ~ ~ iACE rwn. ~~6W. ~Y~~caw .w~uw. AGf-~~f~ ~e~ ~ .e.T~.tic;e~ ~ a•. DATf Of ~IIM ~.W~r. N~. ~COIMr OI DEAiM ; nc ~ sncr. ~ ~a ~~i.n, ..os w.a w...i i nu i i White ~'~1 r ~~July 14,1909;,~ St. Lucie : 6c02 ' - CITr. iOWN. Qt 10CATI~N O~ OEATN ...w1 .+~ri nO~1~:A. OR OTI1Ei liSTRNt10N-N i~r !O~ ~r f~M~. G.n ftl~t uo ~VYl~ ~ ~ 1 a~tz~.• ~n Oe ..0 1 n Ft. Pierc:e 1'es Ft. Pierce Memorial Hospital . ~ ~ SiwTf O~ WM ~~..o~ r. u s..+~+~Tt~ZEN O~ ww~T COur:Tiv - ru1R:FD, NfVER du~tR~EO, ~SU~v~VMG S1'OUSE ~+f, o^~ ~.r ~ cw.~+n~ iw~cti,'3;~,~+lO~o~arur., ~ VlOlEt ~?1$O~? „ ~ Georgia i~ USA 1 ....e e.N..~eo i 1-- - ~.~o a.e. SOCW SECUMT1f t+llrJf~ ~ uSU~I OCCW~T~ . c~.~ ...a o. .o.. w»~ w.~.a .wse d: R1N0 O~ WS~+ESS OR u~OUSttv . occ,.u~o w roru~ n~.. n.er., , :,261-26-4Q31 f,,, Superin~endent i,~ Electrical Distribution ~fYDIwC~ MMM .u+~avo« aESWfNCI St~?E COUNTr G~n', iJ~.~n+. 00 ~A"~:+0~+ tT ~r~ :STREEI A?~D tNW~ft - ~ j ~1 ,~c,~. .~s w..o'(t,. lo0 8 S. 13th rJt . ' , Florida ,~,St.Lucie I,,, Ft. Pierce i Yes ~ " /I1i1'1E~-r~M'j •.Ht ~..~0~~ ~~ft MQ'~~ fMI.+'~Eh NAMf •.fl~ ~OOt~ vf~ ~ „ Sam Todd -~arah Corbitt , : J ~Nf04i1ANT-1iAMf ~nw.iw,ri ADLRESS ~arn~~ M~. e w. cm .M ~o~., u.a. tr~ i ~ `1 ~ Violet Todd 1008 S. 13th St., Ft.Pierce,F1a.33450 } [ ^ ~ ?yT ~ pFpTM w~S UUSEO ~E:v:E. G~:? Or+E C~Jff ?i~ lwf ~Of (e~ ,~1 ~'r0 kd ~N~Mw prHt ~M b~t.. y~ ~.rww c.u~~ ` ~ ` ~-r` ~ ~ ~ i~ 7~.~r r ~ ^ ~ eYT+[.. . . co«~e:.,....c. o, _ ....e~i~oti~. ~r ' c. e.re •~u ~o ~ i~i ! - - .r~oun c. `s~ ~e ow ro. o~ . Fo..~we:ci o-- ~ ~ ~~r ~~M4 tr1 'MO~~• 1 MO C~Yl! ~~ti~ : g ~ ~ ` . _ g ~ ?w~i i Oir~f~ SK,?+WK~NT CO?-~Wiq~S co»auo.s co»•~.~.~~,.c a a~.r~ w. ..o. n...eo .o c.uv e.vt« a. r.n ~ w~ • wUiO?S~-ii rEi ~m .~..o...o~ <a.. ~ n~~ w~ , oNUO w.~.r...wo .w•:~ ~ i~.. yLp ; ~ ;:~e„6,& ~~c~oe~rt.-wK~oE a owl~ v . _o..,... o... '.,J~; Mow uax,~r octuu[o ~ ...nw w ,.w.. ~ w , rw~K. . W 1MOtffWwtD ~ , . ~3Mu~?1 ]4~ ~jM 7 M }N - +'1 IN/U~r wT WOR[ MCE O~ lrfV~Y ..or, ~r~eer. ~.n.x.. i~OCwitGu ~~n~n o~ o ro . un w ro.w, v.n ~ ~/MVn r!f p+O~ ~O~K~ MD6 . tK ~ VK.n ~ . ~ ~ ~ r 2p~ = ~ CEtTN~Cwi~6?~- .o»rw r• .eu : ~o..n. ...a ..f~ u. w~~ .un o.. owar~ws~ .a~. nr; ot.tN OCCUnto n.~ .w~. t.~ *-i ; •wtfKuM~ i0 ..o~•+w M. nu ~ W~~ .rn~ M.•w •,.ou~, o.n. .w. w>~ ~ , Q ~1 ~~~~J~ f ` A.a ..b.,..~:. ~ ~ I~• o~ci.uo r~o. ~ ~ ` ~ ~ / '1~~ 2 ~ ~ ~ ~ iL ~ ~f1=/-~ j~t~ j7N ~ M 'O ~w u..x~a~ s~.'~' d ~ _ ~rt eec~uw. ` CEttYKwi~On-w~ED4.wl EiAMr+E~ O~ COiONEi a. ..s.s o• ~a . o. aa... ~b wo~o~,«cfo eW ea.rw•n0.. O~ ~ we~ ~..s/o~ rw rntsr~G~ru«. ~r. . o~w.p_ { "0'~~w 0+• e~• w0+~ ~ ~ W~A OCCYdfO 0+ M O~R r+0 OM q~! C~VS~ s~ ft~+f0 ~ O` i r.. ~ n /T.M:m ~ ~ 6 7~---- 2: s0 sl. M , s_~_~- Gf~T~i~Ef-?+M+E ~*.n w r....n . S.W~.~:r:?JJ s~cu~ c+. ~~r. D~TE SK,?rE0 +a-n., o... a.i. . ; ~ussell L Cou~ts, _ :3: _l ~ - ` w~w~twG SS- E~tM.~Cx~t~. (/`d~C.ka.~~` c~n d+o~r snn 7'w ~ ~~R1~11. UEMAi . ~fMOVAI ~Cfl+tit~r GA Ctt~tOr~-r.~w.i ~:~AUt~Ow cn. w+o.+ ~~.n . J~ ~ snCw~ . ~ ~ ~ Burial j:..~illcrest ::e:::. Gdns. i~. Ft. Pierce Floricta ~ $wTE 0~~, Ru: ~L:AEIAI MG'~MF-NAMf AI.3 c~~r:S: : srun o~ ~ r.~. +o., cm u w.., u•n. ~ ia ~,_'_~iarch 3 197 'n.Baird :u.^.eral :?or..e,901 :V. 7th St.,F~t.Pierce,Fla.3345: '•4 , V S. ~61 ~ fI~EO~i D~FCS - { ~ ' - ~ : ~ n~ ~J~il ati• vfJ ~1~ ~Gtr ~ew(~a~.f~.. . 7 w~Y..YiV ~7i~/~l~~:iC~ ~/~~/1 I'I~~~n.a.. ~.J,~:~,I~I[L~r ;~7G. ~?M ~*iC~Y~iI 2~ 17/i v ~ hc.eby can+fy tfiis to be a true and corrcd ce~y ot tL3 L.::.:,i R~Lisir~rs retord or+ file in the St. luc~e Co~nty Kv:,i:h G.:;~sR- f~LE~ AND HECOROED _ . ST.lUC1E COl1MtY FU. ~ ~3 rr.r.nt ~t Fort Pierce. Florida. ~ ` ROCER PO17RAS - ~ ~ va (Warning: Not v~:id unless ra~sed seal of the St. Lucie ~LERR C1RCU?T COU~T Cqu~ty Kea!rh Departme~t ~s a4fi~ced.) RECORO YERIFIfO , i'~ ~ ~.PM'~ F. - . - N. D. MI IIER, M. O. Z 31 .T - County Me~lth Off~cer b Local R;~~strar ' . . • ~ _ ~Y ~ . , - ~ ~a ~ .f~e'l.s ~r 9~~ ~ . ' 206280 '=5 ~ p;,~ Qepufy lota) Reaistra~ - , . . - a f~; - [ _ "s. =f o R ~91 ~ 5 3 BOCK ~ ti= _ . . . . . . . . ~ . . . - _ . `S-.. . . . ~