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HomeMy WebLinkAbout0411 MICROFILM HBMO LeBibiiicy of Wricing, cyping or printi~g unaatisfactory in this docume~t for microfilming. _ ' ~ ~ ~ CERTiF:CATE OF DEATH / Vey+rtwrwi e~ ~k~~lb ~wd ~C.i..~lw~~lal~r~ ~rrvices RAT[ fll[ ti0. FLORIDA 84 fri:. O¦ ?f,NT IN ~~~~?un•~o REGIiTRAR•S NO. iF7KA41IAi iMK/ p~~~':A~p_N~E ~~o.~ ~~at g(Y OAff Of OEARI ~~Owtw, 0~~, r~at~ n..:Mll ~Oi ` ~i~+~~+~ Thumas Crogiian t~lale ,bfarch 2, 1971 ~ t~Cf ~vw~i~. w~6M. ~YfM4M U4~~N, AGE+Ylt w.~~ .we~ ~ c.. OwTE Of Lt~M ~ uw~r, M~, GOIMi~ Oi OEAiM 660Z _ ~c ~ v~cr.~ o . ~.a.u~ .w~ ~ w,s ww~s ; o.~~ f White ~~J~j ~ ; ik ; ;,9-19-1896 I~~ Saint Lucie f Clir, i0~. O~ IOC~T~ON Of OEwM ws~oe cR~ ~~n Mp5?~iwl O! OTnf~ iiSTRUT~OM-N~wf ~r rw u*wa, cw~ s~rn ..o »wre~ ~ an.... •~s w .w ~ ni'ort Pierce yes Fort Pierce Memorial Hospitai 1`.._-----i--- STATE d MRM ~ r w0~ n. v.s w~~~ GTIZEN Oi Wr~AT COW+Tit ?~A~GEO. NfvEs wuiMED. SWVNNG SPOVSE ~r .w, pae ..pw ~ CO~wAt~ Wx~ M'EO ~M1'.'~~~p ~VKrr~ .,,~.,,~„o.,~, ,\ew Jersey i~ U.S.a. IN :i42"T1@O Grace Sheshan .,~.a w~~.xa KwD Oi MJS~+ESS O! nOUSt~r .,.~o .~.r« SOCUti SfClt±iiv MMwEe UStlwl OCfU?~T.O.~ c..~ a a o~ w+. oaw ow~w .os~ a ~:[~~et~ ~ rO4r0 ~~N. i.•.. u ~ai..l:. i1 ~5o_g2_7b2~ Bactcriolo ist \ewark Health Departn~ent .~~.a..ce ~eroK ~ • ~A •Oiss'~"' ~f510ENCE-SiAfE COUNTII QTY, tOWN. OR IOCAt~pn1 ~fM cr? irm STREEi ANp Nyr4ft L~` '1 WCM1 t1} p~ Np Florida ~w St. Lucie ,4Fori Pierce ,N yes ~907 Sunrise Hlvd. fAfNEt-NM~E rNSr .uowe us~ ~ ~ MOTtiER-wulOfN ?tUNf rru nwpt uir ~ „ John Croghan Ellen Derr / WptMANi-NAME ; ~tAqydG AppqEU ,smer a~ r s.w . ea. w ro.., a..u. ~r ~ ~ „~~irs. Grace Croghan ~907 Sunrise Blvd. Ft. Pierce, Fla. IAIT ~ OfAM WAS UUSfD ~t~ ~lviFi ONl? Oi'~F GUSf I'fR lNF FOt {ul. (ek ~/O (~l' •r ¦.r.r ~wn~vu ~ ~~n.ur a+s~t a.r.. It wwsun t ~ae ~ t ~o , r ..:wo~rw»s. n .~n ~c+ c.r~ •~t~ ro ~ Ib! ~ • ..eo..~~ uus~ w~. w+~ w. w•f • co..s~ow..n a. ir.nra r..su- I a....c c...sa •.s~ ' S~~ ' 1~1 i ?w~i ~ OTNfR S~G?~~fKANt CO?IOIT1pN1~ to-.ano-.s co.nawr..,~ q M•~ w~ wo~ uun~ ro c.~si e~+e.. w.u+ ~ w~ ~a?Sr ~ fi rES ~r~~ ...o~.es cw+- 1~~~ w.w~ . Lwua~«o~~t~.~ro.cu~sr - i,M ~w'~ i h e~•rw '~•aeobtyl ~C[~DE i~SY~iDE l~-~ w E WN~iY e ~o~.+ . an•..~ ¦ ~ ~M~IA ! ~+G~Ol. Ot YWEtE4MW[D I . r MOw INlU~1 OCCURRfD ~~wn~ ...rw p:wwn ~r rur ~ p r~n u, n~~ r 7C~ ~ M i~ ~alUlY wT wORK hACf Of MUURY •o.a. r.~.. uu~., .r'w~., ( IOUTiG+~ ~ s~en w~.r.•. wo . t~n o~ ro.r.., a~.ie . ~ fMt.n •ts W.q~ ' 1prKt YsO , tK ~ fnc.n ~ i~ t~w'.{i(I~11~1- rWiM Mt ~ll~ ~q~A o~r rw ..~.o uf~ Lr M~/q~ ~leA OM 00/W+W?~M~ M D[~TM aCYtlfO ?IK~. O~ M •/M13KI+N: TO wQ~M D~1 ~!U ~OD1 i/Ilf M~1M 1MOV~t O~I~. ~r~0. ~O ~IN Nft n~aOfO twf 7 ? + O, twO~UOGr. Ou! ~ 11~ Oe(f~HO rq~ ~ / / -71~ ~ _ 'f." •r / ~ ~ II~ 3 L ~ ~ 71~ 7N / . ~J M /O ~N! 4YS~~3) 1e~tf0 CER7YK~iiOn-~eEO~t Ei~w~.ff OR CO~O++Ft a. r«r ~.i:s a r~.e o. ~ ! r.~ oauoe..i .•i r~o~.w~ee~ w.s . ~a~.w.~4+p M WO~ ~.o/W 'we o.v~s~~Gnr~Ow. • O~n.~p.. raa~w Mt wOU~ ~i_~ O!, m O[tWMO d~ M M~1 ~w0 OM q~w! UuS~~f~ S~~ryO ' I~~ 1 ~ M ~ 77~ ~ CERT.f~E~-N~ME ~~.n w ~~wn : ;~r - i _ a=~e w~.e ~OAtE SK',NfD o..,.e.~~ ; IH .'.usse2l L. Cou:^ts. . ' `i ,w " j - y-„ '....,vG ~DWESS-iFaj~irER _.----.-o ~ c.n w ro.~ ~ s~•q t,~ ~ ~ - . • . ~ ~ y ,Z CREMAi1~N. ~1yQYAl CFMf7E1Y O/ C+ttMATOiT-hwvE_- ~~,\Q~Ai1QN ~p~ f1~q ~ +n:.n ~ r"' M_ r.. t3urial }Iillc: est Gdns.~,., Fort Pierce, Florida 33~+50 ` 011tE ~.O.nw. M~. Au~ iUh[4y NOMi-..~.h w~A]cSS fsqp W~ w0 . C~t~ M~O~r. ir~tl. t~~ ~ _ 3-4-71 ~,k Forc ~ ierce, 1~~~ S. ~i~' St. Ft. Pierce, Fla. N~Y. iq7Q uAiR~: w:+.v.?•'~+~/,~/ .,~.1~/`~.. •^j 5~"...~.aluRi~f O~R tl~C.~E~M1,,E~O L~1 ~iKY 4(G~~SilAt ~ ' ~ , ~ ~ _ ' ~ l iE-Ta. . ' _ ~ C - I ~ / i/~ ~ ~l ~-K1Lt:i 1 2 ~ 1771 ~ ner6oy u,ni:y ~his :o ba a true and corr:.d cc.?~f cT i'c.. :.c:.al Rc~isttars record an fife in tM St. tucie Ca~.s~ty ss~s~t:i i.~.rs :-FILEO AMO RECOR~EO m~nt at Gon P~e?ce. Florida. ST.IUC~E COUNTY FLA• ROGER P01?RAt ~ (Warnini;: Not v:wid unless roisrci seai of the St. Luc~a CtEitK CtitCWT COtlRT.~ ~ County Fiea!th Obpanme~+t ~s aff?xed.) RECORD Y£R~FIED.~~ i Y! ' N. D. MiItER. M. D. ~~3 4 ZO PJ~ r Coun ~th Officer b locot P..yg~strar f~, - ~ , . . . p~1~ pepufy Loc',a) Reoistr~r • x 0 a 5 Z t -:~::.,.;~:.t. ~i~t ~10 ~