Loading...
HomeMy WebLinkAbout1186 :T.lUC1E COUMTY FLA. 6, NOCf 1 P017RAf CLENX C1RtU1T COU~ ~ RECORO YE~IFIEO~ ~ O'7 01 ! ~ Z 2~~M ~1 ~ e•- sT..T~ ~o~o o? auLrN CERTIFICATE OF DEATH 2 07 O 11 ~ • •unuu or v~Tw~ rrwnmc~ lTATt /1L! N0. - FLORIDA ~rd •~+r. B•RTM NO. RE iTRAR'• HO. prop~ri~ ~~~~Yl~1A 1. f..~C~ Ot O[ATM GODi NO. 2. V~YAI w[fIKMC~I~~.•~Irrwlwwt. Ili~..ww~w~: f~dw.~~N~-'-'----) .ad l 1 W"N~ a- STATE A. ODUMTII D~ ~l~t~~ ~ . ~ . t • = . tw P~t- 0. C1T1t. TOMM.OII ION t. ~S ?UCE Of OE~TM t. C~Tr, TONfM,011 LOCATqM t. K RES~OCrKE u~l~[ ihSsO[ G~Y l:Y1T51 MK/pE CITY UMIt~. ti3~. ~ES? McT .7• rES NO I. hA11E ~ J MI tA ~M~1~I. /Mf IGfM ~I~ItN) 1. STIIEET Ap01lESS tiOS?/T~l 011 ~MST~T~TqN , t ' ~ MnM~ OI iY?N .V~{/it LMf DATE a/MA D~1 Ytr o71W a plqt) •~,.;tij Ti-~ ~ _-.^.i: ~ Dir;c;; ~„TN a:~:;~ a i ~,50 S SEX i COIOR 011 IIACE 7 p - WTE OF ~t11TN ~GE 1/~ HY~ t?'w ~~OEr wS. MANRICO hfYEA MAMi[D ? l~ ~f~.) X~, pw ~Y. . ~ i c• w~oowts C avopcto .Iult 8 1 2 ~i ; * 1~1 ~ 1~ la USu~I OCC4?ATp71 iCtH ti~ ~/sMt M~t IQD. KIMOOi ~u51AE55OA iNDUSTRY il. tUTM/LAQ (,9dt r/Mt1~ CNAh/1 1. CRIIII~ d~IYi ~1Mittf ; . • 1 t A o. r- tr.i~~ .~ut y wr~~~~ hp, ttr~ 1/ r~tut~l ~ ~~pf^~ ~ C V ~1~`2'aI1Slt IIrook~~ ~~~Y• US~ § i 11~eL- ank j~ ~ATMCR S I~AYE 1~. M6TMt11'S wAWtM MArE er j ~s~~~rfe~r L~..O t. U'tObt. ! iS WAS O(C[~SED EYE11 NI Y i AI1rED i011tE9 t6 sou•~ scwaTV ~o. i7. ~~row • N.w~*w~s~orence J. D1Y:01: /1'w. r. r..a..w1 1!1 M~. HM w ~ Mb~ ?.....r1 ~ C 1-C~-~+:? w.a.., 1 0 i:. t. rd. S~.FL. ~e.ca,:'_a. ` "r ~n~~ a: li CAYi~ 01 O[ATN (6d0 ~fJ1 ~ nwt ytr G~e/er l0). 11/TfNV~1 ~EiWEEN : ~ _:r~elor ~~~T~.O(ATNW~SCAt75(O~Ye ORSRAMDDEATN ~ ~~~i t~~~ Irr[DUT[ CAUSC C"' J } CT' tl ~:C3: t. diSC8SC ~ t~• c~r- tiffc~c• Cow~ilww~.i/~~I. p~ Tp ; f •ft\ tY• t\id ~Kt ? b • 1• e• l doee tra~t~~/. ; $ ~~~~I t4 rwl~r. S ~ r~afstr~r Z /s~~~ ~~~c~ tsu. p,E To (r) ~ . i c e~ e ~ a 0 ?Al1T H Oi1[~ SKIiKMi C011017101~f CqRUMff WG i0 O(~iM WT MOT Af47iD TO T11E R~YIIYI 06U5[ CO~OIitlM GM(U ~1 rMi 1(!1 WAS ~NOYSY ~ ~ ~~rrs ?t- ~ ?E11fOi1rED1 t~r dsat4 < ~ , u_ rES D ~w O a+ D~ fer• Ih ~f 20G DESG~~u ~.ow uuuRr ottwato. (BUn w~rrr~ Nn~~~ i~ Pirt 1~? Pirt 1! yfu,~ i1.) ' •~k1nE •w~ ~ ACC~D[MT SU~CIpE NOM~CIDE ~ •o.s~- ~ C O O ~ .r ~ ~ Nd~. i 20c T~M[ Os llw. X~wt1. D~1. }'r~r ~ ~~u~~r a. o ~ = 2Q1 W~IIf OCWIIIICD ~lt ~UCE Of :r+~~ar ir. iw or ~.wt Ae~ow. l0/ qTY, TONM. O~ LOCAiqN CQUMTY ST~TE r WMKE ~T ~ IIQT NHI~[ Q ww. ~fO~i. KrKf. o~1[t Lf/J.. d[.) WO~K AT NpllK ~ 2t. !~tt~nA~d tM d~ce~~f Irem ~ ~~~~~1: , to ~+-~~~~0 •nd /ut w~ A~ ~/i.~ on ~00 j ~ Aim D~~fA oceu~r~d ~f m on th~ d~t~ ~tat~d ~Am~; ~nd to tM bwt d aq knosld/~. Irom tA~ uuw ~bt~d. ~ ?11 1{~~• jj,~ NYN1?TYw[ • ([Ar/rttMW:ti 12D ADOR[SS Z2t. WTESN.MED ~ •r• t• 1• - ~ co¦pl~s• • ~BV;CZ L. :SO:c: 'VCj ~CZb4i8TC t~VC.~CL.PICT'CC~CiFa /a~;-Ob •ttY~~N. ~~K. ~wl~ j3p pAT[ 23c ~u~tE Oi CErETfRY OR CIICYA7p11Y 2~/. ~,pCATqM (CY~. fw~. M twOl~) I~~ft) ~ ~[rOV~a ISpt~1 ' -F-66 }:il2cres;, =.e.:.. Gd.-~s. Ft.?ierct, rlorica i~ ~.l.~AI] j{ fuK~AIDYIE 0115ALMATYRE E ` " I5. MTEREGO.~rIOC.LL~EC. R[66TW'SSIGIIAT~RE ~ 5ii 1 ".4L" ~jt: ~t . _ l~~•1986 i~~ ,S&II'G 't.. ~~C.^CP.•[•`~ 4-j ~-.7b At'ltlo iCC DC2't150:1~ d.T'. ~ hereby certify Mis to bs a true •nd correct co~y of 1i~e Locel < Registrars record or+ file in th~ St• tucie County Health Depart- _ r~ mont ~t Fat Pie~te. Florida. ~ y (y,farning: Not va;~d unle:s raised seal of tha St. lucie , " ~ t'~~ Counsy Keaith ~epa~tme~t ~s affi,ced.) : - ` , :~t'. . ~ N. 0. MIIIER, M. D. - ~ . s,`;'', ~ t ~ I - - County ' - ~sh Officer & t.ocsl Ri:Qiatnr . . ~ • ` ~ , ~ ~ 1~~;~~~. - ' ~ ~ ~ N _ ~ ~p11~ ~OC~~ weaistrar ' `'.'j b, ~ _ , ~ - ~ ~ - ~ 6 oxi9i ii84 ~ - ~ k-~ _ ~ ~