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HomeMy WebLinkAbout1383 207127 ~471w7 fI~EO RMO ~iEC R ~+"r tt ~OGEFC ~IfMR ~ ' CIERK C~~CU11 CpyRt ~ ~ ~ ~ REC4R0 YfR~f1fD~.,,~~ A~t~r 6 ~ S9 P~!'l~ ~ C~RTl: iC.=:; OF DEATH D,rp.r~~r1 I G.h~ .wd G~6+I.1d~U.e Jef.4r~ fTAT[ FIL[ NO• ~~,.:...~w,,,..,„~ F~ORiDA 3ss .r+f. Ji ?G.NT ~r+ ~'~'~~~~w•~O 11[61iT11M'• NO~ i:.:.t.:w.Hi ~Ha JFCE~S(0-hNwl •wu ••u OwTE 010E~M ~•o.r., ne. •~.u Sii ~a:3;.yL f4~ riipCidi+b ~ D r;,~•• ••7-; r f UCf r~:t~. w~OW. u/~KU~ w~ur. AGE-MN c.. D~tE p MtM ~.owr. Mr. COIMt~ p OUTn ~1C. IMI(M~~ W~I»~• ~l~l~1 ~0~. ~ M~~ • Nv~~ ~~I. hY1 0002 , Hihite 48 ~ eb GTY, 10MM. O~ ~OCAIiOM d 11M •.~w~ c~.• r.OShTwa Ot Ote~ft Wf - ~r ~p w Mr~~. Mt N~~~ ur wvW~ ~ . yK~F O~ +J ~ n Fort Pierce Yes Fort i r ' si.rc a~an~ ..u~ UTIiEN O~ WMwi COY~+Tir wwi7::J. ~+[~Z~ ~71ND. S{~11IMG f~'OIIS! ~r ~M YM~ rY 1 towm ~ ' w.JOwFD. OrvO~CED ~ wt~ ~ ........o.~~ ~ \orth Carolin ~ U. S. ~.3rried e Renton_ o~~~.ao ~~~u StcW~T1i NuW[~ uw~t OCtw~iAH ~c~.~ a..-, o. ~a. w..~ hw.+o .w~ w [NO p ~tISMt3S O~ MD11Sn~ .~i N~~ 0.C~~~~i .w ~O~lAO Mti M ~~1.~~~ ~ . 2'v6-18-9341 ;~L Grove Foreman ~ a Groves ' ~.c. «.w~ ww cw .~+s sr t ~wwt~ w•• ui.~(aCF-Stwtt COYaT? ~GT~, iOwr.. ~r .JC~1~0~+ ~ ~ wtr. n~ o~ .e Florida St . L~~cie F~~^t Pi erce ~4 ?~Tr~tt-r+u.E r.n. ..~w~ ~+Witit~-+~OE~ar~1uk ~rw r~w~ u?. ~j ~_~~h 1 . • John kesle RoTen:an ~ ol 1 ~~yp~,~,Ni-MAME Irwy.nCs w~(itf1S ~MNt~ p~.~.~. Mo.. tw p~o~. N~w. ~ ~'rs. ~tar Lee Rozeman n~ F.2 n ~1i ~ t . •yi ~ DEAM W~S C~41SfD ~1-. Er~:t~ C+`.r Owt i~uSt ~Ef tNE W~ NL A~ RA ~m.~~. o..i~~ N.r. 't ' t N Ww /j / ~ ` {~1 ~L ~ ~ ~ ~ ~ ~ / ! % ~C~K/ I ~0 ~ ~ " ~ ~ :o..,,~_,. ~ ~ ' •~-,z.c~ ~ G _ ,o ~ ~e cc.t ~c t ~~Ie•~r:= ~ Y~- ~e M M. W~~ ~ CO+NOMK~ G^ ~ . i `yZ • C~rN ~~~r ? I i~~i r Oin[~ 54++/C.wl COr+WT~Or+S co+fw.~ cor...w.+c w o..:. ~.Jr n.aq~ t0 UrM ~Mr ~..n wYiOli~ V vf S~~.~ •••~..o~ co+~ ( ~Af W W~ . YN~~~ ~w Nt1~~~~r0 U~M £ ` , 4 ' 7 w ~ - - - - ,,r ~i0 l iw xc~.~ K..D[ti~, i~.~ ~~~i~Dw~ ..a.:.. e.., v..i j nOvr ~~alNfi OCNNED ~~~A~ rM W wu~Nt ~w ~~H ~ M~Yt r, /f~ ~ ~ ~ ..,~,Aw. w w.xnw~~.to ~ . ~ ~ iw M ty IhN7Y ~T WOZR ~ hwC! p wal~ .o... ~~ro, •.c.-,.., ,.O:~i.ON I Vqtl W~J.~-yC . C~ O~ qa, NA ~ . ~ ~~nVn M w0~ ~.OMKI MIO.~~[ ~yK~t ' ~ ~ r~ 'K ' it7T.l:C~iQ/~~ rOMM M~ t~u ~ ~0~~ ~ uA u1t Y~ ~.M /M~ NM OK ~ M/M rOt ~1~ M 0~~1w OCCW~lO • erf I~.:~. O+'+•~ ~ /wtlK.~w 'O ` ~O+rw _~O ~ RN W~~ M~w~ 4~~ ~~q. ~+0. W 'M N/+ . 8 - ;S - 70 ~i - 70 did not~,~. r . e.:,.,.o 2 - 28 - 69 $ .o ;E~-~r,~,.rU~+-~rtDt~. El~wr.E~ d CO+t~+t~ o~ ..~~s a.r ww a•w.+. ~ Nc~Mwr ~J tiO+O~wtN NN ~ ~..~...•o.. r ~r re• .w: o• e.~ ...~.•r,.,w. w~...w. ~ .w+~ e.. nu +o.. ~ - ~ c~.•. O(Cr~~W O~ M~~ti M~ ~N `O M C~yN f~ v.a~ _ ~ 'm - 7~ 4~30-.3~-" ~ ~ ifiTJ~ii-n.~w.E ,n.~ o~ n.,.o _ c~ w nnt ~ A O~.o...r. w•. w• ~Villiam H. Meyer, M.D„ FnC~~ ' ` r~ 1~.+.e •~s r.+: a+o w v... wn eu ~ "~Gu ;~or[~`~"l St. Fort Pierce. Fi. UF.+wt~0~+. ~EMOvw~ -~.CU+Ertrr OZ CrE.~wTGa. -v~w.F i~OUiW~+ un w ~ow~ ?..n g~^..~. ~ y~CM r ~ Removal ~r• Cha~el t~l'_ Shallotte ~or.th rarnlina - ~ . JAi~ ~-0M~. M~. AY~ : iVNIiAi nOME-hAVE ~h:+ AJ:i~iiS ~~~~~~t G~~~ ~O. C~n p q~r. N~N. lu 1 ~ i So. kt° St. Ft'. Pierce,_ Fla 33'+50 :4 ~ ~ :i U 2it s t 214 . 1~?~O ,2» F O I' _ P' - ~o i~ ~~~,~ru~ yS s. o:z ~u~+Eai`JaEG'fa-YGn.~re+E r~ • G~.)-Y.:....,rF •nr' w nt.e. , ~ - ~.:,ri' Au 23, 197~ _ w~r.:47~ ,u t,' ,~w,i~-. - f~ ~ ~ ; n~rsby unify .Mis ro b~ • hus and oorrect oopY af ths Locai = ReQistr~rs record a+ fils in tM St. lucl~ Cou~ty Health ap+rt- _ m~nt at FOA Pie?Ce. FlOrid~. K , . ' - - (Wsmin~: Not va:~d unless reised seal of the St. LucJ~ .,y : ~ i~ ~ ~ Cou~ty µealth Oepsrtme++~ affixed.) Z~•. ,.~~i+..s:Y}:'. - - , , ~ ~ ~r ' • i . ~ ~ = . ; ; ` : : = N. o. M~uER, M. a , _ . . _ _ ; - c~?,y off~ a ~.«.i w~~n~~ • • ~ , . ~ . ~ ; _ ' .~~~...,1~+,`~, ~_c; , . _ - ' . , ~ ~ p~puty Loui ~oimu ? : . . , . , ~ , ~ bO~K 19l 138i _ . . - . ~ - - s y". ~z~-c4, . . . . _ . _ r ~v;'-?