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HomeMy WebLinkAbout2433 20~865 C~c: ~ i.= ICATE Or DEATH I~eµulrtwl o~ Ilerll~ tirEu{..I~I+lirc ~rnicta fTATE FILC ti0. ~«.~.H~.~~ 2 iO~IDA Tr?~, O! 7iiw7 IH ~`~"~~°O"~"" REGI6TRAR'S NO. 3J~i ?FIIAtAritNf INK OECEwSED-wwMf ' SEx OwTE O? Ofwin ~ ~o~~., o.~, ~ S[f ~:tDOI i0i ; ~sTwctw~a , D~l\Ii:L CGLI.Ic i~ ~iale Auc~ust 1C, I970 IUCf r..,r~. .w~o. .~~uc•r .w:..., i wGf -..s~ ~ .•~e. : a.• _i ~t .i Of ~~~ln ..G.n.. w., ~C011HT~ Of DEwTn nc ~ vec.s. ~ euw. e.~~~ ' ~002 ~ ~v~hite IS, $b ~S~"" ~ ° " ~ePt.3,1889 Saint Lucie CITr, TOWN, ~ lOCA11QN Qf U(ATM • •~+i..~ :.n ..+~~f nJS~•,Al Oi OTnEI NSi17UilON-N~Mf ~N wpt ~w ~~rM~. GM 1~~~~ ~M nyy(~: > ~ Ir ~i5 O~ MJ ~ Fort Pierce ~~~Yes , D. A. Ft. Pierce Alemorial Hospital ~•t-~ n _ ~ SiAiE Of MlM ~ ~ w0~ ~ i•.~•~~'C~T:jEN Oi nnAT CO:~+`it~ i.MRR.ED, hfYER w~wift.f0, ~SlMV1Y1MC S/Q{)SE ~u vnt, Gnt .u~w+ r.~re i cw»n. ~ wJOwE~ D v~AtfD sncr. ~ .~t,~,,;~ ~ 5cotland I~ LSr, L'1~~O~IC~ .~.u er.e.~a ~~y SECufdTr N11w~iEe - - ..iD ~.~~rw S« USNAI OCCl17Ai.~,V ,G.v~ ~u.D J~ DOi.! C+WU+G rOf~ M TKWO OF WSNiESS OR MOUSi~Y w 4 .o..~ . M. . ..v.~o~.o... a.~ ! ~ ,,,.,,,,«N„~~ „ OY1-18-1201 ~ issio, ~r~~ Church oES~~Er.CE-STwrf COUNir GTr, TOwN, yN IOCw:~Jh ~~~ua ow .~.~n StREET M+Di+U.+~~E~ ; i ; ~ v,~,.. a. ..o ;N Florida St. Lucie For'~ P;erce Yes 2403 Shamrock Foac3 f~inft-r~~,wf .~~a~ ~.ao.e ~OiNE~-wuNf~i MM1f r.nr ..oa~ uu ~~'-'~T ,ti Thomas Collie~„ Sazah . 41cKenzie ~n?Oiu~utvi-Nw~wE .~wa.~.G ?O:.^f55 ~a~~en w~.re ~+o. em a To.», s~.re. i+~ 33450 ~~rs. Violet L. Locne 2~!03 Shamrocic Road Ft. Pierce Fla. Iw7T ~ •nw.,.un ,..:u... OfALM WAS UUSfO ~t i~"fz ON:r ~f UUSE ~Ei iwE ~O~ (e/. (b), uaO (a}; ~~~nr~ew o~s~~ .~.o a•*. .ro..n c.~~~ 6„Tro"~G':~ ::o«xw:~.c~ o. t n r C t S *l~`:inut e s . =0'nD~i~Otil. iI ~w~ c.. e..e ~~se ~o Isi c r+ 'f.?RT`t C~ 1 4 9 ~YPAT` .~eo..n c.usi ~o~. ~ -~~L'tE.~~~3..~• GL ~ 3'~--_.S 3 ar.~~we o..oe.- i ~o. w.s . cu+s~u..t~ce o. ~ ..~..c c.u~~ ..s~ i. . ~ ~l ?wRi u OittER S~GnY;C~wT CQnJ~T co«o-no.,s co~:w.,r.,.c. ,o oe.~. • AUtO?S~ ~ Ii 1/ES ri•~ r,,.~,rot eo~- ; ~a'~S ~..*'.J* ae.~~eD ~o c•uft 4.v~w .r ut . wi j i~hf p~ rp~ i ya~11J tw OIII~r.r~wG 4u1! M O~~~w I;.. ~j[~ i~•o.:.drt nCG~E'.i. S~iiGDE Ot~paT~f WI1iRt ~.o..s... w•, ~ ~rJ~t : MOW INNIRI OCNRtEO <<~T~~ wrua c. :un r.n . o~ r.~r mr ~ n:.M:C.OE, JR bWEtEl~unED . ~ :+xc~1~1 i ~ . j x'~ ~ 2in M~ 7Y IN~uA~ wi WOi[ +1uCE Gf 1a~WY ~o+e. srun, .rs,~., i:~~wT:~ , u~~n w~~ s. .w.. un o~ *o..., si.n , ~ 1~yc~n .tS M w0~ IONKI MOG.IK ~ WC~n r . ( e ,21~ i}W s GE¢T~ftUT~OH- .a~.w o.. .u~ ' c.. '.e.. ..w uu s.~ ..«.i»e. ..~.i a+ j. ao~wo w~ .K~ n~e o[.tM OCtw~ta .t .»e .we, o~. ...f .e.a ~oo. .rn. w.... E rM~3K~.ra: TO +CM.rw o.. i~.~q.•: a.n. •••D. t0 nN ~es+ .rt1~DtD rw~ / j w .r ~wpr~lOG. Dw _ 27a DfCt~SlD ~~Or ~ ~g__ 6~ _~~1, G~ 7\/ 3 ?O I7t/ ~j~l j~~~ M ~O tw~ (wy~~i~ H~~ID CERT:f~UT.ON-rwED4w~ EUMU.Eit Oi COROhEi e~ --i s o~ r~e ..o,• o.•oe.... otceoon ~.s •q..ou.:c~o oi.o ~ Ia~rw~rUti O~ fN ~GD~ ~~+0/O~ TM wrlfsK.~'~Oti. ~w • J~.w~O... ~ +O~Iw Wt •l~~ wpu~ t - GI~~w p(CU~~tJ pti N D~R w.l OM W iM C~rll.f: St~r1~ ~ ~ ~ ~ 2:• M -~77t lr ~ CFii~iifi-NAMf +nry O~ ~u..r------~- j.'v^+w:;y ; o~~~ee nne DAiE 51GNFD .o+rw, o~~. n~a~ : r3. ~y~ r^ J. C8T'tiJOn3r3 i7. i!+~. ~ J~t~,.:~~... j'{~ik ~f 12~~0 ~u.~W~y ~JDi{$~S-CE~Gl.ER snie~ ca . r o un a o.~.. yr.n i.. 71 Fn .v t~'' S~ A°t ~T'~' T'~ Z'iP.,..c? ~'ZO7':_4~R ~!l ~ ~J~AI, Ut[MAiqN, REMOVAt _CEMEifYT OR GREMJ~~ORY-hw.Nf ~10CwT10N c.n w q.» y..n ; ~ ~ snun. ' ~ f ± :a Re.toval ~:on'os:~es~ Ce:-eteZS~ ir~~ \orth Haven Connec_ticur_ ~ i~~ DyT~Ul3US~~~~~n~~71IO~~iER~sa~es"r'~uncra`~' Fio~~ie,••F30X ~7/~•~~t.~ IPierce, Fla. 334~0 i. i~ itih~~.; ~3F~i02-yGV.?Tt~tE R~SI:' ~-S:Ghwi;;iF D~f( 4CNVED ~T ~p[A? ~fG13T~,¦ ~ KlY.IY~U :Si y~~li~i v. ~1~~ f , ~ /1::P,t:st Z2, i970 i !r ~ . . ; . ~ I h,:::.oy ocrt~'ry this to b.~ a trua tr.d c~::~..-t :.~,;,y a...~ Lc~l .f r ~ R~:srars record on fi~o in tha St. Luc:;~ Cc:;nty i-i,,;.i::z u;,;,;,:-ti t+~•' f, mant at Fort Pierce, Florida. F«E~ A~D RECOp0E0 ~ ST.IUCtE COY~1Tr fl~ ; - f , ~ ~ (~'larnir~: Not valtd un:ass roised u~l of Lc.i~ ROC£•°• POtT~lRS ~ r:{ , j. Counry tioelth Oep:.rtr.icnt is ~ffix~~.j ~~ER1~ CtaCWT C ' ~ ` . RECORi~ VE~t+~IfO ~Y~~Y" `v'! ' , 1~ ~ ~ ~ ~ ~ , a` ~i~'~~~~, • - " N. D. MILLER, M. D. , ` • • . 215, ,.<4: . -f . . ~ Couniy Hea{th 0~.._ • L~;:~ i~u~ ~~r ;i._t 1' ' 4 ~t.w! a:c 'r _ ~ . `.r D . aS~•'~t i _ ~,a,~,~ zQ'7865 ~~~~fi~ . _ ; _ ' ~ ~ •'l ? ' i ~ ~~191 2~~8 ~ y ~ = ~ _ v , _ ~ ~Y' ~SY` ~S ~ 3 `Y .';~'?;..~,e.4'"M1~~ ...t 2.-„ s.i__ - a. ~.~d`.~C'F.