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HomeMy WebLinkAbout2484 t~ / ~ _ , 2~'7$9~ ; CERTlFtCATE 0,= DEATH Deprl~l Il..~tl~ ~wo Re~eilil~tive $errices fTAT[ FIL[ NO. n,~'~~ t+?a~~t~ FLOAIDA ?YIE. Ot ~MM ~N w~.~~w..w?~wo RtG1iT11AN•• NO. 12.3 ~fi.tANIM INI[ ~A~_N~~ ~as~ ~wa~ ~~s~ ~I DAiE Oi DEwiM ~~oMtw, Nt, ~~u ~ SEI WI~ON Nr ; ~ RGBERT ~ PHILLIt'S ~ Male , March 22, 1971 ; •~CE .rrm. ~ewo. ~rnc.r ~+ww. wGwE~-i.u w.o.. •~e.~ wa~ ~ ar OwTE Of WTN ~no.ww. wr. COIR/ri Of DEwM . ~wcr.~llt@ w J~.~euti~ ~.ws. ~ w~i wws 'w~ ; 660? ~pr . 21,1919 St . Lucie _ ~ ~ Cm, TOwM. O~ IOCwT10N Gi OE~M w~.w cm ires nOSMwI JR OMN NSTrtUf10N- ~r ~ n. u~. o~ f~en ue ww~ ~ . . , Ft. Pierce ,~Yes 308 N. 28th St. _ Si~iE O~ Mttn ~ s wor M V f~.. .~..i GT~ZE?+ Of ww?t CO .il~ rwRdEO, nEVE~ ~u?tl~ED. SUtvnNC, S~OYSE ~n, o~n .ara. ww ~ ~w.~u~w..c~ ~ North ^.aroll a, • LT$~l ~ MarrleQ~wcn~ Anna LOW@ .wa w= e.see ~~.n « eu« SOCULL SECIMITI MM~ER USUAI OCN?wTlOta ~ u.e ar.~ w wu ea+ Mwwo roa w [IND Of MlS~ESS Ot M~DUblfr otcr -.e ~n ~ot ire. f'n.. u ar.w ~ «=a w~ „ 241-28-3413 ainter „ Building •:"u'O'~ iES~ErKE-S1~?E C01N+tr GTn. TOwN. Ot lOfwiWN Mw c~n u.ws S.~ Ar~D ~+t1M~E ~w Fla. ,~St.Lucie Ft.Pierce ~~~`~e3 ~~w 3~8 ~T. Z8tr1 St. r t ~wrr~e~-~+.Me .w, .r«~ w. rOtqER-MAiDFM HM~f ..s~ ..wo.. ~s+ ~ Unobt . Lawe Unobt . i s . ~MWM411NT-NM~E ~1wa~r~G ~?ODRfSS ~swnr a~.r.~. wo. cm a w~., s*.a. ir~ J. Ar.:~a Lowe Phillips ,n 308 N. 28th St. , Ft.PiE~ce,Fla. 33450 i~rt oEwm wwS C~usED ~r: ~t?+rte owr a+[ uusE rE~ ie~ rq (.L AL uo ~.J /I ~ • llN OM3l1 ~MP ~.w~F --w /~~f . ~ ~~u • ..t : ~ ~ ~ E . ~ . ~ '7 ~ c- »emo.s. ~r ..n. i : i ~ j - • ..~cw a•.~ ns~ ~0 1~1 ~ ,~(i! (.t. ~ ~ 1 .[eurt C~us! ~a. i ~ ws,~ ~M~ o,. 1 • ?r.,~ra YM~H- 1 -J ~ v l l s G~ . , . ~.~~e e~vae ..s~ ~i^ ' ~ l~ _ ~ V` I {i {/~~I~f i V~ ~ ~w~~Y~ OTlIEf SIGN ~ Cp~DiT ea.a s ec....r••r....~ orw ~w ~~ounst ~ e • , ~ J rE5 ~~¦e nro.~.s :e« ; ~ ~ ~G I~ff w~0{ ~ lMttO ~ti Off~~r~MU.G C~.f. ~ - C~l~ L6"y~~: P ~~j`J7 / /C'L ~ 11. G N~tw ~ KUOE 10! NJ1Mt ~ rO~.~w. w~, ~eu ~ nOIR Mpw 1?~lU~~ OCCUtlEO ~ e'.n~ w~nMt p~~nrn ~w r~af ~ p?.~r .r~. - ~ ~Or ~ Ol 11~a1t M t Ir ~R M. lY. - ~ It+A:~r Ai WOt1I /iACE Of NMY ro.e. sir~~. r.oon, IOCwTtON ~ sw~n w~.r.~ wo.. en+ o~ w~w. u~.~ ~ ~ ~sncu. ~es w ~+o~ ow~u we..eu. ~aretr~~ 'r~~ L. 1~1 ~A ~ ~ : CERI~NUTqN- ..o.ww r. ruu .o»r w• rw uo w~ w.r wri~ um or ~ w~ .r~. w ot~tM otcuueo r..~ ~a.a rr F INrfK/41: ~O~M Mt ~!Y YR~ M~M ~ 1~IRMO~Y Mf O rt ~~.~~1110Gt 4~W ~ ~~..~...o. 7 / 3-~~- ~ I tq ib M re wa uuw~s~ rs.~eo # CE#Ti1Uf1pH-MEOICAi EXArrNEt OR COROHEt. o.. rw w~s a rq wov~ a a.r. rw ~aceae.n ~.s r~o..o~w~c» ow ¢ eu~a..~w.~ or w~ w~~ uo/w u~ .~nsnwrow. w. or~.w». .~w~w w. .e•~ wo„• ~ ~ ~t~1A OCCY~O OM M M~! ~MO ~M ~D M 4YlHU lURO. M ~ ~ - ~ ~ ~ ` ~ ~ CE~tIf1E;- nrr~ o~ rtin S~GrrAT~tE~ ~ j - Ner~ rme OwT ..o•+w~ r••..w~ ~H. Batsche, rt.D. ~ ' C ~ " # - ~ - 7 / : ~ MARNG ADD~SS-CEf u~ee~ o• ~.r. ~ ~ O~ w~. q r~ ? ~ '~6 De2a~r~r~ ~rG_~:?~ _ : ort ~ierce Flo: i~s > >0 ~ we~u. C~Ew?TqM, ~E~+OVnt' Tt~r o+t Ce[~r:.ar-H,~~ ~ounon a~ a a... sun ~ Removal-Burial Ayden Cenetery Ayden' N.C. ~ DA1E ~.aw~. w.~ ~ klHflAl MOr~E-NArE ANO 4DOtfSS ~ sran w~.r.~. w0., tm o~ ~ovw, n~n. ia c March 23,1971 ,~Baird Funeral Home,901 N. 7th St.,F~.Pierce,F1a.33~50 ~ r. S.1612 u+E+uu O~-SIO~wfl~Er~~` 4aFC.STW-SrG++~tur[ e~ uo~srw ~ Rev.19:C ~ ~ -c ~1.~ ~ ~-i~. tN - ~ F1~f~ CO~tl~l 1f11S i0 b! • ifUG afld COff6C'1 COp~/ ~.C:.:.~ ...aEi.... -~j~y _ Repistra~'s reoord on iile in tM St. tuci~ County c:"~~... ::.;.art- ~t ~ p;eru, plaida. FILEO AM(? RECORDEO _ . ST_LUCIE GOUMTY FIA. . t ~ (1Naminfl: Not va;id unless roised seal of tha St. lucis ROCER : ~ITitAS ' - ~ K ~~ty K~alth pepsrtment ~s affixed.) CIEP.X CIkGU1T COU • ~ RECOR(• VERIFIEfl . . ~ - . = N. D. MItIER, M. 0. ~ _ ~,ry ~,f, b~.~ ~~irAPR i 9 I i o3 AN~ ~ t_., ~ _ , . ~s ~.~L. a~sl~ / ~L • ~ . . . _ ` ~ _ C,,,~ ~Y Reoi.t~.r 20"7899 ` ~ ` ~ ~ ti:: ~ ~V eooK 1~~ ~ • - ~ ~ ~ ~ ~ - ~ 5 _ ~ . _ . ~ , _ ~ . _r