The URL can be used to link to this page

Home My WebLink About0588 ~ . _ _ - _ _ ~ . . . _ . ~ . ; - . . . _ : _ - - - - - . - - - FIlEO AN~ RECdROE~ 684 :T. ~o~NTY F~ CLERKCCE4CUtT COlIRT . RECOFO YER~FIE~~ ' Miut ~ 'Tl ,a ~~~84 ~ - ~ CERTlFICAT~ OF DEATH O.A.~..M .f 14.i~? Rai.Mirww Sw.~e.. f+rwTS FIU IIO ' av~a+ or ~sw.rn F L O 8 I D A 119 ` TYH. O~ MiMt W ~~~ww~www~ 11MItT11A11•~ NO. ~ IdtM~WN~ IN[ ~_K~ Mp .+w~ ~ i!t OAt! Oi OfA ~~~~4 Nr, nu~ i SfE ~WiO~I N~ • •.aa.ciMa , Cole~an S. i: i, ! aas :?:als ~ ~'.arch : 1 1 . ~AC! M~~O. ~rrrY wrR. A6t-wM wa • OwTE W M~tN ~.a~ M~. COIMIr O/ OEAM ~ 6602 N~sro `~~"w" t ~ Ju1 1900 St. ZLr.fe . - ~ ~ ~ ..w ce. ~..n tw? Oll~Ea W ~r .e~ r «w ~ww~ r~ .~rw ~ , t/~Crr N~ M ~O ~ Fort Piorce ~ss ~a: L Pierco ::anorlal Kos ital . ir•n a «nN Mw car.s~r ~..~.s~eo. ~cvc...~.rco. ~..w. ~ Florida , U. S. „'.°O~"`Qar°n»~e°~~••`••, Paulvrto .2'!cDonald rrr Mu.w ~ MMYE~ Vflw wT~O?~ ~«.e ar w.o.. w~w sMw .ow a~ u0 Or WSNEif q wDUbTM uww . Nas~ .p.+~ ?w. ~w~. • u.~w ~ 2b6_20.0822 G: rdcr.cr Zandsca s ~ ti~ . ~cs~w,.a_:r~ie tou.ar tm. io.n+, a toc.iwa cw . ~ .,...«.e L~~ Florida St. Lt:cie For~ Picrce ,~_'es 42 l~. 13th Strso~ ~ .wnt._«.w ..r. r,. ..ar~ci_.~.~w« ~+.ne ..w. ~ „ Jessie tr.'Y31~:..:.s P'hen.~ay :!on: oe , ~wOMMd-Iwr[ w?~i+G ~DWESS ~ww « ~ri. wa. an w ~eR ww, ~r~ ~ PA e'aFl111a.:,s 425.':0:-'~.~: 1?th Streat Ft. F; orcc ~ a. 3~%`^ - .~n . . 0lAw1 MW CMAlO N. (EwfEt OMtI drE U4ft I[t l~ IOf AL A~ MO k~ ~e~.w. owr~ w N.w , ' K ~ Y , ~ ! I ~ tOrM~~Ka. ~w. ' . t o.Kw Mry nN N~ Ni ~ ~.r '1 ~ yNM~M C~~M ~ M~O. Y• Oh N~11b~ TM ~M~F ( S ~~uN C~~Y uN 1 i I ~ k' AIROK~ •~ES F~MM~f COr- f E ?~ff ~11~\ ~KAM1 ~IIIp~ ~PMOr C}RMM+y ~O M~~ M wp ~lW~ q f~11M ~M~~ r~YI ~ r ~ ~ Iw~ a MOI OMN TM MqMMIMi Cw1Y ' ~ ' !l0 ~w ' i i . p ~Ml1YnMl~ ~•o.~.. r~, nu~ NOM WIYt~ OCCIM~EO 1 M~ rwM M rNw r rW ~ O~ R wr ~u ~ p~y~ ~ c 1~ ~ 7a M- ~ 1Y. ~ ~ wlu~* wt w~Ort ~uut~ wr. ••r? w«., acw... ?OCwnOw \ ~ swM M u.s. w., w. e~ ww. w~ • ~ ~~woi~ w~ M ewKa ~w.,~c. ~n~cw~ - { i s ~ ~ , ~ ~~~pn- u,y~ ~.r ~w .aiw .ur r w, w?~ ww ew ~ w/w rw wer w~ K~rw otairt9, .r w r.~oe. a. r TO ra.~+ rs w.a ww ~ w.a. ~wo~wi ~ 1~ a.r ~~•~o.pur~w, wi . ~ ~c~iw~.~w w ; ..~~.,....e. n. ~,r i y 7 ~ .o.. ~~T~~ ¦ ~ a'~ ~ w w ~iou~w~ ~u wowowrw ~ur - ~ • ~ E ~a~~w~O~ O~ 1~ w/O~ M wRMK~AO~+. «~w 0~~~. . N~M O[t~ P~ rl Y~1 rr M/ fNYd WM{. 1 ~~1l~~~MM~E ~MA M0~[~ O~ ~MY pi . Ms,~W1 = ~ ~ tL. I~ 71 ' 1 i[f wr~a c ~ow~ s~.~~ ar i ~ ~ ~~~1~ ~MQV ' Ot Caf/MiOtf-fiAMf ?OCATWII • 4n O~ ~w WM 3 ~ 3uria.l P.::c ov~ C:.-c~ z , Fort Pieres ! F'ioz'i da : ~ ra^. ~a.. .w nW~E-~u~+f ~u+0 ~DO~Eff ~ Nwn e~ u.~. ..o.. cn M w.r, w.n, rr i Y.--~~~ 21 2 , . c` ^ °~cs. !:o-a '1? 9th St. Ft. P~Pr='• ~k• 3~}5~ K r. s. lt ece.s f-s~eN.ru~ec a.o~K..a ~ aw. ~~to w. f'l~r+c2t 19 1971 ~ _ ~ ~ t~~f? o~tifY tAis ts b~ • ttw ~nd aornct oopy of ths Loal , i ~ Rpistra's noord on fift in th~ St. luci~ County iiNhh D~p~rt- : : ~ m~m at Fort 'iaa. va.f '~~'d ~I~ss ~aised~ seal of the St. L~ucl~ r~ ~ ~ (1N~mirp: Not - . ' , . ~ Co~x~ty H~alth D~pxtme~+t is affi x e d) ~ ~ . t', . . • } ~ N. D. MILLER. M. D. . ~ Co~my nh Off~c~r 3 Rpistrsr i ~ ~ ~ ~ . ' ~ ~ p~puly bal Rwistrar . , , • . : - ~ • : 192 586 - ~ ~ ~ . ,l ~s - . - ~ ~ :