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HomeMy WebLinkAbout1748 u ~ . ~ ~ . _ _ - ~ J~~ i lE0 AMO Rf qR ~ ROGERCPOI~RA~ ~ ` . IIECORO VERI~FI[p ~OYIIT , ~ M~Y f 9 f I~s AM't I 2o949s ; iei: !e- ~TATt ~auto o~ N~~ ~~RTIFlGAT~ OF' DEATH co~~s • ~URt/?U OF YITAL fTATIfi'Iq 1TAT[ RILt NO. l~a•~ FLO$IDA erd se~n BIRTN NO. RCGIrT11AR•~ NO. prop~~ly 1. ~~t O! R/1TN GOOC NO. L YtYAI Il[11Y~NCt(Ia~rMrr~tlr.~ 1!''-~"~° R~.4r.MN.~wir) eiee~t~d ~ ~M~ a STaTE CqyMTY ti; ; St Lucie b6-02 Flor;da St. Iucie a¦ O~~- cm. TOw~.w wc~TiOU r. ~s rt~t[ os ac~n~ r. tttr. towM.oLL WG?rwM t. is RtSrOCMCt •~w~wt u~S~DE C~TY Ur~TSt u+S~OE pTl Uw~iSt rii.. Ft. Pierce resQi ~o? Ft. ?ierce rES no +urt oF (qMt 4~/it~f. Iir abat N1rw) I. STtEEt AowtESS ~ ~qShTAL OR IN571T1RqN pti~ pierce r~eaoria2 16 N. 2 th. St. ~ iu?wc or t'tw V+t~ts I,u~ osTa AI«~N Dar Yw «`~w~ ~,TN 7 2 2b 66 ~ S. SEl[ GOIOA OR IIAC[ 7. M11wR~0 1..~ YEN MA11111[O DATE ~U1 N 1. ~GE rtv~ li IK[R 1 YL1R tAOEA N wlS. ! fut ~irl~~1 Xwrb D~M Nw.. Yi.. r t t• ~ NIDOMIED y dYORCED ~1tl~l.) 10~-YSUAIOCCWA7~OwfQ~tliwfyNr!<Mt 1~.KU~DOiWS~MESSOIlMC0uST11Y Il. WITNiawCEl3~ttM/MqAtw~Er?1 1.O1faMOSrwTaDHMAtt ~ s~ ~•r- twiy Mr N~uNhk. e~rs y.utre~ . •~w~~t i t . ll~et l~k FATtlEw"S wWE 1{. MO7iKR'S ~uWEM w~rE # •t ` t~l~tflt~f T• i K. SOCUIL SENIt~711 IrD. 17. w • NYMATYII[ At~pu~ ~ ~A ~ Z ~ ~ ~Y~l~~~~ 1~. Cr?YK N KATN [6wfaM!/Mt[+Ntye?l~wr/r (s). (S).eatltl.) IMTERY~l~ET7f[EM e i r.e ~or r~~T i oun~ w?s uvsco w_ oKStT wMO ouTM ¦~.c rti• wr[pun cwsc c.) flmn~e nn n. --s- e~. e.r- ~~r~e.a. c.,tir~wu.~ls.r. ouc To p) b`r-a~ture_~£ Sk~_,11 •ft? tA~ r~ic~ prr ru'~ q~ - I • e • 1 ~Awe t~s~e (il. • r.af.tr.r +t~+I 4e ,nln• o~E m 1/~~I awr Jat. ?e u r• • t~ o tuet u. orw s~wnwr coiar~ ooi+r~wnwe To eurn wrt ~ auho w me iuruuw psux ~a~wm~ Cna w?ru~1 ~~U . w~s ~wtorsr c.r e•:t~ ~ rErtsWt~rEOt or ?eter• ~ rES ? Mo [1 -~tl~~ ~~~~E MOw wu~r oteu~n[~ (Es/n w~twe yf~/v~ i~ Pwt !u P~rt Uyia~ I1.) ItOC~OEMT SUK~OE MpYr[70E ~ ~ D Puttin u Christmas Li hts and fall off laader _o~ •r ?e~~. <~c 7~rE os Nwn a(wM?. Dq. Ynr V INJLLAr W -t -6b ~ IO/~ WY~Y OCpItREO mt. ?LAC( Qi uUyRY /e. 4 M ~ANf l~a~t, 20f GTY. TOMN, pil LOCATION O011M7Y STATE \MMt AT ~ NOT 11m4[ /vA. Nda/. Mied. s~te NI/.. dc.) wo.K AT MOR1I j~ At horae Ft. r''i.' erce St, Iucie F2a. 21. I~tr~nd~d dbl~c~a~Nlrom 12~~ g~~ . to ,~;_~!~-bo ~nd/ut wr Afm ~lir~ on~ 2~z D~~tA occurr~d ~t ' m on fA~ d~t~ st~t~d ~bor~; ~nd to tM bNf d m~ ~no~hdN, Iiom fA~ c~uNS ~t~ta/. ~ll ft~~s ~ N~~~ . •r• te 1• (~«wWl~l ?2b ~DDRESS - tl~. WTESr6wE0 °••o'•~• ~ f' Benton I~.D. ; Fort Pierce,.*~'Ia. 12-29-cb •ttY~~t~. ~4. ~~T~ ~~iE yt. NA~lE Of CEYf7EAy Oq CAC7rATORY 2a/. LOCATIpq (CV/, tNY~. M lNnf~) (St~fil ~ IK~WVY Yytn//1 Bu a.~. 12- 1-bb Piae C~ove Ft. Pierce, Fla. Y.i./A1= j~. ~Uhf~l/LL E O~ SS1W1~TY11[ Apq![SS 2S WTf RECD. ~YIOCSlRE6. REGKT~AII'SS~6MATYIIE a.•.1905 Sarah E. Peek Lee 728 Ave. D 12-29-bb Anna Lee Denison, d.r. I hsreby osrtifY this ro b~ a trw u~d c~orrect oopy af ths Local - , Repish~/s ?~tord on file in ti~ St. ~ude County Heehh DepaA- . f= aMnt ~t Fort P'~s?os. P~o?ida. _ ` r ~,s. . , (Wamin~: Not va:id unless ra'?sod~seal of the St. luci~ '''~r. ~i0Yf1~ KN~t~1 ~f~if11110~11 If ~XOd.~ . ''}ti~~ +~e : ~ ~t`~'v ~'t i~ip N. D. MIUER. M. D. +~`4 co~y r~..~~ ort~ a ~«.i ~ ~ ~ ; . ~i. =~-r . • . ; . ~ i U• ~Y.[~~i.iJ t ~ fi , ~ + ~..er •4~~s~c D~{A~1 LOC~~ ROOlttqf - `rY" ~'f~~a,~~ . ~,i ~ - tyy t I1' f ga~i92 i7~4 ~ ~ ~ ~ x_ } - i.... _ ..a. ~ _ . ~~-1 ~.r ~ 'b"~