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HomeMy WebLinkAbout0211 r ~ / ~ ,rQ~ ` 212,~2i ~ C_ :1FlCATE OF DEATH I~rp~elar«I ~ Ikaltb ~wil 12~:~+1..l:l.tiv~ ~r~rrt~ fTATE fll[ NO._, +~'~"i~~" FLOAIDA irrE. o~ rNWt ~N wo..~w...^•.+.o ~3rJ ItlMAIf~M INK REGiiTRAR's NO. S[E M?~1WII[ i0l aECEwSfO-?~~w[ •~~st ~w.e aatt ~SEn O+if O~ OEw7M ~~o..t.. ~ rsrwaars , ~py~ t;Y;,~j~~•,; :i~~,,r~r{~ _r Male October 13~ 1970 ~wCf arq. wlOq. ~M~Kew ».s..~. wGE-..v v. u+:u ~ o.. O~tE Of Wlth ~u0u~w. Mr. lCO1MiY Of OEATN tdhite •.•,as••~••.r":~~ j"°•.„, t•~.•~ g l2, 190~ Saint Lucie 0602 ' ~s• L_~~ti. Au . CITr. 10wN. J~ IOCAT Or pi~TN ( sa~ c.n .~.n Np~tw~ pt OtxEi HSi11Y1pH~H~uwf ~+.p a. enr~. o~ uu~~ ..e nrr~~ ~ ~ a. n Fort Pierce Yes r. Fort Pierce Hemorial Hospital S1ATE OF WM ~ r w~t w~ ~~~,.u . f~ZkN Oi WMAi COIiNitr µe.tfufD, t~tEvf[ atw2Ofp. ~SUR1qVNG SIOIJ6f ~r .r4 om .?w. wM ~ co~..w.. ~ w vrto. unpKE ~ wc.. ~ ~ i~ew Yoxk ~ USA r,.~.'iarriec~ Helen Downs ~~4p M[l~Y~ - ~O r Of~~c uKW ~f~VMIY WM~f! US4Al «~N~Ai1~N ~4~~ ~+.D W vrWt OG.I CWw.O ~Of~ p ~icr+o or wsr+[ss o~ wousnr OCCY~NO ~w ~O~~O ~~N. F~w N yM~~~ ~ ~ ~ N.~; ~,044-0~-7287 ~L ~la~on Ccntractor Construction "~'?~'Oi eESWENtE-S»ts Cp~1Niv U~v, iOwn. Qi ttK~i~Or+ ~sre cw+ u.as~teEEi wHp MUWE~ - t..~~ ~ veew .u w ro ,y Florida ,y St . Lucie j,,, Fort Pierce Yes 71I Beach Court I~tNEt-NU.E na~ ..ua~ uv ~~Oi+aE~-~uDEr/ /+.u~E ~rn weu u~. „ Alfred Zladdock I.~ Elizabe±h Kirk IM/QWANT-liAME i MAR~'I(~ ADCiRFU ~MN~~ O~ MO. C~ M q~ti. 1t~1l. [vt Helen D. Maddock 711 Beach Court, Ft. Pierce, F2a. 33450 ~~ft ~ OEwM wwS CwYSEO ~r ~ lEHiEr ~+ir ONF UuSf rEt u+E ~Qt (e;. (?L u0 f~l: .•noa.... e.... ~n.n. oww~ .w a.e+ t~ ..rww c. ~ . ~ 1 ; n. ~ , ~ ~i • • at v • (J ~ ; ~ Lc' ~ ~ . . . cu..uwe ~ w ~~~~~t~J~l. ~1 ~w~, ~ C~ G~~~ •~7f M J . ~r~F~i:r~4S! ~0~~ ~ M. O~ ni ~[MflW~~.C~ M fl~~~wG ~ Yw~l~- i t~~wG C~Yf~ \~1~ + 1 ' (~f ' IUi • OiMf~ SKsN~fK.Wi COr-0~T~O?+S to~.ano+s :yr.a~.i:w *o aa•r.. ~„r ~+o~ •e..na ro u•~ e~n« ~.~r . w, ~ AUt J TfS re~~ r~..w..as eo«~ ~~.~aw»o~ • ro~ne~ ~;~~~...~..cu~u id~~..~~,~ - !1r ; N~ 1Z~-3.+f-=-! ?.wow. ~ KC~D[wt. S;t~CW( O't ~j ~w~E~f ~N~yt~ ..,c,.n._ yr_ re.~ MO..! ..r.w~0[. Ot tNOtTF4~wlD ! ~ i HOW iNIUtY OCCU~lfD ~~Mq~ r..p..t p~MNO r. •.~r ~ p••n m ~ ~Swc.?~f • 74~ ~ 7i~ ~ : k /r ' ~Y v~lui~ wT wOtK 1 hwCE Of w VRr .e .a.e. ?~uu, ~r.:..., .:GC~DOn ~ snen w~~• ro.. un w~or.., s•.a ~ ~wc~n .~s o~ w. o..~ce Mw.~~c ~an~.... 7!. i ~p CEr!~K~tKX+- .a+•. n.a ..o~... w wr a.~ ~,.e~ .,..e a+ . ooiw. ~o. .w~ /MSK1~~: ' ~a..Tw p~~ ~AFATM pCCYt~ ~1 n.~-,,.~f. y~ ny n.~ '~oo...~~~n. ~.w~i~ o.n. +a. ro r rs~ . ..«o _ To ~ / 3 70 ~ ` 1 ~ n. e~ce.ue•.o.. ~1:~ 2~, ~ ~ r••aw~.eou.a..e ~n ~j ~I~~ h, r:.J M~O Iwf fY~~f~ 3! •t~ CEtTO~GitiOt+-rEDKwI Etwri.r.E~ OR CO+Or.E~ c+ ~.i,s w.r • a. a~•r. r~~ wu ~......ra. a *w ww .w~w .w ....ei+.wro-.. w...o... ~ r .~o..:,, .'s ~w~w..cN H.e e.+ G1~1w OC(YMfO ON M Fq ~M ~l1~ q M C~V1!•/~ f~~tf0 . wOM1 c tu~~_,~,,~.~„~«..~,.~ ••:~h Oc be 13 1970 M S •UtE oee~e~ a an~ RtE S~C,nEO ~~w*+. o.•. r~u. ~~.Melvin cVolkowsky, MeD ~ LG~ ' ~"~~f~`b~~"7th Street ' Fort ~ierce loric~a ~34$0 aw;w?. CtE~t+O?+. ~Er~Ovwt CWETE~r O~ Cs~EwiwiOar-w~wE • ~OUhOn a.o... s...e ~ vecw . { Cremation !,.Ft . Pierce Cre:aatoriu~:.. TFort Pie:ce, Flori~a ~ D~TE ~.dww. wr. nu~ fVr.E~N nOr.~f -N~F ~hD w~pRfiS snui q~~ o. w0., t.n w q.tr s.•f~. ur ~ r« O~±oher _t 7 Y s~..,.<=r;, ?~in^e t3ox 7.~y7• . Pierce, Fla. 33450 ~E i? ~4?~fW OI-' fat . ,~~t~' ~EG.•- w-uc.r..ruQi ~ own aeee~rEO ~ow ~«~sru~ R~r. i9'G rM tY ~Ct`J~}P_~" IQ i Q7 . : k y _ f~.:: `~'w'~/ Ci~if'~ t~ilf 10 h'et8 Dl1d twS'Gtt :~r~ Cc :L~~ - Reflistrara record on fils in ths St. luci~ C~c.u~ty H:..:~ h ~;,~rt~ ~~''+~,r • - mrnt ~t Fwt Pieres, Florlda. : . : - > (W~rninq: Not valtd unleu raiud seat cf the St. L;x;~ ..Y r~ r~ ' , Cou~ty H~slth Dr~ar.rr?~nt is atf;xed.) r;'''~~•"'`~ ~ ' `t«'`:.•,~ ~~~j~~'~` ~ - - N. D. MIIIER M. D. ~ ~t' ~ ~ R ' Gounty Haalth Officet b L,oca! F.o~istr~r - x'~ ' Y;' :;,;:e;k,~t.i,.~ ~ ° ~ . z ` 'f . y.»,; t Dr» DapVry iocal kogistrc -l~r)21 j~~.~_` , r i~~!'o ~NO R€COa E sr. ~uc+E couNrr ~ l ~ tiocER Po~ta~s ` - CLERK i,~RCUIt COUNT AECOAO YFRiflEC~.. • J~ 19 { sa PH'T1 . , a~oKi9~ z~i - - - , ~ _ _ _ ~ . ~ ..r