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HomeMy WebLinkAbout0754 ~ i i212~85 ^ - :a» CERTIFICATE OF DEATH IkaAreN f k.ML .d Rr1.6~41aMre Se..ke. trwTt n<c Mo. t.a.~ r~e- nnts~o~nt~~r.un~ FLOaIDA o otd •A~~ w~.~~ww^•,.wo Sa77 IIC61R11AR•• NO. ?r~P~rl7 1 M4C~ OI ~[~1TM GOD[ NO. 2. YW~I IKf1~[MC~1/~.nrr~wwM./ l!.vw...~ lt~.r...~r..w.,...~.) •~flYlf~ ."e .li ~ ~~'"'TM S 66-025 ` sT~ r'lorida s~~T~L . I.LiC2E' 1. ~lac•~ lA 1. C~T~, TOMi~. q1 lOt?TqN t. K?l4CE O~ OC~TM t. dTt. TO~11. p~ IOC~TIp1 e. K ~[S~O~wCE •~~~~t w~S~OE C Ur~TS? . ~sS~ .C~Tr Ur~rs~ r,~.. Ft. Pierce ,~s~ .~p Ft. rierce ,~s ....1'l -s.~_ I. wr~ Os lIJ ~M 4 W~ied. fir watWrrrl L STR[T ~OW(SS »pSMTaI M ~ + T . - 1qSTITyT10M ii~t • a Z CrC C ~'.P.II • iI O~ D~ ~O~ C Z V Y~US h V C• ) 7 rnr[ ~I /'MM N~iQe Lrt • p~i[ A(wt~ D~t Yr~? ~i~r; ~D;•fA:tD J. i•:GliI:~~:R o~TM Decer..'~er 30, lyby S S[7[ i COIW W NtE 7 Y~~~ED ? AEVE~ ~t1~~~~[O? • O~TE Oi p1~TN ! aGt 11~ Na~ •~woa~ ~~W u~OtA t~ ~f. ; 1[ l t• i•l Cau y1DOMt0~ DtVO~C[O ~':arch g,l$90 NKM O~M Mwr~ Yr. , } ~ 1~t~ I~ 10~ u5u« ottW~Tqw ~Cw ~i~ ytrt 4~~ tOS KwoOS Ww~ESSO~ u~ouSr~r ii p~iwi~c[ (9~te ~r M~y~ a~~n~l 1 atutw os nr' ow~nn • l t\!~ r- .i~y rrtq~ h/r. ~r~ U r~tre~l ^ G~hau"~`f"eur hica~o ~artage :;u: ora, Indiana USA J ~l~et t~t 17. ?~tN[~ s ~ur[ 1~ ron+c~ s ruocw ~u?rc . Andrew i~:kiulder :.lizabeth I•:aines K sotw ;.cv~~Tr wo whs~iurr , w~Iru~ ~ 335-07-91~ - r-,, Ft. °ierce, i~ laric~a ~ Ira~r~I t~ tAYK N KATM (Mln wfI w naat>t? v/v (~1. :CI. ir1.J IMTt11Y~1 ~(TM[(M ~ 1 r~ e t~! ?~~T ~ O[ATw ~af CAUStO 1 1 Al' ORSCT OEATM T ~ •n~l ~tl• IMM[OMT[ C4YS[ I~1 l e%~ K~~/~ S~SI ! ~~~Q`VC _~t~~rJ J t\• C~t- ~ tihtll• ~.~~r~~.~f~/. . ~ • •~t~ t\• r4r~ ~rr ru~ MK TO l~) - - i i • e • 1 ~Me~ c~ur (il. ~ - •e~t~tr~r ~t~cuy t!t ~s4'• pit ~p lH fNq n~~r /qt U~r?~¦~ f ~ ~AAT H OiRll Si~l~Wf Cd~0~T~0aS CO~tMU?K t0 0[~iN /1R 110i ~[l?RO /0 M f[#rMl pSUSt COMO~ip GKA Y~ ?Mf y~l wAS ~UTO~St H t~? ~~+1• ~ 1[1V MCO/ ~ Of ~f~~f• ~S p~+ ~ • ~ DtSt~~~[ now w~~r OCCu~~EO (lw~n ~drre r is Hrf 1~? Pr1 4~~ q.l ¦•~~¦s •w~ ~ +?tua~r w~uot ~orrcwc Nnl• r N ~it~~~~- YI ? ? ? tl~a •t v u 20t T~rE O~ Hwr X~w1~. M/. )'ts ~ ~wJU11• • 0 ! Y = 21Y MUilA? O~CWR(O ~e ?lK( Of ~hlLI11 1~. I. rw M~'wt M~t. 20J CIT~_ Tp~A. pA \OGITDM CON~11r St~TE MwK[ ~T ~ pT N K[ ~ ~A. ~M~. Mrtd. ~tt Nf/ _ H[ 1 ¦O~R ~T r011~ ` ~ . 21 I~tt~nO~d t11~d~eN / o~ ~ t~_~__. eo ~O •ndl~st A~T d..~on ~~_r_`~~.~~_ O~~tA occurr~d rn on M~ d~t~ ~ut~d ~60.~. ~nd ro~M M~t o/ a~~ ~no~Nr/~. /roin tM uuws ~~~t~d ' •Il tt~~• •r• fl ti1R[ (lM/qt I?!~I 224 110W[S / IIt ~ E 5~6h[O ~..~~.c. • ~•tnt~va~ /SC, ~~1- ,G~ i~ y~ ~.Ci~cit~~ .~o C.-~. t, •C~r~~~~. ~~.'wY.~,(~1~11a ~ Q~T[ Zlf M~rEO~C[rE~(R~OIIC~[r?TG11t ~ laAl(IM~~~.( A.MIM~/~1 (~'Y/~ ~l~O~M~~p~~/~ _ . -a3~ 1- 0 lcrast ;•_e:.:.~.:;r,s. ~ : t. :'ierce : lcrica y. ~e 12 !4 Al S ~T E ~ ESS. • V ~ V~ js p~TE ~ECO LOC~I REG ~ Ktw~A S SK~AT4R[ ~ ~ •ss , JanuaYy 5 , 1970 ~ ~ ~,A~ ~ ~ ~erce,?2a.; ~ , . . . _ 212885 - I here6y oertify Mb to b~ a trus and oo~ect oopy of th~ lecqLEO AND RECORDEO . Repistt~s record on fils i~ ihs St. luci~ Couny H~alth D~pasi_IUCiE C:WMTY Fl~ m~nt st fat P?etu. F{otids. ROCE= POITRAS • ~ CLERK CtiRCU1T COUNt , ~ ~ (Wamirp: Not valid unless raised seal of the St. tuci~ pECORO VEf'~r1E~ . ~ ~ c~~? K..~, o.F.~,.~?~ .ff,x.da ~ 17 il a2 AN'T I ~ ' - - - ~ . N. D. AAIIiER, M. D. County h Offiter 'b Lou) Rpistrar . . ~ ~ • - - ~ ~ +t1 ~ . ~ ; ~ - DrpYfy LOta! ReQistrB ; ~ ~ ~ 6ilUM 194 754 . ~ ~ - ~ - - - - - - - ~ ~ ~