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HomeMy WebLinkAbout0884 t - - ` L 21~9'70 : t~~~ ~e- ~TATt ~OARD OI MGITi CERTIFICATE OF DEATH • co~es • •U11[AU OI YITAL fTATf17W *TAT~ FILR NO. . FLORIDA erd •ped BIRTH NO Rt61R11AR•f NO. 495 ' prep•rl~ , e~ttrtN 1 KAC[ KATN COO[ NO. 2. YWAi A[NKMCLI/~MMrNwM !lwtwur ~rJ~wM~.M~.w:w~) , ~ ~A~ ~ ~MTM St• LUC~.e STAT( COYMT• ~lae~~ . 02rJ Fl~llaa St• L.IlCle f- CITY. TOrM.OA lOCA7~OM ~ t. :Sik~1C[ Oi OIATN c. arn. Torr.o~ ~oc~iwr K as~oc~cc •~~~~t u~S~Ot C~TV IW~rSt Pierce ~ ~ ~~Tr~~ r~~.. Ft. PierCe .u~ ~p Ft. I. N~M( O~ (IJ ~M b ~MrN1. /iN K~ett ~/lrtHl ST~[[T ~004SS ~ Ft. Pierce Memorial Hos 201 An le Road ~ M~~ ~I /~f?R AIiIUt ~.M1 • WTE X~lf~ D~I YfM i n~Mp~~, Ethel Patrick °"'T"N S S[1[ ~ COlOA 011 YCE ~ • DATE OF M11TN S AG[ IIt MrI • 11~0(1111W t~0[1t~ M1S YI1wR1(O ? ~[V[A M~Rt[0 l~ ~IHW~I M~tl~ pA Nwn YN ~?<<• F m ~noarco avoRC~o OCt. 9 1898 7'1 - 1~ t A 10~ uSU~I octw~Tiow 1 Cw t~~ N rrt wr 1~ RMO pi NKMCSTOw WDUSTAY 11. ~MTMlI~C[ ($Yf ~?fy~ M~f/Il 1 CR~[p 0/ fMT GpM7AT) • i t~ r- I ny ~wt N r!rlul h/r. tetw y retvNl ~ ~lousewife Alabama USA ll~ek ~~L 13 f~T~H11 S w~r( 1~ rOTMEII'S MAiOCM M~rE •f . C. R. Whitfield Unavailable K socw sltu~~T• wo 17 w~ a HauTUwc wtbru ~ 261-10-81 9 Milton W. Patrick Rt. 3 Box 320 Ft. Pierce Florida u?w[ N K~r» (s.rn.,tr .sr rn.r p ~..e Ir? c.?. ~e~... ~sTC~r~? ~c~rcc Fue~f~l ORSET MiD OE~T ' At?~tt~~ ?MTI OE~TMr~SC~YSEOw~ , rwl t11• ~MrEDUITt CY1SE - - - - ~ c~• c~r- ? ~ - ~ . t f f l c~ t• C~~~Yru. i/ ~at. •It\ tU• ~R~c~ ~~rt ~ut q OUE TO (H - " - ; 1 • e • 1 ~Dst c~w `sl. . . ~ • i ~ r• t~tr~r +~~+M r4 r~Irr- A~•_ ~ i R lI+N c~a~r lyt D6[ TO (cl ` ~1~L . _ `1. - ` ~ - ~ 3 ( .t~et• ~a = o ?uiT i~ or~~ aawocroa t r.c m ouTw ~ur wi rtcu r rMC ~urw asus[ caara cwu w?ri uTOKr t Aour• ~f- F - ~ M(D~ ~ ~ c~? •e~t\ ~ /V~ ~ . fE5? MD x I or ?~f~r• w 1RW~It1 ~ 20~ 300 O[SC~~~[ ~qw Wu~1r OCCU~~ED t~ua .we yn)a.r P.n ! r PW /1 y~rs. u-) . ••a~•s ,caoc¦r SIlK~O( wuKwc at~~~~~- ~ O O G cf•. •r sesi. V 20t T~rE O~ x.,n. wr. r... f wu~. 1 r0, s. ~ 20/ wlt~wr pCW~~EO mr ?lK[ Of wU~~ (r A r~w! Mnr. ~J C~Tr. TONI/. OA tOCATrOU COV~TY STaTE - MMiIE AT Q MOt rMq[ ~ hcfrl- ~[s[tf. ~~tt N~/.. dt.) , rO~R •T fiO~ll ~ 21 IIff~0O1AfA~tIKNNdIIOT ~ ~-~~j---- f° -~L-1~ ~6 ~ •olfuf w~~~ ~/i.~on ~ ~ ~ D~.~A occ~ii~d ~r _ _ in on eA~ d~t~ ~t~rM ~ao.~. ~nd ro tM ~f o/ rn~ AnorHl~~. /iom f6~ uuwi ~t~t~d Ail Ile~• ~ ~~Q~TV~ ~ ~ . r• a• 1• !lY~rrr ~r "?4, 12L •OD~1[SS llt_ W?iE SWwED a. coa~I~ce ~ ~ 0 ' ~ / ) asecratt. Z]~ M~M Ctlrat~Ow W I 2~r ~~r[O~C[+~fTt~rO~C11tr~T • t tOCA (Clf~.fMeA.M[M ) (.Ad•. RirOYY 1\yfrlf~l R ~zZia~~ _~.l/13/69 H' 11 st Memorial Ft. Pierce St. Lucie, Fla. . ~ 1. ~E ~2 iuwER~ pR(CTOA S SK.11tTOR[ 11J0~(SS ~25 WTE 11(CD ?t LOC~I IIEG RtGtSTRAl1~5 fKM~TYR[ - i R~~.fpe~ ~~~'..c~.,~.~.%y~~a~s-~tte~,Funeral Home I Novemb~zr 13, 196 . ; a - ~ 2129'70 ~ F~~EO ~?ne aec~R~~~ ~ I hereby oertify thk to b~ a mie and corrsct copy of th~ Loul fT.lUC1E COUM Y . : ~ Repistr~a record on file in ths St. lucie County H~a{th D~part- ROGEA P81TR~t . ~ msnt ~t f~ort P~erte, florid~. CLERK CtRCU1T COYl11 . RECO!~ YERiFIED.~.~-• . ~ . " ~ (Wwnin~: Not vslid unku raisad seal of th~ St. luci~ `Q " 3g ' \ , . ~ * ~ ~~..~h .~f;x~.~ ,b~ 10 I I aM t~l . . . ~ ; . : , _ ~ ~ ~ : ~ N. a NuuEa, M. o. `'L ' ~ ~ s . ~ Gounfr iisalth Officer 'd. Loul Rpistr~r " ~ t ~ : • _ : ~ ~ ~ ~ 7'1 ~3.~y~f ~ ~ - ~ ~ 4 ~ ~ ~ ~ ~ o~+,? ~ - ` ~ • ~ p~ Locs! Repist?u ~ ~ • ~ ~ _ 1 t ~ t ~ ~ ~ouR y' ~ ly4 884 . ~ . - ~ . _ , _ - . _ . _ ~