Loading...
HomeMy WebLinkAbout1383 _ ~ z ~-3~7~ Y ~ ~ - CERTIF~CATE OF DEATH Qrp.n~e.t fl.+.i~i ~w! R~L.Mlpeu.e Serke. ~TwTt FIL[ N0., ' ~ iwvnxa~ ~~.un~ F L U R I D A trrE. Ot •~uai ~N ~'~"~~'~'O"~'O RCGIpRAR-f NO. 283 ?ttl~AWNT INK fI[ RYDI00l f01 OfCEwSED-?+.wl ~.es~ -.w.~ SEi Owif Oi OEwM ••o.u. nu~ "''"~"0's ~ _j(~ll'~ i~~A1,LE\ ST~~~~.=:T c~ ~`53~rGi7 ~,.~tale June 21, 1971 4C[ ~n. +fOq. WlKU~ MWM. AGE-ul1 ~ve. .•.~e~ ~ e.. OAiE Of WM 1~. M~. CO~MTr Of OEATM U~~JZ fK ~ YfC~rs. Wr.a.r ~t~.~f~` ~p' ^o.f\ ~.Owf i ~ hu. ~ 'wfi_ite 73 ~u ~w ~ Jan.28 I°98 Saint Gucie GTIi, iOMM. O~ lOCnf~OM OI 0(wM t.»aw c.n MOShiwi 01 OinE~ NSiRUiION- ~r .p w ~n~~, cwf lrrn u~ wre~ ~ / VI<u. ys o~ .o rort Pzerce Ye~ l'ort Yierce .~'emorial Hos~ital STwiE p~.lTl ~ r..o~ r GT~2EH Of wMwt ~pt~Ttr rviRt.EO, ~+EvE~ +~utt~EO. ~f11~1~NNG SqLLSE ~ r r.w. owt .~~e.. wr ~ coM.~~~ ~wWOwtO. WvO~CfD~wc~.~ • ~?,,..us~w..c~ ~ Penn~vlv~nia • i.'~~_ u.•'.:~~Y1'~( i~~ Kathr~t Ferqsison ~ e.~ au.xa .,•ta r w.,w SAuu SECW~10 MIWEI USUw? OCCWwT~ ,4.t a...~o. .ou ~ow ~w...o .os~.w [w00~ IuSME530~ W011STiT J::~e/f~ r+ ~O~I~O ~Ml. f`fw u ~~h~t0 ~ I,^4-10-9762A u, Ac-:i:~istrator ~,s Hatcher •~~-DlK~ MWM '='°is--""~ RES~DfNCE-St4fE COUH(T Urr, ~Ow?r. O+~OGUOa Ms+~ t~ ~+n ST~EEI NUr~! L~,~~. . s?tc~ ns w wo wFloric~a St . Lucie ~•4 ~~rt Pierce :~u Yes h..1707 York Court ~wftif~-N~wf wa~ ust .rOT„E~-rAiOEItN.~Mf ~wf? ~MU uV ~ „ Allen ;:azfens~errer i„ Elizabeth Steuart ~?+104w+T-NM~E r.u~v+G wOGtESS ~s.rn a~ r.~. .~o. cm a w.r. a~.t. tr~ t Kathr n F. Ra°!'enc?~crc,e: ~:~I?07 Yor~c Ct . Ft. Pieree Fla. 33450 # r.~tr ~ p(wM wws tws[o tr. ;tr.rtt rY+~~ G..t :s~st rtr ~Nf rw 1.L (?L •~w kJJ u } Nti~/w prH1 ~M N~h~ y uww tws~ w'~~ - 1~) , .s . xan ~ =0rn~.0«s. .r ..n. ^ 1 ~ ~ w~C~ G~~~ •.t~ t0 ~ (yI ~ • L.t ~ rr~o~.rt c~ yiM ~a. wf ~O. O~ ~f •[w.s~o.w~+[~ O~ f~•.~.c a»wo c.vf~ ..~r i~l - M~i ~ (SiNE[ SK'sr.~~Cwni COr~DRq~+S eaw.ro..a co.wwur.+~: ro a~.:.. .,,r ro. u...~~ w e:v~e a..e» .u. i~WtOK~ 1 YN,to .~..~iir~.rrro ew O~ M~~r - •n. ~ iw ?~.~e~M~! KCWE?li.3U~i ~Of .rO~~+.ar~,~t.~. ~rN"NJR K.rK.Ot Oe ~IDEiE4~MED i MOM IHIUtt IXCYlRfO ~~aw~~ .uMe w..w~. ~r ~.n r O~ r.n w~~ • ~ 1 . ]r :76a M ~ ]01 ~I+A/f~ ~1 wOfK 11I?CE Of ~aA~l~ .w~e. ••o, s~ai•, ..c*u~.. ~~OfwtK?n . v.ee~ w r. r~. .o.. an w w... v.w . ~ 1MC.n ns M~+0~ OMK~ rM' .~~t ~ fMGn ~ . 7M IM 74 CE~iYK~TiO~+- on¦ n.~ i .wk a.. .e.~ :••r us+ u~ .~.i.R ..M a. ~ w~a.~.~w+~ re p~~iM O~CYMlO ~t ay ~yKl. p. y IM~~KMN. tO : ~d•A Mt AY ,~p~~ Uq~ N~w ~~py~• MA. ~y. q M YY ~~nti+0~0 M! / n Iy d r~ twp~rVpp~. yy~ fli e~c~.~ea ..o~ ~u ( .m ~ ~ / / / it~. ~ z ~ / ~ ~ tt~ tM ~ . r ~o *r uw~,s~ s..w~. C[aiMtUT~p~a-w~FD1CAa EllA~aM~f! OR C050nEi w. ?.s~ o~ ~.r .o..~ o. w.n. r•~ ~K~ ~~l ~W~Ow+CN N~O ~~uw~rO+ M wM W~ ~M/d n~ ~n~ft~G~np.._ .w • O/w~M. ~w/w Nt rtV ~Y~ ~f~'~ OCC~.MfC 0+ ~Y Mh ~wY IM b M[~vf1.a~ 1'~AD - 22~ _ M ~7}~ ~y CE~11/~E~-MAIME .~~1 W~Mf~ S-G~ ~~F / Maw~ w*•n~ f SK,hE ~~w.s, ...w~ =u ~?'1_~~ ~ ~1~~ K s ,n,.p A ~ w.4wG ~OqfSS-CEfi~rK~ c. •~+o. j - c•7 .-7 :o..+ a~.4 l: 1L 3~8 S. 5~~~~~-, :'ie:~ce, ~'lorscla 33u50 ~~,riv. ucw~ria+. ~[.+ov~u ci.,Ert~, oa caE•.u~:ct,_N..~F ~~ocrr~a+ u.. o. ~o~... u.a ~ v+c.n ~ ~ • Jh:Ze:Q_v~l___ `~~+~as~ =~~~.S~~b~~='>3 C~;:eteX~ Juzn~ta County, Penns ly vani~ D~~E ro.w.. y.. n.~. ~iuneiw, nO~f-r.~~n; ~rJ ?J:aFSi tinur o. ~.e • a~R . p• ~p~ ,«June 23, 1971 ~jwY~tCS ...?~.~al i:c,.:,c, Box ~7~~7, + t ~ierce, ~~2~z. 33450 r. S. ~61? iuri - ye,~, •Rewsj _y:.+ww~a n.n ~:~.~a ioeu no,sn.. 11~r. jy~o ~ ./l' - ~ ~w Jul1e 28 1971 ~ her~bq oertity this to b~ • trw ~nd wrrect ooPY of tt~e !~cs( Re~lmafs eeaord on flk in t!~ St. Luci~ County lieiS;fi Dapa~ mrnt ~t Fort Ptero~. Fforida, itLfD ~M^ RECORQEO (W~rning: Not va~id unt~u ntssd :e~l of the St. t~de ST. tU~i F COUN7Y rlA. County F{~alth Drpartment ;s affix~ed.) CiE KcC ~CUtT G~3URt- ~t RECORD vER~F~f~~~ ~ D. MILLER, M. D. ~ ~ SI (H t?~ nty NN~tFt Offic.~' d~ LoCal R~gistr ~ r J . , oep,,y Loc~! aeo;,~,. ~13;~4 ~h 1~ ~J~ ~3~53 r7