Loading...
HomeMy WebLinkAbout2235 , . c ~ ~ Y 213916 CERT1FlCATE OF DEATH QrpA~ew~ ~1 Ileslti~ wl Rel.~F.iliu~i.e Cn.ires fTA7[ FIL[ NO. ~~~~o,r~, o? F L O A I D A trrE. Ot ?nwi ~H ""'••'°"'f•'..~.' 3~8 PEG:fTpAR•f NO. ?ttMANtNT INI[ ~CEASEO-MAME ~'~s~ ••s~ Sflt iOAtE Of OEwM ~•otir.. ~ar. Tc_z i SEF WDI00[ f01 , NICK THO~AS , Male July 18, 1971 L1CE OA. MIG~O. WMC~M ~MM~M. • AGE~\~P ti~•x~ ~ r1.~ . ovt~ ~ s~. DA~E O~ WTN ~~Or~r. Nr. COVNTY Of OEATN - - - - ~K 1 V~CMt ~ 4~I~W ~t f~~~1f 1 +Of Y~1 ~O~~f rr ~bf 1 ~ ' 0602 ~ ~ite 62 i,, ' !.Oct.16 1908 St. Lucie ~ Crt1~, TO~wn. Ot lOCwi?p~a pi pE~TM r.we c.*~ .~n NQS?:)y Q{ OTMf~ NSTITUTIOH-N ~r .~v n+ e.wr~, c~n sw~. w.nrw ~ M~C.~~ ~~f O~ ~.O ~ Ft. Pierce Yes Ft. Pierce Memorial Hospital STATE Of W1N wo~ w v.~ r..~ Cm1EH Of w~ut COW+itr t~Z~FD. MENFA +MAj~IEO. 'S~rNfK~ SKXISE IM ~~M. 6n7 Y~M ~rr ~ CGM~Lt ~ ~ WI~U C. OlVO~CEG 1NC1/~ ~ ~w....,,,..~. , Georqia ~ USA ~?~arried Dessie Jeffers ~ra wce•~• .,n~ J M~M SOt~u SE~wan w~w~[e uwu Otcu?wr~or+ ~u.. ...o u w.. oow ow~.o .w. o. uA Or MiS~+ESi Oa wouSntr OCCW~~e w ~O~a~f VM. f~tw N~~+ue4 ~ ,t264- ~f - oerator Bakery ~~YN~.~ M~Or •0'~1O" ~ES~CE?+CE-ST~?E COU?+i~ UT11, TOv~N. Ot IOCAiION cw. irwsiSTtEEt ~ua0 t ~i ~~v~M•.~s w w. Florida St.Lucie Ft.Pierce Yes t~~ 2701 South US I /nTMf~-NAM[ ~H~f r~oou uu .+MOtME~-wUrOfNM~?iuf ~.tfr rrowe u_r „ illiam N. '~homas ~+iolly Griner ~ I WpWAMi_NM~E ~ M~III+G ADGtESi ~uan o~ w. cm w w~n. s+.n. tr~ - - Dessie Thomas ~i, 2?O1 S. USI F,P'e ?wtt ~ pEwM ww5 CwuSEO ;ENrfa ON.r OM UuS[ ~ft i+t /Ot hi. Esl ~D t~li '~~~.~e~ o.u. ..e N.e. U I~ uwM ~s~ J r ~J (.1 / J 3 ~ t TT` r - 1 L~' ~ ~ _ r 1 ' ~'~:TTZa~xow ~ w ` _ ~.l c~o~wo.r.o»f. ..n. / ' ~ / " ~.v 1 r . .c. c..~ ro 1?1 t~ r ~ i_ : -i_ ~ 1 l. .r ~ V~ l ~ ~ ..~s...e uw~ .m. we .o. p y. cwwaw~.u w.' ' 1f~t~.~0 ~wf Yr~l~- ...ro c.ru r-. ~ ~ Icl /wti ~ Oi?~ i COrd11i~0a5- cwar.o.s co-a...vr.+c x.r.. wr •e..+e~ ro c..ru o.n.. r.a. ~ r. wUiO?S~ ~i ~ES ~{~e .~.s...os co..- 1~~.~ F 1-~ , ~ , ~....e . ,..~.._o ~,^.i a r ~ , U ~?i ~s.~ey~ i KC~oFw~tu~iDE ~wl~~-lUU~r ~.a..._ w.. n.. ~ ~nOW +Npw ~raJU~r OCCUUtD ~ e..~.~ ....w a «.rn ru. ~ u /.a ~n. ~a?r~;~OE, Oi u~~EtElMWEY jG~ / ~7w ':k M 7Y 1?lJ1M~ Ai YVOR[ ~ ~1ACE OF NJIJ~Y .or. ~~r~., ..cron. ~OC~AOn ~ sni~. w ~ . • ro . c.n w ro~.. v~r ~ - ~ 1MC.n n~ M+O. OMK~ ~M .~K ~ YK.n ~ { 7~r ~1M ~k CEltY~Cwi~0?1- .aw. r• n.. ~ .o-~,• c•. .e.a . •••o s.r a. : ~ wiew ..o. +v~ *r oe~r.. ~ IM11Kr-M~. r ~ ' i ~d•n ti•^ OCCW~Ip ~r M~u[~. O. ~ nfw0~0 ir/ / ..~F 1O / ( : . ~ ~ ' 1 t , W~~ ~IA~ M~i1 ~~OV~~ ~~N. ~.0. q ~.f Nf~ }i• O~C~~ilO r~Or ~ ~ tl~ r ~ i L ' \ j 1 ~ p N aM~~tOG~. S~ i __1 . ~ j ~ ~ lltl ~ 3: f4 ~ f., r~ ro ~we cwf~~s~ a~.no CE~:IiK~i~O~+-MfDKw/ E~wwr~E~ O~ CQRO~+f~ o.. r.~ ~.s~s w r.~ +o~. o.•a.n. ou~a•n .u .~o~w~.c~~ w.o! ftuw~~~~ O~ ~M ~DO~ ~MlW t~f w+~f'4r~0+. s~t J?wU~~. ' w0~+~~ M~ AY rDr~ GI~Iw OC5 YMY O~ ~~M ~M M~O'M (~1M'~f1 1~~T~Y . j:I _i~_ 1 M TI ' CE~T~C~E wwF~~*tin~~i C~, ' . S'Gr+w.'~~ ---~wk~ w n ~ ;D~TE SJ ED i+o+*•. w. f~Y~ 7b l 1 i ~ t"' ~ \ ~ ! _ j : ~ . . ,v~~ - ~ - ~ ~ r~ ' y ~ ~ ~uK CftJYtf. . ~ s:n.: 0. PJ ~ n oi - u.n _ iL V . _ ' ' : T_ ~ ' f` ~c Z~ ~ ~ r ~t~MU. Cl ?MT~ON. ~fMOvwl EMEtEn wCtE~TG+~t-~+~w~: ~.~OGi~Ot+ on w~o... ~..n ~ancr.. i Burial '„?Hi~1CYe~~.~i~__G~*~s i~ Ft. Pierce Florida ; OATE ---.~o~+~¦. r.. n.~~ ~FYH,iy qOa~E-tiAVf ~HD ~~DafSS ~ u~u. w~r •.o. c.+• p ro~r, ara.r. t.r+ J~ l~r__20 1971 ri. alyd neral ~or,;e,9~~1 V. 7th St. Ft.Pie 33450 Y. S. ~6 12 JWE~ EC~ tW tEG~ -L~~i..~f o~n ~tce~veo ~Ot.w w,~sta.~ lt~v.29T0 tw .TUZV 22 ZO? ~ha~.~,~~,~,~~~.,,~.,~~~,,~~~, 213916 Rogistr~rs rooord on fll~ in th~ St. Lucl~ Counry Fleahh QspsA~ msnt ~t FoA Pisrw, Flortda, fILEa ~yD R£CORDEO ST. WCI~ COUMTY F~A. (W~minfl: Not valid unf~s raEsed seal of the St. tucl~ R~G~n ~JiTR4$ Q~ ' Ca?~fY H~e~th aW~~t ia sffix+d,) CIERK CtRCIltT COUNT~ ' RECORD VFKiFIEO..~,.~,~,~ ~ N. D. MILLER. M. D. ~('j 13 IQ S3 RH ~j, C~a% H~alih Offiqt d~ fvgtstrar - ~ ~ D~p~M Loal ttw~a.a~ ' . ' S ~ ~ • . ~ ~~94 2234 ~ - - _r~