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~ ~ ~ ~ ~ ~,~~1l~~ ST~IUC~E COYMIY Fl~ ' fiOGER POITRAS C~ERK C~~CUIi COURT RECORU VER~ftEO ~ ~,1Z ~ i5 PH'1i T n~• frATi .ow~o o. Mr~?~rs CERT1FiCATE OF DEATH ~Z~~LUE~iJ ~ • au~uv o? v~Tw~ ~rrwn~nnc~ srwrs riu Ha :~R~t r~~- FLORTDA ~f ~f erd •1.~w e1qTN NO- RcGifTAAp•f NO. LSJ prer•r~7 2 uau~a ~[~~ouKSl~~..~...~.+~.+ r!ww... r..r....wi....w....r.) ~ CoD[ NO. ~ •a~t~l~~ ~ ~,ry SiR7( CpYwTi .~s .,~i o6-~25 x` iw 1~f- C~Tt.TO~~-O~li0C~110M t. ~S RaC( Oi OC~:N C~iY. iJrR01~ ?OC~fON 1- ~ K[ ~~n~~~ ~ as~tt C~it uraTir wLOt C~n ur~ift Ft. Pierce .~s~c b~ F n: .o ~ 1. w..t or ~ry~w i. sr~ar. wr~ ~or..r.~tn«1 s ruc: .owcss • ~os~t~i o~ • ~ Ft Pierce ~:emarial Ho4n ~ 60 S 2 t S a - ~ M~r~ 0/ iYd JJ.lpt Lwt 6~?1[ Mwt~ G./ YeY . mr ~`~.°•~.n CHARLFS R. C0;~:35 °~•T" _ itll i OOIOAW~At[ ~ r.w11AR0 w[vtllrAll~~[DC, / wi[OFNwiN !~G[If~~tv~ rv~u~~~w ~;wl~NMiK. ' ~ M~~l1 Mwr~ O~w Mwn Yw. ~ r r t t• ~t00w[O prO~tC[O~ ~ ~ 1~~~1~ la- uSULL O[CW~TiOw 166e ti~tNvr~ Irt 10~- KwDO~ ~utu~[SSO~I MO~Si~v 11. M~TNh~C[ (3~t[ ~r /bey~ aaW1) 1 ~W 0~ ~w?t QOY~~~t . . i u ~~r- ~~rW ~wt y~r~n1 ~N. eww yritrs~~ . t ¦.¦•~t ll~el[ i~t Il /ATri~~s IYrt . I:t. rOiwU's a11uDtw wlr[ . •r ~ t~~~~?lt~s is socw xcw~T? w w • aw.wR~ ww.« 1?23 l~ith. AVA. ~ ~ . . 7uef ftl 1~ ~K ~I ~i~TM (`eM M/~ Mf tNM jt~ IMf /r 10~. fa~ ~fi.~ IR~[RY4 1ETf[CN ' . d~?~ e t~• fl~T L OC~flt r4f C~If7[O /b ORStT ~wD OfA~ . tt~• rrcorTt twx W u• t~r- ~ . t~tie~a• C~?l.dw.//~si. OuE TO (N 1~,,: ~ ~ _ . .lt~ t~~ rW Iw ~~i~ ~ . 1 • e ~ 1 ~t ts~at , r~s~~tr~t ~~y ~ r~• py[ TO (t) .~~s~• ?a ~ry ~•¦r b.e. - o rMr n or.u sic~rr~a ca.anous cosnrwnx ro our~ wrr .oi ~cuno ro r.c au...~ asux oow~no~ cnu w wn K.1 w~s ~uTOn~ ~e~r• •t- , - /(11lpRr(O~ 3 ',,,,._,-z.,G~_ ,~__<i c~' ..%~%t~-.s--i- ...<< nsa b~ ~ . r f~r• _ 30~. ~ Oesur[ ~ww wu~r ate~~RtO :E~rer ~~l~r~ NW~'~ b M!~r M Il yW~ IIJ ..atsa ~~7 ~ ACV wr iYKw[ M~ ~ h - ~••~~~i- u ? 0 ~ ~r J T~Y( Q( )/M/ I(Mf~ Df~. Yfr ~ ~ WYAT Q 1- = IW MUY~~ OCN~(O mr ~tK[ O~ i~/V~7 It. 1.. u N~'r~f M.~t. IG/ C~T~. TO'~IM. O~ IOUT~OM COi1ntY STlT( r~4[ ~T ~ WT w~~lt ~ ~A. N[fM1. X~ed. ~jkr::1/-. tt:_) ~O~R 1~01IK 21 ! ~~t~nl~f M~ Ikwwl /row~ ~/f / ~ . to _ •n1 LN w~ A ~ ~f:•~ ~w ~ ~ . p~~tb xev?r~d ~f ~n o~ Ilr~ d~t. ~r~~~J ~do.~_ d ro tM Ntl d w~~ ~no+Nl~~. /~oa~ th~ u~NS ~t~i~1 ~ ~ ~ •ll /t~~• ~ N4MATY • t• N 1• (~N/~H M tir41 ~ 225 A0~11[SS 22t. WT[ S~fi~[O /~y?~ ~ / M. D. ' Ft. Pierce, Fla. j-12-2969 . 2]~ wau~. cx.?iou 27~ 0~ ~ t]r •wt or ccrcrt~r ow u[a.~TO+r 27t tAC~io~ (CYt. tar~. r a~wnr~~ (3~rn ..+o... ~svrcy~~ Y , L C v. a.~~~s t~ suK . w s css ZS WT[ ~UD. ~OC~a ~[Y x ceru~ s ~rwc~i~~GZ~,~t.~.6 a•`.l~~s ~ 1 i"zav 13 1909 . ' ' ' ~ her~by oxtify tha 1~ b~ a trw and correct aopy of the Loal Replstt~rs rooord on ftk in th~ St L++ci~ Counry Heahh Dsp~s~~ -:--4_A m~nt et FoA Ptsna. Fkxlda. ' (Wuninp: Not vali~ unl~a~ rafssd =eal of ths St. Lud~ , R County Fi~slih D~paAm~nt is ~ffixed.) . : r-.: ` . - - ' ~ T~ ' . , N. D. MIt1ER, M. D. _ _ - : Cot~ntY H~atth Offic.K d. Lc~l R~gistr~r _ti••:- . _ , ~ loul R~cis~sr ~r . . ~Y ; _ . ; - - ; gaoK 193 1068 , -~~4f=