Loading...
HomeMy WebLinkAbout2821 - 2122,~3 . fI~E0AM0 RECQ_RQ~p 212~ i3 ST. LUCIE COUN?r F 4. ROCER POITRAt CLERK ClqClllT COIIRT - RECORDyERIFlEO~.,~,~,,,+ ~ Ju~ 13 3 2z PM'TI i.~. ~TwTi WAIID w Mu~n~ CERTIFICATE OF DEATH • •YwtAY OI YITAL ffATIfTIC~ fTATt IILt MQ ~•R•~ FLORIDA ~ry •1~~w A~RTM H AtG1iT11Aq•! NO. S13 rr~~~r11 1. K4K ~I KwTN COO[ ?i0. • Z. vauwt 11~u~cNttl~Mq~r~IW.t Uwwwrw~ S~N'.rh/~~wwrr.) •~etrl~~ ~ ~~T~ • St. Luoi~ 66-025 • si~lorida ~~t. Ltwio i• ~~I- ~ t1i~. ip~1~.pAtOCAip t. K KaCt O/ 0(~TN t. tQr_ iotM.OA tOC~iqM K ~tSMIKt •~~~~s a.swc un ur~TSr } ~t~ u~~rl~ f~i~. gt.• ~YY~O• resS w 1't• ~Yl'0o tcs M~r( O~ ~a ~N IR ~M~NI.1~ M~Hf ~f4~M1 ST/It[T ~OOAtSS .sT~ruTww ~ ~~T~~ ~ Ft. Pierae liemo. Hospital 301~ Carver Stroet ) I~IArc e? 7UM JIN~Ie l~f Ntt * -XwN D~I liM T~!'t M P~ Corrin~ ~eK$~~0 O(~iN Y~e 17vv ' S Sti ~ COlO~ M AAC[ ~~Y~II~[O ~ ~[~tA rI~~RD • OAT( Oi WTN !~6[ 1/~ MrI f MO~~ ~ fW tPpl N wi a• Fowalr N6gT0 ~oowcof~ a~wcco ept. 2~is 1~5 °i' rr.. ' 11 ~ t~ 11 IM NS1iK OCCW~T~Ow IOi~r fid ~/tM~ we 1~ RuW Ci ~11SM[SS W1 MOYSTII• 11 MAT»h~C[ 1.9~fr ~Mtl~~ MY?/1 P~l~ C? aM~ OOY~I~r~ •~t~ ~~r- ..1ai~~ ywHWAk.~nyhn.M p~ ' ¦~w~~t j~Op?9$ji1~ House ~ Work r10~~ Q~S~~• , ~l~~k ~~t 1./~TM[IIS wa0( 1• MOTw[RS MA~O[M MAtl( Jwnes Dena,ark Henrotla Speod . K SOtul StCC1Uri ~O 1) M/M • MiM~TY~[ AN~rp _ ur~knoim B. J. Neriso~e 3010 Carver Street; Fort Pierce, Florida h~~r ~ l 1/. qY~[ N KATM ~6N~r Wt Mt tw+t /M bv jr 1~7. 1~1. t~~ lH.~ uTC~ry Ktntw ~~~T L O~~T~ 71S C~YS[O h~ i i~ ~ O~SET 1~D 0(~TM •~r~~a~r w~t~R t~wf[ W l1 ~--~i.~~•!s' ~~~j=~~l/Ji ) ...a r~ti• ~ ~ " a~. e•?- i:' (j :s•-t/ ~ I .~.~t.t. - tL,.YY...~„.. 01RT011, ,~-/~~.L.-:.;'LL~-=•-~?:t~li~""')~•.-~t~- rl `_7 ~1t• t?• r4r1 ~rt iiy~ 4~ ~-7-- I • • • 1 ~w~t (i1~ f •~R~~a~~r ~t~nr t4 ~dn- 01~( TO rr~v ..ur r..r. ~~~r~~~ t~ o ~~wT 11 q~ SK~IK/1~ OO~Mt46 Ca1l~1R~i q Q~n~ /U~ 7W 4t/~4~ ~O iw~ R~yMI pS4f[ CO~~IO~ C~A ~?Yt 1(d tif~S 1YTOK~ nw.rca t~r ~s~t\ 3 RS? MOQ~. r... ~v. ~ ao~ o~sc~~.c .~o. w.,~,.. acw.co iEV....r....i~ a r.. r.. rw w urr.. u~ u/ t ~CCK+[AT SYKf~~Ot MOrK10C r~ ? l.i V . ~ 20e Tlr( o~ //wr Mwtl. Dy. l itl rlu~? o Y = IW PtlYAr OCCY~IO ~t hKI Of YUY~~ lf. r M~ti~l 4V. 2O/ CITT. 10wM. OA LOCATIOU COYA7~ _ . Si~i[ 7~Nq( AT ~ 110i ~R~ ~ Iw~. IYw~w•r. r.eer. yke NM~. At.l ' MOAR AT ~0~4 21 /~tt~~.NI fJMI~c~~NJ/~~w~ . 1 . to _ ' 1 ~~nllurw~ A~w ~ti•~~n D~~tB occvrr~I ~f ~ in en fM d.b ~~rW ~lo~~: ~nI fe IM N~f d w1 ln~~I~Ip. h~ws ~M uowi ~fM~I. ?11 j~ N~IYYYA[~ . •I• t• / / ~ (u'M„ M fYJII Z29 •pp4(SS . Ill. Wi( i~Gw(O ~ • / , /i~ ~ , ~ l~ ~ = / ~~."~r. . ~ i ~Y' ! ~~~~l~t• ~ ~ ~ l,v' l ~l~ ~ L ` •act~~t~. tl~ w~K, C~l..eor ZL Wit :)r M CI~Er[~r e~ [~~v~r~• w. ~~~vty~~ i31 tot.T~ow 1C1ry. ur~. M ewM~i (Are ~ Buria~ 6- 23 - 68 tPino Grove Ce~eLery Ft.~Piorce, Florida? f.~.i~1~ ~lp~s YK ~pOl1(SS IIS WT[~[CD~tIOC~IRLG G1STW~fSKA~TM( r ¦••.•••s ~ Ft. Pierce,rla.~-I June 20, 1968 Q!~;~;L~j•~.GY,I.c~.P~C• 1 hsnb~? aKfify fhis to b~ a Aw ~nd cflrr+ect copy of fhe Loce! Repknrara n~oord on fUs in th~ St. l~ucis Couny Heatth Ds~eri~ rtwnt at FoA Piwp. Florid~. _ - , M~~tn+np: Not valid unlus ni:ed s~al of the Sr. Lud~ - ' Counry Health O~ps~tmsnt is ~ffixec~.) ~ - . , N. 0. MILLER, M. D. Cotmt~? M~aith Offiat d~ Loal Rptstrsr _ " . ~ . Q~YI~ ~ON~ R~Oistr~? ' s~ Zy3 281~