Loading...
HomeMy WebLinkAbout2104 ~ ~ ~ . V' ~'71~ ~ _ . ` P tei. ~rTAtt ~OMD OR MtALT1l CERTJFiCATE OF DEATH ~o••• • ~ueau o~ v~tn~. ~rwnrr~cs s~rwn t~~s Na '•s`t FLO$IDA or~ S~ TM N . pr~y~rl~ A • O. 2 •:~eut~i 1. MAC[ 0/ KATIt COC[ NO. uW~~ ~KMCt(In...~rrdMiL l/i.Marrnw: s~iA.rid1.~..~.;.rir.) *l~l 001""' Saint I.ucie ~ fib-02~ F2orida °0°"~" St. Lucie D~ ~l~e~~ 1~ ]~R~ C1Tr. TOrM.0~1 LAC4TIOM t. 6 lIALE O! OEA7?~ t C1T11.1pW~1.011 ~OC~TION - IS IIESIOENCE •~M~t INSIO[ IINlT51 " pWOE QTYu~ (T'~f Fort Pierce res ++oD Fort Pierce - Aural m0 Mo~] ~~urc w ~pr,~.t N.r w.«t ~taa.) tc~w~ of t sTR[t~r ~oo~cu . , r'L. r' e n.,, w u ON A~ARM? Kemo a~ ~os ital da s ~5~3 San Diego Ave. ~p 3. wUr[ w 1'Ir~t a(:/fk t..t a?TC Ki.ri Dq YN? ~ECILLt GO~TSCH ~?TM Jui 0 1962 . scx t aan~ oa ua wuuKO ~1 ~cvu ruuxo arE os wtM f. ~~~,~`i) x..r. o.w w~.. s. Female 1~ite .,oo.rD p w„o+~c.~o Feb. 22 1891 1 y l~ 1 w 1 r 10r. Y611A1 OOG7NAtqN Obe thf ~/oM! Iwe 10~. KYW OF WSwESi 011 w0YST11Y 1 t. WTwIACE (61W p M~M~ ~I) 1 t~h~6r QI MMT ~n .tca ~•r_ t.~Lyaw~ywr~yWb..e.Y~~M~/1 ¦•.•.s Housexife Ta own NeW York U.S.A. ~l~et fwt ~ ~~T~~ ~ ~ ~O~Y tuWE~ MA~E •r ~ ~,,..~~e.. Geor e C er Ha Driscoll t x~s auwsco cru w u.: µ+rw ro~eesr u. socua sccu~m ra. n. s sNwerwe a......,....r u,.....:....•..r.,r...:.+ Robert Goetsch No ~++a~p t. ' erce la. ?~a~r ~l 1!~ iAYit N KA'fM lL1Wr ~ Me eMar lp ~ M(a. l?l. a~ (e).1 IKiuvAl ~EMO~ a i r•• s• r ~~t ~ oum rws uusco nr: a~scT mw ourw .~.e r.i. wrcw?n uwc w CarcinoT,a - left breast Y u• s~?- ~ cft~e~a• ~yy.~las. •is~ t~• ry~ ~ ~ 1 • e a 1 ~Owr ~rr r~jfatr~r ~ ~ ~ ~ (r) • 1 t~l~ 7~ ~ ?AAT k Oflq SICI~Y•AH ~iIT~l~ (~11~iiK 10 O4TM w1I IIOT RfLll[D 101K TGYrYI aSfAt[ C~M74~ GIr01 M MMT 1(y . WAS A ~e~r• •t- 4, 3 Intestinal obstruction due to metastasis rup Mo~ . r ti. r... ~ ~Oe. ocsuuc Mor uuuRr otcuRqca cEtitu w~nv~ ¦~tf~s ~ AOCIOEMT fYK10E ~~OY1CiOt y~f R/t !K PI~ l/~/fltf lI.I . ~~~~~~1- V ? •f ~ mt. TtrE Os H~r ~fwW. ArI. ~ ' •~a~. Muwr ~ n. s- ` ~ ' ~ m1, wwr ooewuco 2or. ~uec w uuu~r ea i..?.ewe ~.nr. tu/ urr. ro~.. oa ~.oewta~ oou~mr sr~Te NMYL AT Q NOT 1MNw[ ~ l~/~.I~M1. KrM. ~~ot Of4.. stt.) ~ • MORK AT rfO~K ~ ! 21. /~tbMN tM I~w~»I /~om "1t9 . to Jul ~ 1 2 ~ndlwt Nw A/w ~li~~ ow J j DwM ooswnl ~t 9~3;~ A- m m tA~ d~t~ uatW ~bor~: ~nA te ~M 6wt o/ q~ t~f~dp. lrom tM o~u~w ~bt~d . ! ~1~ ft~~• ~ N~~T~ . .r. s• (ai+««tiae) iL. aou~s.s 1 N. ~1. t. ?Is. wtssw¦co ` a..~i.s. ~ Alva D. Orr M.D. Ft. Pierce, Fla. 8-2-62 j •t~O~~t~. 7~. ~YI~Y.d[11~T10LL OATC ~t. M~W[OiCEMETEIlY011CREYATO~r ?7f. LOCATqN(~/.fwA.MtMU1t!) ~~~ft) ~ ~e ova~' Jul 31, 196 Sleepy ::0210~ Ce~setezq ' Tarryto~rn, NeW York ~ a.+s~s u. rw~c~ s s~w? at~neral ~iome aTE REC0. ~1! LOCAL ~Ei. .cc~~u.~ sx«~? "•••io~• Jose W. Yates, F`t.Pierce, Fla: 8-2-.~2 Anna Lee Fenison d.r. ; ! her~by o~rtffY Mb to b~ • h~w and oorreet aopy of the Lecsl Re~ktrara rroord on fli~ in 1h~ St. tuc1~ CouMy Heahh pspaA~ - ment ~t FaA Pi~a, Flor(d~. ~ ' (1MWninp: Not valid unlas nlsed se~l of tfis St. t~ ~1lEL ~1fIP AECWi0E0 - CouMy H~slih DMpartrr~ent Is ~ff'ucad.) ST. lUC1E COUNTY ; AOCf~ ~4rsRAS ' CLERK Cli,CU1T C4i1R ~ ' ;~f ,I::; ` N. D. AAl1LER, M. D. RECORp YERIfIEO.,...,,~„~, ' • ; COtmty Hwlttt Offio~t ~ t+owl R~glstr.~ 1Q 9 39 AN ~T~ . _ S t / - ~ ~ ~ ~ . -T'i ~ _ ' 4 - . la ~ . _ . . ~ i. ! ' ~ ~ • 1~. ~ ' - . ~ . T r `~~+1~~ f , . ~ ~ _ goQK19~ ~2102 i ` _ _ . . . . . ~ ._~,y ; . , , " :i.t~ 'C- - I ~ , ~ ~S4`-£~.Y. f . . _ I Y " ~ ~v.'f. .?'~G'~.v~