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HomeMy WebLinkAbout0818 r,~Efl a~c~R~f ~ iT. ROCi~ ROItRA~ ,~~.9as1 ~~ERK CtRC111t OOIMt ~ RECOao vtR~fiEO~.,~.,.,~~ ~ IB 2 0~ tM'ti ~ DEATH CERTIFICATE OF SAR~H A. G~ODHART i In re: Lot 17, BZock B, Plat of C. A. KILLER'S SUBDIVISIO ~ as per plat thereof on file in Plat Book 4, Page 5~~g1 ; of the public records of St. Lucie County, Florida. ' ~ , i . ~r~ ~ . . ' r . ~ ? SBIS s.- ~TAT[ ~OMD O~ Nt/1LTi CERTIFiCATE OF DEATH - • auRUU or v~Tw~ ~rwr~rnc~ srwTt F~~t No. ~•s•~ FL08IDA •rd •A~s s~RT NO~ R GI RAR•: NO. ~ Or~y~rly 1. KAC~ ~I ~fATN GOOi NO. 2. WW?~ R[NO[NC[l~~~rrr~r.c t/.rw~,r.w: f.if..rad...I.~w:w) ea~tut~~ STATf COYMtY ` ~ ? ' da SL I.ucie 1• ~l.e.~ iw CrtY. TMwM.011 ~.OC~T~Ow t. tS ?IACE O~ DEATM GtY. TWirM.O~ IAC~~IOM t. K RES~OEKE •~~~~t ~AS~D[ tITY IIMiT^51 a6r0[ ~C[1TY Ur1Ti~ fll~. YES r~0!„1 C O V[S~.P M~? I. RANL OI (I~yl 4~N)ifJ. /rt K?ttf ~IbtN1 lE~+f.TM Oi ~ STRfET ADp~ESi QN A fAwMl si r~v ~e 1 11 1 St ns O w Q{ ' 3 ru?rc ~r F4N VN11e Lr! 1. DATE Xwtl Dit~ YrI cnr:~«r~?t~n S;iR.t~N A. G')qDH:1RT a°f~~?iM Se t. ~4 19fi4 ' S. scz ~ to?o~ o~ iucE 7 Q OAT[ Oi ~111TN f~Gt Ih~ enn r uiw[a ~ fw woc~ a wis. rw~~ao ?.cr[~ w~~~~co t~.r b+wht x..w n.,. w... wi.. i a• F rnaowm O «vaRCCO UeC. 22 1885 'J$ ~ 1~~~~ l ~p~. yyy~~ p~y~ATqN (Qw !iN ~JaMI N~~ 1(b KfND Of iUSIKS50~ NIDUSTAT I1. WTN~UC( (.Y~ft M MtyA CM~!?~) 1. qilTix Cf ~w1t 001M~ftt ~ •1LA ~~r- fviqswt~/raiiyh~r.wtwl/r~tvM 0"n Hor~e Centre Co. Pa. USA ?l~~t 1wY t~ ~~~~'s 1~. YOTMCR'S IU~OEl11MN[ ; •r E k' iam ~:c:til2i~s Goheen ~S w~s occ[ws[o [vt~ ~ v s a~rca ratccs~ u socu~ stc~air ?w. u. w~~ a s~auTw~ ~'3t~k J. Gooohal't ~ rr.... ~.,l...d w... w.. w.. ~w. ~I ..ws.+ E ~b g_2~2t, A•a•» Ft. erce or a ~ f~e~r~l 1~. t~YK N~[ATN (6~fn NIl ~~t dwe pr t~~t/~v (U. (0). (dJ IKTWKET ~ TN ~ ~ 1 ~~t N• MRT L OCATN rA5 CA1R[D t11c + ; r~~. w.ca.,~ c.~,sE eu::~atic 2:ear.. disease 40+ rs. u. e.._ , tftfe~t• C~~.i/~~I. 1 W( TO l~l •1L~ tl• s~~t? ptf ~~il~ ~ 1 • e • I ~De~r tww ~ r~~i~tr~? ~qfia/ ~~r uQr- p,c TO (H fr~~I n~w rut - Y~~r ~'a f' ~ ?A11T oi~u ss.rw~ oo~o~ra.s co.n~wrwc To au-~ wrt iu. u:~no To na ~nw~w. o~susc caano. cw~,r~tl~l~'d1t1$ ~ c+i saiwt ~r i °it ~ ause u.:cetet~.iaed - ssible subac. hacterial ,RSp ~o(~[ s.t•r. ' •~t~w~ •w~ attw[wT s:iK~oE wr~uo[ IOO ocsc~i~c ~ow «u~~r oct~RUO i6tita a~rv~ y~ar~ f,~ P~rt I a AW /J yY~~ N.) ~~~~~i- v ? ~ ? .1~~ •f ~ T~r[ OI llwr AIw/~. l~a~. v Dq. }iI Muu~t a W = 2111 ~wa~r occuR~to lOr ~uCf Qi uaJU11Y in w~'~rf 4awr, 2DJ CITr. TOwI~, Ow lOCA7qN C04MTY STATE R'M~l( ~T O UD~ Mr1KI O N~fN~. d~t~l.O~!t 31dJ.. I!t.) NIO~K ~T Mr011K 2~ ~ I~f~~nO~d tA~ dew~Nl /?om ~~Q~ . ~o aCotn •nd fuf w~ h m di~~ ow ~ ~ D~~tA eccvrr~I ~t m on rh~ d~N ~btM ~Do.r, ~nd to iM Maf a/ m~ 1no~Ndh. Iiow~ fM t~uw~ ~bt~. ~ AI1 f t~~• jj~ Hi~MTYO[ (u.s•rr r r.-[r3 ~ un •oo+~us gpg Ora~ge Avenue ttc. wic s+cwco • ws ' Fort Pierce, F1E. 9-1F3-64 ~ •uV ~t~. 2~ M~M. C~tlur~Ow. 2~ MTC Z3c ~~rE ~ ttr[Tt~r G71 C~[~~TWI~ 23/. LOGTtl~ (CY~. fwrw. ~r t~sMf) fStW) ~t¦aK 13~y~~ rt. Yierce C~::ete F`t.Pierce Florida f.16 t o 2~ ru?t~a~ t s SK~~ ~t •Qil~S L.~ 25. r.~Tt Rtca. ~r ?oc~a ~EO ~tC~sT~u~'s SKauTU~[ ~ •••.'~e• h Baird Ft.?ie: ee,'rlorida 9-21-b1a 11nne Lee Denison, d.r. ~ _ ~ . ~ hereb~r 'asrtifY Mis to b~ • trw ~nd oo~rrsct oopy ef ths Loc~l ~ t ReQtm~ts eroord on NI~ 1n th~ S1 Lud~ Counry Heahh O~at~ nMrif ~t F'oA PI~tC~. FIO?1d~. ~ (Wurun~: Not vatid unl~ts r~Ised asal of t!?s St. Lucl~ } County FNaftfi O~paAmsnt ia ~ffac~d.) ~ N. C. AAILIER, M. 0. ~tY OfficK ~ L+oatl Rpistr~r ) ' z.,i-;~v- ,r~,y:: . • t/ ~i1X1? LOCi~ RrOittrN + soox197 81g ~ ~ , ~ - - - ~