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Home My WebLink About1657 t:• • 7 Y'~~~_ t - ~'~~.EO u~o RENc~R ~ uciE cou OGER Po1tR 6LERK CIRC Ii ~ 219645 Reee~a v~a~fi~u~~ NpY 30 a~ ~'1~ ,2•. 7nf• .T~,~ .oMO w..~.n~ CERTIFICATE OF DEATH 21~4~ ~ co~~s • •UIIUU OF VITAL RATIff1C~ fTAT[ FiL[ f{Q "s" FLORIDA ' C~~O:'~; BIRTM NO REGIiT11AR'i NO. ?S6 1 •¦~c~c~~ ?u?u or wTM CoJC ?:O. i ucw? wu~ocrtct~r+~rrr~ t!.w.rra~ e~d..,.µ.,.r.,.,,..) ' .~~1 oowrr S1~IIt I.UC1A i n~ sr•~iorida oown S21rit 1.11C1@ .i.~.. ~E6-~~5 Sw ,~r~ CITY,~T QC~Tqw t. K II~C[ O~ DC~TN C~TY. Tc~ h o~ ~Tp f. K ~LSt,[MCC .•...a ror~°~ierce us~ac ~-r u~rr`~s. I:~OY`L t1~f'~6 ! ws+ ~n ~ir r ta~~. r ~ ~ rES ~0 V I. N~M( Oi (/~Nf q~Mj~r. /7N Ibttt M/itA) I 5711[R ADMESS ~ ~ ~T~ Fort Pierce Memorial f 5~5 19th St~ . ' Y[C[At[~ I"u~( N~CI7t Lo! ~ WTE alMl~ J~y ; ~r.,~..r+.~? Hilton bustin Enor.~les a~i,~'.ay 6 1909 ~ S sc¦ a co~o~ o~ iua ~ r~a~co L~S wcvt~~u~wKaL:i ~ wic os w~:~ f.cc ~t. rw~ • wu ~ rcu wca~ ws Male Negro 'r'"N~~ ~ N.... w.. t 1~• ~noo+ce~ w~cc~Q~ece^3~r 2 1 0 6 P 1~f ~ 1] )0~. YSY~I OCCW~T~M tOw fi~t N~l iMt 1~. [uD 0~ WSu~C52OR iMD~ST~Y I1. ~MTK/:~C[ (S~tt ~/M~V~ tw~h/) GiYG Of r~i faXT~~t i •ic~ f~r- Iwyy~r~f~/~c~(~y h/r.or~l/rrN.dt 7 p,,~,,~,, - : ¦~n~~t N~ 1A~71/1~~ None ~n~ 1~cLnQ~ L0.1la~:fW~s ~~5~~~ . ~l~tt l~l ~ : ~ 11 ~ATM[~'S wiul( i~ MJinCR'S M~~p( ~ar( ~ = ~ George gno~les I b~elia ~ IInl~ovn) ~ ' . i Ie SOCU1l S[ew~it /IO 1). • uiwATW[ wlbe« ~ F ' 66-o3-8z36 ~ ~ ~ ~ ~ 1~. CAYfi N KnTN I~~? ~I wr tMw MTUY~I iCTMf[s ~ fun~r~l M~~lv ~0).~~I(t).] . ~ G 1 e t~• IAAT L a~r~ r.s uusco ~r, 1 ~ OI~ET Yfp p(/~TM ' WMEOMT[ CWS[ 1~1 i „ ¦ u s t f ~ 1 • ~ .ry_-_!!--!i~ ' ~.e [R• e~r- _ • . 'ry .lc~`•t~• CMlriw.r/~~I. ( ~ ' ~ , ~r4N N.[ ri~ N Du[ iD • A : • c • 1 ~Dar r~wr (i). ~ r~si~ar~r ~ . , :i . ~ ce~~ ~s z r~~v ~.~r 1~ Db( 70 <cl ` • :t neur• •f- ~ ?uT M. OTM[1 yGlnil[Yff Cp~p~iq16 + , ' ('~MIRK W~11[4i~ O w[ Rr/+4 O~S(~S[ CO~YTO~ GIK~ M/MT 1(V N~S AUTOKr ~ F t~r •~~t\ v , K~ORr[D+ ~ er ?~f~?• ` ~ ` ' 7E2? W .•Y f~s ACC~OtwT ~Ot K~Ot =OA_ O[SC~Ui ~Olr ~w1Ja• ~~CD (Earn w~r~rr y~yw.~ 1~ P~rt I r P~rt lI yYr~ i1) _ ~,.,~.t- ~ O O O ~ • J . i 20t T~r[ or /M• Xwf~, p~. Ysr V ~V~~ 1~. O 1- W ~ . I 20r MUYIIt OCC1i~11tD ~/l~t[ Of uW~~ Ir. I. t~ ~r ?rr! V~e. ~ll GT1. TOMiM. 011 ~OGT+OM COYMTt ST~T[ ~ ww~a[ ~T ~ wOi w~y[ ~ M~. Ne~r~. r.ee. ~~ce Of4-. rtc.) ' MOIIR AT IrOIIK ~ ^ . 4' 21 /~t~~nd~I tM d~u~Nf /row d~. to ~ •M L~~ ~a~ A T di.~ on ~ ~ ~ r r; ' Dl7A ecc • m on tA. d~~~ ~t~r~d ~Do.~: ~nd to tM M~t o/ ml iro~Hi~~. /~om tM uuws ~t~t~d. •)3 lt~~• y;~~ r •r• t• N~~*~u IDrperr'~/y:~i . i?1L R[S~ llt. WTESK/~f0 ' . co¦ l~l• yy~"l 1 • ` 9 ~ s • ~/'"V I / ~ ~ ~ 1 J ~ -u / ~ t •ce~r~t~. ~ ~ ~T[ i3r tiMEpsccrcrt~ro~e~cr~zo~r ~ , s tsircyr~ 23r lOG1T~ (C~f~. fNr~. ~r h~ (er.r~~ Bur Y y 11,1969 Pine Grove (Fort Pierce ~lorida Y. i.I01~ j ~fM[4?l pll[R011 S S1Gw~T AOO~ESS 25 :MTE 1tCC0. ~710C4 REfi. KTt~~'S SKM~ u11E / _ _ : [ _ c...~aee ~g ~J . i~i : Ave. D ~ "Iay 15 1969 ~ ~~c~ i 1 herAby oertify fhis 10 b~ a tru~ ar?d cOrteCt Oopy OF fhe lccsl ~ Reglma~s r+ooord on fik in tF~ St. Luct~ Cpurity Hea}!h pspat~ - ~ ment at FoA Ptera, Florlds. (Wuning: Not valid unlsss raised seal of the St. L,uci~ . . : _ County Fiealth Departmsnt is affixed.) ' ~ s , , } _ ! s ^ 1 ) - N. D. MILLER. AA. D. tit ; ; - ~ County OfficK b itogEstru _ ~ , - ~ ~ ~ , - ~s. ~ ~ z.i. - ~ r . fi a 3 ~ ' J'~ . , ; ' . ' j~~ y, ~ . ' 0~lr Ospuly LOG) R~Qistral ~ t~ J~,1`~~~~t.+~•~,~ - - . ~r• ; ~ ~~`~t~(~~.~ _ = BoaK 197 PACf 1655 : :T . _ ° ' .