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HomeMy WebLinkAbout1673 . I i v . , ~A • .Y: N9 y ~ - _ - - K~ ~ ~.:~t i~ / _Q., . * ,i„'~Y iI ! ~ [ ~a.IV~ , : r,+ ~ st~TC wwRa or Mrw~TM CERTi~1CATE OF DEATH • ; o z~ su~uv or vn~ ~wrus?c~ F L O$ I D A ~*wTt ?iu ka . .s ord rA~w g~qTN NO pEG~CT11A11•f NO. ; r o p~ r 17 1. ??.wt~ OI ~U*M GOD i I~O. 2. ats AL 11[t10[MC~ t~a•. ~.n.d rd !l~~rr.+n~: t~J... ?N..~..r«) ea~tut~~ 4 ~w~ Saint Lu ie L~(o-D-Ls Florida Saint Lucie e. >>.c.r lw 1. GTr.TO'~RMLOC4TOU t. ~S ~Jtt O~ LE~Tw t. dTY.TO1rM,0~ IOGTip~ r. K R[S;p[Att , .~e~~t ud~OE t.'Y Ur~TSt I . u~S~DC tr7T ~+rint ~ res~ w~ ~ FOIL P16rC8 res w ~rE Of 1/I W i~ ~rrld. I+~ ~bat M4w} ~ t fT~1[CT ~[SS ' MCKIR~I 011 ~ ~T~T°T°' M mo ial Hos it ~1 Route 2 Box 78 . ~ wwr[ 0/ ~Nd }lfCi~ 6~t ~TE Xw~1 D~/ 1 iu ~ccc~u~ os ~Tti?~"r"'~ S o Backus °u`T" March 18 1908 ' S stx i toaw w ~utt 7 ~Y-; r o~rc os a~Tw !~6E (l~ Mv~ + v~oc~ ~,uu ~.x, i. ~.es ~ MAIW~Eu'LJ KYClY~II~~[D1..~ /W W/1 Nw.W D~s~ Ywn Yr. • . s a . ~lg Whlt@ ~ncowco~ a~wtto 11/22/1896 ~ R D~~~ ~ 1~ 10a. uSUU OCCIM~TOw IQi~r tiN srt M~t 1~. IIMOOf WSwESSOA WOYSTwY 11. WT~tR.~[ (SYt M li~tl/~ ONa(r?1 1 t+1~tp OF ~tw?i C4AAt~ ~ . f t• ~uiy ~rf N wraul h~r. nr~ iJ rNirtn € . Si n Painter Paintin A'ewark, I~ew Jexsey United States ~ 13~c! fsk t~. lATr[R'f +u~NE 1~. rOiw(R'f ~~r0[w Mr( •f ~ ~~?••r~~•• Geor e T. Ba.clcus Jose hine S2~eridan ~s socuw stcwun ro. ~t. t MCIM7YR[ '~u'w Rt #2 $OX '1S ~ 62-18-1054 Lenora T. Backus F Florida ~ Fun~r~~ 1~. CIWK N K/?YN (C~fe?wf/NtAWt/er/~+~[/b 1?i. ~[).J ' /wTC~~'4 KT~f[[N ~ O l i~ e t~ l ~~T l 0[~TM t1~S CI.YStO ~T: OMS[T 4w0 OUih ~ l t~ 3• W rCOM1[ C~YSC (d ~~l~~~r,1~~~ ~ ta• e~r- ai t1t~t• tkw~.riw. i/ot. Ou[ fo N) ~~,~FP - .a t~ tA• ryN ~~re ~.y q . 1• c e 1 dwr nr~r {i). ~ r~~i~tr~l +~.~~•I f~r uN• OK TO (t),~,~aE/'~~p~ ~-~Gr74LOK ~1~ tn.~ na~e t..r. tD P4__--- t~ f~ 77 0 ?1111T M. O~If~ SK~f~N1M CO1in06 OO~fA1MRwG 10 C4iw M. KiT IItJAO TO M TCi+W/ DIf45[ C0~01TIOw GN[w M?Mi 1(~j . IF~S 11iTOKr Aaur• ~f- F KRFWIUCOI a~r ~~~t\ = er ~~f~~• ~ p~ 7D. ~ ~ 20~ ocsc~NC ~ww w.;~r occu~RCa. iL'.rn.~rv~ y.aiv~:+ Piw !r Pvt Jl yirr. tIJ : •~ti~s r ACC~O[I~T w~uu wr~doc ' F -i....._ W 0 ~ ~ . • •t V • { ~ 20[ 7w[ O~ tlws ~(~N. p~. )'t~r I ~ V MUJAI a p ' Zfl/ MlW~ OCCYR~(D 30t. R~CE O~ :4/v~~ l~. /.~A Y~y~f N~s. 7DJ CiT~. TOM'A. O~ ~AL~T~01r COY4T'. 57~T( . rtiw.c ~7 wT rrwr?[ lr~. hep•~. w..d. ~/tcs L1/~.. ar.) ~ ' ~ 1MOIIR O AT 1K~K ~ ' S II . J~faneNd fA~ d~cw~f /rom 11~ . ro ~AJ J4J N? A,~ ~li+~ on - ~ D?~~A~ utnd• a~ o~ tA~ d~u ~t~t~Q ~Ao~~: ~nd to ~M M~t o/ mp ~m~l~d(~. lroef rA~ uuwa ~c~tNf. ' ! ?31 It~~• ~ p YDL i t• . (~nrr~:r~ +t2D ~LJnISS 1Z[. WTESKwtO < . ~ , ~ /~c,CT~ ~ 9.~. P~ ~1.~. /20/68 •ce~r~a~. 23~ ~~~.Aw~t. fJ[~ut WTE ~ MMf Ot CCME7fR1' GR CAiY1~J1Y 23/ lOC1~Tp~ ICYI, tlsf.r [~?~fl) ~ST~[t~ . • wt.~., o.ti ~fM t Cremat~on 3/22/68~. . Pierce Crematoriu~ Fort Pierce, Floric3a v.a.~eia ~~K~?~~ a T~ates~unera .OII -2s o.TCUCO.sr?uu~ca. Rcusrwrs rwec ; ..•.3ose / Ft. Pierce, Florida 3 - Z.L,~(~ ~ ~ ~ _ ` ~ ; 1 harsby o~rtify this 1o b~ ~ trw ~nd oorrect oopy ~f tty~ fIlEO AND RECQRDEO 4 $ . Reglm~~s rooord on fi{~ in th~ St. (uc~ Gounty Hes}t}~ p~} :Y.L~CIE COUN1Y flA- . msnt at Fort Pisro~. Ftorida. ROCER P01TRAS _ ~ CIEaK CtRCt11~ COURT ~ ' (YVaming: Not val~d unl~s nls6d seal of ihs St. (~ucia RECORO YERtf1E0~ I.., • ; ' Gounry H~elth OrpaKmsnt ia aff+x~d.) ~ - : ~ ' ~ 30 I 56 ~M ~I i ~ ? `'C ' 7 1:_. ~ N. D. AAlL1ER, M. D. 3'_ r= 4?~` - , CouMy H~alth Off'~ar d~ RpistrK ~ , . 219s5'~- ~ L ; 'y~t a ~~.7 ~ ~'s~;~ ~ ,g l r ~s ~ O~pMy L~c~l R~wist?a~ ti ~ ~ 'F. ~i - _ ~a.n~ . ~ eooK197 Pac~1671 ~ - - - - - - . - { _ _ - , ~ :