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HomeMy WebLinkAbout1820 ~ , 11lS n~rMwEK1 M~S ?f' ~a~ ~?t SPE~CER B. GIL8E~1, Attorney at law ~2(~'7,~!~ 2!0 S. SEGOMC r. r / • 110GEa P01T1~1? ~ ~~9~.~9 OIERk CIRC IT t 1 *E4eaovER~F~~l~ Re: Lot 19, Block S, FORT PIERCE HIGHIANDS, ~ j~ y~ ~l~~ UNIT #1, as per plat thereof recorded in Plat Book 10, page 24 of the public records of St. Lucie County, Florida. . CERTIFICATE OF DEATH ~ R`~~~ F L O R I D A ~TAT[ Ho. - pl~'IqON NF_~tIN i~?E. O~ ?tlNi IM ~~~~°m~° 11EGISTRAII•f NO ft[M11HlNT IM1[ DECE~SED-N~MI ~N~~ "'p'~ SEk DATE W OfATM ~ rO..t., O•.. ~ SFE 11~?: t00[ f0t ¦suut~ars ~ ALP1In\SL'S STUUL~Y ilale ~ ~ugust 1~ 1~71 ~rwt~. wlGq. ~W~KUI wl~M, AGE-ufi v.w~~ ~.e•~ w.a~~ DATE Of ~llSM ~.o..nti s... C01lNi1r Ot OEwTH ~K. ~ s?~C~n ~ M~ O~~ ~ tl~~f ~ r0l. M~f rOU~f tU~ ~ . lr'hite ,.~6 k .7une 10, 138,$ „[3roward , TOr?N, O~ lQUtiO?+ Oi DEwM ~ure cm u.ws lqSNiM Ol OTMER NS1~iJT~OH-nAME ~ r w~ en.ee, cM f~a~~ .w ..wu ~ / / wt~n ns w .o _ ~n ~ F1a~ltation yes Doctors General fiospital ~ SiAT! Of attiM ~ r rot w~ w~~~ GT1ZEn O~ w~ut CO~INt~Y MARbEC. HErER MARf~E0. SUtY1VlK'i SlOUSE ~w ~w. o~e rrw~ wrt ~ Cor~m ~ wED. DIVQRCE tretr• ~ , .~.,,..«~«.K. , \ew York , U.S. ~~tarriec~~ „ Florence ::hodes ~ ..ru ~.c~.xe SOC71LL SEC1?bTr NUWft USU/LL OCCU?AnOr1 ~e~w c..e o~ .roea oo»t ounw, yos~ or [IND Of ~tISNESS OR 1l~D1lSRT i uvea r ee.s ~Owro u~l. ~Rw N tlT~lfO 1 Otcve~te ~ 0 6-1~3-? 0 ~a Plasterer ~s Constrsiction ; ~~iee+ce ~tror lE51DENCE-Si~if COIMiri Cl~li. TOWN, OR 1OG110N Ms~w c~n u~aa STREET M10 NU~ft . ~ wa?. ns o~ w ~a''lori~a S~. L~ici e ~«!'ort Pierce ~u no ~a'i 1 lbbott fA1MER-N.UwE r~at r~ai uw MOtMER-AUIDEN NAME ~~p~ .rowe w* ~ ~s i 11 i am 1{. St~idlev `tarv F. 1latch INIORMI?NT-NAME MAlli~i AOGRfSS ~am[t O~ .+0. Cm O~ ~ovn, st•tt. trl „~\ational Funeral Chapels P.n. Box 63 Bo~ton IIeacti ~lorida ` ,~ppu.uf ~w N•a~ ?ART L OEAi11 WAS UUSE~ iY. {Hi1E~ ONL1' d~E UUSE rE/ lWE F'Jf !ol RL A?'~ (c)I nr.eew o«u~ •.w a.rw t u ~rrlout~ 4wi1 pZ ~ ~ J ~ L g ~ ~ 0 ` ~ • w COMN71OM1. 1~ ~M, ~ ~ ~ ~ (`C ~ ~ ~ ~ ~ C ~ ~ • ~w~CM G~v! •~i! W h~ •l j 4~rtpl~tl C~YS! t01. aA « y~ COM1fO~IfK! O~ - ' fi~11MG TM~ YNCl~- 't I~IMG C~Vlf 1~17 ' K~ _ F~rz L S C v C. is~~ r-~ ~ ~ J• - ; 's M[T OTMER SKsN~KANT CO~~WTIONS: ca+ano.'s co.a~wu~re ~o suw. wn ro~ auuo ro u~se o~ew ....n ~~a ~ ~ES .en nro~..es co~.- F ~ns w~~ a oe TM~ O1raw«~,.c uuu S 0 F Vw~eM~1 ACUDfK1. SUKiOf A ~~~tw, P?~, Ru ~ ~101lR NQW IHlUR11 OCCIJttEO ~ eMt~ wMt p uuun ua rut ~ O~ r~n N, a!r t~ ~ iqYlOOE, Ot 4rDEiEU+tyED f ~ !M ~ M. IY i ' p!AlR~ wT WORK ?iACE Of NJU~Y •r ~.or. s~n. r.cwn. lOUT1i7N ~ swen p u.~. Mo.. an w ro~+, u•n ~ ~ ; IVwn ~ls w rw~ Ow~ot wCG.,n[. 1srK~n~ ~ z 1M ~ i ~ CHTIfKATiON- .w+r n~u adrM nu w u.sr f..r w..~we~ u~.f ow ~~lao «or ~rr r pE~M OCCWtED •r n.e w.a. o« na TO rwn~ ~w we .r*e~ oe•,w ~wow~ wa, iu+o. ~o eu rs• 3 ~ ~Mr3K ~~..o~o nu /~f w e.o.uoee. oue ~ wu.uo rw.. A V 6' ( ~Q 1/ tt~ •~ll 1 1 97 1 ilc ~JCi • ~ l~7 7 t !U /'O f t/~ j•~ 1Qk *o wt twxis~ s+•no s GE~TIF1Ci?i10N-w~FDKwI E~twM~?+ER OR CORO?+ER o.. *.v a.a,s w ne now o~ wr ~ me seceei..* ..s r~o..w.+c~o oe.o ~aM.w.no-~ w n~t wo. .w~w n.t ...esrK,.~w. •n or~.a... ra++r N~ wu ~wr~ _ oe.w. oaveno a+ w.t o.a .~o oue *o .Me uuucs, u..EO o A t K ~v G. ( t S 1 I ~ J ir ; ~ ~ ~TlflEt-NAMf 1m! W Mw'1 ~lf.K! O~ 1nLL ~ATf ~iNE~ I+O~~M. D~~, ~fY~ ; ;2rc '9~ o s b~ C~.~~.. r~? - r,~. cIG. 2 ~ x ~{AiNG ADOfESS-CFRTIF~R snen o~ ~~.e .w in w+o... - u~n tr F n. 1 b~~ _ w ~ t~'i . ~f ~E FQ•tt- Cilv ~ c.E F~ 3 r W~fwl. CtE~.aTiO~+. RFMO+wI Hr Ot CtE~uTORr-H~f IOGT~p+ an w~o.~. u.n ~ . Cremator y-~.~! 2emoval ~n I'aln i3each ''en. Park Palm Beach Countv ~lorida ~ : : DwTE i noee¦, w+, .w ~ FUNERAI NOME -NAME A/aD ADDtFST ~ smn o~ • MO , CRt Of ~1VM, ST~7l, nr ~ ~ ~ ~ ~ ` j .r 7 n tR . ,r ~u~*uSt ? 1 ~)71 .al~h lan*ation ^un~ral Hoc~e ~ -+-.t:.r; ~ rl ~ Y. S. ~512 fu?+OW p: OR-SiG+r~ju tEGiSTR~R- at o•r[ /~[~fweo ~ow ree~st~•e . ~ ~fY.1q10 IM • ? I ~ I?Y f I "g _ ~ ' - ~ CERTIFIE'J CO?Y . ~ - . . . I hereDy certify the above to be a true-and correct coP7 of th• I.ocal s°~ ~egiatrar's record on tile in the Bro~ard Couaty ~ealth Departoent a! ' ~ . _ Fort Lauaerdale. Flori~ia. _ : ~'faraing: 'bTot va~id unlesa raised seal of the Bro+rard CountJ Aealth . Dtpart~eat ie aftixed.) ' - . _ , , _ ' . ~ , .~l~'~ ' _ r'~~~ ~ .-_Y ~ ~ ~r~~~~,~~~~ r, , - " _ ' , ~ ounty Healtn O~:icer and Local ~tegisLrar ~ . . ~ ~ : . . ~s ' ~ $_~_n ~ ~ Daputy ~•dca itegis r1r ' . ~ - - - ~ } g~Rr 197 ?'~C~ 1~51~