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HomeMy WebLinkAbout2972 ='j . ~ . - lA / v " 220535 . < CERTIFICA7E OF DEATH co.es .a (~N Ite~(tk ~ 12e1~.6i111stlrs See~irte~ ' tTw?[ F~lc No. i.s•i r••- n~v~:rc>.vr~ir.~in~ FLORIDA o.a .ee.e ....................0 7 NEGI6TNAR•3 NO. pre~erl~ 1. MAtt O/ KA~N GODC NO. 2- Y~Y4L ~tflO[1tC[I~WMr~..~w.d 7!w.+w..: t...sw..k~•.r...w) rt~trtl~. ~«T a. STAT( (qyyTY •"a ~t. Lucie 66- 25 Florid u a, ~).c•• ?w I~f- - 4h. TOI~M.OALOCA1~04 t. K KaG[ O/ A[47M GTI~. TOMw.011 ?OC~T~M K ~LS+D(K[ F~. Pierce ~a ~Tr Ur~TS1 Ft. Pierce ~~y~~s* ' f 11 TCS ~J w0 ? Y[S W h~rE Oi (!/MI h?M)i1d./r'~ N?tN ~/b~~) e. S7~ECT ~pOi(SS ~ NpS~~T~I OR . ~s*~*~*~ gt. Pierce Mem. Hos . 2202 S. 33rd St. i ~ M~Y[ 0/ Fa~t ~e La.e / D~TE xwr4 p~ )is. !n~ M rt.~~ ~LFRED SMITH o~T~ Januar 5 1370 ~ S X• ~ COiM WI iut[ ~ a~uaYD IX ~EtiU ~aM~~[D ows[ Os ~:~iti f~G[ (l~ rru~ y w~c~ ~ rw u~a~ t~ .+s !v[ArfWfl Mrra~ D~~ Nwr~ Yr. ! ti.~ a• M Cau ,noo,.mti7 w~acco Jul 13 ~ 1908 61 p 1• 1~ 1~ 10~. US~~I OCCW~Tpw IOw tt~1 ~/w~ M~e 1~. KM00~ ~1.S~CSSQiI MDiIST~Y 11. ~~11TMyKE i9Nt ~?/~rtyw ep~(?I) IZ. ui~[u or ww~t GpNe~rr ; r J t ~ ~ ~ riw ~wt wrliy /ye. ot~ y /ttrd) . ' ~a~~~ Farmin Struccka, Pa. USA ~ st.•r i.s t~. nTrc~~s ~urc i~. .wr~cRS r•,ocw w.rc i •r Unobt . Unobt . 1 li ~W s(CY~~T11 I~O 1) ~M/MYANT Al4tu ; OS-14-204 JENNIE G. SMITH, Ft. Pierce Florida ~ 1~. t~YK 0/ KATN 6~/r/ tiJ ~vHMt L~t t ?rn~t~l ~ I /r(~).101.~+llli': IMT[IIY~l~[T1~CCw y ~ t~~ I~~i t 0[~TM M1~S UYS[O ~~e L / fj / OwSR ~w6 OE~Tw •u~t fll• WY[0~4T[ CMIS[ (~1 rl~CJ: ( oY• Ill/i : S• ~ /7! A:Or.O1C ' CC~<<'C. ca• e~r- ut~c~t• Cs.tilipu.N~~/. p1~ to (1) ~ •ica t~• ~r,1u~ Nnr • t~ ~ 1 • e • 1 ~Dos~ nti+e~i). . a r• ~~tru ~t~nr Ne r~Mr- . . s lpy t~~K !uf Obt 70 (r) • 1 t1~1 ¦ 7~ 0 ~~~T N Of~1(~ SIG~f1(~wl ~p~01t1010 COMiVWfYK 1p p(ATM M 1~0t ~(~7~D 10 ?wL iLt1~YM~ p5(AY COUYTIOw CIY[h Iw ?Yi i(~j 3 MAS ~4TOiSY Ao~~• •f- r, I ,c' i•r ••.s~ S ~li::ArL ~ K"~t"~ ,r rc~?oer[w ` ~u. . Td~lO .:e.t~~nOnt~C res? ro ~ .r ..r.r. : ~n•...1r~ i •~k~~a ~ ~ ~C~MT SYK~OC MDYK~OC ~.asc~rcrawwivaretcw~co. cE.r~...r~..y~~/..~isPWrlrPsrfl/yr~wl/.) a1•~~~~- w ? ? ? r •f ~ . . ~ 20s T~rt or llwr A(W?. Mt. Ysr v wu~T - g s- ; i - 2G1 wwr octu~~to ZDr. n~ct or iw~~~r ~r. ~..w a~M~.r wv. ~ 7D/ c~Tr. Town. o~ aouia+~ touwrr ST~TE i vw4t ~T ~ MOT 1nMq[ ~ M~. hdM?. N~td. ~L'kt Nf~.. Nt.) ~ . UORK AT 1qAR . ~ t~ ! ~ff~M~1 tM d~e~~~sd /~o~q ~ a ^ ~ ~ y~ . fo J ^ ~ Y 7J •nd /u~ ur ~ ~ ~Jirr on ~3~= f~J . p C~ D~~fA oeer~nd ~f C7 m on ~A~ d~~~ ar~~~1.Do.~: ~nd fo tM b~u oI ml t:+srAdsa. lma: eM c~wu ~ut~d ~ ; ?11 . 1~~~• ~ Q~TYw[ - ~ t0 1• ( 4~Ift M/YIf: 21.5 ~pD~l[SS ~..t S/4h[O ~ e~~~l~t• • :.1h-i.~i f-'. ~-C~3L //L ~ 1 ~ /~t~~~ J~ ~.i/x -.~"r'F!~ ~ ! 7J •CtYf~l~• 23~ ~.A~Y.CR[r~Tqti. Z7/ O~T[ 23f ~~YCOiCEMFTE11yWIC~IVITJAY ~3/.IOUTUh1C~?.t~:..ti4YYji ~ I.N~(f: s ~ - g Ruria~`y~~ 1- -70 Ft. Pierce Cemetier ~Ft. ~ierce F ~ •.l.Il1~ ~ iul S ~ [ SS 2S. D~T[ t.'CD. ~r IOCti 11W. 26. K~U~~'SS+GM~i~~[ ~ N. 7th St ""''°•0 7~/~ f ~t.Pierce,Fla. Ja^:.~ry 12, 1970 ° .8~ i heraby oerrfir fh~ ~ b. • rrw snd oon+xr Fiieo ~~c ~~ca~eED 00~'y °f rt1O ST. LUC1E ~OU~tt aeQim•rs r~eoord f(k rn 1h. sr. V,d. Cour,y Fie,ltl, p~~ RocE~i ~o~rRAS J~ msnt at FoA Plerp, Flortda. CtERk C;~.GU1T COURT 4~ i ' ~ RECORD YfRtF1Et#.d.~--' (W~rni~g: Not valid unl~s rotsed ~~I of tAe St. Lucie ; ~ Coun Heaitfi Os P+~tmenr ~s .ff~xed.) ~C ~ ~ ~ 19 _ - "s~ . ` • ~ - ' 3 ~ : ; f::_, - .~,L;,. - . _ N. D. MILLER, M. D. _ Coun H~atth Off+ar d~ Loa1 ti~gtstrar ` i~ _ . . ~ O~puty Loa) R~oistrer • : . . - - . aooK 19 l PacE~67