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HomeMy WebLinkAbout2987 - 2~054~ CERTIFICATE OF DEATH f Dep~ef~nd ~f Ik.it~ ~.d Re~.611n.M.e Sewlce. RAT~ FIL[ MO. i : a~~v c~ ~fwim F L O R I D A ; tr?F. Ot •flNt IN ~~~~~~~0 R~61iT11AR'f NO. SS3 ~ ?faMAWN? INt ~EA~_N~ nn~ •,~x~ ~•f~ SEX OAiE Of DEI1M ~ rOMtw, N~. ~~u1 ~ ~E ~ 4 +sr.~~o.s , HEVRY CLAY HAGGARD :Ma?le , December 7, 1971 RACE .ra. ..eaw. ~~IfK~M MM~M. AGE-V~I w.oe. r n.~ r.~w~ ~ w~ OATE Of 4lR1 i.o..iM. w~. COUNTY Of OEATN ~ ex. ~artcZ.~ aa.•e..~.~us~ ros ~.rs wws .w ~ 6602 . H?hit_e 68 ~ ~ Apr .6, 1903 Saint Luc ie ? Crt11, TOwN. O~ lOUt10+i OE~M r.aa cn ~rm NO6?11A1 O! 0111ER !1S - ~r ro~ ~nwt~. oM s~~ ue .+n.~a~ ~ ~ wcr~ m w No „ Fort Pierce Yes Fort Pierce Memorial Hos ital ; STwtE Of NlTM ~ M.ro~ u+ w.r~ Q11ZBJ Of MMAT COIJMiRY MARRIEO. NEVE! rrA~bEO. SUtVIVfIG SlOUbE ~ r~w. eM n?rer wr ~ i caiw~n~ WIDOWFO. ON;OlCEO ~ wtv~ ~ ~~~.~a.o..K. ~ Kentuck . USA Married n Clara Beatrice Scarborou h; ..e~~ wce.x~ SOCULL SECIMrt~ MMr~ER USU~I OCCU?wTip+ ~avt aw a oou ww ~w+a roa p Rwo of ws~ss oe wannr i ~~rlD ~ p~~l vOt~O UM. N!w Y M~us 1 - . OCCYMO M : s~~~~.~^~ ,~25-10-3396-A „ Dra Line erator Construction _~w~.~....a.. o.~fwon. RES~DENCE-SiA1E COIMIY C11~/. iOWN. O~ tOGi~ON rfr~ cn ~rw~ ST~EEt ~ ~ ~~ncwr as w w ~~.Florida ~w St. Lucie Fort Pierce ,a ~~331 Johnston Street i iwTNER-wtME na~ .~ea~ uw MOMN-MA~DEN MAME ~ws* , : ,s Colonel Ellsworth Ha ard Celeste Evan eline Ha ard ~ ,w014,u„~,r_NAME ,~A..+c ~co+tESS ~s~.o a...~_.. no., cm w.u.~...,.w. e.~ , . l Franc-is L. Padrick 206 Ma le AVenue Ft. P' r~ur oEwn~ wws c~usED ~r: {[~+tE~ dar ow[ uus[ rE~ i~+E ~ hl~ AL kll ..n.en. o n..~ ~i.m . i u ~ ' ? r 1.~ ~~t~ 1.~1ti~- ~a-~f' .Q~L . r 0<l c 3 . ? M COMN710MS. ~M, r ~ _Q ~ ~ rwur o.v~ ~~s~ » ~ P) ~ i ur~0uif C~Ylf 101. ~ p. ~ • K! Or~ • . ~y ~t~lIMO ~M~ YM~~F ~ lnMO C~Yl~ ~~1~ r ~ ~ ~ART M. ! SIGl1rlC~p t COnDrT~OwS~ conano-.s cw y*rw w a.w~ ~ • ro ru u+ r.n ~ r~ r ~ES ren n..nro~ ca.- ! ~ ~l~ ~ ~ / ~ ~R/ W MO~ p•,~w Milu~ww0 t~wM ~ ~ ti 1.~ ~ 7" ~ Y ~ C s if . F~ ~2 C l~ ' IA - 11~ ~ ~ rACC C A ~ ra.tw. s~~, r~~i ~ iiOW INIYt~ OCCUR~EO ~ e.,n~ wMe p ~rwM~ rut ~ p rur w. w~r ~ i ~~/1i a {I~OET 1NEp ~ 7i~ M 7M ~ ~ 7P~ ' ~ t?UU~~ w~ WO~K KwtE Of N1Ut~ n no.e. ~.er, snen, r.ow~. lOCwilOn ~ an~o w~. .w.. tm w w.n., st~w ~ t . ~ uac~n ns a«o ~ owKe wo.. uc. ~ wcin i ~ ~ ~ lM ~ - CERt~iKwT~Oa- rwm w. nu .o..~ w~ ~w .ue us. s~. wr.i~ u~ w~ w/rwA me.. w otwtw octwao ~w n~n. w w ` Y: ~N~SKI~w: t0 Y1 RY ~O~'~ M~M. IwOMI NA. ~M. q~! MH •mwwo rw~ 1 ~ p r~ aw~nt~ae. we 1 ~ tl~ wce.us ~w. ~ ~ ~ fl~ I~ !1~ !N- Z ~,J !M ~ ~o ~.e crrsew suwe. } . ~f CElt~f~GT~p+-ME l f1Al~V~Et Ot COIONER: o~ +we ~.s~s o. rw~ ww a w.~,. ~rwe wcea.n ..f ~w ' ~i~..r.•na+ a w~e ~oee ..o/p ~w ~nnrc.no.., r. d..w~., ranw nu wnw ~ su ~ o a s w nr v~e~s~ v.wo. 4 .3 tt~ ~ ~ CEtTIF1ER-NAMF ~mt p Nwn • AT ' YK~ O~ nne A SIGNED ~+wM. w~. ful~ i = _ T iV t `4 ~ u~ - -'7 ! t~. ~ u , i MAl ~DDRESS CERpfKf f~rn a~.r.o cm ~o.r. _ ~ O I v • I ~ - W4Al. ClfMATqM. RE VAl fMETERI OR CIEMATORY-ft~ME lOCA110M an o~ a.~ tuw ,~~Burial r.+ Ft. Pierce Cemeter Fort Pierce Rlorida ~ OATE ~.awr, w~. nu~ RlnEUU MOME-?uME ANO ~DOtESS ~l~pl1 M O. MO.. CT O~ M~r, f~~R, f~1t ,yDec. 10 1971 ,,,Yates Funeral Home Box 777 Ft. Pierce F'la. 33450 v. 5. i612 ru+[s~u nM[ -src++~rurt .cceryEO n wc.a ao~s.w ~ N~v.1910 rs~ f~ m ~ ~ ~ ~ } ~ r?sr.tyy c.rrify this a b. . rrw .nd cornct oop~r af ths trx.~ !~r2054~' - Re~lstr~s rooord on fll~ In th~ 51. LucJ~ Co~mty Hsahh D~pM~ m~nt ~t FoA Pi~. Fbrkl~. ~ - ' FILED A!!D ttEC0RpE6 - ' _ (1N~min~: Not valid unlas r~i~ed s~al of th~ St. L~ud~ ST. LU6tE COUIiTr FLA. . _ Counly H~siih O~partm~nt is ~ffix~d.) ROCEF POITRAB CLERK C~RCUIT COURT j : ' RECORD R~fIEO~p N. D. AAIILER, M. D. I~•^ . - ~..r~ o~.~ a~ a.~~a~w OEC 56 ~'7 f ~ ~ ~ ~ - Dd~ , LOCa! iMnt C~~~ ~ ~ ~ _ , _ = 30~ 197 ~~E~82 . J - ' . . . . . . . _ . . _ . . .