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' ~ V G .EiCr.. ~ OF DEATH
.n~.~ .f Fk.1~L ..J R.~.L.lu.ii.~ SR.~r. iTATE F~~c No.
~«v~.ux.~~n~i~u FLO~i:DA
Ti It~NT IA R(GIGTRAR-f NO
•[~w.n.N[Ni INK ~_NA~ ~ua ~.~p,~ •~f~ ;Sfl DATf O~ OfATM ~ ortr, N~, ttu ~
~E , ELSIE HARRIET L•,1HITfi Fema2e November 14. 1971
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6002 ~ „ ; i~ June 22, 1896,~ Saint Lucie
cm. toww. o~ ~out~o?. a oc~n~ w~.e c.~. .~,s hosrrtw? oa ot~e «sTrtuiioa-wMc „o+ o~.. s..., ..e .wwa ~
. ancu• .es w .w ~
rozi r-i~~e I~. Yes Fort Pierce b~emori~ H
S1AiE Of MRTM i r wo~ r+ v. a... w..u CtTIZEN Of w1MT CQIM~T[Y ~ MwR~1EG. NfrE! M~RMED. SUt~n~+ S~OtISE ~ r~"'~. a"~ „''K"' """r ~
aoww~ ~ i WIDOWEC. WrO~D i tret~+~
, !N * Walter A. White
~ New Yozk ~
.wn wu.LO SOCW SECWrtt MlWE! USUU OCCWwTqN ~6~wF ~w~ O~ ~O~ W~Y MNd+O rp~ O~ [i+0 OF MlS~ESS q~1JStt~
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OCCwils w !
w;~;, u 052-20-0062 A n, Housewife
wo.raso« lES10ENCE-Si~1E COUNTt Ct~1l. TOM/N. OR IOCAi10N r~e cw~ ~~ws STlEEi IJ~D NYM~f
"~"r~l~o 201 W. Prima Vista
,M Florida ,y St. Lucie Fort Pierce ,N ,M
~winER-r+wE .w~ ~~oM! Wt . MQirfl-MAbIN NAME rrs. .ra~ us~
„ Eli White Emma Way
~ ~HlpW~H1-N,~?rE ' Mw?wG wDORESS ~s..~~~ o~ w. un w ro.». s~.a. er~
Walter A. White ,,,201 W. Prima Vista, Ft. Pierce, Fla. 3345C
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14 otcufeo rq. ~ . I11~ itla ~ l ! 7U IN M o w uwtieu~ s+.no.
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~ M 2!~
;r CEtTMIE~-NAMf irm w~wn , SK~PIAfUtE \ aar nwy , ATE ~.D~. wr. ~w~
r~.Bernard D. Ross, ~:.D. : ti•,?.E.~~_ ~c~f ~Y~i. /r~iS~7/
~ MANWG ADORESS-CEti1f~R v.ee, o. o.a. un o~ +o... s. n tr
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Yf NYnw?. UEMAT~O?~. I1EMOvAI E O~ iOt'1-N'u~'~E ilOUi~pa un w~o.n+ sun
~Cremation Ft Pierce Crematori~~a Rort Pierce, Florida
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a - D~tE ~oMw. o.•. n.~ ~ fUr+Etw/ MO+~E-wu~f wH0 ~DDRESS ; s~~ee~ a.~...o. o. em w~o.., sr•~~. tr ~
;7 ,~,;vov l~ 197 ~ Yates Funeral Home, Box 7.~7, Ft. Pierce, Fla. 33450
O~R NCtnfD ~OCN ~E61Nw
V. 5. ~512 F EC7 - i REWST S+W+~:utf ~
A~ r. IS 1 G ~ ~ ~ l yi ~u~ tM 11- -
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-y i heraby certify this fo bt ~ trut ~nd cortect oopy vF 1Fie Locel .E* P~iTaAS o~
R+str~ls rooo~d on fil~ in tF» Sf. Luci~ Cptm Fis~hh ~w~.. CIERK G' ~GJIT C9URT ` _ ,
it~t at FoA Piera. Ebrlda. ~ R E C O R~ V c~: F;~ p~~ . •
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(Wunin~: Not valid unl~u raised se~l of the St. Luc1~ ~13 i~ ~
County Hsalth D~partment Is affixx~d.) F Y;: -
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_ N. D. MILLER. M. D. ~'~20~ ~ i;,=
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