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Home My WebLink About0721 st-~6, ssz 2229'7'S fl.kl' A`- ~ t:.Kp€0 ~r. W~?~ :~Uy1r ~L~~ f 2:229'78 ~,,p~~ CIE~+? l~ CO~M< < RIPA-'? ~ ~E i ,~N 3~ ~G 37 aM - r~~~ Se- iTAT[ eo~~o or Mu~TM CERTIFICATE OF DEATH eo~es • ~URUU OF YITAL tTAT1YTIC~ - STATE FILE NO. ~~s•l FLORIDA ord •A~a BIRTN NO. REGISTNAR'S NO. prop~rl~ 2. VfYAl11[1~0[Ntt{Ib.Irrddw/ t/wnwr-t~dMW~~..r.w) •i~CUt~A KA« ~ATM CODE NO. A ~MTY ~N~ • ST~TE .e. L T, , D• ~l~e~~ ~ lA P~~- A. C~TY. TOMM.O~ tAU1Tpq t. tS K4CE Oi Of~TN t. C~TY. TOMM.OR IDCATqM t. IS 11ES~G(bC( ¦~A~~l IMSip( CITY LIYITSI INS~OE CITr 11Y1TS1 ti~.. Ft res~ ~.00 F res0 ~~1 I. MAYE O~ (lf Nf b M~~f~f, /+t Ur~d ~l4n~1 ~ LEMGTN Oi STREET A0011[SS ON A F~~Mf wS iT T~7TqN p ti, . Hos SB Tv.~A IA C p YES? NO? i'~~n ~ NAM[ 0I ~Laf .L(iJ~f[ LYf MTE XwN D~/ Yttl eacuu~ ~ ~n~M~'~~ Ph llis Louise iseatt Df1TN AL~ust 1 . S. ~ M/U1111ED ~ A[V[R MIUA40 • p11TE O~ NIITN 1 ~GE (!A ~t01 1 1W {/MDE11 N MK. fYlOi?llLq) X~.N. ~.M Mwn Yw. ~ < < . Female ~Nlllte MIOOMED? avwcco -21-18a6 plal~l~ t0~. uSU~iOCCU1~T~OM(QiMti~~/rMkt~w~ IOD.KN100iWSMESS0r1~wDYST1IY 11. ~IIITM?IACElS7~lt~?~irtM~atwW~t) 12. Qi~10i~W1TORhTRtt . i t A r- trriy wwtd uwtial f~r. eun i! rHre/1 .•e•.~ Housewife Irela.nd 'u.S.A. ~ ~1~Ck lwk ~ATNEII'S MAME 1~ MOTNER'S nA~OEF MME ~ er g ~s.••••~•~ William ::cAllister (~navailable ~S. w~s acc•sco cvc~ w u s. s~rco so+~c[s+ ~6 socu?~ s[cus~n ~q. D ar~o t fiCNATVA[ ~,~aC~C .iCCZ^~e ~ rr. ..a...d u~......~ ~ ~w. ~ i1o Al4ru Ft P' _ e r 1 IMTEIIVAL ~ET1Y[EM ~ Pun~f ~l 1~. CwYk ~I ~[wTM ~Sshr pt1 Nt nwt Ot? U~r rr U). 1A1. uf ~a.] OwSET uW DUTw 'y ~AAT L OE~TM rAS CAYSEO ~r~ e etr~ec~r ~rrEpu~tc uusc Coronarv ~CC1L'SlOII tii~t11T~~" ~ 'r= -rlia - ~ •u~t ttl• t\• e~r- ~~S 5 tiffe~t• C~~~K~,~~p~, pyE TO (0I ~';~lertens~ve~ arterioscl _rotic heart ~ slte tA• r;k~ ~ rw t~ ~ ~ li). r~siser~r ~N t4 r~Irr- p;F TO (U ~ l/iy nu[ Jut. • 1 t Sl • 7~ O /MT 11. OTIU SIi~f1UW~ CO~Oli4rl COMIIMIl~MG ~O OGTM wif NOT R[lAIED TO iME T[wrtML OlS4Y CO~TDM GM~1i M tMT 1(~) . WAS AUTOKr ~ ?Ont• •f- M fE11fOeME01 t~r d~aLe 3~ YES? MO~ ~ or ?~[~r• Zpp ptxp~~ ~~u~r ott~eacp (s,un s~trre y~~/a.~ ia P~?t !r P~ yit~ NJ ~ ..aiss •.s ~ ~tau~T wKioc MorKia ~ '~y~~f- V ? ? ? ~ •w •t ~ T~rE Oi Hpv f/wN, MI. Ye~? •~OT. ~ uuu~r :i p A. q W ;e; = 20/ IMJYR~ OCCY~11[O mf. ?LACE Oi 11UU~~ (r. I~. i~ ~r ~o~,l y~r. 20/ C/Tr. TOrIM. OR IOGT~ON COHNTY STATE ~ MIMM.[ AT ~ MOT MMKE ~ Ip~. /~cfMl. M~[N. ~~[t Ntf.. tft.) . . ~ MOIIK ~T ~ORK =1. / ~fNnd~d ~M d~d~Nd /rom 11~ . ~o _ ~ •ndl~at w~ ti m ~I:r~ on ~ DwfA occun~/ ~f ' ~ • m oe t/u d~~~ ~t~~~d ~Do.~: ~r~d to fM ANt o! m~ tno~NO/~. /rom tA~ uuwi , t~~~d. ; ~11 11~~• NCIYTYA[ (IMf~etrfYk) ?I.0 ADONESS ?It. OATES~G~EO •r• te 1• ~ t :,.D.VanTilborg,v.B. E08 7th. St.,Ft.?ierce,Fla. 8-~-60 ~ i~ •ClY~~t~. ~~~.~~i~. ~ p~TE 2]c R~YEO~Ur[TE~YORCII[MATD11• Z3/. LOCATqM~GYI.[KI.MtMwf~1 (bT~tt) ~ yl _ ~uri~'t"`~'' 8-5-~ ~-:iilcrest :!e-~. Jar3ens Ft. Pierce, Fla. i v. s. E ei ~ 2~ suucR~ a¦c w~ s:~.T~RYate~1° 2 dl ':O:Ti@ 25 O~TC 11[CO ~11 LOCX IIEG. 2i- REGKT1U11'S SKwAT~IIE a.••lOD6 :~ack 1:cCree Ft. Pierce Fla. A-9-b~ anna Lee Lenison d.r. . ~=s I hereby asrtify this to b~ a trw ~nd oorrsct oopy of the Looel ' : Registrars r+eoord on flk in IFr St. Luci~ Coutuy Heah}~ pspsri~. ` ' ment ~t FoA Plerot. Florld~. - ' , = (Wunin~: Not valid unl~u ra[sed seal of ths St. Ltxla ,4 _ . . . . County H~alth D~partment 4 affixed.) ' ~ . • ' . ~ . N. D. MIl1ER, M. D. • ` = CO~xffy Offic~ d~ Loal Rplstrar 1: = ~ . = 1 . ? 9 . ~ . D~puty l,oc~l R.oim.r ~ , -J ? , : . ~:__`t - BflRO+c 1~7 PACf ( ~?V , : , _ - , _ ,r .~.y~ .