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HomeMy WebLinkAbout1107 ~ , ~ ~.r~~ V Y 223236 ~ ~ • CERTIFiCATE OF DEATH ; ~ - De}~rlwer~ 1{e~111~ ~ ReVbllivlhe Sen~ns RAT[ FIL[ NO. { ~n~~~r~~N FLORIDA 45 t~?E, Of ~MNT IM ~"~w~~~~O 11[61iTRA11•f NO. MlMAbNNT INK ~~p_N~ r~~ ua~ s[= pA}E p~ p~M 1 rOMf~, M~, ~~U 1 scc urpoi ra ~'M~ ARTHUR J. STELLJES : Male ~ Janua 21 1972 lACE ..~w. wow. urrc.r wu+.. AGi-us~ wwe~ ~ n.~ va~ OwiE Oi Mt1M ~uo.w~. COIMi1f Or OEwiM 6602 nc. ~wan~ ww~~~ruas~ .o~. rn .aws St. j~l1Cl@ . White w 74 ~ ~ Jul 5 1 . iOMIN. O~ l OEwiM wyw cn ~rwi MOSI(fwl OR Oll1~ NS - ~r aw r e.se~. cM s~n u~ .~r.n~ ~ veun ni w »o ~ Ft. Pierce Yes Easter Manor STA~E Of MrIN ~ a ro~ r~.~.~.. wn d112B~ O/ v~nat COUNIt~ w~R4E0. NEqVEt r~~wED. 3URvIVNG SPOUSE ~ r.w. ow~ o.rw w~r ~ ~wu asre.~a New York V.S~I w~ leQ n Caroline .Std~ll nwtM MG~1f~ u+1~. r M~r SOCIAI SKNU11f lRMME~ USIlAI OCCU?A~10N ~ OM aw p~O~a ~bM Mwy rO~r p IIlO Of /YSNESS O~ MOUSIlr OCCVrI~ N ~Ot~O YN. !Mw ~r ~(trw ~ 090-09-9273-A Executive „ Asiatic Petroleum Cor ratior. ...~..w«. ~eswe?,a-s~•r~ ca~+rr cm. rowN. w~ocwnon wre c.. w. sn~ t ~ ~war.n~ww a ,M Florida St.7,ucie Ft. Pierce Yes 1112 Sunrise Blvd. ( /A11~~-NAME I~tlt wM~ u37 MOTMf~-A4DEN NA~ r~ft rM! uf~ t s~ „ Henry Stelljes Maril Heilnbrock ~ ~N1'O~MANT-MRME ~u?l~+G ADO~ESS ~sw~n a~.~.~. w.. un w w.... v.w. a+~ ~ Caroline Stelljes „~1112 Sunrise B1vd.Ft.Pierce,Fla. 33450 H r~tr OuM wwt GusED ~r: (E?rrEt on~r a+E cau6E rE~ u+[ ro~ ML 1?L aw kl1 MMM OKf~~ ~N Muw i N w ° , r~ • i ~ /lJ3 C e ~ . • . . ~ ~ ~ co..~mo..s, n i ,j~ ~w~Cr O~~! use p. ~ (~1 ~ ~ ~r.~N~r~ u~se w. ~ ~tN~MO twt •N~N- M q. O~ GMK~ O~: ~nwo c~~w usr E 3 kl ' ~ , ~A~t 11 OT?IS.I SIGN~F~C~t~T CO?rD1iq~+S: co.rno..s corw~nwa w eu~w wn ro~ rurN w c.rae awe.. rui AYTOK M ~ES .~M n..~~..os ca.- ~ As p ~ YN~w w MreurruM 4+rae ~5 Q 1~ N~ N~~r ~ M~O/r~rKM~DE, O~ uW~tE~rwEO ~ ra.r¦, nu ~ NOw IPWlr OCCIKtFD ~~•ne~ ..~ww~ o~ n~wn w. r.n . w r.n .ti wr ~ . M 1w 7M M 1Y ~ . IN1U~Y Ai w0lR Of NARr.~ wor. swn. ~.nw.. lOCwtWN ~~m~r o~ .o., cm a w.M. a~w ~ a 1 WOn Af q~+Oi Ow1Q r~o..IK. ~ VKr~ l . ~ ~ ~ ~ ~ CErt~nCwiqN- onr rT .~u .o..r w~ ,e~~ we usr L~ w~a/wN YM OM . wiao w. +r~ r o[~n~ occvato we ?uce. a. w ' ~O~M W~ ~Y W~~ uR~ Ol~M IwOV~ O~R. ~~l. q M Yfr . ~ IN~SKuM' ~O p rr awpr~lOW. Oul ~ ~ ~AlMMO ~11~ 7N MC~~fl~ t~Or ~)1~ Ii~ ZI~ ~r • 7h M ~O w~! 4Yit~l~ tY/~0 t ~ CE~It1~1Gi~On-MfWC~I E~tw~u?ER OR CO~OnEf: a. rwi wo a ae wow u ee.w. fM NCfOfrl ~y MprpWKf~ NU ~4w~utWM p tMf ~Of~ ~r1~IW MRffW~ON. W r~ OIMWri. +OMM Mt llu wOV~ N~1M OCC1M~lO OM ~ MR ~M ~M ~O Rr Uviflfl it.~RO ~ Ml t7~ M • CE~?1f1E~- ~nM W ~q S~GNATURE'///~~/~~ J _ . ATE SIGNED ~ro.~~., w~, ~W~ ~ t1~ ; . / % / ~ ~ ~ fr irv/!L/4n~~ ~-as- r.z ~ u- ~R ~~uer w~~ e ro c~~r a~a.N s~.+e rr S~ t~ C ~ .G ~ Wt1Al. CRE ?IOM. ~MOVAI FMEiE~I/ Ot QfMATOtY-NAMf IOCAi10~~ crn O~ to~r sr•n ~ ~ ~ Ft. Pierce Florida ~ r~ Burial t::Ft. Pierce Cemeter . DAtE ~.ou~w. ~.i, nu~ f ivEfµ N -t~ Mf 4?q fS5 . vun o~ ~~.s .w.. an o~ ro.r, sun. i~r ~ „.J . 2 1 72 lr~` nera~Home,901 N. 7th St. Ft.Pierce F1a.33450 ? V. S. 1612 ~ ~ ~ tfGlST 51C.NAtUif p! ~tt t0 ~OC4 ttGINW S p.•. iv~o ~~~ry 31 1972 ~ _ I her~by awtNy this to b~ • tru~ and aornc:t aopy of 1hs la~l ~ ~ Repbtrart noord on flb In th~ Sf. t,ucl~ C4urtty Hwhh O~p~e~ - 1 a>; mrnt at FoA Plsro~, florfd~. fIlEO 1?qD aEC0a0E0 1 ~f SL ~uCic :.ouNTr F~A. (Warninp: Nof valid unl~u r~i~d s~a) of fh~ St. ~1~ci~ ROCE~ P~=tRAS a~ Counfy H~slth prp~tm~nt is ~ffix~d,) CLfRK C" Cl!!T COURT ~ . ! RF~t~FO v~rrF~ED~ ~ N. D. MILLER, M. D. ~~p 3 581~ Z ' Cour?ty H~alth O~f'~ a t,oo~! IEpIAhI' ~ . • . ~ . • ~ ~ D~p1Ay LOOd iE~ish~? Z~~ . ~ s ~ . . EOOK ~~7~7 ~f ~ ~ - - - _ - - - - - ~ - - - - - ~ - = , _ . _ - - _ ~ ~