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HomeMy WebLinkAbout1514 L~ - _ ~ 2~c:353'7 ; : , ; Y + GERTlF1CATE OF DEATH ~ ' DM.e~.eM .f Ik.uL ..i Rd.Wrw.e 5e..tic.s frwTC ntc Ho. i ~~~~-*H FLOBIDI~[ ' TY?f. Ot /R~M IN 323 + ?[IMAM[NT INt 1~EGIiTRAl1•• NO. ! Si[ IY~C~00[ fN ~ ~a~ uu ~i OATE d OEw1)1 ~ ror~., w~, ~~u ~ ~ 1 ~TM'~i016 ~ Ghent r Mule , Jul 18 2971 ~ ~ACf .rw. w~0. ~rot~. ~..M, wGf-un ~roe~ ~ n.~ ~ ~.a~ ~ w• GwiE Of M[iM ~.a~ w~. C01RRY Oi OEAtM . ~ ~ fK. ~ MfCti / FN»~~ ~~Wf ~ r0f. MA ~ wOw~ : rw ~~[~a ~ ~ 6602 ~ ~ A~ ~ ` ~Se tember 12 , Scint Lucie i . tO~na. ~ T rsr~ cn ....n eqSMw? Oa Oit~Ea W ~r .a x~, ~w s~n .r ~rro ~ ~.ec+. as o~ ..e ~ ~ no 7~ Selvirz Road - Indicn River Foods j ~ . sun or wa~ ~...o.....s.... ..r a w.r.t cow:m ..~saca. .~evca .+~mco. su~wn.+c sroust ~..w. «w .w ~ t sr~~w ~ w~DOwED. ohOtCfD ~ tiwc~ ~ ~ . N~• ~ Flotid • U N rsarried Nn Tooks r.,....~...~. ' t .ne~. r M.~ SOCtN SECUrtY NUWEt uSYU OCtYrwT~Or+ ~w.~ a.n o..wa ~or N...e .~w~ a ~+C p MJS~+ESS Ot l1DVSitY r pt~yy~~ ~ ~OtM ~M, Mw ~ MTMN ~ ,s La borer Indian River FYuit Juice ' ti rwr ~ ' . ~ES~OE?KE-S/w1( COIMIf ~ITt. )Ow+l O~ lOCw7.On wrw cw ~M ~T~[Ef NYWEt . iwc+~ n~ e~ w c a Fort Pierce o w 2904 Avenue "R" • i ..,nc._....e ~.wT~c.-a.+of....,.~c ..r : ~s t an Ghent tfiavailable ' IIYOWMII-Ii~Mf YA~II~ A~OiESS ~M~ltt O~ ~.i>- MO.. t1~ p~5. fYU, trl t ethel BroWn 2901 Avenue "R" Fort Pierce Florida 33450 ~ ; ?~uT ~ DEwu~ wwt CwsED ~t~ ~t++rEe aat d+[ uuu rt~ ~~aE sOr 1.1 At ~u+D k~ •~••w ~ ~ u y N . NTw~. a.su w~t.a ~ # ~ ~ 9 ~ DQA Blow On Head Immediatel ~ ~ ~ ' - i ~ -o~~mo~f, r ~r~, ' , d w~c~ i~~f ~ru q I 1~) ~ ; ~~MM~t~ 411N N1. { w~ .o. a u. cow...a..n o.: H~~~w~ tw ~wM. I a+a.N t~~N uN • + W . ?.~tT OTE~ SKNi~GwT CONDRrd+t, ea.r.w.s eorarN..o .o ww wn ..w ruen ro eww o~w. r.n ~ r wYiOKr 1/ ~f S.~u n.~~.~s ea+~ ' ~ . ~~ff M,+Ot YM/!1 r MpYrrM CWY ~ O~ N~~~ - - u. n0 ~w i? KGOE ~.ors. n.~ ~ ~AtJ~ 1»OW u+JW~ OCCYtIED ~ t.A~ r+w O~ .wn r~ut ~ p r.~ ~ i . ,orK~ls O~ MO[ifrnlY ~ ~ ~ M ncci.dent w. Jul 18 1971 1:OOa.,,'~ Cleanin out sxisher And fell ' ~~+Alar A1 w0![ lflu~l .o.r. ~+r. wn. ..no... ! lOtwnO?+ ~ ~+un w~.•.~. ro.. u.. a~ w.+. sw ~ i t ~~recr. w~ w.e ~ owo w.. ta. ~ r~c.. ~ ~ ' ; _ u. es sr Juice Plant 'H, Selvitz Road Fort Pierce, Flozida 33450 ~ UttIKwT~Or+- .a~. ~.e ~a.~ .a.~ ~.s •~u ~ ..r us. ur w?.r~ w . w/w .a wrr ~r ol~tw OCCwY~ M ...c~. o+ +r ~ , n,nK~w: Tp ra.s w n,~ ~a~v wr. r w. r. w w w+ . ' ~ ~Ayl~ F~ O~ ~j i~bru~Gl. M ~ ~ 7M r,u.x~ •w. fA ~th 1N. JM 1w ~o ~ urseo~ u.n~. ' CERTIir(/~TqM-MEpCAI (IAMME~ OlOPIEt: Ou„we w.~ y ae npw p~t.a ' M M[t~twr ~Y nOwOwtM N~~ . ~ f~r~un0~ M ti W~~ W/O~ 1w wqf~IG~~O'~. w w 0~~~. ~O~M Mt RY ~OM ~ i w.w~ oca~w ow ~.e ww w we o~e e+w~w w~- i n. ~ n. J 1 71 1• 4 u ! ; CE1T~i~fl-rMMf a~.e w rr+n S+C;?aw Me+ta w nw~ E '~~./o.~r. ~.r. su~~ ` - 7 e J ~tk ' O" ~ ~ ! 7L +i I71 um. a....~. ~G. e.n a?or. r ev ' r~ Saint ~ie Count Court House Rort P' rce, F2orida 334~0 4 MJRMi. C~E1rM~10~< ~rOYAI f/? O~ C~fMAiO~Y-NwMf IOCATIOl1 pn O~ Rtiu W~ i ~ v~cr~ ~ Burial r. Pine Grove Ce.:.ete Fort Pierce Florida 3"s450 ' C~TE ~~a~. r~. .w~ W?rE1ul ~WrE-w~rE ruvD ~DLtESS ~ urn w u.~. .o.. c.n o~ ~o~.. a~w, a~ ~ ~ . -~1 tS. ' t? r ~ t ~ ~ • ' ~ r. S. ~6u Fur+faK~oe- ace+s - ru~ ""'r`~~` ~971 ~ ~~v.1910 ts? . ! h. • 7n Y + ~ ' 's ~ 11K~b~y Orftif~/ thk 1~ b~ • t~H~ ~fld OOfl'~~ Oppy df ~M ~00~~ - - _ - - ~ ; a ~ ~ t.. _ ~tis~s~ aOA ~1h~ St. WCN CMIfIfy 11~ilfh DMpw'I~FILED kN~ ~ECOR~B + ^ ` 3'i.1UG~F :.~UM . T Fl.~. ' 1 - ~ (Wirninp~ Nof valid w?bss r~l~d s~af of th~ Sf. Lu~Ci~ ~ 0 ~ ~ P 3 ~ ~ Rt~S ~ ~ - , , - - - ~ ; COUt~fy H~slth D~tn~rt ffi~,) C t r?~. ~:t I T CO . . ' ~ a pFrn2r, _ `ct='~ :j:.2i - o. ~ o. Fsa 9 9,,~~N'7t ' 3~~'f - : co{~? ~M,fl o~o.r ~ ~ Rif~ " a Y-•• . . ~ - ~ f • • ` ~ ~ - 22353`7 . - c.pw~? toa! ~ . - ~ ~i9~ ~.5~3 - - _ _ - - . ~