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HomeMy WebLinkAbout1561 - " ~ ` 2235'72 ; CERTIFICATE OF DEATH D~p..~.e.~ .f lk.kL ..d R~L.6+4~.a.e Se..?ce. STATC FIL[ NO. p\'61QY (lF HFA1 TII F L O R I D A IY?E, Ot ttlNt 1?~ REGI6TRAR•f NO. 5 ~!lMAMtNT IMK ~A~O_H~E rNSt vow~ ~~s~ ~lI IDwif Of OfAiN ~~O~*w, s~r, ~~u ~ ~ra~rwc,~,o CHARLES WILLIA.M HEINOLD , Male j, November 28, 1971 RACE .~un. r~w0. uM~tu~ wwr. AGE-uu u~we~ ~~eu uwae~ ~ w. ' DATE OF ~IlTN ~rO~+rw. e~r. C01MTY O~ OEATN nc. ~ sretr~ ~ r~r ~ Ttu~ ~ +os. ~ wn ~ wovaa ' ..sa. •w ~ ~ White ,,~7 ; , Dec.29,1903 Saint Lucie 66~2 C(nf. iQwN. Ot lOCwiqH 01 OEAM •.so~ c~n .~~n nOSriTw? OR OMEt NSt~TUt - w~ w ee.r~. e~re s~ru uo rwu~ ~ ~~~Yes~ „ Fort Pierce Memorial Hos ital Rort Pierce fTwTE W i~M ~ r.ror r~ u.~ wuu Gi1ZEN 0I Wrut C01M~TRY rtNtltlEO, NEVEt ~RNEO, StJRY1VNG SPOUSE ~ r rw~. om .u~wu+ wra ~ New Jersey USA ~`~O° ~ ar~ed~~~ ~ ~~a~,~ ~ ~ Agnes Koeael .wiu aa.ste SOCW SECW~flr MlWE~ USUAI OCCWAT~OM ~G~wt a.~~ p vWl 00~4 OMr6 ~OH p [tti0 Oi NlSt+ESS O~ w+DUS~r .~n~. r w~r ~oa~c wt. nt~ u u.um ~ OCCWN~ M ~~m~.~~* „ 13b-O1-2558 Architect Tele hone ~ewe.~n ~eqr •~~s~o~+. IIE5IDENCE-StAtE C04{NT'f Gi7. TOWN. 04 ?OUTSOH Ms~n cm aws SitEEt wil0 NIW~ER ~ ~vuu• ~u o~ w~ 14Florida ,,,,St . Lucie ,k Fort Pierce No ,,.135 Celestia Court FATMEt-NArE nn~ .ww wr MOTnE~-AwiDfN N~MF +us~ rw.t usr ,f Herman Heinold Sophia Litzenbur er IWOWNIi-nAME w~wKwG wDGREiS ~ine~~ o~ ~.~.e. ..o., C~ttr O~ q~+, Y~p. :r~ ~~Mrs. Charles Wm. Heinold „~135 Celestia Ct., Ft. Pierce, Fla. 33450 ! IA~T I. ~~1W1~W1! ~w l\vY OEwM MfAS CAUSEO fY: ;EHiEf Oevl'I O/~E UUSF ?Ef /K f0~ (e~ (4J, AND k~j Ntiu. oMSrr ..a a•*w ; 1~ rr~uM t~vs[ ~ ~ 1 ~~..Q ~ ~ . . ~ ~OMMNOwl, ~M, VM~(w O~~! ~~ff f0 { IYw~p~~~ C~Yl~ t0~. ~ ~w ro. a u. ea.seaw«ca or: [ f~?~1M6 iM~ ~M~f~- i \tlMO (ArH ~ g ~C1 = wYTOIS~ Y YES viu r~~o~wos ca.• j ~I.f1 OTMEt SK~iN~KI~MT CO~~WI~ONS: COuWfipMi CO~+~b1N~~+6 W OLM Wt wp~ 4u/~O t0 C?Y3i G/'AM W IY~ ~ w~ w~„o~ y,N~to aria.uw.o cwu z W N~Iw 1 ~w /Y~ . ~w 1 KUDE ~DE A ~ ra.rw. ws, rt•~ ~~l10UR i NOw iN~ue~ OCN~~EO ~ t.n~~ r.wh~ W~rwn ~r ra~t ~ w~.n rtu. ~ ~ ~~"^^y" Ot 1!O[ifW WED ~ ~i ~-n ~20~. M 1Y ~ ~NAltr ~T wOtK ?uCE OF r+luRr u wow. r.~.. ~~~e~~. r.ao~~. { ~OGriOr+ ~ s~¦~n w i.~.e. ..o , un o~ io+r, u.n ~ IVK~~? h~ W M0~ OMK! MOG..fK ~SrKV~~ # S ~ ~ j~ 9 ~[<TYKATI~IJ- ~OM71~ M~ ~!Y I ~O~M D~~ tf~~ u+0 ~S~ Y~ MrlM~ M~I! OM 1 NO/WO MOt rK'~ IM OUTM OCCYLLIO W~uCl. Or s!t ~ r»73KiaM: 70 ..o~.tw Vf~ wo • .rw. ~.ou~~ o•n. .wo. ro ~w ufr . ~ ~.n~wee rw~ ~ I 7 28 71 I 1.1 ~8 1 i a., ~.cruoee. ow & A~ acaHO no. 31 I 1 ,f~~ 24 7U )t•i P M. 10 R! t~YDt~f1 14TlD. R CEtiM~CATiON-rEOIUI ELWWf! OR COfONE~: o.. r,.e us~s w r~e ~wu~ o~ w.n~ . t~~ Ne~etr.~ ~rws MO~ou..eto w.a . ~u~w.ron or ~.e we~ we/w ~we r~vesnwna.. w.~ o~..W«. j ra.tw e~~ riu woy~ . ~ N~/M OCCYMO OM M C~A YM OY! q Mt C~YSf~11 lLqo ~ 7b M ~ t~ M ~ CEti1f1ER-NI1ME ~r+a M raw~ ~ SKr1iATURE ~J~ ota~~~ p.nu OwTf S~G?+fD ~+o..*w. w.. re~u~ ~ ty ~77~ ~r!/~~,~.:f~C L~I D L~tk iZ~~O~' ! 1 ~ 7~1 I-' ER?Y e AVeY1Lle s~u~~a~.o ..o rt. ~ier"ce r10L''ida 3~¢50 Wt~N. (l(~yNipN. ~EMpY~y EAIETEf? Ot C~fMATO~r-NMtE lOCwilpM an o~ ro.r.. ir.t~ ~ ~ vurr ~ ~ ,w Buria~ H.Ft. Pierce Cemeter ~ F ~ ~ ~ O iE ~.o..rw. u~ WNEtwI nOME-HwME wtrD wDO~ESS . snu~ o~ o. »o , a~r w+o~.., s~ne, rw ~ ~~ecember 1,~971 „~Yates Funeral Home, F3ox 777, Ft. Pierce, Fla. 33450 ~ Y. S. s612 Eu~+E ~WE~ tEGi R-LG~rutF DwT[ ftCt~vED tt tOCwt !lG13iW :s w Deoe.^~ber 2 1971 w. ~.19 T 0 . r~ ~ d~P. u? , t heroby cxtify this to bi ~ trw snd conect oopy of tFfo Locai t Regi:tr~rs r~aoord cn fIk in 1M St. Luc1~ Gounty Mleahh Depatl~ ~ msnt ~t Fo+t Plera. Fiarida. 4 a uR0E0 ~ -.r` fILEt! ~ 4 , EC : Y (Warnirp: Not valid unlas raised seal of the St. luds ST. ~uC~; ~~~~HTY FU- ~ County Heetth Deputmsnt b affixed.) FC~. ~~AS # O`w.'1, 1 '-'C i . t Ctfr:~. GOUr R~ ~ ~ 'r~ N. D. MILLER, M. D. ~ . ~ cou~+y t{.~~~ orf~ a~ troc.t w~~r~,~EB ~ I~ 56 ~ 7Z ~ , o.,. o.q,h? ~ rr~~.+.., 22?35'~'Z , , ~y~ ? - $D~K YItCCF~~ _ - - - _ _ - - - - - - - T ; _