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HomeMy WebLinkAbout1650 . _ _ . ~ ~ 223f 33 ~~~~~AMD ~ - . IE CO ER P I RA ~ 223633 t C~~R~ c~ac~~r a Rt RECO~ b yfRi~~ 0 , i I'~ l0 ~0 yi ~I'~t ; - , ~ - - - - - - - - . , Ts?. ~wTC ~owwo or eu~~ CERTlFtCATE OF DEATH ~ ~ ico~es • ~UAfAY pI YITAL ~7AT/tTIC~ lTATt FILt N0. = ' '•a•"•~- FLORIDR ~`i ~~:p:"~ B1RTM NO. 11[GICTIIAR'S NO. t •a~erN~ 1. ~N?C[ K~?TM CODi N0. t 4WAl R[t~O[NC[l/W~.+ud~w. Uww.wv 1t+d..~w~..i.r.:..) , .°a .~'1 ` °DN"~' St. Lucie (o to _ d,~~ `:T~T`Florida ~ OO11T'St. Lucie n. ~l.s~~ I• y~f~ 1. G71. TOV11.O~ ~DMT1011 t. K K~CE O~ OCATN t, CITY. TO11111,0~ LOC~TIOw . f. K RE510(MCC ~ .....a Ft. ws~oc ~ uras~ +.s+oc nn ~ rr r, Pierce „c: .pp Ft . Pierce ,~s L~T~ « tU•r i br~e.1. pn.erw da.r) t sT~ccr ~oo~css ' t Ft. Pierce Mem. Hosp. 3615 Atlantic Ave. 3. 14~rc 0• /Tri ~f(tCt lwt O~T[ XwN Dy Yr~r ' iirK.~;•r.r~ JAMES EAWARO PURNELL ~,T„ December 8, 1967 S. i[It L. OOlO~ W~ACt 7' M~1t~[O 01 K1r[11 MM~40 Q!. GiC W WTM ' AG[ (f~ ~r~r~ • W[l~ ~ rU~ Wt~ t~ ~s- ' M W Oct. 17, 1922 - • • a • wioowco p avo~ccu y l N~ 1~ r' 101. CSY~I OCCW4TDw (OiK tl~ M~ry?? /Mf 1~. KIMOOf fYS~M[SS O~ INOVST~Y 11. aMTNRACE ($~ft ~~~S pt~p1) 1 f1~1m1 p mMT QOtMafft .tt~ t.,W N~~4/pk..n1IMY~/1 ••p•.~ ~arrier U.S. Postoffic Pittsburg, Penna. USA 11~e1[ !~t 17. !?TN[~'f WrC i!. MODKIIY wiup[w wtrC . • t ' James E. Purnell Anna O' Brien ~ i. totu? uaautr ra n. ~ rrwc ~a.w Ft. Pierce, Florida ~ r ~ 1~, i4Wt N OtAtN (L14/ ~l~ ~[MK p'~r W 0). q/ ' 1.I • IhTqV~l ~RI/L[M Fuw~r~l . " d i r~ t c~ t ~~T l OG?TM ~~1 t~1b[O O~SET u~D DU7» ¦wt tll• W~~~ W ..i t~• e~r- >"r"•`• ~~»M, t~i~«t,, o~ ro u~ t lowe obe - Probab brozcho enic Ca. _ ~ ~ sit\ t~~ e?~ ~ r ( ~ ~ . 1 • • • ~ ~6r~ r~r • . ~ r~at~tr~r d~tiy ~~r ~~/e?- OtX TO (t) ' .ia~l~ tf ~ hiM nur W. y~ ?e v r• • f- r ru~T a~a sKSSrs cearrws ~ww~rc ~o oun~ wn ~a ~cutu m n~c ~ur.w oous~ taotnN i~a ~ wt Hq ru soirT wr ' a s ~ ! .r •.r..• res? w ' ¦~t i~s a~~ ~~CwcMT 3wdo[ Mor~GO[ o[scwut rotr w?u~r Octu~ata ~a~a .rr.. d Wor ~rr ~ r r+..r t~ y r~. ~u ~ •3~j~~t- V ? O ~ ' 'i - •t ~ i mt. 71ME 0/ HMr ~/Af~, qp. YrI . ; ~ 4~JUR~ I.1~. ~ S ~ " 1 ~ Y 1 I = IOt. ww~r octuiuco m!. ??ACE 0~ YUYAr ~ M~M~ M~t. ~ GTY. TOrM. OR IOCAilOw ' ~11MTT STAT( ~ i _ ~~~at ~r O uoT rNa[ ~ lM•.!~«t.•bed. Ma etp.. dr.) 1Y011K ATt101tR ~ 2J. I~tbnl~/fJN . . fo ~ •nll~~~ ws n~~al:r~ on i d~th •t O w~ on th~ d~t~ ~uf~d ~Dw~: ~nd ro fM ONt o/ mr Fno.hdN. lrem fM uaws ~t~IW. ~ ~ ~11 1N~s M T ' c wa.?nrk~ m~ss 802 N. 7th Street ~TE S~EO ~ ~~•,1it• • lv ~s Ft. Pierce, Fla. 12/11/67 ; •CCY/~t~• jj1. MdelL.U[Wi10R Z~ MTL p~MEOFUMCTU/OwCw[MATOAr ZI/. ~OCAT~(CYI.lw~.M[Mff~I ISI~ft~ i aua~~ 1. ? ; ria~"y' 12-11-6 Fiillcrest Mem. Gdns. Ft. Pierce Florida . v. s, i e u tt 9~xN . 7 th S t.:s. wsc uca ~r wc.~ aca . ~ccar~uu-s s~wn~ d. r. . ~...iaas / - i .~.-(o ~ ~ I hersby osrtify this b b~ • trw ~nd oort+sct oopy of 1h~ Loal ~ i Replm~ra rooord on flk in fh~ Sf. L,uci~ County tisahl~ p,~~, ; m~nt at Fort Pbrn~. Flor~d~. ; M~~~q~ Naf valid unl~ss nts~sd =eat of th~ St. Luti~ ~ ! Gounry H~slth D~partm~nt is ~ff',x~d.) _ I . . y . . + N. D. AAILLER, M. D. - ~ . ' ~ 5 . 1 ; ~+OY~ ~i~1 ~ICK dt ~+Od~ ~~1fK . , , - _ i t~._ , , • ~ ' ~ . a' ' , .1- ~ O~p1Ay bpl tE~tia?~r , ' , • . _ ~ ~ ~ ~ , • . - ; ~~19~9 ~1~~9 ~ ~ _ ; ;