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Home My WebLink About2240 ~ Y ~M~~ FIlEO ANO RECOROEO V~ ST:lUC1E COUNTYfIA. ROCER FOITRAS 2~4OV~ QF~~R~ «9 F Ep COURT ~ i ffe 18 9 09 AM'~Z 1 i~~. ~wT: ~owRO o? Hsnitw CERTIFlCATE OF DEATH eo~~• • ~YR[AU O~F YRAL RATIrTICS fTRT[ F16[ NO. "s•' r•a- FLOBIDA o?d •ses sl T N. p[ ISTRAR•~ ~'28 proO~rll 1. Kwu N KI?~11 GOD~ NO. L YfYwl A[1~KNCRtIn...wr.t~r.t l/t+r~r.r.: ~.i~.r.NI..N.:..W •a~e~t~~ `°a .~11 0011n St. Iucie 66-025 Florida St. Lucie s. ~i.~.~ t• ~~r- tm. ~rM. o~ wuTqM t. K~IACE OF OEATM c. dr. To+iM. a! ~,ocaTqM s. R Rcs~OC~tt ~ii:~` Ft.Pierce cs~ uop Ft.Pierce u~oc cmr~~ MAYE Oi (/J f/1 M~Mjlfd. /irf atfNt ~/6p/) I. STII[FT App~Et3 MOS?~T~l d1 ~*~T~*~ Ft.Pierce I~~emorisl Hospital 5800 Oleander Avenue 3. w~tt or fU~t I~tfles t...r an Ab~N Dq Yw n`,•`~+.r~ ANNIE N:AE SIKTTH o°o?~ :?ove~nber 9, 1966 sEx s_ ca,o~ o~ ~ 7. ~ua~co etv[~ rwKO oerE oo w~rw f. ~(t• w.?i s uoa ~ rw uw M~ws. x..w a.w ww.. ra. , s. Femalc White ~,~oD January 22, 190 p i• 1i1 r 10~. usuu ouw~no~ ( 01.e tiM y.r! M. IOO. Icwo a~ WswESS o~ wousTllr 11. wTNhntc (9~M ~?/rwey~ ewa/n) 1. rn~ or ~w?r mAtR?r .t c? ?•r- trrta~ ~wt N~rtW Wr. ars y.dwM) Houaeti+i e ?l~et lwY ~ iATll[w'S IYr4 f{. rpTME~t'S ~r~?OEw iurE •r j •sT~~ria~t j~tii00f1 J8C O ! ~ M~wf O~GG?AO Cr[~ w Y. i~rEO ~C[S~ K. socu?~ sctuR~n Mo. ~7. w • s~~~ l+.H. 9II~th tir.r.~wlrwl ulr.ww~rY~~/~~fd j wu..« a rrw•r.l 1~. ir?Yi~ N KATM (ilw~ ~tI Nt cwM /a tht p(a). ca). aI lr).) _ ~MTCerILL ~Eiw[EM j Atr~st~• ~•~r~ a.rn~nsuwcow~ ~ 016tT~WDOEATM •u~t !t1• W~~*~ ~ ~u -Pr , ti[te~c• C.slitb...i/or. wc ro v~ t? l~• r~k? Iw ~f~ ~ U[13(I'101~If1 1 • • • 1 ~DwM tput ti~ r~~f~tr~r at~Ny Ne tdn- DuE TO •it?l~ 7S h~ lrf. ~ lert f- ~ /MT N. O~NR SR~/1tMR OONO(fO6 GOM~MMRwt TO DG1M ~IR Iqf IIEUIRO M M 1F1MIMl 06FAf[ 001Yf1011 CNOI r?MT 1(t) . M S AYTO/SY rE11fO11YE01 ' t~r a~~t~ ~ ~ ~ •~k1~s'?11~ F~ ~ AOCIOEMT SYICIOE IIDM1tME O[SC1nK MOMI MpMYOCtLRREO. (B~fO wd~V~ N~I h P~rt /p Prrf Jl~JYtA i~d ~ a`S O ? • •t ~ ?~t~. ZOt t~rt oF Nwr Mwtl. Dq. Ye~? ~wnr~r a s- ~i , ~ m/. ~uW1r OO[u~at[o mr. RACE Os aW~r I•. i r~lwt tiwr. ~D/. Ctir. 7prM.011 tAGiqM Owl~TV STA7t i wuwc ~t ~~o~ waar ~ M•. f+~?r. w~e. Ma a4•. .c~.) M1011K AT ~OIIK i l~tNndW tJ1~d~eM~N/~vin DC8C~ OLl arrj,Ya1 •nd/a~t w~ ~/i~~ on ( pwtA ooournl ~t f+~*it 7 P• rn on tA~ d~b at~t~d abw~: ~nd fo tM 6wf of ?11 1 t~~• ~~~MT~ aJ ~~~~N. /~om fA~ uuw~ ~f~tW. . •r• t• 1• (~a ~ ~~ESS tlt. MTE SKNEO ~ ~..~~.e. a J.H. Batsche M.D. 6 Delaware 11-1 -66 ' •6fYI~t~. ~ ~~.~r~f~ jj~. ~AMEOiCEkETERYOwC11fMATOQr I1(. IOC~Tq111CY~.fM/~.Mps~f~/ (8d/) ~[rorY I$ 1 ' Auria~ 11-12-66 khite Cit Ce~ete St Lucie v. ~sta z~. su~+uLL o. ~s s+w~nMCYateSDO1l~fieral Hoa?e I wrc ~cca. ~r wc~ ~cc. ~c. ~cc~sriu~~s s~rua ' a••.16s Jack J. t~,oore Pierce Florida 1?-1 -bb Anna Lee Denison d.r. 1 hsr~by artify thia 1o b~ • trw ad aanct oopy af ths Local ~ i Reptttrars r+soord on flt~ In th~ St. i~ci~ Couc~ty tiMlti~ p~rf. ~ n~M at i+ort P1e?o~. Florle~. (1Namirp• Not vaJid unlas ral~ed s~al of ths S1. t~ud~ i CouMy H~efth D~ p W t m Mt b affix~d. ' ~ . _-F;~ . . ~ 1 : ~ i N. D. MILLER, M. D. ~ ~ ~ ~ " : Count~t,H~ahh OffioK i Loal Rpktrar . ~ ~s ~ _ ~ ~ ~ . ' y-- • ` ' i=~~~~ ~ ~ . ~ ` . . ' ~ ~_L~~ . - Y; ' , ~ / ~ ~ S~. ~4 . . ~ ~ F ~ . 1- t . • . . . . ' _ ~ . ' . - ~ ' ~ ~ U -~~l . ~ ; ~ $00 i'J!t'~E~~ • : ~f T'~= • , '.-N' ' . . 1 . i ~ ~ - - ' - ~ _ ~ . - . . . . . . . . .