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HomeMy WebLinkAbout0160 T~~+ e~- srwTi ao~ao or Hu~r+ CERTiFICATE OF DEATH ~I~6~~ ~O~'~ • •VR[AU OF VITAL ~'TATIfT1C• fTAT[ FILE PtO. ,•~•i FLORIDA . ~~d RIR7N NQ R[616TRAR'~ NO proptrl7 2 WUAI R[fIQ[MC['R~...I~..eMt.d /•.w.~.r... Rrdwe.~.!~•.I..w...l eirtul~A t~LACf O/ O[ATN CODE NO. CUL'MTV • S'~~t A CC~ti'r .t~~ Indian Eiver Florida Indian R~vcr e. p~•~.e -.in j~rf- ~1. C~t`I. TOMM.O\ IQC~TqM t IS ~l~'_[ O~ D(A. f C•~~, TC~Y1tN.OA lM~'~'~ f IS RCS'JC\C[ wS'D( L~TY Vvi!Sr ~ ~~S+U( C~tr 1t~(y•• Vero Beach ,~s~ ~p ' Vero Beach ' •~SC rii.. . _ L MI11I[ Qi ~l/wMiw?uya~t.I+t~herl~I~•r»~ ~ f S'~[C7 ~p~~[SS NOY~T~L OA Da ~ y ? R a{~ ~ • I~S~IT~T~OM_IZI~~~IS i11~~i1 ~~SiIZL~Q7gD~4E~1 4 ._"~~~~L1i11 ~dp.• . i 3 NAMf 0/ IirU .ll~SQ~ Lu! r~ O~TE ~ 1Nwu~ Dt~ )'r~• rya~~ o~+*~? RAYM(;ND FHA~'V~LIN SLOCUM ~~N 3-11-66 ~ ~ S SCX 6 CO:OR G~ ~~1t[ ~ y~RR1L~ ~ ~CV[11 NAR11:I^ C~!E O~ h~TM ~ 9 ~G£ fli t~~r1 ~~x~ t~Ge ~ y~~~;~ ..K i 1o-19-i9o0 X,.,.. L.., x.... ~ .Y,. ~ . r t c• jsjAle 1P~ite wixwcr~ avc~cc~• ~lallll~ 1~ US~JRCOCCU~A~~OtifCItlltqleJ~er~~CA~I2dl Kt~Ox~.S.~ESSO4'~D~S~RY~!1 i:NiM?~4CC~J1s~f0~/Ortqn[M~fr~I :t C~~:Z(~O~wMT(qNn~+• ~ ~l t~ ~~r- lxnnf ~weN ~Jr~w?~~/ hfr. aew rrM1rrl~ ~ S~lesnan I Auto i Nex York U3A DI~lt ~I~t fATM(R S'UN[ ~ 7~ w'JiNEA S ~A:('iLN hAw[ t7?~~H t~? '~'S~Y1it SZ~C12I~ i Mary Folts ~ ~6 SC~C~~I SECVII~T~ MO I7 IK/OMtAKT t ftONATYR[ A(~•tu 4C • iQ -01- 2 Yiola B. Slocu~ Vero Beach, Fla. 32g6o ~ CAVt[ 01 OCATM (Estt~ ~!tlT eRr tarat ytr 7~~ J~r ~e~. 1~~. en( ~r:.) IY~~RYAL 6E'wfEv ~ TYR~f~~ • I ONSES ~N~JC[A~`~ ~ Ett~ttOf ~41111 OE~TMIMISCAUNO~Y~ j ~yrEOU~t c~u5( ~ ~_`U f . ..a.. i •rtt ttl• - - - - - I tr• e~r- ~ /~..h -y tifie~t• C~~fyy~i.11„R q,K t0161 ~ / ~~0~`~~ .it~ tlf• rll~d /Kr na~ t~ -r ~ l~ I • t • 1 ~Dwt «rK l~l. ~ / f~ • r~ai~tr~r ~:eh~~r~?~rwte•_ GT~_y`^ifG~ri~!.-- -t--~ i _ l~~s~ tt~~e !W ~ - - - - i 'i 1 tAin 72 O ?A11T 1~ OtW~ W.W~Clv7 CO~d7OM CP`•~I~R:*:K ~O CY~*M 6V+ !qT M:A'SL 70 •wt T~r~val D~S(AS[ COtiyTOr GM~ ~?YI` NiAS ~I:TC~S~' f ~OY?• •f- ~ / . ~ n ~ t ?[RiC1!?~iD~ ~ ! t~ r A~• t e ~ Q V S t'. _ [}CJ1 Cl.l?/~~t ~ !I` C (~.~J~C d S i or e.rer. •ESa~ h0u i ~ j(~ t A alOS MSf~~~E ti7A : JC~~ } ~ ¦atfna •w~ ~ ACCI_(b1 S~Krx wpv~(i:~E t_ 'f.'a!~.vot+ ~/~a~ti•~f~P~r[laPvtllo!b~~f/~ . } ~ •~yost- u O ~ ~ O ..en •t ~ 7rr - ' ~ ?sQ < [ O~ Hcr. tlow•L. l-q. 1 1' V IhJi:ll? A. ~ ~ w. W ; f hd ~~~u~r Ottu~~[O 20r rUC[ Cr ~~~v~• t•. Q.~~ e~ e`a~~ Rewr, 20J C~Tr. Tpwr OR iOC~T~OM CCl'MT~ S`~TF ; NwrlE AT ~ `OT w~w/lE ~ h•~. lKt~~I. ur~~t. cff.r~ 91Q~ . t!c ? e~ w~ORR ~T rv011R d ~ 2t ! ~~r~nd~d tA~ d~uo~d Irom ~ - t° - ~ ~ ~ •nd fuf s~~ A~~ili.~ on ~ ~ ~ S D~~M oceun~d ~t ~ f 1~ r+ on ~A~ d~e~ ~t.r~d ~Do.e. ~nd ?o tM Ma~ o/ m~ lno~l~d(~. /re/n ~h~ uu~~s ~t~r~A c~~+. All it~~• „ ?2. tICMATV ttu r. e. rrrr ~ ur. .r~ass L't C4TE S Gti'D ~ , ~ M. D. ~ Yero Beach. F:.a. ~ 3-:3-6~ z ' 2Jn ~v~a~ CR[r~t~ 2b 0+~~( 2:r •av.O~Cl~E1I~rC~~"°"'r~ 23/ ICUTpMIC1t~.fM~e.~rr~i~!p (.YYr~ j s~ro.u ~~w.~~,~ Y ~ B~mn~£,1_ ~3-~4-6_~_~_Fr~:lkfort Center Herkiaar ~o.. ti. . - Y. J. ~d12 2• ~~~LF~I O:AECip11 S S ~~1;,R( ~DD~[SS 2S ~~'E ~tCD LOC~I • G Z6 ~GKTIIIIR S SK.K~T;;~E ,r~ ~ Re~.Ig~D ~ ~ • C~fe-L~ V Beach Flc~ ~ 3- ~y ' ~ ~ L~ ~GLY~a , . ~ ~ ~ ~ ~6~~ ' ~ '~Z hereby certify the above to be a tzue and correct copy ~ of the Local Registrar's record on file in the Zndian t' ~ ~iver CoUnty Health Denartr~ent at ~~ero Beach, Florida." _ ~ <~`o,'~o ~ This is not valid unless the razsed seal of the Indian _ a"~~~ - River County Health Dep3rt:~ent is affixed. ,a~o~~; O ~`:3 ~ ~ ` N ~ n > <A • ! ~ _ ..A~ >O - ~ • - ' ~ `L..J ' ~ 9 C ~ ~O . - r~ . County Health Dir. Local Registr:~r ~ ~ . . . . . M~~ . - . ` . ,~~c}2 c =/C~n~ -r~ ~E`;7UtV ~iP_~1$i~~?.' ~:;z ?L ~ R ~ Sp~K FiGE ~:r r~ =t: ~ ; - f ~ ~ ~ ~ ~ ~ ~ _ - _ ~ ~g-~ ~ 4 a ~~ul~ l~,'"y ~~yn- L'^ ..~rcZ F 'f . ~kA'~¢~~g.~ax, A~