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HomeMy WebLinkAbout0246 1 ~ ~ 224'732 Ct=:~TIFICA't'c OF DEATH UtwA~tnt o~ ~l~+it~ ~nd {lrl.~{u~~t~lire ~rn~ices iTA7E FILC NO. iK...~~.~w,+:.i~~~ FLOnIDA f+7_. Oi ?tiNT IN ~°P~uR~'~" REGI6TRAq•5 No. 153 ?f2MANtNT INK ~CfA~p-N~E r~~s~ ~p~,e i.s~ SFE M?M~riOC[ F0~ ;3EX 'OATf OF OfAiH ~+o.~i., e•r, re•~ ~ wsr~x~a+~s , ~21u tscr_ ~'e:.~r.le I, :•'~rcr 1~, ? ~?0 RACE wiwa~. wl4q. ~WtK~r~ ~wu... T~GE-..u ~o.ee~ e.~ ~..e~~ ~ o._~DATE Of tliTM ~.or~rw. w~. iCOU:::Y Oi OfATN b6~2 uc ~s.ecw.~ ~~,¦r.ca..~.i•u~ ..os.~~;, o.•s ~,.c.,•~T. ~.c.~~ Z Q t. ~C: ~ .\L'.~Y`4 fS~ G~ ~N 'H -i,-'~~,f:•-, -7. C~,. 1 O C~; T, ~ i~~` ~ ~ CITY. iOW?'7, OR ~OCAiION Of DfATN ~~~~u~ c,n ....ns ~ epSAU~ pi OTnFY WSi~TUS~O?a-r~~E w~ e~~w~. eM ~+~e~~ ...o .we~ ~ v~c~~. na o¦ ..o. ^OT`t Pl e:'C z ~ n ` ~h In :'i•'^CG' :~C'_"OY`= ^1 F-,- STwiE Of 4~M 1 M w01 w Y.! ~~r~ GITI2EN pi WnwT GOU~+iR~ ~ mwRRiEO. NErEi ~[R.EO. ;SIitWVNG S~OUSf ~w oae: ent .uol.i .u.e ~ cown. ~ I ~ w:DpwfD. DtvORCEO . vfc+. ~ .s..uusoe..n ~ TZ~r~~.`~ ~ v~.~•_.• '~i :-nv+;~., 1,~~.t~-.t.`.Y•c:~$ ~.~t.S~Y: ~~.~e w~e.seo ~~R USUwt OCCIi?wT~ .e~+i a..o or .roaa oa.e o~~.«e wa+ w KWD Oi WSwESS O[ 1NDUSiRt ~.eo. N •n. .rouNc w j OC~~lVD ~ f. lyfti N ~ln~101 )~T lt t? .~ras~+ce~iwu it 1`TOale ~U~ v~l:: i'=-.•r r,. l~l~ l~.d~:c RES~Of?+Cf-Si~iF CW~aT~ GiY, TOn'N, Oi IOC~T~ON c~~ ar.n S1~EET wnD ?~1W~E~ ~ '~YfC~r~ rff W ~+ON . ia:`'~O'~"~'~~ ~a~s~^.~::t ~.L:C1 '•~O"t =1`"^~.~ Vc^S ~IN~C~~ _~.~:~~..L~. 1~,~~ .C.ui'c-~V fAihER-HAME • ~~qt r.00:~ a.s~ MOIHFR-AU~DfN NAMf ~Nit uOpe ua~ ~ is j.t:^.Oti..`t.rirn 1 . ~t? =~'~'%i @ ~wfOi~ri-N,uMF IMAY~NC AOG2f51 ~srue. o. ~..o. .w. c~n w~o..:, s..n. t+~ .-^.~ttiFi:$ ~SO:: ~tn l~v~ _-Q,-•~_n 7~t1': ~tT'c:~~t n. ' .rr~o~~~ui1 ~wll~.•. 1/ut i pfwM ww5 UUSFO ~r ;EnrF~ G+v:r OraE C~uSE vF~ iwE iqt ;06 (bl. ~~+D (~;l ~•u.u.. o»~o_...o o~.r. ~ rro~.n c.us~ , ~ 'eI ~.~..~,i7"'L' ~t~...~L "vC. ~'-r"?~-'iL-ti /~'f"'v`K/rl' .6 t..a--"'" /YI ~/Nv- s • o«;ewe..c~ o~ ~ r rw't J~I~Ow1. ~w~ c. e..e ~~ae ~o (sl Q~ ~ t ' CC--s-~`~ ~~j"t/L~ "L-' f /G ~/-L~ ~.~o..:e c.us~ :o~, oue~o. .s~. Han.a~ w ~ /t~-~ ~ sr•~.ra u..eu- ~ ..~..c u~u ~.sr t ~ (q ~ 1wRi M Oi R S~Gtiu1CAnT CO~+Q S cow~~.a+s co«.e~u*~'.c, ro o~.r.. w+ ..o~ ~,..~o r~ c.uu o.n~ ru~ ~~o~ . wUTOISY ~ ~f YES .ue r~wo~..es co«~ 4 i~.~s o. «o~ w oi.i,~.~ wn.r..~..c c.ust ~ ~l „-i- ,yc-~-,'~-- ~ - :~o i i.. I ~ rr ' i~eaee.~~~CC~DiM. ~iDE~t ~OA WIURY ~.owrw. D~~, n.~ ~~r.p'vt ~ MOW iNW~Y OCGUttED ~ e«*e~ ...w.r M w.u~• ~w r.n ~ M~~n aar ~ E /~w"1+MK~OE: Ot ~M+DE ' WED ~ ; i ~ ~MI ~ ! 24c M - 77r INJUi~ wi WOQK ,?IACE OF WIU~~ ~t wye. ~u~. St~et, ~K•Wr, ' 1OCATIL7N ~ sne~t O~ ~ r o uo . U~ o~ ~Orw, fr~q : tf~f4~s ~ea M~+Oi qlKt MDG..~K ~YK~ni ~ i ~ ~ ~ 2 CERTYKwi~+- .o..rw w. .i.¦ ' w~.m a.. .w ..s• s.~. ~u~ .~~.e o-. WO/DW wOt na~ Dfw:M oCWUto r.~ ...ce, a. r..i ~ ?n~SK~~H~ .w~-rw w. re.~ ~~oo• •nn w•n. ~w~~~ ry I~ p~Il. ~W. ~O n.f ~ts~ 'x . .nt..oeo rw~.~- O T~ ' 'r t ` w ...o~~toet. o~e ~ ]4 oect.sto ~wJJ`. '7' ~1~ ~ y ~~lh / 7U fb ~o e...~e-s~ sr..eo ,i CERtu~Cwi~-MEDKw~ E~t fR q C ROrvE~ a+. ~+e ~.s~s r.i ..o„• pr w.r•• ~ ~~e o cew~~ ..s r•o-.u, o~.o } ,'s t~.r~w•~~0.. C. +M WO• •~+D/o~ n.f w•~ar4•r~0... ~w rr Wr..J~. . ~Oi+r.. O' ~t•~ wo~• 4l~Iw OCCJ~~tD p+ ¢f D~M u+D OM q twf C~tAl~S~ ft~i[D ~ ;:a M ~ 77! M GftDf~ER-N re M n,wun ' S.~GNA;u scuu u~*.: D!?f S!G!YfD - ~ r~. C y - aa ~ Z Z - ~Z ~ a~ 3 7r _ J , ~ f,..er O. r.• e.. 3~~~' ~ s..~e r• ~ ~1 ~ ,~wuwc u-SEQ:~af ~ - ~-J_ ~ ~ . -c~ : n 6 L ~ NRIµ. ~REIIM110N. RfM~VAI ~CFMEiEN OQ UGMA~WY-NAN1[ '\OCATIOI+ C.n p.nr fr~ry ~ ~ YfC~n . ~ ~ 7~~ Ni "'rr' 12~~ ~Q:'~. ' j ~-r~.F_'~ ~ ~ ~ t- D~iFJ ~.~o~n.. w•. .e.~~ ~ Wr~TE[~i MOMf-Nw+ef ~HD wUD~E55 : fru~t o~ ~~.o. .o., em u~o~.~, sr..~, iu ~ : 7N M~ 'n~: i.,- r..r~;'. Lc i:-'~ _ _ 1~ _ .v~.. ^~'G ^Z.rr~L;E T ^~ri. ^v~n~ ~~i n»i " F, f G Il iW+ l O:if OR-S+G AiU [EG1S/Ti,y1-S:GtnwiJtE O~ aKbvEO ~T IOU~ ffG~Stu~ el f V. iY ~ 0 :1;,,~/ ~ / 2!~ (..~e'/~ ~ "~r ~ ~ aw "~e?Y'."s, ~ 1 ~'7/~ ~ F:erGby oerr;fy th~: ro bs . true .na ccrr.:.cr copy o~ t~.a t~t 2~~ ~~r ~ R~Qistrars record on file in the St. Lucia Cour,ty H;;s?sh C~~ ~ mant ~t Fort Pierte, Ftorid~. FILEC ANJ RECORDED ~ ~ SI.IUClE COUNTY fLR~ (kl8mir~: Not valtd unlesss :a:s~.. seat t~f 3na St. Lueio ROCEF. '01TRAS ~ County Miesith Dapartment is affixed.) CIERK C~=:GWT COURT ~ ; • R~CORD V:c `~rU.~..~~.. N. D. MIIIER, M. D. 4 2S PM - ' County Heaith Off~car b Lcrca! P..~.~p+srrar . . _ ' ~L Q~ ~ Doputy Loul Rogistru w~ ~~~RK ~W ~~!~.E . - ~ ~ ^ - - ~ ~ ~ fi . y ~ ~ ~~T~ L i ~.h.~ ~ Cy ?R 'Y ~A Y ~ ~ ~~,.a?~~ ~~~,~„~~~'~'~'rs~ , ~~'r`'.~. ~ . ~ ` . : ,~~,~Y ~~~`~;ri.