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HomeMy WebLinkAbout1220 l . 2~423 W IN RE: Lot 2, Block 22, PINEWOOD SUBDIVISION, as per plat . thereof on file in Plat Book 5, page 24, public .:~M ~ records of St. Lucie County, Florida. _--,~o ~ --_o ~ a v DEATH CERTIFICATE OF HAROLD C. CLARK, SR. a r 0 w, a . ~ a ~ • . ~ CERTIFICATE OF DEATH ~ Dep..1.~n,~ Ik.1~L •.d Rcl~.bil~~.tl.t Se..+~es srwr[ Fttc No. ~M~uxxv c~ ~~w~.m F L O A I D A pA T~?E. O~ ?tlMT IN ~~w~w•TM° OV ?E4MAWM IM!( REGIiTRAR•s NO. ~ SEF IMMCI00t F91 OECEASfO-NANE irie wh~ ~~U SEll DAtE Oi OfAM ~ ~o..tr. N~. st~~ ~ rniwcTars , HAROLD CCTTHBERT CLARK , Male , February 15, 1972 kACE v+rn. w~oq, urutu~ wwN. AGE-u» w.oe~ ~ re.~ r.~o~~ ~ o.. OATE OF WM ~.iwrw. w~. COUNIY Of OEAM nc. ~ wun ~ r~ww.~ ~ ruus ~ ros. a.n wows .w. nu ~ b602 ' ~ite 79 ?k . ;~tar. 12 189 Saint Lucie CR1/. TOW?~. Ot lOGilOn Of OfAM ..sr~ c~n .~.~n MpSMTA~ O! OTNEt fISTIM - ~r .qr emee, o~ inta ue .wrse~ ~ sntu~ ~~f M ~.o ~ n Fort Pierce Yes „ I113 Beach Court STAtf p NRiM . r.wr w~ v.~ •.•r~ C1TIiEH pf YvN~i COIXVRY MAIIR~EO, NEVEt MAttlED, SUtVIVHG 51'OUSE ~ r vr~, owe n?eew ~wr ~ ca~w~ r WIDOWED. DNO[~ED ~ ~wtn ~ ~s~.~...«.K. ~ Virc~inia . USA N N:arried Mar aret Isabel Lovelock ~ ue acax~ eo. v n.w SOCJ~t SECUbT~t MJWE~ t15UAt OCCWwTqe~ ~wn ar~o w.raa ea+e wwa .o~ w (MIO Of MlSNESS OR NiDIlSTtr ~ occuNeo w y~^~m ~ Pe rso na 1 l I]~ U 1@S n R.R. Retireme ~a Claim Ad 'uster Railroad ,«.a..~. k~.. .o..~.sw... ecsw[r+c~-srar~ eouNtr utr. rowra, oe ~ouTw~+ «•r.e cwr ...w, sT~n w?+o w~w~ci ~ ~NFlorida ~p t. LuCie ~Rort Pierce ~~~e's«"° ~w1113 Beach Court /Aill(!-HAME sutt rpp~ y~y MOTMEt.-MAlpEN N4ME ~~ft r00~~ uf~ ,f William Leon Clark Ella Vi,rginia Gill j I WOWANT-NAME ~lwG ~DDRE55 ~snetr w~.r.~. w, cm w a.r... u•~. tr~ i Mrs. Harold C. Clark ,,,1113 Beach Court Ft. Pierce F2a. 334S0 r~eT otwn~ w~s uus[o ~r: ~fNrE~ o~ur oa[ aus[ r[~ t~ ra NL M1L ~no kN •••w•~••• NlVlllw OMS~~ u0 N~~w 1~ i~~fWR C4Vfl~ , ~ - ~n r,-~ l ~tr ~ "l l~y , ~ ~ Cc ~c 'c" ~ ~ `L ,f~ . ~ ~c~/ corNnows, u ..n. / / / / / ~ rr~tw o~r~ nf! q / C C ~C~=G. I /C : ~-a- G " 4/ ~ C,':~ ~rrtnue c~~se :a. ~ M q O~ ~s ~ to.~SeO~ewa w: ~ / ~ - lt~tlMO ~MI VM~/~- ~ • ~ ' ~fIM6 ~~YY V{f / ~..~-y~ ' • 1 • ~Ntc"~'tc ''l !c ~ %~~)lc; ~ ~~-?~`~"l-'J - J~-C.~~2. J ` C OiNER SIC.NY~CANt CONWiIONS: ~Q+ana+s iawwun.~e ~o ~e.a. wi ,+o~ uun o e•vw eM.. ru~ f tES o(~ ~~~e~was ea.- I~ff / YOl~t~ ~N NqWwM~O (~VSI ,___~'r`~ ~.IJLG ~ ~ _ T' J I ~ ~ ~ C ' ~ ~7-C / l IA / r tw ra.7N tN~~O~+.~,K,/~.t~: ~i?DlIELrM ED A ~+wnw. w•, ri.~ ~ 110U! 11pW 11i~U1~ ~Cf/1!tlEO ~~•~n~ w~ae or rur~. w rut ~ w~.n rt~r ~ ' ^ 1w 7k M. IY ~ INIUf~ wt WORK RACE Of N1UtY .o.~. ..u. urn. ~~ew~~. tOGT10N ~ tne~T a a.r.~. ..o., em o~ *or~. »•re ~ ' ~ wun n s w..o ~ ow+ca «sc., nc ~ sracn ~ r. ~ th ' i CEQVKATION- ranw ~ai ru+ rwm a.. se.~ .w usr w~(lirnle~ .~rn o.~ ~ ao w++.n. ww ocwn~ oeeuueo w~e rue~. w ww - : ?MrS~uua: ^ TO ~ ••o~n. ~.a.~r niu .w. - ~wwY ~ ua. ..•s. ~o ~.r ~esr ~ : ~•n~..we me 7 ~ / ( w.~ e.o.uow. oua ' 21~ att•uo nOr ~ 7U / fla i~ ~ S~ ~ l~ fla M. *O iw! cwv3~qt lr•rto. i CEtT1fICAT1pN-MEpICAI fItAM~riER O4 COROMER: a+ n.~ usn d na • wpw p ue. ~wt oeceo[.n ~r~s r~o..ou.¢w ew t~~rM~nOw O~ twe W~~ ~wO/O~ n~t rvlS~~rOr~, w r~ O?~+Mr~.~/' -'T--' L ~ rOwtM ? Rw~ Rou~ ~ ~ Ol~n~ OttvrlC OM M! MQ r+O OY! b~f 4Wl~L S~~RC M m ~ /lLL ` - l ~=l ~ - ~ M ~ CE~iM~E!- ~me / / J/J i SKsNAT~R~ ' ww a mu wTE O /i.p~.~..fu.~+~.~~ ! I7~ r / / , / ~ 73~. ~ . ~J ~ Ji AuIWG ADORESS-CEfiMtf sryn q~ ~.r p~.p. _ _ em o~ / sr.re rn ~ a ry C~ : ii ~ iC i - -t•.t'~ r' /.,1 , ~WM. C~EMATqN. ~MOrK fME1ERY OR CItEMAiOtY-M~Mf lOUT10N nn a ~o~..i sun ` ~ SIeCM~ ~ ! Burial ,~tillcrest Diemorial Rort Pier e Rlori ' - OATE ~no.ww, yr. nu~ fUNEULL HWrE-wAME ANO npOfESt ~ su~o w~~.~. Mo.. cm~ o~ row«. ~r.rr. t.?~ ~ ~.,Februar 17 197 r,,Yates Funeral Home Box 777 Ft . Pierce Fla. 33450 i V. 5. i612 F{!N pR-SIGNAi{Nf REGI R-SIC.N~fUfE O~R ty~t~ t0 1OCwl ~lG~Siw { ` i- rg ~ A~r.1970 tA i o tw 7M ~ 1 her~by osrtify this 1~ b~ • trt~ and oortec~ oopy of tfis bml l~rlva~4~ . ! e Re~istrars rooord on flk {n th~ St. t~ud~ County Heihh DspeM. - S ~ ~t ~ f~~' fItEO ~1N0 fiECORCfD ~ ~ (Wuninp: Not valid unl~ss raised sssl of ths St, t~ ST.IUCI C C~ U N T 1 f F t A..~ ' ~ ~ ~ County N~alth D~artm~nt Is iff'~x~d.) IiOCf R PbITRAS - ' CLERX C:~~CWT COURT . 11ECOR0 vE~tFlE4 - ' . i N. D. MILLER, M. D. ~ I,~ 2 D$ ~N _ - - ; Cotx?ry fth OffioK d~ t+ocal lstrK . , i~ , . ^ . ~ , ON~ D~xAy LocaJ R~oisfr~~ • ' . - , , . . . • , a ~ - ; ~ R3x.o. . ~ , _ ._r i . _ h~ . - c .4