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HomeMy WebLinkAbout1663 7 ~ ~ - - ~ _V. . • • ~ , 225~'36 ~ . ~ t~~~ De- ~TAT< ~OARD Or N~ALT~1 CERTIFICATE OF DEATH ~ o•• s• •u~uu or vrTn~. ~rwn~ncs F L O R I D A ~AT[ ?IL[ NQ l~~~l r~e• . 11C31fT11All•! NO. ~ ord ¦A~n ~ pr~p~rl~ 1 eKwtt N KATN COOt NO. t YWwI A[NKMC[l~~•n/.rdliwr. lJ~..rew.~. s~.~...h/.~.M....iw) •atCOttd ~M~ ~An ~r •n1 •111 ~ L11C~0 e~ ~l~t~~ t. IS RES~OENCE ~ 1• P1f- A. pTt. T01rN.011 IAC~TION t. K/IACE OF OEA?ll dn. TOti11.0w tACAT10M NK1 CITr t~YlTft - . IMSIOE CITY UYITSt ~~~~~t 11E5 MO d 1f[S MO fll~. • t M.~f as (ry.w a~r. w~ wat.wa.) SiRCCr Aoo~css IqfMTAI O~ , aar,TUT,o„ e Ave ~c o~ n..r w'ra. tw an ~t«~N on Yn? uewi~ «,.....r~, ~y cAT aoxNSON ~TM x~y 6, t 967 S. scx s. oo~o~ o~ ~ucc 7. ,~u~cc ~ Mcvu riwKO o~TC as wn~ ~CC (I¦ re.n ~s u~oai ~.w u~oca w~ ' g~ tat~tiual w..w w. r... xr. c• M W r~oorcoiJ avaRCCO NoY. 2S~ ~`J ?,•~i1 ~ ~a. ~su.~ «cw.T~ ~ow ~.~d••~ 100- KMDOi NJSIKS5011 MOUSTIIY 11. /MTWLACE (Shle M~Mt1/R EMW~) an:a o~...r m~r..~ . t t 1~ r- lsr6N ~wt N~+W a~ ~J ~d~?M) U~ Police Lt Cit Police Murfreedboro,Tenn. ll~et iwt ~ sA~~'S MAME ~~~Y •r ~,.••.,a.. Mdrew Johnson Delia Gr°°'ms , I. iOtul lECWUTII Iq. D. ~ NCMAri1~t A16ta bz-82_ ~ Frieda Johnson Ft. Pierce,Flor3da ~ ?re~~ ~1 1~. i~YK N KATN [6Nt? A/I Mt tqM l~? li~[ l~). NI (t1.j IoNT~E~11Y~Alu~~oET~f[EII . ~I ~i~.es~r siuT? oc~n~M~su?uscow: Stat1C AQUIDOtl~B L a~s TM i •~~t !il• IMMEOMTE CA1qE ~ ~ t\• N~- . i 11fle•~• a..w..,,,f..,, o„E,~ Cachexia Decubitua Uleera 6 Honths .itY t1• ~r r~j b 1• s~ 1 ~ T r~si~trar nur /qt. OuE TO (cl ; •Stpf¦ '7~ . M~SAUTOKY \OY~ ~ ?AAT N. OTIA Ai~itMR OOIIOITqwS OOIf1~MRMG f0 O4TM ~IR M0~ A[4tW 10 M IUY~MI Ofl4S[ C101p111011 iN~1~ M fMT 1(tI F KRFORM ~ f t~r ~~~t\ 'S 1fES? MD s , •r tor• _~o.. ~ LD~. ocst~rc Mo+r auwr oeeuRao. (fi.~o ~.ws y Wa.r 1~ Prt t r p+re II yY~s r~J ..r~¦s ~ ?ocwcsT SUKIDE ~K~oc d '~~~~1- V ? ? . ° •t mr. ?wE oF lbar ~/wN. Dq. Yt~r 4 •~a~. ~ auu~r s. ° ` a s- w. • ~ ~ 2Q1. rw~r oetuu[o me. K~CE Or vuu~r tr. I.. i~ ~r dwr M~r. IO/. emr. TarN. at touTq~ touNTtr STATE ~ MMNL AT ~ MOT ~iLE ~ /M~. /~~M/. ~frtd. Ot~I•. dt.1 " ~ MO~K AT ~IOIIK E 21. !~fr~n~d tM I~w~~ Iros~ ~ ~ . to ~11I /Yf M1 A,'~s~ ~li~~ on ; ; DwtA ooeurnd ~t m en fM d~t~ ~t~t~d ~bo?~: ~nd to tM b~se o( sy Rno~Ndd~. 1?oe~ tM uuwi ~t~t~/. ~ a~i ia... n.. s~owuwe (prre~aWk) us ~oo~css 802 N. 7th. St2'aet~ a~. wresK«co ' ~ c. . ; ~...~.s. a Melvin Wolkorrs M. D. Fort Pierce Florida 5-9-6? ~ aee¦r ~s~. ~ a~ j]~ 1U1Mt O/ UYETU~ OA C~[MAT0111 tI1. tocwT~ (GYr. ewn. r as~h) ' ` . 11[rO~A? es/etih~ ~i _-6 F`L. Pierce Cemete Ft. Pierce, Florida r a. t e i z u. ru~uu? c o~ s sK«•nMC ~1 "'R`: stlth . St • 25. OATE 11ECQ tY LOC~LL R[G. IIEGIST~AII'S SKIIATYIIE ~ K . } .••.~asb Milton w. Baird Ft.Pierce Fla. 5-11-6? Anna Lee Deniaon, d.r. ; 3 ~ henb'Y artNY thia to b~ a hw ~rd eoer+set oopy• of fhe l~oc~l ~ ~ Replsh~a noord on flI~ M 1h~ St. Luei~ Cqunfy I{sd}h p~paeF F LED AMD aECORDE~ ~ ~ - m~M ~t foA Pl~ro~, Fior{d~. 5~. LUCIE COUMTY Fu?. ; ROCER r'OITRAS . ` (WarNrp: Not valid unl~s r~i~d ssal Of th~ Sf. L~d~ CLERx CIRCUII CWRT ,-~.,~~'•'"~:i'TM~ps. 1 v7 . ~ L'~t ~ ; CouMy H~sith D~pwfm~nt Ia ~ff'~x~d.) IiECORO YERIf1ED 7._ s.-r ~ • t. _ b. 3 ~ ; ~ 9 Y r N. D. MILLER, M. D. ~ ~ l 8 53 l±~i . 4 ~ ~ ~ O~IOK at 1+0~1I I~1tK v : ~ ; ~ 2 - ~ ~ - • = ' _ ; 7~~~9.'/9 ~1 , ~~'3s . • ~ ! ~ . ~ '-~~t \AA ~ ! t ~ y 6`~j 3 ~ i $ . - • . i • " ~ , . ,s:t~.,'f~~.s ~ . ` ,r ~ F ~ EOt~c~W PAtE~~ . ~ --1 ~ , :~?z*~-~~ ~ s_ ~ ` ~ ~ 'K ~ r ~ g~~" r c~- r ~ . - X _ ~ ~ ~ ~ ~ > . . n. . - . _ .~'.C. ~ "s,~ ~ .~A aa.,'N,?F . ~'rf"=.:`?,J-~`"r ~ . "i.._~°~'w ~ ~