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HomeMy WebLinkAbout0667 - - _ . _ _ - _ - - - _ CERTIFICATE OF DEATH • u~..~~ tt~.t~..~~ tt~.TMhaea~ SR.~. F L O R I D A rrwn nLS aa t~?E. O~ ?RI?R iN ~'~r~~~° ' RClIIiTRAR•S MO. HRMAN[NT 1NK ~~_N~E ~~nt .~eat . ust ~ OJ1TE Of OEA1N ~ rortM, ~l~~ ~ ~E~~ Charles French Deck : Male Februa 1 1 2 tACt ~te. ~uuwo. ?Yucu+ ~ur, AGE-wr u.roe~ ~.ue w1ot~ ~ s~~ OAtE OF ~~ttM ~.~owe¦. w~. COtM~~ Of OEA1M ~war.~ White ~aew~J~~s~ ~..os, wn wuas •w. ~AYl• 30~ 1.9~ ~ I~~a11 81ver ~ Lr~' O~ Cm. ~OwN. OR t TWH Of OE~Tw ws~a c.n i..~.s NOSrrt~l OR OtNpt NSTrt IOM~ 1N M01 M[IM!\~ a+e sntn ..o ..w~n ~ - SMCM t~3 W NO ~T~ oero Beach Yes H. 8oyal Palm Convaleseent Center ~ S1ATE Of ~R~M 1 Y MOl M Y.S.~.~ w.u CR120~t Of Mnut COUN?RY MARt1E0. MFvER MAR4ED. StIRr1vNG Sl~0t1SE ~r we, oire .uusew wws ~ ~,V..„,.~„~ Weat p3rRin~~ , US6 „~DO~~' a1°~O~rr~e'~'"' Lois Moore wwea acuse~ SOtut SECtM111r MlWE! NSll~l OCCU?At~Ot+ ~e•.~ a..~ w.w. owe ove~.ro .~w~ o~ KeaO O~ M1SwESS Wt wDUSTRr ~IlllO. M p(~M a ineer,. Retired „ Tlectrical an. 236-05-197?a ~!!NlrC! NWR ~wrss~w. RESIDENCE-SiATE COUH1r CR'I. tOwN, OR lOCA1W?~ Maw tn ~+ws STRfET ANO NWa~E . ` ""`"~~es"° ~~2333 Ind~an- 81ver Blv~ Florida Indian Ri Pr Vero Beach fATF/ER~NAlME ~~ast rqOlt tatt MO7?fEt-hWOfNltAME ~eH rMOU W~ 3tet7art Dec IInable to obtain It+?ORMM~i-?~M~E ?+uatr+G wDOxFSS ~smn w~.ra. .a., ce. o~ w.~«. s~.a.:~~ 32960 Mr~. Lois M. Deck ,x 2333 Indian 81ver B1vd.VeroBeach,Fia. ~MT OEAM WAS U?USED i1f: .(EMER OntY CAUSE IE~ lNE fOlt hL fbl w~ kll ~t~vrt~w O~+Stt ww0 ee~rw 1~. r.r[wn uufe ~ . . = ~ ~~:~L . E~~cz-~ ~1Zu coMNUO.s, n run, .w~cr o~r~ usi ro M1l ~rrea~ie uvse ~e~, ~ p. « ~ „ ~.,xo~.Ke a: sr.~iwo r«e •M~ee- ~n.ro cavu ua~ kl ~wRT 01NER SIGN~IUWt Cp~D11~OMS:: ~a"e'n ~eaww w srwTM w~ nos u rea . wnw w?~n ~ rr ~ ~ES rren .~wo~wos ea+- ~ ~ ~ _ ~as oe .we oi°feeiww otnuu..+,+a uuu . i_ •~;LLG,,~ „(~lj. u •?f,rwF , I ~t; .~,~v ,*NO ~n. wOE~ OR iRD~TEfYYJED ~+OMr~, M~, ?-~1 MOW INJUR~ ~CCUlREO ~ er!!~ wqYat p~~wtr ~M ?~n ~ O~ r~M R[r 1 ~ I ~ M ~ 7k. M. IU. - IN1UR1/ AT MIpRR ?tACE Oi NIIRr •..o..e. ~.e., snen, r.e.on. tOCwttOn ~ snen w~r_~. ~.o., e,r. o~ ro+.r. u~a r If~tt~n ~!3 O~ MO) p?K! MOG..IK. Ifr[CM~1 ~ . . 7M. ~ ~Q~A~N- ~~M M1 '~U~ MOM7M OA~ ~lA~ A1+Y 4ft L1~ Mw/w[~ Aln! OM t~O/p0 wDt vilr ~w[ DtArM OCNtlED l1t ~M! ~tA[(. OM nQ ?M~SKUw: TO ra.m e~~ ~4t ~OM u1H Ot~!N. Iw011~1 oV[. w~0. q~[ Kst t0 M! CAVSl131 S4~[D. u;°.o Se t. 2 2 6 7 :~kFeb . S 7 Z r~ Feb 3 7 t~~ ~~~4 ~ 0 q`~ CERTMKwT10N-AA[D1Cwt EItAWPIEe Ot COROr1ER: o.. n.e w~s o. ne ww a oe.~w ne xcea«r r.s.~ouo~w~cen ee.s eur.uno.~ a we we~ u.o/w me ~+vESnew+o~, r~ ~n a~+~a+, w. ~e~e .aw ' au~ occua.es w se e~te .~w wt q wi c~vsta~ x.~ao. ~ /+l t2?. ' M. CERtIf~Elt-?+AME mrt p nwn S eaene o~ mu GwTE StGr~tED ~•~w,~•r. o.., nu r n.. C,, F Eat~,raov ~ ~ r~ M.D. ImFeb_ 1 b__ 1 Q7'' ~uct+G ~uo~ss-cE~rsn~e ' ~ 2'1~~~`~~firhth Avenue~«~ro Beach,, ~orida ' 2960 wR1Al. ~f/N~ltqH ~FMpyAI FMFiEtY O[ CIEMATOR~-NM~E . lOCA710V - an w po,+ srwT[ ~ ~ s~ean ~ Burial Hillcrest I?Iemorial G ens Fort Pierce Florida _ ~ OAtE r.o~+;~, e.~, vw~ - WNERAI MOIrE-NMtE ~u+O fOD~RESS ~ sn~n oa ~.r.e. .w., ur. o~ ro.na, s~~n. =~r ~ ~ ~ Feb 'j . I 2 G - Q ~ ~ - DwiE RECt~vtO ~ IOUI fG/5TW ; r. 5.:612 fw+ -~+c'.~+n uEGSS: S~c?+wrutE . ~ R~r.19T0 ~ ` x. M?. z / y ~ _ • _ _ i . ~ - - - . , - . . . i ' . . 'r ' i S ! "I hereby cextiFy the above to be a true and correct copy ~ oes ! of the Local Registzar's record on file in the Indian o o;~ River County Health Department at Vero Beach, Rlo ri d a.'~ ~ N ~'n~4~ This is not valid unless th~ raised seal of the Indian r o~o~ ; River County Health Department is affixed. ~ ` ~~4i`:•:~.~ , ; ~ ~j=' S ~ s ~i ; 4~ .a,,.:e:,^ ~ : , i y ~R , _ ~ 'f'v ~ ' - a S' . ' v ` ~ County Health Dir. Local Registr~cr ~ ~ ~ ~ ~ . ' . • r~ . ` • } f • /~^w ~ t . yl~._ ..a~.., ~~(~}~f /W'C~ ~ ~ ^ i . ` ~ • s ~ ~ ~ ! -`~~'=d•: - ~,~'~r' ~ D@pUty Reqistrar j • . o ' i f i ; d00K ~ PACE 6~ I f - ~ " '._s . - - - - ~ - _ , ~ ~r~ Y.G-~. ~ ~',y . w ~ -