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HomeMy WebLinkAbout1709 . _ '~w~ » - ~ ! ~ ' ~:~"783'7 ! . ~ ~ • ' ~3~/$ /C~J~-' Ts,. ~~n ~~a ~ K~TM CERTlFICATE OF DEATH C~,Q("~,~ • ~u~snu OR YfT/1L RATt1lIC~ srwTS ~u rw. 1•s•1~.a- ELOaiaa •r! N . IIROf~T11AR•~ o r y~ r l~ 1. ILAK N MI1TN CODt NO. 2. 11 ~K~~qfMMit ( oa« Mw~ Ao e)J~ - R~iM.r M.~ ~irW •=~e~t~l "'i Ind' an River F1 -so yl.e•~ 1• GTr. TOMN.OR I,OCATION t. K KACE Of OERTN t. CIIY. T0~11.011 1AG1T10~1 I. IS ~ilOt11CE •a~~~t 1NSIOE CI~Y LIMITSt GRY LIMITSI ~il.. Vero Beach ~ESQI No0 Ft. Pierce m ,ro ~ w?~rµ o~ ~ II w t+. ~e.l. ~s NrW ~fhpH ST11tET ADOIIESS ~T~*q" Ind. River Conv. Home 608 Ohio Ave. IM~I[ N /Ynt NYOs L~t WTE afw~ Dq Ya? c~,~«`;rr.rf EDWIN G. REMER ~~~October 29, 1966 . iEI( i OOLOII OR.RACE ~ YARf1~0 a1 NEVERMARRKO ~ DI?~E Oi MR7N ! 1yt0irN/q') J/~W Oy~ Mw~i~ M~ . M w Mnoo.cop awRCCO June 21 1893 73 . ~ i a i• 1~ 10~. YSULL OCCIMlAT10n 04t ti~! ~~rMt /Mf 1~ KNID OF WSYESS OR WDYST~Y f 1 ~rNru?cc 19.a w/~.nys c.•.nr) 1 amoi ar.w~T msnsr• .fce ~•r_ t Nwr hk.sr.4~ew.t) Hu`i"~~nq upt. Con~truction St. Charles, Mo. USA Ylatt 1~t ' ~AT~R'! MAME 1~ rOTHE1l'S MAWEN N1?YE •r William Remer - Catherine Ferber ~ 1. tAS OECEAICO EKII 111 U. i AlIMtO WIICES) K lOCU~L SECUMTtI NO. 17 • l~i1M111w[ ~ • I l~r. r. ~r rlrwl U! ~r. Mr w~ JMn d ~ww~ Yes WWI None ~~p Ft. Pie ce F o 1 u v u. saws N wTN (a~w...A? w~.... c.?. cei...t a?_) x~rav.~ ~ I~ae~~l b ti~~st~* 1'~AT 1. OEA MYEONIE CAYlE • ~ ~ ~ ~ V ~ - - x ¦Y~t tiI• - " i zc~~xa . e~rie.s. ~ ,t~..r. ouc ro (~1 ' ~ •`!.L'0~~~` / • i c~ t?• y~ ` - - - - GZ t• s. 1 ~O..e c.we l•~ /t L? 9~~~+C>? r~sl~trar ~ n~+usr Tp (~l ~ - • 1 t s f• 1~ ~ ~ART 11. 'w ourw ~ur wor ~cuho ro rnc ~urww o~susc wnnow u+n r~ ?wit ~ ~o~r• ~i- M, ~~~r~ ?E MEW t~r a~~t\ ~'~~~`'~rY ~v.. ~ rES? •r ~~t~r~ ~~r ~ ~ ocx~~ ~aw ~u~er occu~~o tEhtn w~ttin yh}srt h Pir~ Pb[ 1/ yYrw /I.) •akl~t ~ ~~MT SUKIpE NpY1Cf~ ~1~~~~!- ? ? tfe• •f mt TIYE Oi FlMr i/~wt~. Dq. YtI ?ea~. ~ wuu~r s. !ot ~uwer oow~d~cn m~ rucc oF ruuer h«.nwe +?..r. 2D/. cm. tow~. oR iouTaN oou~r sTSTt ~IIKt AT ~ 110T w11KE ~ •~?~•I~M?1. ~frtd. A11~.. dt.l MOR1C AT i~ORK ! ~fNeNd tM _ , to ~n Nt N~ ~/i~~ on ~ Dw~tN t' ? on tM d~f~ ~t~t~et ~Do~~: ~nd to t t d~y Rno~ /roan tM e~uw Wt~_ ~l I lt1~• tY(t) ~ ~ A ?lt• p,11 •r• t• 1 e~~~l~t• • •ee~~at~. ~ ~ ~ j~ ~4E ~METEIIY OII C~EMATOIIY j3f. ~OCATqM l tMe~. M tM~wq) ~ ) ~1~1 SrttlJrl Buria~ 12-2-66 Ft, Pierce Cemete Ft. Pierce F2orida r, s. fsis t+-~~-w- o~~ ~~nN .'7 th St . zs a?rt ~to. sr totu Rcc . ~cc~sT~~~~s s~uutuaE n••-~.as Ft.Pierce Fla. - 3- "I h~z~~~~]rt~ty th~ abov~ to be s true and corrfc t copy of th~ Local Ri~~~~'~F7E's r~cord on fil~ in th~ Indian Riv~r Cvonty H~alth D~part~ii~.# at V~to 8~ach, Rlozida.„ - ~ . ?liis ~t not ~iiid aal~ss th~ rais~d s~al of th~ IAdian Riv~r County H~a1th:,Ds~aita~qt; is ~?ltix~d. , - 4, ~ ~ ~ ~:2~183'~' '~~l,i~~iili~~,L~` ` • y p . , I.ocal R~qistsar " - - ~p Cauut H~alth D~ R ro~ • . C~E'RK CtRCUtT~ ~ ~ yEst~stEO . A~t il IB f~ M!'Il `~=s~i so R or, c. tr R.4~.i~= . - _ ~ooK201 ~Ei`7'D7 ~ ~ x 3 ~ ~ . _ r~-~~.-~~~~ - ~ # ~