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HomeMy WebLinkAbout1756 FILED AND RECOAOED ST. LUCIE COUMTY FLA. ~~N~rM'~O ROQER ?OITRAS CIERK CIRCUIT COURT NECORD VERIFIED Anr 1! 3 i6 PH'1Z ~ : e~- nwTC wwRO oF Mu~TM CERTIFICATE OF DEATH 2~8~~ . ~ c o~ r s ~ ~UA[AU 01 YITAL fTATiff7C/ fTAT[ FILt NO. ?~R•, FL08IDA ~ ord .h~~? BIRTN NO. 11EGItT1~AR'i NO. . prop~rl~ GODC NO. • e i a e u t f d 1. rIAC[ N KAfM L YIYAI KfIKMCt ~/L.~ Mw~Jiwf. !lw~ewt.w: • b.n wi~> •nd •111 . STATf glorida S~~udie . . b~ D~.~.. St. Lucie - 66-025 i n p~ r- A. CIT/. TONM. 011 lOG1TtlN K?U?[E Os DE~TM t. dT/. TOMN. 011 LOCATqM K RES~DENCE aanent ~ INS~OE ~ri UMITSf gt Pierce~ '"~0E "T''.1 Pierce res~ ?nO • res w ~ r?t•. . 1. MAME OF tMt i~ ~w~ifd. /w ~ltrM NlrtM) ~ 1. STtEET AOORESS _ ~ T~`~ Ft. Pierce Mem. Hospt. 225 Hunt Ave. ~ ~ w~ ~ . ~?t~ i~ i969 n,~~.i,~~ Lloyd Etigene Heiner ~,TN Jan• S. SEIf i C0:011 OA IIACE ~ WlRR1E0 Q NEYEA MARR~f O • OATE Oi ~t117N ! A6E Il~ /lM1 t~~~~ 1JIi0EJ 1~ 1~f- ID81C Wh1tC JBri. 19.1906 w.~. ra. r r t t• MIOOR[O ~ OfYORCED ~ ~ p 1~ 1 n 1~ 1p/. USUAL OCCIMATION lCM! ti~/ ~JMM~ IMt t0e. K~MOOS wsu~csso~ wousr~r 11. u~rwucc (St~r.. p.rMs n..tr~) ~ ~ O'Ilml Oi tWT ~tl . i t A p~t- IwiM ti~/ hJr. ntw (Jrd6N1 ¦an~nt paper""~a~er P.F. Galtfelte York Co. Pa. U.S.A. Qi~ek !~t 1~ iA711ER'S MAYE ' 1~_ MOTMEIIS M~tOEN NAY[ . - t~p~~riN~ ~lsxorth Heiner Mazie Iaughman ~ ~t socuu sccuR~nr Mo. i~. s s+aw~nr~c eta.,. 1lYl AVO. i?5-10-766 Mrs. Lloyd Heiner gt, pierae Florida. ~ t u n. r• 1 1~. CAYS[ K~tl1TN ~Sala Mf1 ~at ewue M 1i cN. ~d cH J Urtuvl?l ~xE • ' 014ET DE d f e t O ~ ~~~T L OEATN r~5 CAUSEO j ¦ u s t f t 1• tn• e~r- ~ e i r i e. e• ~y~itins. i/ m?. out ro (0) •lth tA• ~K~ ~Yt ?u~ q 1 ~ a e ~ 1 ~A~st t~a~t (i). . , • ) r e R t s t r~ r ~4 p;f i0 (t) i ~ ~ • 1 t f~ 1 n 73 1riM Nut !W. - O ~MT tl. Ot1E~ SK~i1Wlf OO~DITIOrK 10 OGtM qR IIDR 11[URY taano~ cwcu w rwir Ku . was OKr rour• sf- tar destA ~ ~ . . rES IID or Defor• 1 i ~.pE~~~~~r«euRn[o. (ELlnw~ayiyaq4Pr?tl~rArtllylMsll.) ~ ¦aklna •w~ ~ ~(,~~p(Nt SYICIOE NOYICIOE dl~po~t' r~ ? ? . ? tion et V,1 E o d~. t ~ TIME O~ !!N? A(~f>, QrI. YM - ti IN1Y~Y f. w•. . _ - . _ . _ _ ' S O. ' ~ 20I. xuusr oetuwt[o a0r rue[ os a~x~~r ~r. I•. i~ w~a~t wne. 7D/. Cm. ~ow~. o~ toutp aou~rtr ST4Tf ' wN~?c AT ~ woT MM~?c ~ Jb.~. J~M?, r.nr..~uc EIN•. da.) ~ MO~K AT MOQK . J ~fand~d fb d~u~s~d /rom ` ~ ~ , ro nd /ut q~ ~ ~/i~~ on ~ y Duth oceurr •t rn oa tM •t~ sf~ad ~6o~r: ~nd to rM ba! o/ ~n~ Rno~I~dN, f~os~ tM uuwa ~~~t~d. • A i 1 1 t ~a• ~ ~aN1ljY It !W~! ~ uA ADORE / 11 ~ ~ ~ ~t. ~T~ ~~O ~o ~ yo3 ~c~- ~o.a~.~.. ~ . c o v r• c.. z~. w,ea. Zte a? N c6l~cerE r~ro~r Ar. wuTiow lCa~. r e..+h1 ( rs?` ~ 8emb a`Y" 1-14-196 Jackson Township Ceme ery York Co. Pa. . 9. I 612 2~ i Dtl1[ 5 TU 1 • V• • 25. d1TE 11EC0. ~Y LGGIL REa. 1STILLII'3 11M[/// ~~~///yyy/ _ t7er.1066 ! ~ ~ Pierca. ~8. ' • {/~Nf~~~ ~ I het~s6y osrtify thb to b~ • true and oorrect oopy of th~ tocai ~ , Repistra's recad on file in ths St. luci~ County H~alth DepsA- . . rrwtt ~t foA Pisrce. Fbrid~. , • ' I. i (War+?irq, Not valid unless ~aised asal of tM St. tuci~ . ~ I . Y~. Counry Hwlth D~punrNnt is aftixsd.) ' A`~: ! . - . ' _`y~, j~'-f =i . .s'r ~ . 1 N. D. IWUER, M. Q ~ CouMy liwtth OffioK d~ Loul Rpistra~ = ' , _ / • • ~ . . ` Y~ ~ 1 r ~ . 1 . ~ r r i~- 5s~. bJa~ ~ Y~A ~ ~ ~ . f - ~ : 7 _ ~~,X_ . ' ~ . . . s s ti - ' . ~ _ ~ • • ' ~ `t t ~ ~ ~ r t.~ ~ ~ ! 1 1 t ~ - ~ ~~~i ~~'754 ~ - : _ . ~ w. = ~ - 3 ; t~-~.~ _ _ , ~