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HomeMy WebLinkAbout1775 . ~ 1 ~ I V~ '1 / " Return ta. SIYYDER. YOUNG d~ $TERfV . P.O. Box 530 No+th Miaml ~c~~:•. Fla. 3~3C~ ~ > ~ t.~• ~rwrs ~oruo a~TM CERTIFICATE OF DEATH ' • .u~uu o? vR~t. ~rrwn~ncs f L O A I D A s,r~n ?~u No. I~s~l t~e- ,~N •\~w SI T N. RtO1RRA11•! NO. ~ ~~'~rl~ 1. KwCt N KATN COO[ NO: YiYAI II~MMMC[l~awrMwrMwa t/wwu.: i1~:/.rrNa.N..wi..) {/~•e11t~~ OOIIMTr STAIE ~OYNTr ! 1Mi~ ~111 11~ ?l~e~~ ' . ~l. ~.r- R cm. ~ w uoc~T~ a rua os a~n~ s. atr, ro~. oR uoc.Tnr e. ~s aswcNCC ' .u•.t ~oc cm tw~ra uaaoc cm u rs? tit~. res Mo res No . ~ ~urc ar ~q+w r„ ~«Nw. r+.. w«e.w.w~ s1~ccT ~oacss MD~fMTAL Ow . INSTITIIiION i' ~~1 ~ R?K MYNt L~N a?TE X~wN Dr~ Y~r ~~MM/?~Q iLLC~IS~ O• I'~i+al'~i$ OEATN ' - 'O ~ . . s[X CO~dI OII 11AC[ 7. r~n+toY] ~tv[~ rw~xo - a?TC os wrn ! ~GE U~ tnp • Ih0[~ ~ tW u~a 7r Nlt. t e. l:~le Ne ~roorco onoRCCO 1 1 ~ j'~'~ x..w n.~. .r.... x:.. ~ 1~ 1~ 1~ 104 YSWL OCdl~AT~011(QIN NA1 yMr! ~N 1~. KOIOOi M10YSTwr 11. M1ITMKAC[ (SIW M~Ieih psab/1 1. Ctt~IDM 0~ t1NT o0Y11A~f .l e? r•~- t..~., .«r ~I.aNV A~. wn. y?IN?.A ws"!~~ Buain~aa-t~an ce - Estata Fl~rida (1.S.A. ~l~~t ~wt 1 IaTM[II's wwE 1~ MoTN['R's M1110EA JU1r[ . - as,•••s~•? ~ Ben amin O. Edr~ards l~;a e Brsxe . socw sccv~m w. n. . s~sw?Tws wµ~,. 60- -0986 P~rancea Edxarda 111~ Ave. D ~ h.• e• 1 1~. twYK M KI1TM ahr ~ Mt swM Ia N~t pr (U. M ee).l xrtt~vµ ~EitCtl~ ~i?~ee~• ?~~T~ ou w~~icou~~ew~c W DOA aacT ~o ou?n~ ,..a tu. a~. e.r- - title~t~ .s~? „~;f"~• ~ *o t~~ ~~bZe ~ssive Corsnary Ocelus. Instant i.~.i .e...~::«''l.~' • •~~l~t~~r ~~v ar ..~r.. •1t4i~ 9• M~ ~ ~ . 1~~? f- ~ ~AwT tl. 0~1f~ MI/IC~MI G01bIf10MS 00111~J1M /p OUfM ~1R IO~ IIM1[~ TO T11[ 1d11~M1 ORtAY COIb1110M iN4 ~1 rMT 1(~) . MAS AUTOKY t~~ ~~AtM S tE~FOQMEDf . ~r ~ff~r• 1rES? uD? ••t?¦s ~ m' ~a~oc¦r wKroc Mor~poc tD~. ascRnc eor ~r aavRao. pQue. •.rwr yt~/s.~ b Pre !r Are II yws rtJ .s.,.•,- O O ti~w •t N~~. ~ 70e. Twc as H..r 1~f..N. ~+r. Ya. - } ~ ~r ~ . . a ~ 20~. wlullr otwMlco 74. RACE as M~uRr te. I-. 1~ r~twt MAS. ml CT. To~11. 011 loGTqll aou11TV 3TATE 'r; w+~uE ~T ~ wr.n~a~ ~ f•?•.fa..s..aae. yksY~i.. aa) i; ~ wORR AT ~j( tl- /~fNn~/tM /w . to 1~4,~ ~Ml~at A ~ ~r~on ~a DNtA ox~rnd ~ OOfl w aw dtt~ ~t~t~d ~Ao?~; tnd fe tM 6Nt o/ ~we~l~d/~, l~oa~ tM e~uw ~e~t~d. •il lt~~• «T~SKrtO ar• to N fISIMTY~[ (QrpHrtYk) 7m~ ~oO~Eii ~••?1i~• a Jehn N. Sims, M. D. F`t. Pierce, Fls. 2S Jan 6? •CC~~at~. ~/WI.C~ErYt10a 2~ 011TE L7t. IUIYEOFCEMETERIIORCIIEMATOR~ ?3/. LOtAT~011((,Y/.tMn.Mers~f!) (8~fd 1-22-bfi Pine Grsve Ft. Pierce, Flerida s.;ets t~. su~cw c x s~?r~a~c ~ooRCSS ts. arc +ecca. ~r ioaa ac_ ~ccisrw•s src~un~c a••.losb Sarah E. Psek Lee 728 Ave. D 1 3~7 ~.nna I~ee Denison, d.r. ~ :r~i~:.. ~r :i~l~l''r~. .f - • ~ T ~ ~ f ,~~~_',~;'_3"Yl,,srt`r N 07~D~C~ ~ • , n , Eb~l~~ ~O~ fif~ M~~~~ 9f. Luti~~~ ~y Of 1h! LOaI Y n~; sT flo~ida HNhh Q~pa~ ~,-°n c o°~~, ~ t v~ a+ l~ s s t+ h e d w a! o~ t M S L t~rcis O ~ o~~ . ~ ~ • , ± lii"i1~h O~p~tmenf b a~ffiu~d.) = a~' ~ / ~ ~ ' ~ R,,'.• . ~ ~ ~ ~ ~ ~ N. Q MILIfR, Jlll D. ~ ~ . t '~~.~~,.~-'~~;k.~`... ~ ~ , ' . ~ . Counlr Hwhh Offiat i t~ot~l Rpiar~r ~ ~ . 1 --~1-1~1 G~A -~,\l:•l . ' S~_ ` i - - CM~ D~pIMr Loa~ R~pistraf a• . ~ ~ ~ ' f~ ~ j ~ / ~ `4 . death certificate - ` _ __.~.F.~ ; - _ ~ -