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HomeMy WebLinkAbout1715 _ _ 2?98',.'~ ~ ~ f ~ , V ~ 2298~'9 ~ ~t ~uC1E COUNT~~. - ~ . ROCER PO~TitAS t ~ CIERK C~RCU1t COURT ~ , RECORO YER+r~EG . - , - M~ IO 34 AI~'~Z j . ' CERTIFiCATc OF DEATH ~ ' . ~..;~..i .t tt~.hl .d Rei.L~4au.. S..+a. srwrc ?rit Ha : . ~MV~a+ n~ ~sw~.n~ F L O$ I D A ' TY?4, O~ /tlNT IN REGtiTRAA•f NO. 36 ~ ?IRMANtMR IMK a~p`N~ ~ . .ra~ w~ yfi OwiE Of OEAiM Mr. ~w ~ . SEE IY~10~[ fM ~(ill~ L ~ n 1. 1 ~ACE ~+iw. wMO. ~~K~r r~. AOf-up ww~~ V~OI~ 1 Mt OwTE O? WM ~.~a. ar. ~~ET7 . ~ ~K. ~wcrr~ ~17ite ~niw~ ~ rn +ow~ •w .~+Iar . ~ 1F ~ 9.26 ~ ` Saint Lucie ; 6602 • ware tn .wi MOSI~Twt O~ Oif~Fl arSTRYT ~r wa w twa. aw ur~~ w wru ~ . i N!(Mr fl~ O~ MO , ~ Fort Pierce k y~ „D.O.A. Ft. pierce Memorial Hospital . STATE O~ ~DI wN r~.~-~.. wr~ OI MhNi C01NilY i+tivcEO. nEVE[ rutlGED. StItVNNG iP04SE ~r ~rw. «w .rr~w wr ~ ~«~..rw.a Florida U.S.A. ~ma ir~~ed n. Hautie I~feeks rryy ~yy~ .m~. r ww fOdA? MMNEt YStMI OCQNw1fOM ~cn~ a.w p w~c w.~ ~wwo rwr o~ XwD Qi M1f~MFiS O! WOYSitt ~"'MM1 M ~M~ MM Y YMY ~ ~ . ' n. 422-22-0816 ,y, Ins ector „~.Dept . Of Agriculture ,w.~ ~~~~surt cou~m amr. towrq, o~ ?oc~now c.. :r~ ~.w ~w~ca - ¦ ~ ~vecrr ~q o~ MO r~ ~y.Florida ,~St. Lucie Fort Pierce ,~~no i4 3826 St. Marks Road /Ai1~!-IIAMf M~ wM~ rM MOLME~ """N N~Mf hY~ ~N11 MM ~ Jasper Neil Sheffield Dera Kirkland ~ Iw~OMW4~?MrE rrw~wG ~D6tEiS ~wu~ a ua. w., cn a~o.wti wu~. o~ 3 5p ~ ~ ,hMra. Heutie Sheffield 38z6 St. Mark~s Rd. Ft. Pierce,. F~a. • ~ ~ J~q~ ~ w l~ ~ ~~at Ofw1N wws WaED ([rttE~ OMr OK UvSE ?Fe lwE IO~ NL AL ~u+0 (c~ NTry~M OM1~~ ~M M~b ; ~ ~C~G~~'- ~t=riC`,~=f'~,~'/~ ~-i:'- l~'! r } ' i ~ r .K. a.. ~ ~~J i , i ~~.~.o... N l7~' G'' G ~ ...c¦ e~n ~na a I nl ~~~..!`'n..-LS + ~ i?< L?~- ~I i' , I E ~..it~+ut car~a rR w~ q. pN ~ cowa~o+r.u a. ~ ~ ! i~~iw c~ini a+ ~ i / co~ ~ f ~ ~ ~W 1~ •:l . /,.f/!/~ ~;1 i ! ~ - / • i . i AYiOtSY If YES r~a ...~.wcs ca« ~ , ~fAff OMl SKiM/K~Ni (~l~IIION~ OO~~W~ C~rW~6 q N..r M, w01 Yu~4~ W crrM O~w w~rt ~ M~ ~ j._ ~ / ~ws O~ W~ ~~Wr M~~~rww~ WrY ~ ~ L~ /~:~.•'a'.~~/ @S ~w ~ . Ol MO~Tf~1~r~tY ~••oM~.. r•, rw. ' MOM rN/Ytll OCCY~fEp ~ erM~ .rwr W .w~. .r. ~.a~ . w r.Y y, ~r. ~ - ' ' ~ 7N- !M ht Mt- + ~ ~ Wlll[r wT MOVt NAJt?a wr. ~ urn. r.ou~. ~OU1iG+ ~ uun a a~.~. wo.. an w ww., w~ ~ ~ ! ~ ~~rwn w~ w ue~ owKa w».,ac ~r~dtr~ ~ . Iy. IM. nI~ . i ~ CErtrKwiiON- raw ~r ~er .aw~ w ~w ~.r usr .~.ir~ r.n a. ~~+/~r ~.or.r.~ w w~tw ocur++eo a.e n.ce. a+ ~.e f rP~1u Y~ NY ~0~~ YM~ Mw. Iu011~1 M4. ~u0. ~O 1! YY ~ ~ ~~jpws ~ TD ~ b ~t awO+n~OG. M ' • . 71a NQ~N~ ~~0+ 11t ltc l1~. ~4- K f0 rt GwluL Y+~la. j CEmfKwt~OU-rEwGtt ExwwwEt O~ ~a Ow rf ~Wl M r1 .or~ u M.n. w~ana.a q.s r.o~an+a~ ~w ~ , ~¦.r...w. a w w. wia r..nsewno... o.«w. ~i~' r n.. ~ . H.~. oar..r a~ r~ ~.w w w~ a ~ www ww~. C'~ ~/~(/i'~ ifi-'1 ~l % `ZL~' 1 Y' K~ . { Cftl~NE ,~mn w w. / , ww e. ~ f ~:o~r. w.i. wi ~ . 1L. • /I /rl ~~ll~ 7l1 r~ 2i/~ -t~ ~ ~ ~i~ ~ rW~+6 AOO~E31-QRti ~ ~ s.rn a .a. , c~n a i, wa s. ! . flr ~ ~ . • G l,~-~-~v` ~ •~~~Li.C•"iV ~/i .3 ~r! I~ i ~ WtlAI. ~MAi101; ~MO'YA~ E~ Ol C~MAtORY-NAMf I?OCATIW~ M? p ~DUw wtt 1 i w Removal-Burial „~.Esto Cemetery (,.,Esto, Flolmes CounLy, Florida ` ~ f i . i• ~ ~?r /W~EW NOrE-N~r~f wwD ~ODtfSS sn~n a .o.. cwr +r~ ~~.n t~~ ' Jan. 1~, i~2 ,k Fort Pierce Funeral Home 1~1i~ 5. St: Ft. Pierce,Fl_ -siG+r•rwt a?a au~•eo aow eewstu~ ~ ~ v. s..biz ~ a- ~ • : Jan 27 1972 ~ ~ A~r.1910 rk ~w 4 ' ~ ~1Mr~l qff~/ 1~t 10 h11! ~ GOffKf C0~'y' ~1f 1f1s ~~OCO~ ~ ftplsttars noord o~ fll~ in fhs Sf. luoi~ Coumy Hs~ahh Depet~- ~ m~M at iwt Pl~no~. Florida. ' M?ar+~in0: Not valid unwss ralsed s~al of ths St.1.ucl~ . , ' County H~eltfi D~putmsnt b aff'uced.) . . ~ N. D. 1WLLER, M. D. ~ ~ County HNlth Off'~ d~ WpistrK i , . • ,f~. - ~ ' " ~ s 0.~71Ay t,onl ta~lst?sI . • t` ~I ~ . , ~ ~ - _ • . L• t ~ I . r ~ , I ~ aooK202 ~E1714 ~ ~ ~ ~ , - - - ~ . _ -