Loading...
HomeMy WebLinkAbout1744 ~ _ 21~89?7 / Mill 3-18,298 ~ ~ Ft~~'ANO RECORpEp ' ~ iT. WCIE COUMT~ f~A. ' QOCER POITRAS I CLERK CIRCUIT COURT ` RECORD VER1FIEp jl~,rl~w7p•7~ ~ Miur 11 l2 z5 Pt~~. i TAts Dt- tTATt ~OARD OF N~ALTN 1FlCATE OF DEATH . eo~~s • ~U11[AY OR YITAL fTATIfTiG sTAT[ FILC N0. i.a.i FLO$IDA ord •ptn e1RTH NO. R[GItTRAR•8 NO. ~ prop~rlr COOC No. L uww~ R[woc~[1~~..wr~~.r ll.w:~rw: s..r....Wr.~.w:..) l:~CYt~d 1. Kl1~t Oi ~tATM a STATE COYMTII •nd ¦111 ` ~ ~i_=__ St. Lucie ob-02 a f• 1~?- dTr. TOrIM. Wl IOCATIOM t. IS ~U1CE OF DEATH t. C~TY. TOIMN.OR IOCATqM t. K RC510EMCE .a.•.s ~~oc cm uriTS~ ~~oc aTr uM~rn r,l.. Ft. Pierce .csQ No0 Ft ?ierc.e ~s ~ t?urc as u~.« w.rw. r+r.u«r.rau.~ ~ sr~ccT ~oo~css Lakewood NpSMTAL OII ~*~T~*a" Ft. Pierce ~:em. Ho~ . Rt 2 Box 8201 La a R~ P~rk 3. NAM~ 01 I1r~ Afi~Yt L~f DATE XAf~ Dy YtV c~ ~ FRANK ROY STUT7•2~^.A2J ~TM Aoril 1? t 967 . S. SEX i. OO1011 011 ~ACE YMIII~EO~ MEYER MMAKO DATE OF MIITM AGE U~ Iar~ s IMOQ t tW~ uwOD U~ !Y~w~ ql N~Y~ D~r~ Mwn Niu. ~ i e~ H W ~~oQ wvoacco OCt. 14~ 18~j 69 y1 ~1~1 ~ ~a_ usu,?~ occu.snow ~a~.r ~+,ryw.~ ~ IOS. K~IOOi WS~NESSOR 1NOUSTIIY 11. WITWIACE (SI~t[ ~?/~?r~A ~W?f) 1. C1i1ID10i ~OMT ORMf~T/ ¦1tA ps~' N i~/hk.~l/~drM ~.~..a l~cc~iun~an`~ U. S. Gover.~ent Zi'ashington, DC USA ll~et l~t 1~. iATN[11'S IIAME 1~. MOTX4Y MAIpEM IMYE : Schell Stutzman Flnma Hsncack K. SOCw SECUR~TI Mo. 17. ~ s1OMATY1t[ ~ AWrsa 263-96-6401 A'.abel E. Stutzman ~ Ft. Pierce,Florida Il iAYK K~fATM ~afe wlr w qwr l~r ri~t /r es). cs). u1 IwTUVAI ~ETMEEN Fra~r~l pKET ~u~O oUTe ' n:r.~:o~ ~""T~ °EATM•'SC1°E°"': ocardial Infarction due to Arteriosclerotic Co ona:-y ' ~rrcouac uusc tsI ~ ; .~.s r~~. - romoosis 2 hours i e~• e~r- ` cirteas• C..tiH.w?.~l~+~. ouc ro ~ .lc~ c1• .aica ~..r .iK ~ 1• e w 1 ~r ~K~~~ i r~ai~tr~r t~l~c~ue t~~if' 01iE TO (d : ~ ~ 1 t\!~ 7! O ?MT N. O~ItA Sidil[YR C01pTO1f O01f1MY1Y~G 70 OGiM ~IR NOT 11[UiW 10 iMt 7FlYMl DLSFAS[ COIOITOw GNG ~1?MT 1(y . MAS AUTO?SY ; Ao~r• ?EltiOtMEW ~ s~r d~~t\ S rE5? MO? •r ~•ter• ,,,~~r occuRUO. ~ss+o..rr.r yiap.ti a. Prt Jr Pw /l yt~s. uJ " ..tlw~ .•s ~ ~CC~OEAr 511K~OE NOr~C10E 1 ~ o 0 0 .ow •t p~. TiwE O~ Nwr ~lwNi, Dq. Ya? ~ ~~a~. ~ uuu~r ~ o s• - ~ ~ = 20/- 1N11MY OOCUMEO mf. KACE Oi 11~ri111Y (t. i~ M~af i~~t. ~OI C1Tr. TOMM. 011 IOCATq11 - tOYNTY STATE ~ MNtLE AT ~ ~oT ~~c ~ ld~.l~?s. «ree. Nk• wy.. err.1 ~ MORK AT 1011R ~ 2~- f~ft~nd~I flr ~»~a~I /~q•p/~ pr• f ~ , to •nd lut w~ A('~a~ ~Iir~ on r~ ~ D~~tA oceurnd ~f • ' m on th~ d~t~ a~~Nd ~Lo?~; ~nd to tA~ b~st of m~ knorhdh• f~om tA~ au~?s ~t~t~d. ~ ?11 lt~~s 7L MaNATWt (DrpKMfi?k) 22D ADDRt55 . llt.O~TES~GNEG ~ ~;;'i<<;~a . Bernard D. Ross, :~.D. Port St.Iucie Shoppin~ Ctr, 4-17-b7 ~ •CCrf~t~. 2.7~. ~UM4.pE1YT10~1. ~ WTE 23c. NAMEOiCEyETE11YORCNEwATOilr n/. LOGTIOM((,lf~.fN~.MtNtwfl) ($dt) ~ $u`~?~'"`y'' 4-14-67 Hillcrest ;:em. Cdr.~. Ft. Pierce Fio: ida ~ v. a. /e~s 2~ ru~~ cvo~ s s~uw , ?S. OATE RECO. ~Y LAGIL REG. IlEWSTMII'S SIGMATURE ~ ¦~•.~ose :Kilton k'. ~aird Ft.Pierce,~a. 4-1fi-67 An~a Lee i3enison, d.r. ~ 1 hsrsby aAify thi~ to b~ ~ trw and aomeet ec~py~ of fhs l+oesl Replstr~a rsoord cn flk in 1h~ Sf. t~ud~ CouMy Heihh Deperf- ~ menf af foA Piero~. Fbrlda. , t ~ (Wuninp: Not vaJid unl~ss nl~ed aeal of ths St. Luci~ ~ ~ GouMy i~sslth Departmsnt b affuc~d.) . N. D. MIl1ER, M. D. j-', ' : Cam H~stth OffioK b Wgistrar - . . ~ Od~ D~p~Ay Loal i~istra . , . ; • ~ , ' . ~ - _ ~ ' _ BooK?O2 ~1?43 : .,ti ~ : . ~ _~"_~-4 ` . , . " • _N . ,