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FIt,ED AND AECp11 ED ST.IUCiE COUNTY~IA. ROGER POITRA CtERK CIR~U1T CQURT ~ RECORD VER~FtEO~r..~,~~ ~ ; .~IN~i ~J 9 53 ~ !7Z ~ ~Q~1~ € ~+'3~~'~ CERTIFICATE OF DEATH ~ 1, iAls 1~- e~.. s•. p~wt J He.lll~ .wi Re~.b+NwIR Set.be. lrwTS ?~Lt Na ' t.s~~ r~a_ u~zsa~~r~u.n~ FLOBIDA t ~ •r~ •A~~ w~'~~'R""""'° R~O iTRA NO. 13 or~~~?17 • t_ ?L~ta N MwTN COOR NO. L Y~~W~ ~tMKMC[I~M.Ir..u 'w' tl~ s.:a.rw.+w.wi..) !ifl~1~~~ •we •s» 001N1TM St. Lucie 66-025 "Florida St. Lucie ~I.e.e 1~ 1~f- CITr. TO~M.OA tACAT10N t. 4~IAC[ 0~ OEA1N t, pTt. 10AI~.OA IOCATIOM e. K R[S10[11CE •••••a Ft. Pl@l"Ce ~ Nu~' Ft. m cmr i n? ril.. Pierce t ~uwc as th••~+~ ~+N~. NK•a.e.wra.) L sTacT ~oacss Ft. Pierce Mem. Hosp. Rt. 2, Box 1088 ~ ~ w?r~t N fM~t XW1t Lrt onTt XwM D4 Ynr c~`rn~`~«r•+•n SYLVIA SCOT'P SP?PP o°i~`?TM JaAUBry 10 ~ 2970 scx s. oao~ o~ ~ucc 7. w~~~o vGavu wuuKO arc a wrn~ f~t N. !r. ~ x.,w aw r~.w ir~.. r• t s• F Cau ~~p ~ uq. 3~ 1931 ~ t• i• 1~ IM_ usu~ oocur~T~o~+ ta~e ~~.f ywrR M.~ IM. +cwoos MnwE~ O~ ~ousT~r I l. M~iwu?u Wr.lr w/b.eM~ a~~r?Il 1. snm~ a~ ~+r miwm» .:::.'a~~~ ~`~"~om~`~c~~°`"y~~ Own Home Ft. Pierce, Fla. USA ~ ~?l~sk l~! 1 ?ATM[II'i M~IE 1~_ MOTMEII't 11AIOEM IY?Mt ~ " Merritt H. Scott Rita Lanninqton ~ sn~~rit~r , ~ ~oc~ xcu~m ~a n. .tw.w f 3 264-42-205 . ~ p' ~ ~ • ~ ; ~ I.~~~~1 1~. ~ww[ N~Tw (61Mw~bMraMr Nr/rr ~+I ~ ~wrcar ~cTr[[~ ~ ~ 11 ~.e e~r r~~r ~ oc~rN ~res c~uxo n~ ~ aRSCr w~o our« , •r~t ffl• wM(OMTt CMh[ N) r C tj/~' ~ 0 ! ~ e~• e~r- ~ tffte~t• ~.~fMI. ~ ~ • h .t~~ „~t~a n., a ~ : ' 1• s . l ~wr tw~c ~1. j . r~st~tr~~ ~1W Nr rsM- OYE TO (t1 ~ L/ •ItAi~ 1~ Z ~ nue l~rf. . Q ~~~r t- o fART R Or~Q lIi~1LM1 ~14TIOO! 001f1~MR~4 10 Of11111 pR ~ Iltulp 10 M 1f~~1~M1 ORt?it GOIY/10U C1101 M~MT 1(~I . RA OKY S rc~so~rca i c•• ~r.a~ ! b } •r ~~t~r• ~ t 70~. otsc~wc ~ w~u~r occwao. (suer sw~ yti/..~ 1. Art I w Ar1 Il yYes ~~J •aklw~ a~~ ~ ~~~r SyKrO[ MOyKlOE ~1~~~~f- V - ? ? . } tl~f •I ~ mt 7tMt Oi HN? ~/NfR. D~I. YM/ ~ ~~i~. ~r n. ~ ~ i ~ ~ IOt. wllMr OCCU~tlNO mt. haCE Of uuullr 1a I.. a r~Mt ~r. ~l. Mt. TOwM. OI~ lOG1tqM GOVMT~ Si~1E ~ . MMNt AT ~ MOT MMIt ~ J~MI. M~ed. M[~ OlM•. dt.) ~ r10RK AT ~OAK + ' Y~. I~tt~wd«f tJb ~c~ea~d /~os~ . ro ~f1I JMf M~ ~III~1 O!1 ` ~rMd ~f w~ on tM d~b ~bal ~~ov~: ~nI to f/1~ ~Nt e/ w~ lM~IMIN. !ro e u~N! ~t~NI. ~ i ?11 ft~~• ~ T •r• sr (~MK M frk) I!i • ~ ?7c. ON1[ 51CM[O e~~~I~t• ~ + •etrl~t . ~ ~ ~~T~ ~ ~~y pFtEyETE11Y011t11[MATOA~ j7/. t,pCAT10N(GYf~.Iw~.NeM~Y~/ ~$~i ~ ia~ 1- 3-70 Ft. Pierce Cemete Ft. Pierce Florida ~ s. ~ e • s a?~ ~cca ~r wc~ aa. wsnw~s s~+? a.•.,.•s , .Pierce,Fla January 13,1970 - - . _ - . . - - • -s ; I her.lyy ar+ify tfib ro b. • tn,. a~d aotr.a aopy of th. t+ocal ' • Rpittrda noord on flk in th~ St Lucit Coe+nty Fi~alth D~psrt- . , rnM/ d Fat ?i~r+c~. Fbrid~. . ~ ; IVN~r~+epr Not valjd ue~l~ss raised ~eal of th~ St. ltui~ - _.`~t , r ~ County Hwlth D~pwtnwnt b ~x~d.) . - ~ , , , . . ~ . , N. D. MILLER, M. 0. ` : = ` . ; ~ CourMy Offiar'd. Loul itpisttar . ' . ; . . . • . , . ~ • • ~ 1 = ~ ~ . ~ : 't ~ J : - . . ~ ~ ~ ~ ~ ~ S , ` , . I ' • . ~ • . , ~ . . ; ~ . ~ ~ ~r~ ~ ' ' ' 600K~:U~ P1lSf~:~Jl! 1~~.8-La~. • : . - . ~ ~ - - - - , j ~ ~ 3:~.=h-~ ~ x