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HomeMy WebLinkAbout1729 4 231951 L - - - - - _ L... ~ ~ + CERTfFlCATE OF DEATH ~ ~ Dti.~~.etl .f Ik.ld «J ReL.6+Gru.e Sre.+ce. sTwtc r~LC Ho. , n~uiav~r~w~.m FLORIDA • TY?!. O\ ItlM IM ~r~~~°~O RtG1iTRAR'L HO. 2SZ • H~MAWN~ INR ~~0_?~~ ~~n~ .re.~ ..s~ SEt OwiE Of DFwM ~•a.r., nu ~ ~rs~~4 Morris Lee ::cDaniel : A:ale , Mny 27, 1971 ! ¦A(E ~rq, WMO. ~YMCw wW~. ACs[-u~t vo~~ ~ rt.¦ r..:~~ ~ a~~ Ow1E Oi NR1N ~.orl Ms. CO{MiT Of OfATN ' i , „C- ~ MK~ 1 W1D~t ~ f W~ 1 ~0~. M?~ r011~1 ~ ~ n~~ 1 6609 • Ne o 31 t ~~~,~~ch 15, 19 ~ Suint Lucie ~ q l t M Y.sw c.n ....n MOS?ITM W Oinfi NSTiTYi~O~M- ~w Mp r~w~~. ow~ ~uMr w ww~ ~ ' wcr~ ~~f w MO R Fort Pierce r, nc „ Peacock Roud : _ StAiE O~ WM ~r we~ r ¦.r C1i12EN Of w1NT COtM~i~~ M~i~1ED. NEVE~ +uI~:EO. 111NIVNG S/OUSE ~r ~rw. Nn rNw ww ~ { • cOww~ ~ w~DOMrED. ~ wtrr ~ i «....K. • Louisana • USA N raarri° ec~° Betty Jackson • ~.rr Mc~w~ fOCMI SECLUTR MYYE! YSU~I OCQJ?wt~On ~cm cw~ a raa w.a w~r~o .ws~ a KwD Of WSMESS Ot w011STt11 ~ ~M~. r Mu~ rO~aM YM. M« r 4tut~ ~ } OO~rMM w ~ ~ *a•~ ,t 433-6~-9209 ,y_ Co~.-aon Laborer F~uit ~ u w.w~ . xw. ~SDENCE-fTAR COIMTY GT1'. TOMtH. Ot \OCwT:On ••w~ c~ u.n Si~HT MW t t L~~ wc+. m e~ w ~y Florida ,$aint Lucie Fort Pierce no „~102 DQVOnshire Drive InTME! " nat ww~ us~ /~WiMft-M~?UEN NM~F r.n~ r~~ uY , ,s Willie 1;cDanie~ Alborta Un]~o~a~ ItrOWAM-WMf ~?wG wOO+FSS ~~a a~.r.~..o. cw.r p w.... u.a. tri ~ Betty i~clbniel ,,,~02 ~7evons:-iire Drive Fort Pierce, Florida r~tt OEww~ w~s Gui[O n~ (ENri~ Or+.r O~rt Uust ~t~ irrt Wt h) 1~1 w~+0 kN ..M o u.~ N:r. ~ ~ R ai Accidental Death 30 minu:es =-«M~O,.. , . O~q bf~ q~ A~ ~11Q$ $ S~Zn ? : ~ ~~r~N~t~ t~~f~ M. M q. O~ U~~O.O~OM~Ca O~: ~ p~uw~ tw~ r~I~W . ~ ~nw u~w uw kl ' ~ ~At1 OtNE~ 51GNIfIGWT COMDrt10Ni. csriwa.s cawwyr..o a w~. w~ w~ run~ ro urw o.q. w•.n . w ~WTOKY V rE5 r~~~ r~w~~no~ tOr~ ; • ~.~s o~ .o~ LN~f~ r NI~4YMw~ 4YN ~ ~ p ~4f¦ AO ~w • ~ p~~ 1 C ~.a.rr. •u~~ MOw Ir~JNI~ OCCYUE~ ~~ra~ rrwr o~ wwn u. ryr ~ M r.n ti aa. i ~4rK~Of~ OR ~ROCtEtMNfO f ' ~ ; accident- Mo 27 197 ix~ 8:~ 5a « 4~a Stung B :•lcisps ' ! ~HAN'I wT wOf[ NAI?.. .or. ~.r. N.ur. ~.cw.•. ~ lOtwnOn ~ ~ snH• e~ ~.r.~. w.. un o~ ro.n.. ?.•w ~ ~ ~NKM~ Af M W~ MKl W.~lX. ~~ACR~ ' Yz5 Grove ;.G~aves Grove Peacoclc Road Fort., ierce ~ ~ CE[trKwT~O?s- .awr w ~ .a+r r. •u~ ~M W~ Y~1 r1~/M~ Y~ Ow ~ M/M wOt ~N~ ~ 0[~M OCCYWO w?un. or ~r ~ ~r~sKun: t~ .o»s .w ww .na w•w. ~ww~ ~.w. ..r. +o w wsr .mwN ~ a rw..eou. ~u ~ M(f~3~~ nOr f~~ 1~. 1N. fM. K~o w uovo~ ~nn~. , Q CE[t~KJ~i~Or+-rEpGl Ei~rNE~ OaOwE~, a+ nr uus w ar row w~.u. r.~ kc~M1 ~u no¦owcn ~w nu ww I F ~urr~~4~ O~ M~~ ~M/q M r~I~StOanOw. O~~+Ow, p 7 ~ N~~ OKM~M O~ w/ Yti M M b~M Vq~MI N~R~. U: lF~Q M 77, ~?~]V ~ 1 771 9: 25 Q• M. R ~ ~ ~ CE~T11~ft-?t~Mf a~w a.r.o Tt, J ~acr~ a w w SK.HfO ~.o-.r. n.u~ ,~..7ustice of Peace E P DeF-- ~~2~. s' d'~- 7~ r.~w?HG ~DDOESS-Ctfhlrt~ s~u„ w._r.~ w~ - cm o~ wr+ v.w rr »r Saint Lucie C u ;v Co ~r~ ",~A Fort Pi,erce Florida 334 . . WbM. CREMAiq~~ lMO~AI Eft Ot UEM~tO~T-NM~f ?OG~T~ON an o~ ~o.w~ Wa ~ ' ~~Burial ,u. Pine Grove Ce~erery For~'Pierce, Florida ~ ~ OAiE ~rs~. rr, ~w~ W tAt Mfl~rE~+MOEu+D ~DD~ESS t~ ~r o~~..~. .o . t.~ t9.r~u.n nr , ,uJun 6 1971 „~~e-ree:: ?no_ :ua~y 7~~~ t~vcnue ~5 rozt ~ierce, Floric'.a ~ S. ~612 ~ q iEGtSi -S~GUrWF wn ~eeanto n ~oGu ~te~srw ~ ~•r.197o ' Jurte 3 2971 : ~ ? ~ ! ~ 1 h~nby artify tf~i~ to b~ • trw ~nd aonrret oopy of ths Loa1 - ? ' R~spim.rs noord on fik 1n 1FN St. t~x]. C~amy Hs.hh D~ef ' ~ m~nt at FoA Pi~no~. Florkl~. ! N3 ~ (1Marninp: Not valid unl~ niasd kal of th~ St. l,t~cl~ ~ ~ c«~,, H.,,,~ o~„~,? ~.ff;,~a 231951 i ~ ~ a ~ ~ ~ N. D. MtLLER, M. D. , ~c~acEO ~ FI.ED • HM1tff ~IOK dt~Qq~ RIQlitfk $T IUCI[ ~~UH~AS~A ~ • t ~ C ~ , - • R~J : - , ~ ~ ) - ' 1 VLEF~ ~ ~,_~t+ COURT ~ ' ~ ~ V;_ ~'l ^ (i` i '1 " n"%?J . . f I ~ o.~.. o.~v t~., ra.~~.~... 32 PN'~ Z ' ~ ~ ~ Juri 22 ~ ~ ' ~ . . _ ~ ~crt.~~ ; ~ e R . i~` ~ , AItaE1~ ~ - - ? - _ . _ _ _ - ~ - ~k ~1~,.-"j` ~ l '-~y y'~--~ . ~S~ffi.:`:~`S.~~m:J".?5.~~c~.~~'2~',_ ~'~~~1~Z3:~~