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Home My WebLink About2114 ~ / ~ - ~ ~t~ 232182 CERTIFICATE OF DEATH ~epd~ed ~ ~~ealt~ u~ Ke~bi~ildi~e $enkes liATI FlLR NO. ' ' lli~1S1(HV OF IMAI.111 F L O R I D A ir?F, .Ot ~pNT IN REGISTAwR•S NO. 32 f[lMAp1/iT INK ~p_Nµ~ rwst •sw~ ~~st SEX DAiE OF OEATN ~•o..~w. reu ~ 's SEE w1MpWOr f01 ~ RAy MOAD OREM SR t Male ~ Januar 19 1972 RACE .~rtt, N~ow. ~rl~KU~ wyr. AGE-ust oww~ ~~e.~ ~~we~ ~ w~ OATE Of NRTN ~no~w¦. wr. COIMiY Oi OEATM ~x. ~ sncv~ ~ M~.w~a ~ ~w~ ~ .os. wn .ows rr.. ~ 6602 ~ White ,.86 ~ Se t.3,1885 St. Lucie Crt1f, TOMM. O~ lOGt10N DEA1M ws.w c~n cr~n nOSMtwI Oa OTMER t1SMUT~ON- ~ w.o~ w u+wu, o~+e a~r~~ .w ~uru ~ s?eca. .~i w no r Ft. Pierce Yes Ft. Pierce Memorial Hospital SiwtE Of Mt1N ~ w»o~ w~ ~.s ..are CIAIFN Oi YvNAT COIWTir MAItbfO. ?+ErEt ~MtqEO. SUIVNNG S~OUSE we. one .wwr w~ ~ cow..~ W W1C~OWQQ~wc..~ i Missouri USA None ~sw~ uf~etK~ t ~MM qC1~Y• - .~.e~. r~a~ SOCULL SENtlTV NN~MER USNw? OCANwiqH iuv~ are w.ws oa+a ow..w .w~ a [wO Of M?SwE55 O~ wDUSi1tV ~C~ M ~'~~[Ilp lNl. MM Y q~~~~D 1 ~~z°^^~.°^' ,:234-05-1614 Chief Pett Officer „ U. S. Na (Retired) .~y..~c~ ...a.. lESIDEHCE-SfAfE C011NTIf U1tt. iOMiN. Ot lOCAT1ON ~1W un ~rw{ SiREEi ANQ NVM~fR a ..o, ~ f Florida St. Lucie Ft . Pierce Yes 117 S. 16 th St . fATlIE~-N4ME ~~qt r~00a~ ult MOTNft-MAbfN NAME ~yst riOp! Wt „ Francis M. Orem Sarah Moad ~NfOW~ni-nM~E rwrwG wDGeESS ~MRet M~.~0. MO. C~n M p~n+. ~1~N. tr~ r Ra Orem Jr. 117 S. 16th St. Ft. Pierce Fla. 33450 ''J ~A~T 1. ~~I a~r~.T 1w I~vy pEAM WAS GWSfO ~Y: jENiER OtviY Olwf GtUS( Ift t/~E fOt (ey p~ wND (tJ) unru oMie~ •wo a•tw L~ rrnuR tyr~ - . _ , . : »~1 / ~ _ / ~ N~ ~/"i y • ~p~J ~ ~f,' ~ ~GL-:~ ~ G t /C~~ f ' • • MffOYlrKf - _ co..emo..s. u ..n, ~ ~ 7 i ~ ~ G = ~ 'c`Z'-:.i/ ~-~"i`'~ ~ ~ --1 `rwKw c~~t ~~ft to ~ M1I ~ ~ / ~ . - M ~rreO~~It C~YSI Ie~, ~ b, p~f ~ COMIOVlKi M. , {I~lIMO tM~ YM~I~- - ~ ~~IMO C~YS! L~tt / t~? ( ~1a i ~ ~G i~ cvY~ ~c'~ -~~1 ~ ~ ~ /tL~Z ~i ~ _ ~ ~s t~~: ~ . ?~l II. OTME~ SI~?~i1Gwt COnD~AOt+S: ~o~abo~s cob~ww.w w u.r~ wr .wT u..no w uuse cm.. rui ~ w~ ~~S IF ~ES •+iee ~~wo~wcs co~- 1~lS O~ ~1 LOlHO ~w OliIW~MIMG UY1I ~ / O/ OI~~M L' IA ! 11~ a - ~iWE1fW~D ~ a.ow*w. w~, n•~r ti01lR ~MOW ~N1UlY OCCUttEO ~~Me~ wrwe p~wvn ~w rur ~ p~ ru~ a, rter ~ ]0~ ~ ~ 70t M 7M _ uUU~~ wi wOtK rlwCE Of NAMIr now. srru. r.cror., ~ tOCwbOn ~ arne~ o~ ~.r.~. ..o , ao o~ ~oww. a.s ~ ~snc~n ~ef w..o~ oM~u ww..e+c. ~sracvr~ ~ ~ »s ) CERiMKwT10N- wwm r. nu .a.n. c.r ~w ~u.o u.sr sw. .~.i.a~ ..~.e a. ~ aeioa w~ nir iwe oc~rM otcuut0 mi ...ce. o» w /Ni31C1AM: f rp+M Oa~ rtiu ~OM ~~Tf~ q~M. ewOU~~ D~p. u.o. p W Mi~ ± ~.m.roeo n.e ~7e~ T~ 1-].(.~-72 l2~. ~ r~ s~ a.r iw~.uoce. ow _ • 11a wa•seo n0. 1~19~ / G tl~ ~ 19~ t1~ jjOt 71~5 : J~~i~. t0 rwt CwL~s~ fT.rta F CERtY1UT~ON-MEDKAI EIIAwW~f~ OR COlO?+ER: o« .w~ ~.s.s d n+t ~.ou~ o. u.n~ ; rwi wuw~i ~r~ceo a.o ~ ~u~w.~+O+ w a ~W~ ~wo/p Tw! ~nesl~WrUM. w an O's..p., rO~~rw W~ nu wou. E Ot~tw OCCW~tD O~ M O~~t ~w0 NR q Mt 4~rSt~)i fr~~eo. 3 1- 7 2 = ~ T~ . M' ]A ~ : 3 7 ~3 . "n F CERT~f1ER-NAME ~rm wini+n ~ S~GNAiNitf , ~e a r+~tl •DATE ~ ~ ~w~w•..tu~ ~ ! \ i~. jc;hn i'_ S~T~.t~ i+s D.,P.A. im__-*~ .~~~7-~,.c _z~r_\~!:... ;n, 5~ ~ MA0.WG ADDlE55-CE~i1F[. sr~~tr o~ t r~, ~Q ~c~n -w~. ~r.rt i.r u ^ + Y ~ r1 ~r ca i ~oriaa 33450 = ~tree~ - o_ i ~{!l1A1. CREMATIpH. ~EMOVAI fMEiERY OR QEMATORY-ni~2 ?OC~T1pN on p q..w surt ~ ~ s~ecw~ ~ ~ ,NRemoval-Burial i,.. Ridgelaw~~Cemetery Huntington W. VB. ~ OATE ~nwrw, r~, Hu-- ~ TFUNERAI MOMF-ru~vF ANO ~~fS1 ~ ft~ft~ O~ D +.o., cn• oa *o~w, s~.+e, t.~ ~ ! ~ n. 21 1 ~ air Funeral 901 N. Ft• p~erce Fla d ' Y. S, ib 1~ ~ E '1R 9r 1G 1ME REG' R-57GN~iU2f owr[ efCEivto ~7 ~Ot~i ~fG~itut R.~, i9~o s. ~-GG ~'~G,~ , Jan = . , i 1 hereby csrfify this Ie b~ ~ frw ~nd oort+ect aopy af fhe local FlIE~ #~J ~fCJR~p ~ St.L11ClF LJUNTI' FtA. Reglm~rs rsoord on fik in !M SL luci~ Cour~ty Hsshfi DspeA. RGLEr; ~:)ITR1?S ms~t ~t foA Ptara. Flortda. Ci E R R ~..i u~ t COURT c~' pfccR~ vr. Fi~~ . (Wami~p: Not valid unlus ~aised ~~I of the St. Lucla ' County Hsakh D~partmsnt b ~ffix~d.) ` : zl Sa a~ •~z N. D. MILLER, M D. co,~, ~,~r, off~ a t~, r~~,.~ 23,~18,~ ~ . D~put~? Locd R.oisrn? _ . . _ . ` 4 Bo~K203 PaGE2l14 ~ ~ : - ~ ~ ~-"r~: ~..~a.~'~.y,. _ ' ~ s.~,~,,~`~ _ ~~~~r~.~~_~:z~- - rt _ te~:' .