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Home My WebLink About0761 i , . - s GERTIFICATc OF DEATH Z ntprteMnt o1 ~~~wZth ~na1 Rr!~af.i~(1aHre Fr•it~a 9TATE FILE fSO. n:~ i.:u~ ~r. i u F L Q~ I D r'i - ~ Tf?f. O! •t'V• !N ra~ct+m~tr.mr,r REGISTPAR'S NO. DICMA~IENT INK L".CEAS:D-tiAV: r~~•.. . !S:A .OA'E CF C°_A1N ~ ~c~*+, o~•, .tu : ~ iiE rA\:?'.^[ i~t : ~ ~s.::~;~~~s , l:~L~R ~'J'•'~RD GR~\GrR ~rhiale i~ J11y.v 7, 1972 RrCE ~*r~R. vtG~J. ~+ltY~~ •~D'~~. _ AGE-:N' : ~•V=~r . ' D~TE OF 6~RtH ~..o~.-v. o.., ,COUNTY O~ Ciwi4 ~ ..c. ~ s•tt.... ~~r-r•. •.u~s•i oi. . -'.s ~.~v~s , t `t s ~ ~ T•7hite 59 .:iay 23,1913 Indian River C~.^~, IOM~. O~ IOCATIQN QF psATH i ~t~.c C~n cr~i1 HO~P;tA: O~ O~f~ ~Sil:UT1O>t-hltblf ~~r ..pt :v !~•~t~, o~v! 3'~ee' ..D ..~I!e ~ , srlt,.. .tf O~ .O ~t „~Iero 3each Yes ~ndia~ River Memorial Hosoital •~r` a' ~ S~A~E Oi 8'i:N ~O~ V.1 w~rfiC~T1ZEN OF WMAt CC:;I~TRY I,I,~fi':D. hF~.'~A N.A2~2'~ED. ~SURV~1'.\,~_. S~Ol1SE ~ r1. Gni r~~C[r w~.r_ . , ~ ar.n+~?.; j ~ ~ . wrDO`1;1. D:vt)iC£'J ~ s..ce.; . ,z,.~.,tr:.~. -Iet+~ Yorn - ~ LS.~ .•:arried Helen ?,o•aise Jor_es t~~.e~~ ~•~lee.~. S~JLL S~LUZ~^! \~v~C ~'vS~At CCCI!w'~Y ~ ~~e a~:~ wL~a c~~e ::rs.'~ ~os+ oi •[~'D Of 6USn.LSS O~ t~.'S'2v xc_ue~ r,i ..~Ctnw or[. rv•. i. s.•.e,o+ , 70G-?n-5483 ,k ~'_~czinist Govprnr:ient ¦as•m~ce ~troae •~+~SS~Jv c~S;~sLC£-S.'A'E i CUNi~ "JV•N_ C~ !O!ATIC`~ ~ ^°~'a ~~S'REEi A`~D !~:ikBER t • - e Sr!`~ s O~ r.0 t..~ ,~z ='~.OI'1C~ St . LL1Ci~ .`.<< Ft . Pierce ~ ~i{ _.~O 1~~259 \r. SLI?*L*1G?' ~'Jo'_^, fA~n~q_!~IAVE ~~tST r•C=;• :~y: - M.~.tHrq-v.wiCfx vanA: •:f1! r~Dp_! i.S a7ei i~ ^Ya'ZQAr 1t~_ i~OUlSe -1GLZ_':CAr 1\~JJ.IANT-NAM~ . MS:;'!`.'~i A7~~ESS ~3•~_t• O~ t.! ~~M.. C~^r Ca •7.~., S'~•. ' . - Johr. R. Grance*_- `?or~olk , '~ew York - i:•0i . QEATM WAS U_ `D 3" :ti'. ChC~- C :SL'Sf CcC ;iKE fJr ~bi. R`p :c;' ~ - . , ` ~ .s_ ~rW'.• . ~ " , / _ ~ ( ' / ~,,,~.1,/)/'ri.,~ _,~.-r~,"~~1. •~r7 i . 3 [ r, - o .sr ca~ss~_~...__ y' ~ ~OMO,ItQMS. 1..... I I.~ . ' t • ~ •~l--.t,.. c~ e.re •,s~ ro ! !b) L ,~.-"'a:-'"~ ~-Z~%e~-!l.t ~ (~~~-~~-Ti- i •r~l:u•t Uast •o~, 10. t. w) . fo.s!:::.-• r ~ _ sT.'~tie •~e u~ce~- f ' ' ? \1~tiG C~YS( I~ST ~ _ L`:~: fC} PART TMS~ ~:G~t!'iUNt CO~iO~?!O~S: Cv~9'•:=.s :C`"~q7•.,,L'O :f~~s. ~ ^ wC• ~t:~••~ •n C~cs! G~rlr v r~~T . :o' A'v:v?SY : i? rcce •~v" _ ~~f t f / . ? . - . ...lS Ot -.O• i C~ ~t!~ :t•t:.r~~ : ~f eJ ti ~~L 'i~'.~!~ l ~-"v~f~rL'L 'A. 1~rohS'~: ~LL'D£Yi. A~ Lt~E 02 :OAic 1~::UiY ....0~ . o•'. •t.~ ~ CU? ~ - ' !fv.:CY-: C2 :7~7'_';:.M~\_D - !!OW IYiutY OCC:1..~FD et~'tr.u•;;+! ^ , ~ r•r- _ ~ . . . ~ iSxc ~ . ~ ~1L~ ~:h M. :7t iNlitav ~i wOe[ ~r.~CE O~ !vjJRV.. ~.O~rl. T'~ft~~ ~KT?~~~ . LOCA.i v ~ snee- oe ~.•.o. .o.. an ~ ~ SH:~n ~{S ^t ~OI ~1C+'K! ~J:..!'C. 11~K:l~ t Ot TOwv. S'~'! ` ` }!t I vN ~ 2 s~ I Cf;t~~tUT:pv- wr.~~ c.. .e.. ~ ._v . ^ ~...s• y. . u~t o. ~ a~ro•o ~n• ~.e.. c:w*v O:eucaea w' . . j r~•s:C..,: .C . ..r..•,. ~o.... .u• ~eo• ..n~ o:.~... . c.-e, ~ . .Re..oto r..e ~ 7 y V ' ~ ~ .t~ ~:ce.se^ r.o~'~ ~ ~ i Z :'S ~ ..7 1 :1ic ~ 7~ ~ :~r}t'~ ~ : '-~`w~ •e e._fe z ~~rT:°~U'FCV-N,~~JKAi EIlAM:N'_R O~ CCRJ+Ieq. ~j. • . .~~.s C•'- ^ca o• ^ e[cra[.e rA5 ~tOrO'T.CU DHD ' ~ ~"~*q~na+~~ la~~~v~•,Ov G~ ^~t ~Op~ ~vn!O~ •n! rw(S'._ ~..^.i . ~.~~ti•Jti, . ~~!r O~• -a CC~•+ O~CVHtD C'~ 'M[ p~R ~rp D:t '3 C~ VSF S• ! A'!^ ~ _ M. ~ t:f. l~".i.:_0_!~'tM[ •~.r! Cf If~vt. ~ l:i~ , . r= . CK.r!• (.y'r:! CA'E $'~\_D • i ~ :1.~ Jo~~ ~??^@~'rri~ 'r_ L~3 ~ "1 ~ : ^ ` V.A1.T~ A~CFiSC-Cf/r;s;c~ ~•:.t_:;. ~ C~ • •Orw Sr~-; : ~ ~l^~(..4~3~v.~fv ~~.+'.`~~i / 'I•~~v w~•1•~~"1 T,~~ 1~^~JY ' - . v. ~ J 3;;~UL C?`_vl1Ti4N. ~`MOVAi 'Cbet7E?Y CP C~cv,AT^:.V-• 1:yE ?:OCATION e~r. ~ ~ s'.•e ~ ;*ee i ..U; i 1 - T't. Pierce r'or_~~ . , _;._Mo-ra? -J,~~a1 1-c- s - :'e~... _s . DAic~ ~.r_~+•w. t~~i '::tiR~ H: Orrv, 3•wrl, i~?' ~ ML- %v` Iti~ S'Illi •~~.0. YC., CA~ O~ i ~'~=y 10? 1°72 ~:1I~~ ^,~i_.~T.L~W ~?O~fE,Q01. \ 7th St.,F~.~iercn,F`1 :.3?.= ~R?~ :~iE~a ^'"L.,~ r;``.. : ~ . : - :..a- ' / r'_ _ -r ~ : ~e:';:.,. _ Fe•.. _9' , / i., i.; ~ _ ` ~ 1 .~~._/%''i: e~J C/ ~~':'"f~/I~• t%ri~ ~ ~ ••I ~I:.+:Ct3j7 CC~ti°?~ ''i:? ^ ~0~.'C t0 ~C .3 ~`,ZL;@ ~1Z:G~ C02X@C t`. CO:?Y ~ of ~ne Local 2e~~ c~rur• ~~-,~~~d i ~~c ~n tye Indi~n i ~ :?iver County Healt;: at ~,'~-o Beach, F~.orida." ~s i ~ . ~ pA M., ~ T:21$_];S ~o~ L- r ~ 13SC1~. ~lAZ1CZ UI:__S¢ ;1.~ ru~Cn ^n-~ < • ~pm r ~ C ~..I O~ ~ ~e TZ1G:~gT2 op7sr'ew ?iveX-~onrit;}l~-Iea1th ~e~~_r.--^n~ s a°_°ixed. •c. ~„~~r,o f _ ' ~ ~n~~2 ~ ~ - ~ , s'~ : . ~ 1j~.~ ~ ~ ~ ~G~Gv ~ ~ . . _ . ' w a ~ se~s . , ~.J ~ 7D ! c J~ ~ ~ ~ ` ~ oN~ ~ . Covn ~y z"~a? tn Dwr. Local R~ * c'~ ~ 5zs . xa:r = ~s ~ ~ ~ Y ~ ~ /~J ~~~1.~ ~ ~ ` N ~ r+-. .Y - ~ , - ~ C ~ v ~ ~ ~ . _ _ ~ ~RCAOFIL~( ~[0 ~ ~ ~ Legibility of writing, typing . Q R ~ ~ or printing unsatigfactorv in a00K2~~ PAGE ; ~ thi4 document ~or microfilming. _ ~ - ~ .