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HomeMy WebLinkAbout2351 . 2345~6 ~ . - - - ^ ~ x , CERTIFICATE OF DEATH drp~rl~ewf ~ I~ea11L ~wd R~alwlila~ire h~iats f7ATE f1LC HO. , ~n^~ F L O R I D A REGISTRAN•S r+o. 375 ~ i~iE, OR ?tlHi IH °1~'~~'~Q'TO"~ . ?[RMAN[M WK ~A~_NAMf ~ws~ nrwt i~s~ ~I{ OAiE Oi OEAM ~ ~OM1M~ ~~t~ q•u • . SEF ~WOt fOt : rnn~crars ~ Ph~no•:~ Ro~ch :~iills ,~~e.n~.le ~ J:aly 22, 19'72 { R~CE .r.wn, M~aw. ~~•eac•» ».e~.~. wGE-us, w.oe~ ~ n.~ wwe~ ~ o.~ OwTE Oi NtM ~.a.n.. w.. C01M+t~l Of DEAiN 6602 ~K. ~ intr~ ~ w~nq.~ ~~t~ia~ .Oa. Yq wOr~s .w ~tu r . ~ ~~~~tc k , J<~a. 23, l~-;3] 51; . Lucie CIt1. T01RM. O! IOCAT1pN Of DfATM ~+f~W C~~? irwf fqsry(A~ ptOtlqt NSpTUT10N-HM~[ ~r rd ~u e~*w~. a.vt s~M1~ ~e wWe~ ~ ~ ~ S?KYf 1~S O~ MO ~ ct. Pierce i'cs DOA Ft. Picr~c~ :~:e+~c~r~al IIospital ~ SiATE Oi WTf ir wot w r.s C114EN Of Vvf1Ai COUNri11 MARt1E0, NEVER MAtl1ED. SUtVIVMG SlOUSF ~e. 6M r~elM Wr1 ~ ' cow~n. WIDO~MEO. W VOlCEO ~ frecrr ~ Wwuasa~+ct l j'101'1C~d ~ ~tC~'~ N. .:arr.iec' ~~I ii:~7i~~~?.S U• ~~i111S ~ . ~~~is. ~w ot~w SOCW SECUM1f Wr~iE2 ~ USUwI OCNM110N ~u.e iw w~a oa.i ew..o ..ov o~ 1C~q OF WSRIESS O~ YOlR7~Y OCCW~lC M lrt. Mti A ~fh~a 1 ~..snmqw, ' - r..~ j ttfle~rclN~OS 1! ?+~1'[t~~~7£` Ib S~lles ?4CjiC7 •0i1~ti'o'~• RESlOEHCE-S~AiE CWNtIf CITY, TOWN. OR IOCAiION ~sw cw~ irns SIREET ANO HUM~E! ' ~ anc..• •es a .a ~ ~«Floridz „r~t. 1_ucie :=t. Pierce `•'e~ 1?12 So 13th St. ~ fwTNft-NM~E ~,n~ rmo~~ ust MOMEt-MA~DEN NM~E ~rs~ rwx[ wr ~ , ,s ::altcr P.oach Ruth Gandy f ~?+?ORAw+i-w~ulE ~ulwG ~DGRESS ~s~n~~ w~~e ..o. cm w w~... s~.n. ir~ Thomas 4. `•~i 1) s ~n1212 So 13t1: St t. I'i~rce, F1a.33450 r r~uT OEw1N w~S C~u5E0 ~r: (EMtft pv[r ONE Uust ~[r eNf toe (ot ~'~L ~D Nnne+r o,ner..~ ~e.a i~ ~s..a uu~ / : te~ '/itC~:L2L~ t. /t,i~-:1t-~ ~-~2~l.~it2~~K.c-:-t~_ :i ~t,i-ci~t flrr?G~C s ~ • • rne eo: _ • 7 co..auo..s. n ..n. L~ ~ t-'~ !~'4' ~t.,iL~l ~ : Ct.s'i~~c' ~Gt~/~^ .w,cw e..e n,e w~ (.l ~.t-.L:IC-q~(„y!j~i f'??~t~.fl. ~ , L. Ia~rfH~f! [~V3~ 101. ~y~ f0. Of ~f a Cd+SlOVtKt p: ~ " ~ ~ fI~~1M0 tM! YMOI~- / ~ ~7 - anw0 C~Yf! ~~1~ ~ ~J~ `l,~~ L~i ~.[t~'(~ `~A„~~ '~~',~~C?-:.[_ + ~ ?At1 OTNfR SIGN1iKANT CdiMTlOraS: ca.ano-n co-awrn.w q oa.n. ~w .ro~ nurto ro uvs~ c.+~.. ~ a~ ~wUTOKY IF 1rES .en ~~..s~wos cow ~ na p w~ s~Nne ~r «te~.~....w ursa p Ot~~M ~V.!a~1~~ 'IA YQ S IN ' ~GOf. OR VOEtE~WED« Owi~~-INIIMr ~ ra.Tw. o.r, .e.~ ~ ?+o~y~p rcx ~W ~?'~lU~? OCCU~RED ~ fMR~ w~~VY W IMNt~ 1N ~~~t ~ O~ IYI H, W!~ 1~ 1 ~ ~°M Suicide ,u .iuly 22, 19'i2 ,~,1:25t'M Sel-'-~rflected Gun shot ~ INJUR/ AT WOtR IIACE Of rrlUtY •r .aw. fr+rn. ~~eron, lOCwndv ~ sr~en w~ ~ e..o . e~n o~ ro~.., s~.n ~ ~ u~un na w~.o. o...a rse . t~t ~ vee~n ~ ; o t~one r~ 1212 So 13 t1-. S± . :'t . P~ ~~ce i~ lorida i ~E~t~f~twt~Or~- .a~w wr .w ..ww. wr sw ue u~s~ s.. w..iK~ um a. ~ asiae w~ .w wy oewn~ Oceuerto .r ~n n~ce. w wr IMtSKtU1; TO . rd~M pa~ ~/a~ pps asR~ M~~M. ~~py~~ D M4. ~M. fD M~ YA .•n~.~we rwe ~:~f J~ d.~ ew.ruou, eue ti~ oeu~uo .~o.. ~V~T` ~rN fl~ N@Ve=' t~~ }/QS n~ c w~ ~o e.e tw~ai sune. . CE~Ti~G?tlpH-r~EWCwt EYwMM~Et OR CO~lO?tEt. o-. .w ~.s.s a nr wpw w a.~w rw~ sKea.n .•a rw.w.~as w•o fIYFaA01~ d N4 ~OOt ~NC/O~ M IrN/}T4~TpM. w~n p~1q~~. ~OMIM p~t ~7f~~ Mpy~ N ~lM OCCYtlla O~ M C?R ~MO OY! q N~f C~vSt~11 St~1lO t'~ T'1~ 1 . 1: 2 jFj M~mJ u 1 j~ G L 1> / 2 1• 4 C P• . r- i ~ CERiY1ER-NAME ~1+M W nwr~ SKrPfAAKE - ~ oeeaee o~ nn Dw D~.o»r. wr, n~~ • Ca7.ixto Ii:ir,ue ~ .•~.C. ~ .~t~l~.~~cf:; ~ti_._ .~j - ~ _ ,ri ~s -!9~ ~ ~IWG ADOlESS-CFRhlrtf ry~ry s\ n w~.. o. ..o. ci ~ , 7th St I't •ier c lor~ a ~4 O •U~1A?. CREMAiqH. ~fMOVAI UrEiE~1t O~ C~Ewv110~Y-N~w~F tOC~T10N un o~ ~ow.. st•rt . 1 fMtin r ; ;~urial ,N::illcrest `~ie:,.. Gards. Ft. :'ierce rlorida OATE ~.~.ww. w~, .eu ~ fU~+f! nOMf-ivy~tF ~ND MO+~SS ~ ar~en ~ r~. r.o, o~ ~o..., s~ ~ Ju?y G'r, i~~I2 i~`ates ~~uneras Ilorie ~nc. i~~ s;o~. y'7`~ : t. Pierc~, T'la. v. s. e6 ~2 fWE - ~E -SiGr~~tU+E ~a o~•26 1972 Rtr.19T0 ~ y ~ ffAf'~/ OOftifil fflls 10 iTW ~11d COffOft ODQ~/ pf 1~ ~OC~~ aeo~.r: ~oo~d o~ fia ~t,. sr. t,~r. co„my t~.t~ o.s,en. - ernnf at FoA Pisr+o~. Florld~. (Vllarnirp: Not valid unless ralsed ~~i of ths St. Lucl~ l~r~~ ~ Gounty Heelth Department ia affix~d.) f LEO AND ~l£COftOE~ ~ S~. L~t1oCCEAC~MRwS ~ , ' - N. D. MILLER, M. D. CtERK C~+:CU1T CQ1lR1 : ; Counr~ Off'~ d~ Loot RpWr~ECORO ~EF•FtEO...~..~-= - ~ I , 1 06 PM!'~Z - • ; ~m? ~ r~~ - t ; , - . ; ~ • ; ~ ~ 4 , ° ~ 204 ' - s0ox ?;6i J~ . - ~ ~ ~ ~ : t - ~ ~ ~.~w~