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Home My WebLink About0263 . z3s1s8 y . ~ - - ~5 - ~ ~ sss ~ ~IUt~ n~?~~ 'vRU~ ~ Y" ST.~~~tE ~o.Wr~~~ ~ ~i1~t~ ~~ITt~$ + ~'lERK C. ;~~I7 COtlRT ~ RiCNN^ YE;'IFfF:?~,,,~,,,~,~, f. i, ~s 1! 11 AI# '7~ ~L~ ~ ~L - - - - - _ ~ . ~ - ~ t~i. ~TATL ~onwo or Mrw~TM CERTIFtCATE OF DEATH ~ ~ e~~~• a ~Ywu{= p? VITAL fTATItT1C~ *TAT[ FIL[ NO. ~ ,~s.~ FL08IDA •~~w SIRTM HO. RtGIR1~AR•f No. 139 ' ~ yN~~~1~ 1. ~V?Ct 0/ ~[A~II COD[ NO. 2. YWAL A[NKMC[IIM~I~rNM~ //.r,waw~ R~N~rWNiw:M) ~ •a~ert~~ a ST~TE ~~T~ • ~ •l~~ St. Lucie 66-025 Fl ' ' .i.~.. ~ ~~r= ~ un. To~r. w tncwTa~ c. ~s ?~att os asrn t. GTY. ~O~M.Ow IOC~TIOM r. K us~ocw[c j ! ~b~e• µSWE GT? IWRS~ MS~Ot CITr lwlTfl ~ E t~~~. F Pl res ~00 rts ~o ~ ~ ~ w~Yt O~ (//Nf N~M/~hl. f~e Wqf M4tMl 1. ST~E[T ~DO~[SS . : MpSMT~t M j i Ms*~T,~a~ Ft. Pierce Mem_ Hos . 605 Hernando ~ ) N~rc ~r s~.r ldiNtr L.rr t.ar~ ly~.n Dq Yeo ~ ' . ~i,~«r+•n CHARLES LOSKO ~T" March 3 1969 . i ~ . f[x ~ OOIOA OII ~AC[ 7 YAYI[0 p1 ~l[K~ MARAKO MT[ Oi WTI~ 1 lC[ /b /fM1 • Ur0[11 ~ 1W 11~OU N M~f. ~ i J~t Ml~fp) MrM. OM Mwn Mi~. . f i t a• M CaU noo.rco aw+~cco S@ t. 23 ~ 1894 74 f ~ ~l~l~l~ Y211~lOCCIN~Tpw(Q~M~i~~yN??IMt 10~ KMDO~MISrES1011YlOYST~t 11. N~iw~U (.9Y~r 12 dTR[~0~/wt~01~T~1i M~+ ~+~r~ ~ . t t? wrt N wrtr~~ dk. ew~ M•airdl ~ ~ Se~~-em lo ed A artments Czechoslavakia Nat. USA ! I 11a~Y l~k Il. l~Tw[R'S ~u?YE 1~. rOTME~'f ruW[x iuM( ~ •r ' ~ Unobt . Unobt . . j b ?i. SOCMI S(CWlit ~O I~b1~M • NCMATYR[ Af4tw ~ . 09-01-5368,~ ~ p~ ~ Ft. Pierce, Florida , ~ i ~ hw~r~I U. C4YK ~1 KATN IMfd ~d/ w~r t~wt rn IiwtM 10). ~d (c).J IwTUV~I K7M[C~ 1 ~ ~~f~tl~f ?~~TL0~1~M~~SCAYSEO~rv //y~ G/ ,~J !.V!-~~~/, OMSQAMOO4~TM wrcOUT[ CAYS[ lU ! ' • ~ ~ ! $ ~ ....s ri~. 'i V a~• e~r- ~ tlflt~N C~K\ y~.; pK TO (N ~ i ' f«~ ~ . ~~N i ~ • ! • 1 ~Mf t1Yt ~ ' Q ?~tl~tr~? ~t~fq/ I~r rdn- OOt 70 (d •tt~l• 1i 4W n~sr IW. O ?UIT 11. O~~f1 SK~tKJIrt OOr~Gt06 OOM~NIRIK 10 O41w RR M01 ~L41q TO M~swY O~fUY C~O~fiOw i~Mf11 ~?Yi ~(~7 . Rf S~YTOKr ~ ~ ?~~i• •f- f, I[Y01~rEp 3 ~:O b 0~ f ~ •r ••t•r• ~ 20.. ~ t~ asunc.arwwroccwao. (6.rs.~r..~Npi~?rbArilrArtlJyirr.~I.) ~ ~ , ••t~•s accwceT w~ua Nor~ua .t.~..~- W p ? O ' ~ ••r ~ 20[ TIM[ Of ~r... x.,n, a.. i... ~ . V Wu~r r O ~ A ~ Y = toI .uu~r occwuco ~or r.~cc or uuu~• a. t.. ~w r.ti.r r..r. 20/ aTr. row~. w aouTiow oou~n ST~T[ Yn1N[ AT O wt r~wt ~ lr~. /tlMr. mra. ykr MI~.. ac.) . . i- - ~O~K ~711011R ~ , :1. ! ~tanl~I tM /~ewNl /rom . fo _ •nd bst w~ Aim di•~ on ' . O~~fh oter?nd tl ~n m fA~ I~N ~f~t~d ~Dorr. ~nd fe tM Nat oI lno~rHlp. b~m fM uuNS ~bNI. ?il tt~~• 72~ NYMATY~t •(D?I~n~rtY41 ~ 72A •Od1[SS ' 11t.MTESK~[O y, ~ 6 c~~~l~N•• :.,~1. i , c~- ' G~`.-~? i~ ~ ~ ri~l cJti • •~stir~t~. ~~,K.~ur~f ~ p~rc Z]t N~MEO~UMCi[ArOACAEYAT~r t~,l ~oCAtq~ICSry.tw~.ans~ry) IBirr~ ? ~ Buria~""` 3-6-69 Ft. Pierce Cemete Ft. Pierce i r. ~ s~ ~ v w~cw t o~ s s~cw,ju~ ~~~Q~S N. 7~1 St 2S. arc Rtco. ~r wt~ ~w. if ST~A S SK7l~T c ~ ~...,•.s , ~~?t.Pierce Fla Maz~ch 4, 1969 a~~Xt.(~ . ~'/fl~------~- . ~ ~ 1 h~nby osrtHy tha te b~ a trw and aornet oopy af the Loal ~ ~ Repistnrs rooo~d a+ HI~ in tM St. Lucl~ County Heattfi O~part- I ~ m~nt ~t FoA Pieta~. Fiorid~. - _ ~ ~ (WWninp: Not valid unl~ss nlsed ieal of ths St. Lucl~ ~ CouMy Hselth D~spartment 4 ~ffbc~d.) - ~ ~ i N. D. MILLER, N1. D. ' Coun Hwhh OFfiar i Loa! i~~r . ~ • . : : ; ~ • ~ i ~ o~xrqr Loc.~ tteols+..? ~ ~ , . ` ~ , ~ ' ! ~ ~ ~ B~~K 205 PAGE 263 ~ ~ ~ . _ , ~ ~~~k - - _ ~ ~ - - ~ ~ _ ~~.s,~.~ _«~v..