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HomeMy WebLinkAbout0372 f ! - - - • - - - ~ ~ ~ _ ~c 35240 ~ CERTIFICATE OF DEATH Ikp.r~.K.~ .1 14.te6 ..d R~Iwfala.~i.~ ~..i.r. !1'AT[ Fi~~ wo. ~ • iN~tauv ~~r ~n.~~ ~u F L O R I D A T11i, Ot ?tlNT IN REGI6TAAR's Ho. 381 ?t~MAN~NT IMK ~~EASfQ-?LWE . ru3t .p~! ~~st DAiC d OEA7M ~ YOM/M. ~~1~ t~~~ ~ ~ fEE ~410100[ iN , 4SCAR R. HUBER ~,Male July 25 1972 i GCf ~rre. ~n4w. auteuaw +wa~M. wGf -usr w~~ ~~t~• uw~~ ~ 0~~ OATE OF NRTN ~ w...~, e... to~x+n or ocwrn 60~2 ~1C. 1 WCr~ 1 4~tiO~r 1 r~~~s1 rOi Yy MOVN rM. ~ tu~ 1 ; . White 75 w ! .Oct.25 1896 St. Lucie Crt1f. TOWN. O~ IOCwT10N Of DEwM ..uoe t.n .r.n nOS?ITAI OR OiNEt wSirtUi~ON-?~uwE ~w .o~ u. enw~~. a.e a~r~~ ue w~.re~ ~ ~ Ft. Pierce ,,~Yes~~ Ft. Pierce Memorial Hospital ~ • SiwiE OF WTi ~ r no~ w v s~.. w~u CITIZEH pi WMAT COIIHTRII MAttlEO. NEVER MA[~IEO. SURVIYNf. S1~OUSf ~ r~w. ow~ aupw wy ~ ~ ~ Tllinois , USA ~„10~a'rr~"~Oi`e`Ec~"""" „ Hulda Wittwer r.~a sece•ses ~[w0 OF W5INESS Ot wO1KTR~ ~~~eo w e~.w. 3fCUbtr ?~WE~ USU~t OCCU?wiqn ic..e awe a rwa eo..e o,,.wc .os. a xcwao r~ .on.+o ~w. n~. u un~w ~ ~~sT.,,,~b-•~~. „343-28-9408 „ Dealer Farm Im lements .~s~a~c~ K.a. •wrifw... ~ESWENCE-SIAiE COUNTY dTY, TOvVN. OR IOCATiOn . wa~w t~n ~rwf Si~EEi ANO NL'M~ff ' ~ tlltC~It ttf M MOI , ,N Florida ,y St.Lucie ~,4 ~'t.Pierce Yes- ,,~2710 Atlandtic Ave. . ~ fAT11El~NAMF ~~pt r~ppt ust ~MOTe1Et-MA/DEIYH4AA( ~rfr . ~Wp! Wf u „ John Huber Caroline Zimmerman ~ • I~MOtM.~NJ-we'wE ~MwMWG wDGRESS ~smn w~ ~ e~o . cm w ro~.., ~~.n. tr~ ~ ~ry Hulda Auber ~,n2710 Atlantic Ave.,Ft.Pierce,Fla. 33450 • OE~TH w~ GuSEO ~r (fNiE! ONIY ONf CAUSf ?fR lwE FOf (el. Ibp AHO fc„ atr~irtt~4orset ~w N~tr . r~DuR C~uf! ~ ~ ~tV~ ,w~- ~1 0~-,-~'..~,. M c p ~ r - . . • sea.~ e . .{1~ ~ GOwO~t~0~+1. ~~n, ~L~.~ 1 IIX~ ]c~~ /W VM~CM O~I[ ~~ff ~p i Y ~ \ i ~r.ea•n uus~ ~m, sr~aro ~.e v.~e~- I ~ `o. a .s . co«xaw..c~ a - - _ ~ v...s c.uu ufr - Cu-LC.~r~,~ ~ ~4~ .~.,r~ i ti T-?u~y+Za-••~~ ~ 3 ; y~ ~wtt r O7ME~ SIG?~YICANi CO?d01i1pN5~ ca.ano..s co.~n~~n...e q pe.~w ~u~ wo~ uuno ro uuu c~.e+ ~~o~ -7w11T0?SY ~F rE5 //MIIMO~ CON• • ~ ~~~~1 ~O~ LN~lO ~M N/l~r1wW 4V{! M Ol~~M ilh ih ~ I?.~bey~1 wCCWENi. SU ~pF Qt A W ~.p~a.w. y~, tt~~~ NOU! ~ NOMKWE; Ol lJMftEWWEO ~ I ~ NOW IN/Uf~ OCNRREO wrytl O, ~writi n~l ~ q?~n n, a~r ~ ~ 7M . 7k. M i YJl IIW,t1 AT WORK ruCE Oi ~+xAr ..o,.~. s.re., ~.ao.,, ~ IOCwT1pN ~ snen w~ r e. .ro.. uf. o~ wrw, s+~q ~ ! IlMt~n M MO~ OMKe MpG.fK. ~f?lC~n~ : 7t~ 7M 12y i ~ Cfli~KwT~Oa- .wr¦ w. , +a+w w. ~w us~ s... ....n.~~ ~.rv~ w aoiao wr .K~. Irf OE4TN OCCYRtEO •r wi iu.u, o~ we ' ~Mr3K~~r~: TO C j ..o..rw w. nu ~~oo...n~ a.,w ~ww~ ~.n. ue. io s~e ~esr i ~ •rn~we ~~e 6-2I~72 7~ZJ~72 + 7~25~72 ~d ~ p r~ cp~10Gl. We ~ fl~ oeu.s~o r~w (~i~ {tk !i~ : 4~JP w~ eo w.e uws~~s~ suns j CE~TYKATqM-+rEpiCAt Fi.wwER O~ CO[p+E~: o.+ nn ~.s~s w n.e .~r~ o~ w.m i~we oec~w... ~.s .w..an.ns w.o ~l~YMl~lbl O~ ~M WO~ AMO/O~ IM MlSII~i~~~OM. Ma O~M~O~. 1 ~OM1M W1 t~~~ ~ w.w. «cwno w r~ wn .»e oYe w..e uvu~s~ s~.no- "Oi' 1 n, M~n, 7-25-72 ! - ~ CEli1f1ER-NAME mn w r~wri ~ SIGNAiU o / acn~ «~nnr ;DAiE U ~w~+w~, e~~,iw~ ~ - Hooshang Kadivar. M. D in. y ~rk 7-2(?-72 ~ ~MMwC'i wDORE55-Cf~T~fE11 sran o~ ~...e. w. c~n'w w:~ sr.n rN ~ !]i ~ ~ itK~Al. tIEMATION. lFMpYAI CFMETEtY p~ CREMATORY-HAMf LOCATION c~n d ~o... yt•t~ . ~fMCVr~ Removal-Burial Fairview Cemetery 1,., Freeport Illinois j OAiE ~.pww~. p~~. qu~ fut/ER/1~ MOME-NAME ,Wp AppREif ~ snev O~ ~ r.o »o . em w~o+r, sr.+e. ~ ~ JuZy 27 29 AIRD FU"7FRAL HOMF 901 nt 7 St Ft Pie c Fl _ Y. S. a612 .'?U~+ J~ T ~ REG~ -SK•rr.tWtf o~n nccnco iot~u uo~u~~a 1 a.,,, i 9~o ~ Jul 27 i ~ ~ i 1 henby prtify fhis to b~ • trw and corroct c~opy of ths L~oml i Replstrars rocord on fils in th~ St. luct• Coumy Heshh Ds~~ i m~nt ~t Fai Pieno~, fbrW~. ~ f~lEO A~tr KE~oR Eo ; (Waminp: Not valid unlsu raised ~al of the St. t.ud~ ST.lUC1E COUNtt County Hselfl~ D~epaAmer?t is aff+xed) ROGf~ ~~iTRAS ` CtERX C! :~u1t COUIIT j RECe~~ vF-.:~rF~ N. D MILLER, M. D. " .c~`~~` ~ Camty Hsalth Officw 3 Loa! Rpistrar ~G ~7 18 ~'~Z ~ ~ • • i . ~ D~qAY Loul Realstrar ' 1 ~ 23524p ~ ' ~ ~ ~ ~ d4~K ~05 PACf 372 ~ , ~ _ ~ ~ ~ ~ ~~~`yu..-~~ w. _ ~