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HomeMy WebLinkAbout1265 ~ ~i . ~ _ / - ~ _ 23~'78 ~ $ 6 i ~ i ~ i ~ ~ C~RTIFSCA i ~ OF DEATH ~ ~ Qep~rl~eN {Ie~~l~ u~ Re~.aWliuli~e $re~ite~ iTATt FILC NO, i ava~o.v~i~ruu FLORIDR 291 , ~ TYIi, OR IpNi IN REGILTRAR'S NO. ?LtMANtNt 1l1K ~p~N~ rws~ a•~+ Sfa OwTE Oi DfwTM ~row~r, a•~. nu~ ~ ~"~~cia~ ~ Moses ~z~yey ~~r:ale , Nay 24, 1972 ~ ~ fACE ~M. N~q. ~+M~w M~?r. wGf-ust uw~t~ ~ r~.~ .ti~~t ~ ~ OATE O~ WTM Y1. COIINi~ Oi OEAM ~ . ~K. ~ WC~1 WM~t ~tW~l .Of. • Mn ~O+~s ~ rr.. rt.~1 . 66Q2 ~ Ne~ro ~ ~ ,.~:ar, 1909 St I,u ie .~Oa IOCw qN Of OEwTM +r~ cm .~+.n nJSRi~t Os O:nFt raStQUTiOn- ~r .wr a. ~~sra. o.w u~e~~ ww~~ ~ . sHCrr •~s O~ .O • * Fort Pierce Yes 429 ~Tor~h 'l5th Street 3' STATE O~ WTN ~r «Or r~.t.a.. Of MfNAi COW~TIY aWR:E~. NErEi wuCnfO. SYtWYNG S~OYSE ~n .~n. ~w~ r.+t.. ww i ' ; a0wa~ ~ ~ V(~DOWE~. ONOR..'E5 ~ wc~+ ~ ~ . ~•~.....«K. . Florida U. S. A. ~•:arrie~ Katie Collins ••c••"• s'ocw sctua~r Mw~e usuu octw~Tara t4~1 ~M OI Wu 00ti! YMwO +Jff OI ! w~ a wswess oe uovsnr ~ „266-14-?662 ~ "°.~.~..~u~.~.~ ..,*~p-.a~• .n~ber ~,A Barber S:~op .~....o.. ~ ~ESqFNCE-SfAif C01M~Y GiY. iOYMN, Oi IOCATION t~ ~+~s SlitEi wND NYWf~ - . iL~trr ~{f q MO ~ Florida St. Lucie i4 ~~rt ?ierce YeS 429 N. 15~h St. i FAi/lf~-f{~F1( rNy r0~u usT Ma'~Sn(2-IwMD(N N~Mf lrst ryp! NW ' . ~ „ W. Z. 3ailey Josevhine Reed ; ; - ~ WOMM?+T-~+~ME ~~uaivG wDG~ES3 ~~.un u~.r.~...o.. cw+ cr ro~+~.. a•w. ar~ . ; Katie Baile f.~„ ~29 :~or~'r_ '15th S~reet Ft. Pierce Fla. ?A~T L OEA1M WAS C/WSED :FN'FR ON:1' O.tif UUSf ~ii L1t+E iOf • 1 wrO k .rrw~...a~~ .,.ie~w . 1~. ~ 1. JI ~tt'rUr OrMt ~M M~~M ~ q rrww ~ t•~ ~~'lllC~ O (3// . ~Z ~~1 ~/~,GC~1 : i co. ~uo.:. . w . f ` ~ ...c c..~ ~is~ w l~l (~/i l~..i~~. ` ~NN~ry C~w~ ~M. ~ M q. ~ a . :..t,.o i ~n¦s c.rw uu ~ . ~ ~ kl . /nlT OT1E~ SIGIi1fK T~C~f/~~1 7iONi cay~ a O.+wua. w x.*Z~,/:f o* ~r~ /~~~o *o c.~.~ //I_.~o. .w rur ~ w~ ANTpS~, V~'ES v~~t r..~~wps ca+- i ~I ~~{i ~I~C ` f'l /I~Li~M: / `Ii~~ / I1!?O~ W ~l~ ¦ ~Il~1w~w64WN . 1 IM IN ~ ' ~~y~~~K~ROt1LWr~rtY~ TOAY~(~ ~.a.,.. r•, .i.~ ~ i NOua nOW iNlb~~ OCCYLED ~~«a~ ~Nr wvn u. rur ~ p~ue .y ~p~ r~ r t { A~ ~ . . 7~. ~:G.. ~?a _ INAIRY AT WO~~C IIACf Of NJU~Y.~ •or. ~~r. sern, ~K~w~. ~?OCwT~ON ~ ~~~ut p~.r.~. ra.. Gn M W~, a.w ~ . 1 W4n ~~L p ~O~ Wti0 M~-.~K. ~YKw~ . ~ S 7~. IM. l3i~ - i ~ CEttYKwt~OM- +aww r~ •w .a.*. ~.,.o ..ar r~i r~ w~ w/o.syp w oe~tN OCtuutO wN n.a. w w ' ' IM~fK1~N: TO ~ ~O~-rw Mt nu ~OM YR~tde~4 ~Npy~~ Nry. W. W M uS~ • , ~ • M ~1 a~O~~10G~. OY~ n. u: a~ y~,,. ~ Z~~ ~ ~2 tb rt ro w.~ twse~s~ i..ne ~ • , CE~iiKwTiO~+-rED EIIww?aE~ Ot COtONE~: w n.e ?.H~ a .o.~. a.n. eetexw ~.s r.a~ou..e~~ ~w ~ ~ € ' ! ~ Ww~~~M M ~ q~t ~M~/O~ M M~'Ilh4~t~OM. Y~ ~1 O~/~q~. / / ~ ~OMM Mt ~~N MOY~ : • ~ -a f N~w O[CM~N b+ M M~ ~w1 M p M 41M1t1 fnN~. ~ 2 7h M : M ~ i~" f wwe w~~~u 'Dw F~' e. a..,•w~ ~ ~ CEtAR[R-NAMf ~~m M ?w+o ~ ~ Melvin Wol ~ ~n S ' ' ~ CEIr ~ s~.tn a,.~.o. c.n o. u.r r { • y 6~`~ort~`i 7th Street ; ! ~ we~?. QEµahon, +~F~rOViu ttn o~ cw~wtotr-r.u+t i~oGr ~ on o. w.. a~.n j ~ ~sncrr~ : g Pine Grove Ce::e ~erv;~.. Fort Pierce, Florida . ~ ' ; ~ . . ~ OA~ ~.o.w.. Yt. nu~ WNEL4 MO~+E-7.n+wf 4ND wJGtc ~ fue~. o~ ~.~.o .0.. Ufr ¦ t0~ r~, [ ~ ~Iay 28 i 972 Stone Bros 37'~ 7 ~'r. S ~reeti, p'ierce, FZa. 3345~ • ~ ~ . ~ Y. S. ~612 IY~+ P p- W~E ~ aFG+iT^ - SeW+.~7,;aF I owrE,Ojeureo as ~OW no~srw 1 ~ A~r.1970 tw "aY 31 'i : ~ I hersby osrtifjl this to b~ • trw and aoROCt oopy of fhe l+ocsl ' ; ; ' Re~im~rs neoord o~ fik tn tfi~ St. Lucl~ County HeiMh DepaM. ' ' msrtt at FoA Pkta. Fforfda. (N/aming: Not va~id unl~ss ralsed ssal of ths St. Luci~ . Counry H~alth D~putmsnt is affixed.) fIlEO ANO RECORCEp f N. D. MILLER, M. D. ST. IUCIE COUR~Y f1A. V~ ROCE~ POITRAS ~ CAun OffioK d~ Loai Rogist~~r CLERR CIRCUtT COUpt'~ 3 _ RECOR~ YER~F~EQ~.~,...,~ ` ; ~ ; ~/9~.~- , ~C ZT I 59 PM'71 ' I D~w~y Loc.t a.~rs+.a? . ~ 2a~a~~~8 ^ ` SOOK ~ ~6f ~GG,Oa) . ~ ' - - - " ~ P > _ - , .~~~"~".r.+'wm+.`~"E"'~..r~,~. - r - _ . f~ ~ ++Y'.~ir9s' .."'~.mcY_~~.~