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HomeMy WebLinkAbout1678 - ~ 2361'79 ST-19, 331 _ ~ CERTIFtCATE OF DEATH Dep~A~e~! s~ i krl/l~ ud ReLaL7lilative $enice~ RAT[ FIL[ NO. 31Z ~~~~~~?L711 FLORIDA TY~f. Ot ?dNi IN ptGItT11AP'! NO. RlMAM[M? INK ~~p~Nµ~ rus~ rwae us~ SfE ILLlIYIOOt F0~ SEl[ OAiE Of OEwi1i ~ roNrw, u?, tea~ ~ ¦sn~~o+s , Robert Carroll West , Male , July 9, 1970 GCE .wn. www. u.encu~ u.w~... AGE-uir w+ee~ ~ rr•a wwa ~ w~ DAtf Of 4!M ~ra+e~. wr, COUN1: Of OEAM !K. ~WCrr~lt@ M•65 ~re~s~ ..os. e.n wws ~OV 1 1~4 .~dll'1't ~.UC1@ 6V02 ~ f~ A A • 1 1~ diY, TOWN. Ol IOCwT10N Of OEAM ~.s~w cm ~rm MOSMiAI q OMfR HSTIfUT - ~r Ma ~w tmr~. ane s+r~~ ue Mwe~ ~ ~ ~ Ft. Pierce r~ Ft. Pierce Memoriai Hospital ~ SUTE Oi WM ~ r ro~ w ~.s.•., .ure d1UEN Of ww?T CONtrrilf w~lRtEO, NEVE! MAlR~EO. SlltriVMG SPOUSE ~r awe raee.. .w~e ~ ~„,u,,,~,~~ , Kentucky ~ USA „~!'a"'E~'ri°Ne'i~°i"""' Margaret Whipple +r+.ta eecr.s~e u.ee r w•w~ SOCUt SECW~iY NlMtifR USU~t OCCWAliOw ~ u.e ~.w o+ raa naw a~r+a wa a ¢ND Of MISNESS O~ wDYSTtY occwns « ~+o~a.+c ~u~, mr N a~N~ 1 ;;f,;;~~ k~ „ 221 07-4923 „ Executive ~,.Snuff Manufacturing •or.as~a.. ~ESIDENCE-STAfE COUNi~ UiY. iOWH. Ot lOGiION wsN c~e u.ws STlEET AHG NUM~Et L-~'~ ,~_Florida ,»Saint Luci Ft . Pie rce ;N ~es ,M2108 Golfview Ct. fATf~R-HAME ~~pt ~ .upp~t W~ MOTf1Et-A{AqEN NAME ~~qt rOYi~ yyi „ Robert C. West Clyde Carroll ~ ~wORNbwT-ratME ~u?xaXL wDGRfSS ~s..~n w~...~. w., ce. w w.n.. s~•n, tr~ ~ ,,,Mrs Robert C. West 2108 Golfview Ct. Rt. Pierce Fla fAti 1. pEqiM WAS CJ?USfO LY: jErliFR ONi~ ONE UUSE IEf ~NE fOt NL AL w?O (~Jj ~m.eep~aw~ a.n. ~ N rrewre uu~ _ / IQ! / ~!F' ? . • • i Y ! . co~smors, u ..n. ~K ~ ~ ' rw~~w G~~e ns! q I ~rrlm~l! C~VS! ly. ~o,,,,,~„~. n: s~~1~N0 rw! YMOlb \~~MO C~YN ~~ll ' ~c) ?ARi M. OiHER SIGNYICANT CpdMT10NS: co.~anor.s cowt~»u~u.p q oewm Wt ~.p~ nuns ro urbe aMM w.u~ ~ w~ ~~r 1i rES ~ee~ r~ww«as co..- IRf O~ MO~ Ya~tO ~w N~f~r~w~Mp (~.yY W O~~tM ~ Ib f ip y,~pn~1~! ACCIDEM. SUKIOf Ol DA N1lIRY ~ np+r~. Mt, ~e~~ ~ IIOIR ~ NQW INIIltY OCCUltED w~M! q~ww„ ~r~ ~ut ~ M~ut n, rtlr 1 ~qW~pOf; Ot 11~OE1EWWFD ~ M lM !M M 7M IN11M~ Ai ~MO~R rIACE Oi MUIMr wo+~. r•~., sutn, r~nan, IOCATION ~ fnte/ M~i.r.~. wo.. cm W~o.w. ft~w ~ IsMC~Ir rrf O~ MO~ ONKR MCG.,tK. ~fM[Mtr~ 7~ ~ ~ CElttflUTqN- .wew w• au ~ ..o..~ o.r nu W Mlt L~ w~/Mt~ Y~Y! OM ~ ao/ei~,a~~ w~r w MwM OtCUU[a .r ar ~..cr. o. e.r /w~SK~u~: TO +w.~w M~ ~!u MO~ oe~w. ~wpy~~ o~q. uo. b M! ~esf ~ ~RIwOlO M! q [MD~VOG. Oul I4 wa.s~e ~w~ Z 7 tU q ~ Jl. ~ ' Q!1~ !N 2:~~ w w.e c.u+~~a~ s~•*ts. CE~TIifG7qN-MED~CwI ExAM1MER Of CORONfR. p+ n.e us~a nie wov~ d oc.w n~e M~t M~+s rWuOw~cw eew lYrw~Ww W Mf qOt ~rO/q iM +nflhWip~. w~~ O~M~O.~. rOM1M N< wOw T a.nr occw~w o» Me wn we q iwe c.vst.si s~.wo 1T~ At 77? M . CER7~f~Ee-~uME ~+~t w?~w.n ~ S~G~+ IL~E ~ oeue~ p r~n ( DwTE ~.o..n.. e.•w ~ ~ ! n~ -C? L ' ~l/.f r,. µu~, u-~~ rti srni~ o~ a.~.e ..o cm a w.~ w r~r o r - :O WRiwl. QEuu?fqN. ~Mpvnt Ew~ETE1Y O2 Uf~u?tO~r_.N~wE IOC~T~ON c~n p~.., u.~e ~ Sracw~ ~ ~ =~w~~io.^. F±. P~e-~e Cr~~~±ory ~ Ft. Pie!-ce Floric~a O~TE ~..o.nw, w~, n.~ ~ fuNEi~l MW.~E-rtu~E aND wDDtESS ~ stun w u.~. ..o.. cw. w ro~.w. sun. [w ~ Jul 1.4, I970 ,,.Yates Funeral Hone PO Box 777 Ft pierce Fla. 33450 Y• S. Ib Z2 j ~ REG1S -SiGA/Ail1~ O~1! tECl~vW it IOG~I tEG13tW a R~r. 1970 ~ '!~j L~ . • 7w JUl. 17 } e + hGfO~/ Obftl{y/ ltt~i ~ID bR • ~TtM afld Q7fT~.'T OOp~/ Cif }~i0 ~Od~ y. . . Reqistr~rs record on file in ths St. Luci~ Gouny Hoattt~ paper~ ~ rtfsr~t ~t Pori Pierce, Flotida. „ (W~min~: Not vaHd unleu raised seal of the St. Lucie Counly Health Dtpanmcnt is affixed.) - ' i f~i~~~.~ ~ , . . } N. D. MIItER, M. D. - ,o- 3 ~ County kealth Offiar ~ t,oq! itop;stru FILEO ~ND R~ ~ s~. «?c~t cou~r°r ~u ' _ • . ROCER POITRAS • . CIERK C~:t~UIT COUI~T ' Deputy LoCal RoQistrar RFCO~C YE~~FtEp ' ~ 15 12 os PH'11 ~ . ~ . ~ a a ~5 PacF16~1B ` - ` BOJK - ~ ; ~ . ~ . : - ~ - ~ ._~..~..s~