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HomeMy WebLinkAbout1250 - ~ ~ -f 2381'75 CERTIFtCATE OF DEATH ~epr~t~cwt o( I kaI1L and Rc6aLiliu~ive Jenices g y O R I D A QTAtE FIL[ NO• a~wuti or e~r:,~~.ne • fY?E, Ot ftINT IN ~~~~~~~TM° REGI6TRAR•S NO. 1~? ~(RMANiIYT IHK I$EX OATE Of OEAM ~•owtw, ~~r, ~ SEE IIY~WO[ i0l r~nt reat aur "s'~'~ Joe Hi22 'rlatsan r 2•:~le , A ril 12 1qj0 tACE wrn. wtwo. ~~KU~ ~w~yw, wGE-wt w.ot~ ~ r.u u..~t~ ~ w~ DwtE OF ~~tM ~.o..r«. we. COUNTY Of OEwM iu. ~ sncu~ ~ N~iwO~~ IRA~11 ..oa. wn Mw~s ..r.. nu ~ 66~2 . I~o ?1i „ ~ k . Feb. 10 1896 St. Lt~cis Crt1f, TOwM. O! lOCwiWn Oi OEwTM w~w cm ir~n tWSMtwt OR OtMH M15TRUT~ON-N~urE ~u io~ ~h ~~u~a, a~+a srr~~ uo .~wu~ ~ s?~t~~+ ns M ~.O ~ , n rt. Pierce Yes rt. Piorce Piecao. fios ital STATE Of 4iM ~ r Mot ~ ~.s.•., w~..~ Gi1ZEN Of WMAT COWlTt1f wtAi¢cEO, NEYER M/t2RiEC. SUtYriMG S~OUSE ~ r.ne, on~ .uuoe.. wra ~ cowm ~ WDOWED WvOlC~D ~ ant~n ~ ~wu us~a~+ce ~ Ci'COY' a • u.S.t~?. 1>:.Y'k'1CQ ~i. r.eu wce•seo ~ u~eo. u a.n. SO~U? SFCUibTr Mw~Et USUwI OCN~wTqro ~w.e a.+o w.wa eo..e owN.o wu a rcir~p pf WSwEU pt ~Npysriv OCCV!\!D Mi y~ ~+ou+~c y.w, ne. ~er,~w ~ ~Milnut+0~. GM 1t 1 TnQJ ~ Ib ~~1~$t~r 11? ~~YDeK! NqM tl •~"'~~Oi~ tESWE?+CE-Si~iE COUNiY CITY, iOMM, OR :OCwT1ON ws~ t:/~ u~~p SiREE1 AND NLLM~EI ~ vecu. ns w w ~ Florida ~y St. Lucie Ft. Pierce Yes i6o3 ~ve. H fATMEt-N~wf ~ust .~pp~ us+ MOTMEf-AIA1DfN NAMf ?rs~ ..poae usr ~s l~iike ivatsor. ~.~aa U:u~. ~WOIWM+7-ruMF w~wt~wG ADORESS ~anu~ o~ ~.r.~. ..o, t.n a w~.., s~.n. t~r~ ~~'atson i,n 1603 tive. H Ft. Pierce, Florida ?3450 ....o.... ~ ? ?~ltT L OEATN WAS UUSED ~Y: ;fw7ER OrttY ONE UUSE /ER lwE f0t (aL !al ~O (cp ~er.u. OwHi ~w0 O/~Tw u ~.rw.n uuse ~ , ~ ~ i r i. ~O~ ~~.s ~ ',L ~ " v j i ~ i , ~s ~ MLO11~N[! O~. ` ~o~o,,.o...,..~..4 , rw~cw ~ate ~~st ro (ei .'_~~~~t.'..~_~~/, ! , I ~r.ioi.n t~~se w~. an ~o. w ti ~ CW.StGNKt O~. . ft~ilU1G ~M! YMY~b I~IMG C~YM ll~~ ~ . ~ . ~ ~i ' ! r -i"i / '.1 ~ ?wRt p OtME~ S~Gt~MK~wT CONMT~paS: cw~auo..s co.nu(w...c ro ce.n. woy~..no .o uux o~n.. w rur ~ a~ 1f ~ES .~e•r ~•..o~wcs co«- ~.ta w w~ ~ wwuo urea.~..~~c c.uu ~ ' M 01~7M • 11~ ~ MJMKiDE,. Ol IINOfTEtMwfD OAiE W1WY ~.oa~w. w~, qui ~MOUR MOW IN1U~• OCCURRED ~ wtp wnr~t p~..w~• u. ~.n ~ w nn u, ntr ~ tswc.M io" x~ I~ M tr i INA!!r AT WORK ?UCE Of Wllk1l.+.o+e. ~•a+. srn~T, ..n~.,. lOCwtlph ~smn w~.~.e. »o.. cm o~ ro~~, s+.n ~ ~s?eanqsw.a~ OMKIMOG..~K. ~S?lCM~1 t0~ !M NL i CERTtfKwT~Ow- +a.*w w~ rw ~ .o..w o.. .w ,...o usr sa..~..iot~ um a+ ~ ao/ow w0~ .uti nN OE~TM OCCU~ItD n.~ r.•ce. a. w ~ /N7SICIAN: rWM wr ~eu ~co~ ..n~ ei.n,. ,,.o,,., o.u. •.~o :o n.~ ~ts. ~ ~.ne..oie r.~~ T~ ~ ~ Q 8%~S~ o. .r a.o.~.eou. we 71• wce.uo nor 6 / '1A .7~c I~ - 7 Q tl~ d.d i4 µ f0 Mf CVSlU13r~rtp ~ Cf¢71fKJ~T~ON-,wFDtUI E7IwMwE! OR COROr+ER. o~ 1nF 41~~ O' Twl .p„~ o. w.,.. r.i oeuww~ ..a ~p.~ou~+ceo oe.o ~ ea~rw•iqr. q tM ~pO~ uW/p~ tIp wvlf~~G~.rUn. ~w rr p?wW-.. ' .O.~m pa• rt.a I a.~ , oe.rw occ~uw a. w.t wn .w wrt p n.t uvse,s~ ar.rro { ~OJ~ ~ E n. M~ tt~ r-- M CERT~f~ER-?~M~E ~me o~ .ewn ~ S~G+JwTURE ; C_ ~ w~ne e. ~u~t ' OATE S~GtiEO o••, raui ,f 's•1. S. ~'u~:~er , '~,n, ~rn . '-=~~i i ~v ` ' :I! l:~`~fRlYtft sn~e~ o. e.~ o No:. un w w~-~~ ~.R n. ~ k ~1'1~• ti i Ll{ .;v,~A i ~i"" / L~~ ~~l n ~~`_'?C~<x ~~~'7L E ~lWA1. QEMiti~pN. ~EMpYAI CfMEtE~1f OR CitEMATOir-1vAMF LOU c~i. o. +o.» s*.re ~ 0 ~ S?fCN~ ~ 5 ~ jq ~13I'1?..1 2u ?1"'.i, ls:.J~~ ~(~"_-.~yi.@ 2N ,r't• plz~'CC n..-r7~ S, 3 . OwTE ~..o.aw, w~, .eu ~ FUNER~i NOtitE-nM~f ,w0 ~DDaFiS ~ snuT o~ ~.~.o. wo., an o~ row», u~n, av ~ v~^ f ~ :u Z :~i ir>'~d ts. S~O^~ ~'„n ~ ~ ~ vs - ..n =`1 t'- '~^!i.4(1 s Y. S. f612 ~ i yDIRECT -51GN~TU „[EG11T[ -SlG.V~iUif OwfE ffCE~vfD Lt tOU~ tEGtSiU~ ~ ~ Rav. 1y70 ~ ~ ~2, ~w AnriZ 1~ ? 9?~ ~ ~ h~roby c~tity thi~ to bo e frue snd oorract copy a` l~.a lanl ' ReOistrars rewrd on fife in ths St. lucb Counry HesY,h D,c~cri~ ' mont at Fort Pierce. Florid~. ~ j (Warning; Not valid unleu roised seal of tha St. LucJo • ; County Heelth Depanmant is affix~.) - • ~~J ; • . ~ - : N. D. MIILER, AA. 0. Y r ~ ' County Health Officor E~ Loca! Rcyistrar - . . - ~ { t ' ~ , , ' , ' . ~ , . ~ Dats ' DopufY Lout Re9' . p ~C RE~C,~R~ * ~ ~ ~ ~ ~ - ` ~1.ljIC1E COd . • ; r/ ?f : : I d ~ •7 ~ ROCE~ POttRAS /l_<m , ' . . - : . - CIfRK C:i GvIT CONRT ~ ~ • ~ ~ `~ti~ ~ ' RECOR~YE~~~~f0~--- i 1 ~ . ~i~ • ~ "'~~•~r/.:!t'"e: i a~~~`~. ~~.1 ~:,tl 1.z~ ~ le 2 02 P~1'ZZ . ' 23f31'75 - _ 5~. ~ ~