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HomeMy WebLinkAbout1664 238461 ' ~ ~ _ . CERT1FiCATE OF DEATH ne(wlrent e~ ~~rr~lti and Rr~u~~i~il~ln~ ~c~cia'ra STATE FIL6 NO. IN~N Tu~~.-~it~ F L O A I D R REGI6TRAR'S NO- 43O iI?t, O~ ~~~NT IN ~EYMANtHT INK ,,,pp~ •.s~ ~~X DATE Oi OfwiH ~ ~on~w, o~~, ~u~ i ~F ~ OfCEwSED-~E WSiW((IOIIS , GEORGE J. KELLY t Male ~ August 23, 1972 RACE ~wn. ~~cw. .wnc.~ u+ouw, ~GE-~.u :~oe~ ~ rtu tu.a[~ ~ o~~ OATE Oi WiN ~r0~+*~, o~•. ~COWJiY OF OEATM nc ~ vuu.,~lt@ ~ °~r~o.. ~.e.~s~ wa wn .w~s •a¦ ~ ~ 6602 ' 73 ' ~k ' Se t.9,1898 St. Lucie CIi1l. TOwN. Ot IOCA1tOH Of OfATH •~~~ae c.n .u..n MOShTwI O4 OTNEQ INSTITUiION-NM~E ~u ..o~ l~rq~, 4.+! ftAft ~rp ~...N~ ~ . S?f rIf O~ MO „ Ft. Pierce ~~~tes Ft. Pierce Memorial Hospital STwTE Of WM ~ M MOi M Y.~ M~Y~ GT12fr+ Of wnwi COIM+TIY ~Wt2~ED, NEVER ~uRMED. SUWnwG S~OUSE ~¦~Mt, cnt ..oe. wre ~ cown. ~ WIDUwED. ~'VOYC ~ sncr• ~ - - , Ohio , USA ~iarrie~ Ruth Shoemaker ~.w[y oece•fto ~~~u ~~ubTM ~~R USIAI OCCU~ATiOP/ .w+~ a.ao u.o~• oor.e oWn+c ros* w KWD pi WSWESS OR wM/STtY u.eo. u a.e. ..wa.+c ~,N, ~•e. u wueo ~ ,~.~~*~_~..,~M Ohio Bell Tele hone Co. „ 271-07-0531 Employee (Retired) t p +eva~+ce aron - • ~ ~u~~~- IIES~DE~+CE-St~iE COUwir C1Tr, tOWN. W IOCATION ~'TM ~"m ~S1eEET w?+D ?+U++~Et ~ j~a?eu~. ns o~ .~o~i ,4 Florida ,y St.Lucie {,4 Ft. Pierce No. ~,~3500 St. Lucie Ave. ; ;n • y fATnER-N~E rus+ +.oae ~ wt i MOinE~-~uWFN NnME n~s~ ~~owe us~ . ~ Frank Kelly Lena Kraut - x ~s ~ IN/01WANt-NAMf jMA44`:. wD'dRESS ~a»t~~ o~ o w. cn. u~o~.., s~.~~. ivi 3345Q ° Ruth Keily ~„~3500 St. Lucie Ave., Ft. Pierce, Fla. : ~ ....o.,...~~ ~NT OEATM WAS UUSED tY ;EN7ft Or~iV O~+E UUSE IEf i11~X i01 (o~, (b~, wHp ~c~~ - nr.ee+ owsef •..o w•rr - •rl 1~ r.wcun~ie , . ~ ~ ~ ~oi ~GC-~i%i~L~.~tZt' !~'6~~1:.2/vk'-!L~ /0 ~I l~° i ' /I~IL ~ ~ ' ~J . . c ..~ou.•.te o. -`?~T, -._1. i 1 1 ~ co~omo.s. ~•.w.. ~7, L /~~/_~/r ~ ~iLr/'l~`(~ I , %J[(f~~i~~~/// ~ VM~CM G~~[ •~ff ~O (bI L~,.I~~ ~YL(•W ~CC,~ / .~~~~~s~•~"~' ~y/ ____~i___-.. ` rrfD+~~T! C~YS~ ~01~ O~M IO. Q~y~ 1~ CW+f10VtMC~ d • l 3,,, S(~li G 1w1 YMOIf- ~ / '~'7 v . Q ~~~wG C~YH a~3t ~ ~ ~ ~/'j ^ • ' L,~((t . : ` - ~ ' 'rl ~ N ~~~L- `~~~.__-___T t ~ fA~( 4 OinEt S1G~1uK, t.C T10' 5:,. ' oo~.a o«rn~~,.../.~T~ro m..n w. ~.o. ~-i r c o~e.. w rur ~wUTO?S~ R YES r.~•~ ~,~a~os cd.- . l/ ~ ~ ~ d o~~.w i G~K~/,~1`~ .J, ~~~'ti / . L~' ~ l ~ rI 1~~`S ,i { * I~ID ~M Off~~r~rnMO C~YS! 1 jv.eeoei•; ACCIOFMT, IUOf OR DwTE O~ NNlQY ~.o~s». o~., .i.~ ~~HOUx ~MOW IN1UR~ OCCUtRED •~~*e~ wrun o~~, ••n ~ o~ nu n, mr n~ ; ~ ~pM~fjpE. O[ 1X.Df1Efl~aWED ~ l ~Saec~~?1 ( ~00 ~ jM • X1: M y NI ~ INIURY AT WOII[ ~~UCE Of WfU~Y .i .wr, r..~. s~at~, rK*w~, ~ 10CALON ~ a~~n~ O~ ~ r.b. ..o . ur. o~ ~or~. a~•r~ ~ ~ ~II~U~r ~~f O~ w0~ ~W~K! NOC.,lK ~f?FC~n~ ~ 1 x~ 17M I T"s ~ CERt~K~TiO?+- .a.... w. n.~ ~ .o~+u. o.. .e.~ ....o w. s.~. +~..~«e~ u~n d. i~ ao/ow ..o~ v:ew iwe~ot~r~ OC[wno .r .~e .uu. w r«e - /M1SK~AN: ~ ~OATM O~f fF~~ .~00~ O~~~M. ~Npy~~ D~~f, ~+0, IO ~Mf MS! ; ~ •mr.oeo r..e . 1 t~ ii ~ '1 w .w+.eoc~, oue 7~~ DlCl~fiD ~~G~ L~ • .7~~ ~ ~J 7:% ~7~~ X ~ % y ~ 7~~ . (7~. ^ ~ . w ro c.s~a~ sT.no ..~t- CERiNKwT~Or+-~+E0~1 Etw+.ur~ER OR COYOr+ER o-. T~t us,a w r..e ,.o,~. w u... ~ r.i oicew.+~ ..s r.c.w~,.. ~o ~.o , ~auu..s~+ a M wo~ ..q/W n.f wv~fr~G.rpw, .w r. Wo.~uti. f ..a+~w wr wou• 7• 41~M p(Cu~~tO O~+ M P~n w0 OV! W fM C~ull~S~ S~~ttD. ' th M.,21~ ~_j i CERTIflFi-n4ME ~nn o• nwn S~~~TJQF . / ~ oer.yj ow*~r:s ~DATF IG i0 ~ o~~. •W~ ; . Melvin Wni knwck~/ NiD ~Ff•• ~ Y• ik ~ ) ~ ~ ; MANItyC ADfNfSS-CFRf1f.(R s~~ter O~ ~ r c w0 i! un o~ ~0~++ s*.~e w ~ . .2 7L ~ WR:Ai, CRfMAT10N, ~EMOVAt CEMEiENt OR CRi~MTOR1l-NUN~ \OCwT10N un o~ w+r. s~•~~ ~ , ~~~'A'emoval-Burial ,~,West Park Cemetery Cleveland O'r.io ; DAif i rp.~rw. O•~. ' WhEYAI MOME-N/MF tND AJDRESS ~ v~ut O~ ~ r.0 0.. tn. O~ *Or s+~n. i~r ~ t ~ ,..Aug. 24, 1975 l,~.BAiRD FU~IERAL HON~E,901 N. 7th St.,Ft.°ierce .'3~ F Y. 5. ib12 fUNEP/yD.RECTy ~fUff - REGIS~ ~ SK.tvAW~i ~ 'O~it ~~C!•..o ~e lOiwt -..i''-• . Aev. 2970 ~s?f'i~/ / G' ~ G =~J 1w ~ t.. ~'~i:. uS~ _ _ _ ~ ~ . . - e. ; S", _t - ~ ~ h~roby oertify t~is to be a true acd ootr~ct aspy a~ t'ho t:cal ~ R~istro~s rawr~ on fita in iF.e St. l;xio Cccrnry H~~:~n D~;r,:rt ~ m:.nt at Fc,rt Pieres. Floricio. 1, i (Wsrning: ~iot vsJid untass raised s~al of tFo St. taxis - County Fiealth De,~attment is affixed.) . ' _ - - : ~ - . ; ; ~ • - N. D. MILLER, M. D. c-: ~ _ ~ County Healifi Officor ~ :,;,r..:t ~;;,;istrsr ~ ~ ; ` ; . . i A` 1 < " ~ . • ; 1 S l . aJ rL~ ~ ' fn'''•..~~•^~`~`,1,\~ ~ M. ~ ~..i~, J~~'~ ~~~Ii~E C l°~ ~ ~-°~a~ RocE a~~t ~ ` GLEA ~Ea1j1E0 ~ aE~oaD o0~1 ~~Z , i ~ n BOaK ~~tlU P11Ct Z1 2~461 ; ; - ~ Y ix- - ~ ~ x ~..~~,'~[z'C'Y.. .