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HomeMy WebLinkAbout2004 , ~ . 238682 - ' ~ • ' Y ~ ~ CERTIFICATE OF DEATH ' Depu~~~ ~f tk~Ll~ ~ed Re6ab~uu~in Senkes tTAT[ FILt NO. ' DIY1S1[W OF F#'AL711 F L O R I D A t~?E, O! ?tlNi~IN AEGI6TRAR•f Ho. 329 ?ElMAJi~M INK ~E~_NAMf rwir +~ew usf S(X DAiE Of OEAM 1~ON1M~ ~a~, +e~~ ~ SIE ~11Y1001 10~ ~ "~11Ni01° ~ HELEN R. FOOTE ~ Female , Jul 20 , 1971 ~ACE .ir~n. Keow. ~W~KU~ wWw. AGE-us~ uwe~ ~ n.~ unoe~ ~ w~ OwTE Of NtiM ~.awr. w~. COlR~T1f OF DEAM liC. IWCN~1 ~~UM~tlfl~tll ~OS, Yq MOV~f ~w. hV~' . 66Q2 • ~ite ,.51 ~ June 1 1920 St. Lucie CTI. tpMM. OR lOGiqN pf DEwM r.see c.~. ~r.ns NOSIITwI pt OiNER NSTITIlfiON- i r wpr w em~[+. a~ ~r~en ~ue .wrea i snca• ~~s a Mo , n Ft P' es „ Ft. Pierce Memorial Hos ital STATE OF WTN ~ r»ot w Mare dn2fN Oi ww?i CO~N+1~Y i.?Mtt~EO. NEVE! W~RbEO. SU~vIVNG 5r01lSE ~r ~nw. ewe r?iee.~ w~re ~ ~ O. ~frKn~ ~,~....,.,.,K, . Pennsylvan~a , USA . arrie Robert Foote .~ru Ncuue u.ea. v a•.~ SOCULL SECW~ir t+IW~ER t?51M1 OCCU?wT~ON ~uve aw~ a raa ow~ oMwo .nu a RwD Of M1St+ESS OR wWSitY occuws « ~o~~o uw, eye.. u~er,~ea ~ ~ ,~s*,^^~.,6M „175-16-1812 Home Maker Own Home ` ~.o.. •o..~isw... tESWEt~CE-STAiE COthftY GT1l. iOwn. O! IOCwT10N •r.are cw~ urm STREEi A?+O ?MW~E~ } , ~ sn .as a Mo ~ Florida ~w St.Lucie ,k Ft.Pierce ,,~~`~10 ,w 2771 Sebastian Rd. fAtMER-HAMf nt{t ..,oq~ ust IMOTHE!-11u~OEN NAMf ~rfr .rea~ usr . „ Earl D. Rout Ida S ear ~ ~?~qfMAM-NAME ~wRwG ADGRESS ~amn o~ ~.r.~. wo., cm a~o.n.. sr•n. [r~ ~ ,ti Robert Foote ,h2771 Sebastian Rd., Ft. Pierce, Fla. 33450 ~ rur i. otwTM wws cwusco ~r: ~c?+rce or+?r oNC uusf rc~ iwr sa? ...w,,.~, w. NL frL ~ kN unr~~N o..u~ w.r« u. r.rw. c.uu ~ ~ L~ ~ o j r1- ~ e l~ ~ r11 tf 1+~,.~-- /'t'/ O M - . .s , co» . ` ` < v COM~It10M3. 1~ ~M~ ~ ~ t.~ \ ~ (((~y~ F wr~cw o~ve ufe q ( P) ~ 1N~.~ ~ N~+ ~^'V` ~.~u~.~e c.r~i ~a. S we w. a~s ~ ca.s~wence a: • : w ~iAlINO ~MI YMOI~- I ~~~MO t~YM Uf~ ' /Ntf piHEt SIC;rt~I1C~NT CONDrf1pN5, ta.ano..s caww~n..o q w,.rw wr ~r yuno w u~ o~ve.. ru~ ~ a~ li rfS r~~~ nwo~wos ca.- 1-+ ~ws i s~ee~+o n. areu.~Mrro wne W ~U~M ~ lA ~ IN. ~ y~.0o~~1 ACGDENt. ~.a+rw. Mr, n•u p01A ?~Or~GOE, o~ 1MrDEtftrwaED MOw IN1UR~ OCCU~RfD 1 tr~~ wMt p~wn ~M ?u1 ~ M~~n n, wu 1 . . ~ !M. - 70t M. fY. ~ IN1UR~ AT WOtK RACE Of NIU~r ww. ru.., arrn. ~.c*o~. tOUiIOH ~ sn[[r w e.~.~. w.. un w~orrr, s~~w i . 1 WC1n Af O~ M0/ p/~rp NOp..tK. IVKM'/ 1w IM. HI~ . . CERIfICAi10H- .~o~.rw nu ra.n. c~~ ~i.~ uo us~ s~~. w/w~~ u~ve oM 1 MY/OM MO~ N[~ IM OEA~M OCCYt~! w w~ce, w ~w ~M13KIAN: TO q~~TM M1 ~!Y WO~ ~lq~ aM_ ~ IN011~I If. ~M~. p M! Ylt i - ~ .ne..oes n.e ] U 1 ) ~ ` ~ . T~ wn•sts r~or ! ~ tiY. Y v 7k ` fW ~Np ~ r p•~ ~ ~ t4. M. ro sy cwxn~ suao. CE~T~FIGTqN-h~EDiCAI EIIAMMrE~ Of C ER: o.. rw us~t a ma wu~ p. w.m ~~actee.a ~,~s rwrou.~ces we • ~iu4u~Wn p Mt ~00+ ue/q tw~ Mtsnwrar,. w rr o?w+Or., rwm ~w~ ~[u ' u ~ Ot~u~ OCMHO OM N! M~! NA W[ 10 M UYSt~ll S~~NO. . Jb M M CERi~f r n t ? S~G?~wt ~ DA 1('rMfD ~.w~m, w~, rw~ t~. ` 1 1 ~ ~ t~ ~h.. ~ 1r tk. 1/ ` ~ tMAK S~ S,ff?~ ~ lnltl W ~01~M ~ _~y~~ ~~i . 7~ Win~l. ipr{ ~EMOVU ' ER~ Oa CeE~uTORr-H~,?~f ?OGi~ON c~n a~ow.. sun ~sntrr~ . Buri ,NHillcrest Mem. Gdns. ,M Ft. Pierce Florida OATE ~+a++w, w~. rw ~ WNERAI NOME-NAMF Ar~O ~tDOAESS ~ sr~e[r o~ ~.r.e. I+o., an w w.n~. sr~~e, iu ~ 1 Baird Funeral Home.901 N Fla. 3345Q v. 5. s612 T rteG~s -s+e+v~rueE wn ~ecenEO ~r ~ow aa~sTw R•~• 1970 t/ r,. n. Jul 22 ~ I he~~by osi'tify thit to b~ ~ trw ~~d oortsct oopy oF the l~xel " Regl~r~rs nourd on f1k in 1hs SL tud~ Counry Heahh D~spsri~ ; . ~ . msnt at FoA Piero~. Florlda. f IlEO AMO llECO~Ee. (Wamirp: Not valid unbss nlsed seal of t~ St, L u c J a 5~, lUC1E COUNtY t#- ' S: 3 C o unty H~ s i t h Dspartn~t fa ~ff;x~d.) CLEPK C1~CUIT ACQItIIt,; ~ . ~~~4 ~ . ~1~ " RECQRD Yta~F1E~ . ' ' Pl. D. MILLER, M D. ~ 1~:~ ~v Y ~:`.F 'f a r• ~ ~iOUfl ~~1f1 ~{IO~(' dt ~AA~ ~{t1fK ~ ~ 54 - , . ~ : ~ ~ ~ w ii_• . . ~ , ' _~.f -`'r '-.iF:s ~ • _ - . ~t• _ r: jt 7 ~ ; . . c s ~ ~ ~IA~ ~OC~~ R~1~fr~1 ~ . ~ j G •1~, ~ ~ ~ ~ ~ 238682 - • ~ • . y i ~~1 ~ ~ ~ ~-~,.,,,,,,.j~~~ ~ BU~K f~~~i 1 • , . ~ ~ _ 3 I ~ ~ . :~~,,_.~.,~"~L`~"~ ~ s~ E~ ~-~s.~- ~~4 -k . _