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HomeMy WebLinkAbout2390 ~ . - - ; _~3 - . . v. - - 2~914 . CERTIFlCATE OF DEATH ; _ o~~~., .t t~.~a ed..~:t;uun s~..~. F L O R I D A STATE FILC ?,o. ~~vmoiv ~ ~~r~.w 7 Tt~E, Ot ?tlM IN ~~~~~m'~~ PEGI6TRAN•S NO. ~14 , ~ttMAN[NT INK S![ WJp100t IO! ~~N~ ~ust .~ow~ ISEII 1DwTE Oi DfwM ~•ow~~, ti~. r~~~ ~ ~ ~i~~ SALLIE [~T. BP.LT~O(J Fe:aa2e i, N:ay 28 ~ 1972 ~ - RAU ~+tt, wM~O. ~+K~w ~.N~+h, AGE-W~ r.~w~ ~•tu ~~..ou ~ a.. DwTE Of {:tM ~~Ort~ M; ~COIINTI Of OFATM ~ !K. 1 WCYtI WIIYN I~W/l rp~ Ytf ~Ow~f ~w ~W ~ , 6602 ` ~lte '',5~ u ~ ~f~ ~ ~ov.l7 1914 S ' ; . iOWN. O~ L T DEAM ~~n ns o,~i+c MOShtA/ O~ OTNEi NST~tui10N- ~r .o~ w~W~. aw ~~au .w w.~a ~ + ~ Ft. Pierce Yes 602 15th St. i ~ STwiE O/ WlM ~r .a~ r ~.w•.. wu.~ GTiZQ1 Q~ WIMt COUNTtY .Rwc~~, Afvf9 ~wRitEO. wivn.~c s~ousE ..w. an w.~ .Yw ~ - 1 - cow.~ ~ jwio~wE~. c~votctc ~ wc.. ~ .?r-. u.«~. Florida . USA I,~ ~.arried Fred Ballou ~ ......K~.~.. ~ .ms. r«.r ~n wwE~ uww? ocCV?wiqt~ ~a•~ w wu .o....,:.»w +w+ a cwD o~ ws~+ESS o~ wousnr • otew+~~ r .osw we, m+ M qM1H! • ,,.264-24-7344 Aome Maker i„~ Own iiome ~ _...b.. • • x RESIDENCE-S~~iE COVNTY GTt, TO~'!~ OR ~OCwTIOe~t u+++e un a..w~ SitEfi ~w0 ~ ( ~ v~er• ~ea w ..o , ,w FZorida St.Lucie ,y Ft.Pierce Yes 1,., 602 S. 15th St. ?A.hE.-q~u.[ ,rN .rw. _ j.•oTqEl_.MocN N,~.E .rn . .ye,. ~s J . K . H'hale f • ? ~ , y Mable Walker ~ 3-i rtw~:rKs wDGiESS -~smn w a~.~. .:o. cm a w... N~N. tr~ ~ Fred Ballou 602 S. 15th St., Ft.Pierce, F1a.33454 ~ a ?INi 1. pEwAI WAS GYSfD ~Y. 1ENtEa ONir OKE Guff rF~ ~wE fot Nl NL w+D :t ~~rw~..?n a~ ~ • ~ K ry xi ~~n+~ew pwi~t ~M M.iw ~ ; ~ = , u ~,G ~ a : x.s~,,...`~ i e~ ~ ~ - y ' ' . . . ! ~ ~:~c:~o.•i i ~i~+o "SVY Q ~ ~~1`C~ 4-~-1 . ~-`C~ C ~N+.' ~`~'a `~i.~~..\ ~ ~ ' ~~N~N~t~ C~V~~ 1M. ~ M q. W~J ~ COrHOWK~ W~ ~ ' . ~l~l~w0 ~r~ Y~+~~? . . ~~~M~ ~I~1N Y{/ A ~i~ ~ ~Alt Y. Oi11E~ SIGNIrK4M COND1ilOtai~ CO~wOw~ fO~MwN.~G q N~w wt wp~ Y~ry1 r0 U~fr 4n~w ~w ~ut ~WiO~t7 Y 7fS ~~.r r.w~~wc~ co..• ~ ~ ~nf W MQi LN~t1 .w N~~www0 (I~yY ~ . j/~ I w ~~~tw l~e ~3 IN • tr..M?y1 GOENT A ~~P.~w,Mt,tt•~~ MOU/ yy Kaf~~~l ~~p5or~Ka4 p~ ynp[IIWVrtD ~ MO ~MIYIY QCCUtlEO ~ ~ww p won r rut ~ p~.u ~ 1A. T6~ M. ~ 701 . INJNfY AT MiO~K KACE Of WIU~Y wor. ~.y Nr~~, ~.nw~, IOCAi10N ~ iu~n w~.~.~. ro.. un w ro..+. u•a ~ ~v~nn.~~aro~ ow~nw..~~c. ~s.ar.~ _ ~s. Jat ~ i . ~ CEZ11fKAT10N- .o.wr rf ~~u .p..~. wr ~w w usr yr w,./.~~ .~m pn ~~y/~n„~,,,rr wy oe~rM p~CUUt ~ re n~W. o. w ?w?1K~wM: \ TO ` ' t ~O+rw Mr nu` - ~Mt rtr M`V`r. i.OV~ ~.e~te. ~ne. wD ~.t ui~ ~ ..mw~~ M ' ~ 6 LI" tl~. ~ Y ~~~7t~ ~ v ~ y ~ . M r• awOruou, ow ~ tN. Nce•s~~ r.o.. J~~- ~ tl. w?. ro a e.rs~n~ ?~.w~. ' " CftT~i1UT10N-r~EWCAI UIwrMA~ Oi COtOwE4 a+ r.i ~.s,s w w .w~ a w.a. ~ ~eew....n ••a.ar.a~~ ~au ~ ~a.....eo.~ o. we .wf ..~io~ nr ...~~ne.~ow. o...w... j .o»n. n.~ noo. ~ N•e~ OcCws ou w Ma ~ M b w urMw sr.ru. ~ MI~ : CEfi~ E `\~m~e t` n( _ ` K i • l7~. \ "Q YV ~ C 4~\ i S:GnAi t , ~,~t~~ s.a~ ~ DA Eg/ GNEO ~ro.. . w~. ~tu~ ~ . MU~R SS-CEfLf~Ef Y~ ir+en O~ s'•~' e~n~~'~'~~ ~7Y V~ ~ . 7L ~ ~ T t ~ Q~ ~ . ~ l~•n ~ ~ . V ~ Wdwl. ClE~twTiOM. ~F/~O /LL Cf/rETE~ O~t GtfwiTOZr_~vn,wf ~ 10Gi an p q.r. ~ ~.r~ ~;"""~urial x~ Hillcrest Mem.Gdns. Ft. Pierce Florida ~ OATf irawy ~.r, nu~ WnEW O/+E-nw,w£ araD ~DD~ESf ~ uun o~ ~~.a ..o.. ca• u w.r.. sr•u. iv ~ i ~ w 3I 1972 nBAI FU?~FRAL Hnr~F 901 N. 7th St.,Ft. Pierce F2a.3345C Y. S. a612 /}M~Et ~ i 1EGiSt- LGrrwrulE own ~ enEO ~R ~pc.? t~ r~~ ' ~ 11~r.1970 ~ l w~~ tw a~13A@ yJ~ i~~~ i sT. W~4~ C4YM~~, ~ R04£R PO~TA~ ~ ' ce; + 1 hereby aertify this to be a truo and oorrort ClEAR ~lRC~1tt CO~fRT ~ ~ .;~•=-N j.~ ' , Reglrnars reoad on fib in th~ St. Lucl~ County~He~ft ~ Local REC080 YE~~f{Ep `~r~ ; c ment et Fori Pbra. Ffor~da. ~ , . ~ 1 ~,,~`~r`" ~ ~t 1 ! ~ PM . ~ (Waming: Not vafid unleu rotsed seai of tfie St. Lucis ~ pa meM is affixed.) . County Heal~h D~e rt ' • ~ ~ . ' ~ ~ ~ i.t.+;..:r ~ - . . ~ 238914 f . . ; , . : N. D. MILLEt~, M. D. . s;- ~;a ~kx > ~ ~:t \ ; ~ ty Heaitfi Offiur d~ 1 Repistru ~ ~ - 1 ;l ~ ~-t.•' ~ti~~~ ' 1 ~ . o-a-7a - , ~nn,~> ~,~.4~ . ; ~ r , ~ ~ Osputy L~ocal Realstrar . b00K ~•V~ PAGE~~ . - - _ ~ r ~ ` ~ ~ ' ~ - ~