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HomeMy WebLinkAbout2404 ~ / FILEO AMO REcOROEO ~ ST. WCIE COUMTy FlA. ~ ROCER POITRAS ( r~ CLERK CIRCUIT COURT A 2~91~rS RECORD VERIFIEC~.~ `~7uZ~ ~Ct 1 2 i4 PN'7Z ~ i - CERTiFICATE OF DEATH . . Ik~rr~.e.~ .f 1 k.hl. ..J Rc6.6:GuU.e ~r..icr, crwTE illc No. IMYlS10[~ OF Ip:U.lll C - iYlc, G[ •~1M7 IN ~~~'~~~~~`^O F L O R I D A pEG1GT11Aq•S NO. ~J~ ~ . 1[lYANb.! JNK ~~~0-N~E ~u~~ a.~~ . . SEL II~uD{JO[ f0! ISf~ iDwiE Of DfwiN ~•o..~.. w~. uu ~ ~~i~ Daisy Roo2rts I,Fer.:ale Septer~ber 2, ~1972 twCE ~.~n, w~w. .rnc.r ..w.. wGE-..s~ o.~ee. ~ r...^u OwTf Of 4iM ~.orr. wr. COIMIT~ d DEATM i 6602 nc. ~wcr~~ r.w..~•u.~~ wa ~ a.n .wu . . N ?0 N ' ~ A ril 2 i902 St . I.uc ie . GTr. fOMM. W?OCw 10N W OEwTN c.n .~.n MOShTA~ Ol Oin[i I:STITUT~Oh-N4Nf ~r wp~ w~~M~, 4M ft4l~ uO ~wMU 1 ~ v~cr, ns o. ..o r ' Yes i or ~ Pierce ,~iemorial fiospital ~ ort Pierce , fTwiE OI WM .r ror ~~.s.~.. ru~ CITI2EN d W~MT CO1iNitt MI1i4ED. fiEVER MAtftEO. ~SU~VN~NG 51011SE ~r ~w. owt r~yaw ww~ ~ • t cw.~.. ~w~ppwEO DcWRC ~wc+.~ ~,w,.,,.,.~. , U. S. A. :~~arr~ec~ Eddie Roberts ~+uu «u.~es ~~m. r K•r SOCW SECW1Tf WWEt YSUN OCQNwiiOn ~aw a..o w.ro~a ww~ owrw roM O~ Kw0 Oi WSr+ESS Ot Y+OVSTt~ ~ OCN~~1~ w ~OUM uN. F!w r MN~K ~ N, y „ None T~ouse i•lork i,,, ~or,:estic '»'o'~ ~E5IDENCE-SiAff COYNTT UTr, TOWii, Ot ?OCAi1Qv SilEET alaO N11rif! NI St. Lucie Fort P;erce j""`Y'es°'"°1 27~1 Avenue J _ orida ,y ,k {ATl1[t-MAMf ~~Mt ryp~ uN MOin(!-MAIJfM HAMf ~yft WM ~ ~ Rocbert Dancey ~3~ ':r.^u:~a tunlrnown~ ~ _ ~WOU~uNT-nM~[ ~~cu~Y. wOGaESi ~vuu w~~.•. w.. cm o. ro..., ~..a. tr~ • ~ddie Roberts ~,h?701 Av2nue J rt. Pierce, rla. 3345~ ?ur i. oEwta wws avseo ~r: ;cNrf~ orar owrt ausf n~ ~.+E ~aa rsx ~u+o . c a '.~n.~e~ o»w, .w eurw a 1'd1..`~~v ti t~.~d ~ j,~.Qc,_... 1•.~~ ~-1. ~ v_~-(_ ~ sa-+e-a~s~ . . ~ co.e.~~o.f. ~r •.n, ..~c. a,.~ .n~ w ~ (?i ~M~ry UY~f IY. M q. p~f ~ CO~fIOMK~ O~: ~ ~ \t~1~MG t~~ YM~~F 1~u1~ C~YN l~/f ~ " " ~l) t! ?~~r{~¦ pK/wT TWraS:( cw.y o..a cww=~ro w p~ .~.r wr uun~ ~o c. cm r.•~ w ~ M~TdSr R ~fS r~.~ ~~..e~res to«- ! ~ r~ M\\ ~ ~ r~ ~ m o~ YM~e~ u. «~~~r..wo 4ws~ / ~ ~a ~ \ V.~!? ~.1_- ~ ' - - l`iM ~.~..~S~V.: ~a a ~ur• i T_,1 ~h Iq . ~ i?+?oM K~1~iDE~i. ~f E ..a.r.. r~, r~u ~ ~-0I!R j„OW u+Al~~ CU~~EO ~~•n~ ...~w w«+.vn rus . p rur n, wu. ~ MOM+C~Df~ 041P10fifWWtp ! ~ ~ x~ I:a. M iu ' IMJWY Ai Wp[ hwCE Oi wpNtt.~ +w. ~~rn. ..c.w., ?OCw1tQv i uni~ a....~. ..o., c.n o. w.~.. n.w ~ ~~ncan n~ a w~ a+a~ w~o..~.c. ~wcr.. ~ ! . ]ti. ~ }M Y•9- . CE~T~FKwTqa- .w~. .w w.n. w• ~ .u.~ ..s, .~.iwn ..~n o.. . ra:~w ~a M DEwiN OCCY1~t .r e.e •.^u. a. .n ~ . ~w~3Kuw' 1O • ~ ~w•w r~ nu ~w+ .m~ w~r. ~ww~ ~ ~1~. ~M. ~O ~t MN ~ ~ ~A~w?(~ tN ~ t,. ~~..u...~. 3 ~ ~ z ~ ~ ~ ~ w.~-~~,.-{, o~:~ ~ ; ~ CE'~TfKwT+On-MiOKwI Eiw?~WEi Ot CWOnE~: a. w uvs a w ww w w.n. T~~ Mce ~•s +.o..w.~ns K.~ ~ ~~~w~nOM W M Wi~ ~M/W M w~'~S~Wt~O~. w~ MwAw. ~ ' . N~IY OKY~N~ OM M Md ~M NE ~O AM U11lIIb lLQ~. ' ~ • j7~ Ml i ~ ~ M ` ~ CBiY R-(p ~~1~ ~ wn ~ S+Gr+~t-'i ~ ~cLc~e~ d m ! OATE S' ~FO ~~~y+-, h•. •w~ _ 77~ Q `CV^\ ~ ~I~~ ~ '!ia ~`.r ~V ~i~ 'tk / ~ ~ ~ M/.4 w f55 CE Af 1 - a uu o~ ~.r.o. wo. (~n a a+» a•n ~ . ~ ~ ~ ~ - ~ ~ ~ti lA ~C~._ i ~ ~wuwi. tior~, ~ripvw~ u~rc~tr o~ tat.uwroar-,:,~ ?ourwN c~~ w w.~. s..n ; ~ :..~~Burial Pir.e Grove Ce::~ezery For~ Pierce r^lorida j ' - OwTE _ ~.o.ww, r~, n.~~ WHEtwI Mp1wE-ivwMf ,~+D aDt.iF15 ir~e~_o~ a.~.~. yq. em ~~p.u.. s..n t~r r ~ S t 10 1 72 ~.Stone Bros iur:eral ho:~e rt. ierc~, r~a, 3345~ ; ; Y. 5. iblZ rtt+Fn ROR L['.wN~E RFG~ ' SGnwr~ai o~~e ~ece~v~o n~pW ~[o~uw ~ ~ i A~v.1970 s~ tr t~C. ~ ~-r . n• t~'n1bf3 ~ S ~ i ~ 1 hereby oertify this to be a tnis snd aorr~ect c~opy of tho lccal i Registr~ra r+eoord on file i~ tfis St. Luci~ Gounty Heahh Oepa~. , ; . y.' ' D ~ msnt at Faf Pbrw. Flortd~. • _.R. ~ i (Waming: Not valid unlsu rolsed seal of the St. Luc3s ~ ~ County liealth OspartmeM is affixed.) ~ 1.~ 1 ~..r..~~ ;,~r,~~ , t ~ a• t~ i ~ N. D. MILLER M. D. . ' ~ ; County Fbahfi OfficK d~ taal ~Strar t• ! ` : , : ~ ; ~ _ ~r''~•s +~~I~~ ~~j .d ; ~ ~i'~+r~ • ~ _ ~ _ ; ;i, c . D~ Deq~ly Local Reolstra? • 5 ~ . 31 ~ . r ge K ~6 ~~f 2~Q0 ~ ~ - _ - r~ . k ~ : J .