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HomeMy WebLinkAbout0211 ~ - ~ . s - ~ . . ~ . ~ - Y iT. lllC~ COIIMTY RO~EA ?OITiiAS ' CIERK Ct:,~~~T ~ouRT ~9492 ~ RECOitD VfF:~~EO 239492 ~k~ ~ 3 4~ PM'~2 - - _ . _ . ' CERTlF1CATE OF DEATH ' - . _ D~.n.~.~ .t ! 1r.LL ..i R~.~:uu~~ S~..~. F L O R I D A fTAT[ n~c Ko. ~ • avwoN c~ ~~r~.m C ~ ; i?If. Ot ItlNi IN ~~~~~R`"~O REGIiTRA11'• NO. ~u7 , . ?flMANtN1 INK ~~p_NM~ ~MS~ .ya~ utr SfI DAiE Qf OEwM ~rou~~, w~, ~w~ j fEE auiilOOY (N nsttrtnors s ' 4 r ~ I ~ACt sn. Mow. uMK+w ~w~tM. AGF-uat w.ou •~»ae~ ~ a.e DwTE Of MRM ~ro~w. M~, ~ . ~K. ~ vec~n~ . war~+~ ~~w~~ ..o~. ~.n wow~ ~w. w~ cou+n a otwn+ 1 6602 ' St. L c'e : . tOw?~. Ot ?OG O? OEwh~ ~ riw~ cm ar.as MpZMTw? Ol OTMH M/STITV -NAMf ~ r rW~M pria~, awe Natt~ ~M wYrtl ~ : ' w Ft. Pierce ~Yes ~ r~ Ft. Pierce Memoria2~ Hos 'tal s st~tE a wtn ~ r»o~ untu+ o~ w+ut twr+r~r w~ttlED. atv[~ ~ueato. suwnrac s~uusc ~ r.+~. ~+.r ~.~w ~ ' ~o~••~ wwowto. wvoRtto ~ v.c.. ~ - q~~~ ~ Richmond Maine . U. S. A. dMarried Ju ia Reec ni: M+ «~ir SOCw SECYrn MIwEa YS1Mt OCCWwT~O?v ~o.~e a..~ a+rw~ eow ~w.w rw~ a KwD Oi NlSMESS 01t wOUSm ' OC[YYI~ w ~O~[/O 41l~ fYtw Y yh~N ~ 311-10-4 39 ~a. Ma'ntenance - S .D ~s te Road D t rOM- lfSIDEnCE-fT~iF touNn un, tow?t o~ ~oc arwN ¦.w. c.....~. sra[[t ~ ' 1 WCYt t~~ q Np • ~a Florida ~y $t C1@ ~k P~ E' C@ iu }t ~aQ 1 V@ rwrMCe-?+~wr .w, .r... uw ~+ornE~-~uiot?i qu~t w~s. ..w~ uu~ • ~s Hubert Du an li t P s ~Mt4AMANt~MAME ~ SWG ~DON3~ INat~ q~-~~. ~e., wr p~o~ N~~. /II ~ ra alin Du an ~a AO ~ l~aim A P i*lorida IAti 1. OUiM W.tS CAUSEO ~1: (EHTEt OWY ONf GUfE /E~ lWf f01 hl AL ANO (tJ~ ww~u~. . Mh7lN OMif1 ?w~ Ma}~ ~ j~} N. rw~M~R 4NIM ~ ~ ~ t ~ N, Z~.c~.~N~-,,~ ' ~ . ,.a.. ` , V io,.~.no~s, ~ . ~w~tw 0~~~ ~~f~ q ~ ~rr~M~(1 tay~f M. ~ ~~~t~N~ ~wN~ M~O. M~{ ~(OwYGreK~ O~: 1 ~ . ~nN G?11M uf~ ' r~- ~ _ ?A~i OtnE~ SK7rMK.AN7 COND~T~O?~S: car~wa co.~wr~w ~o w.~. «w..a ~a.rer ro~.w~e c..ew .+.~n . r~ ~YTO~Sr M rEi r~~~ MNMMO{ ~OM• ~ ~ ~~a.~y «or aw~n r Mu~rrwo wM ~ 1 M N~1b ; 1~ Iq ~rOrM.Yf~f+af1 ~ ~s..~,~ Ot ~w0(itwr+t0 nOW ualU~11 OCCU~~ED ~ ~~•n~ r.~w a ww~. r w~ . a~ r~n ~ w. ~ ; ^ lw lk. M. ~01. ~ ~ ~ IHIW~ AT WO~K IIACf Of NJY~?.~ •or. •w, suut, r~owt, lOCw7iON _ ~wen w~.r.~. ro.. 4n o~ Mr... M~w ~ + ~ a?wn .~a o~ .w~ w~n we..~+c. .aret.n~ M. ' NI JO~. ~ i ~EffIFICAT10?1- ~OMtw Ml s{Y ~q~M M~ ~ tW ~r 43f 4~ w~/r1~ ~yM q~ ~ M/~1~ M 0(~M ~CCYYtO ~1 M~1K~. pw M ~ lMf3KIPM: TO ~wOwIM Mt RY ~On uq~ N~1w. ~~OMI ~ H1~. ~W. q M MM i~ ~ ~~~t~Mle twf 11t ~ IZ I M r~ i~Ortl~Gt. wf NG~t1O ~Mr ~ / / tl?. ~ ~ ~1I. }7~i M. ~O ~N CYrM14 Nul~. ~ CEtTM~GT~Oq- Ex~~wwEt W COtO?+f~~ w na ~.y~ a wr .o.~ a w.m r.~ ~eceoe.n ~www..a~ ~au ~ ~(iltw~~MY~ M W IW~ ~M/M M M`~itlG~t4~~ M Yt M4OM. YOMb w nu ~ - ~t~M OOCWI~ Ow M Mp Y» ~1I~ q w~t 4vH~f+ N~R~. Th ~ m • f 1~~ ~o~~R { CE~TYttil$Se~l ~i COUn~iS ~ 1'1• D• TUtF ~ewu o. r.n~ TE SifiNEO ~ra.M. •uu~ . tH. p~. ..Z ~ ~u? SS E~ r - s..eer w~.. a•a. cm a b.. ww iy ~ ~~2~~ D~Y~ware Avenue Foxt Pierce Florida ~ 4 0 NIRIA?. UEMATipM, ~EMOYM iE~l/ O~ C~EMATOiY_lYwY[ ?p~ATiON dn p q.~ Wq ~ ~ IWC~i ~N • N~ii c st _ m r' g ' Fl r'd t . O~tF ~.o-nw. r~~. nu~ NnEtN MOr~f-Haw+E wrW ~DiEtf ~ iue~~ o~ ....r. .o.. un w ro.w. s.~u. [y ~ t..March 23, 1A72 Baird Funera2 Hoine 90Z N, 7th St. Ft. Pierce Florida Il~r.1910 ~ D' EQORj SK'd+~ tiG~ t-S~GN~t.~+[ awn cl} enreQ n13 uanrw { n~ .JC.1C-t ! • ,N ~ ta. ~"k~~ll L 1972 ~ ~ 1 hsr~by oertify tfiis ro b~ e trus and oo~t. ~pY p~ ~~t - 1 Replstr~~a noord on fik in fh~ St. tuci~ C.ounty Heshfi Depsrt~ i m~nt at fort Pieno~, fbr(da. _ ; - _ ~ ~ . : (Wuning: Not valid unteu ra(sed seal of ths St, t,txTs ~ ~ ~ _ County lieelth Ospsrtmsnt is affixed.) ' t, 1 : • ;'•'-'t , ~ ; . : . = -i . ~ N. D. MILLER, M. D. , - . . - . t Gax~ Heatth OffioK ~ l+oai R~gistnr =;-l ~ . - ~=:tYi1- y~ _ : i;~-~~^~~ ` ~ ; ~ . . ~ ~.fl ~'~~t' ' ~ I~~!~`~ . ~ ' ~ . "3 _ ~~~s' ~l ~ty l.ocd Re~ist.u ~ ~ ,:3~:y*~;~,t ~ ~t~, : , " . . , , ,'.~;'a~ -4~«~tii~`;. . l . ; : ioo 20?. t~ : , _ _ _ _ _ Y_ . _ - - - - -