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HomeMy WebLinkAbout1225 ~ y~ 2~Oi8'7 / l ~ O I ' CERTIFtCATE OF DEATH D~.ee...~ .t li..h6 R.6.Wiw~M Ge.ke. fTATt rILR NO p~'~~n~ FLORIDA ~ T1I~l. O! ?RINT IM ~'~'~r~'~m^^° - 11[OI{T11A11~~ NO. ?I~MA~IINT INK 0[CEASfO-~NAM~ , mu -.~wu ~?~r flf OAif 01 OEATN ~~qrtr, n~~ ~ fll M~~CIOOI ~01 ~1"~~ EMILY S. BAGGETT :.FemAle , Se t. 21 ~97Z f4Ct ~+wN. WOq. ~+YiKaM u~tWy, AGf-u~r u~+N~ ~~I~~ wOe1 ~ sa. OA1E Of H~111 ~a1l~A~, Mf. C~IMTY W DEATN A ~ lK. 1 VKIn1 ~1~nM~~ I~tl\~1 ~OL O~fl MOV~~ ~N. K~~~ . ` ~ White ~.66 » ~ Indian River Crt11, 1pwH, Oe LOG A W~re cn. ir.ns NpSMAI OR OTnER erSt~ t _ww • ~w rp~ u, urp~, o~ ~~ae~ .w ..w~e~ ~ vT Y/C~~~ •n o~ .q n Vero Beach Yes Indian River Memor' 1 HQsoita? ~ StATE OF 4tlH ~ r MO~ M ~.s.•.. .u.~ qil2Et~ OF v~nN~ ~pyHt~v ~~MIbfO, NfVER Mw[tlEO, SUlVIVNG 31pVSE ~raf, pwe r,aw« wu.e i vwu asee..ce , En land ~ Eo, o~pecrt ~ vecr~ ~ ~~x. 9 , Nat . USA „~iarriec~ Jose h H. Ba ett ,r u.es r~e4r SOC~~I SEtUett M?+WEt YSUAI OCN?AT1QV ~ Gv~ i~~ M rMa vl~+1 suaw. r01~ M [ir~D OF MKNESS OR WUStR~ ' XCUMt~ M rOMwG VM, M~+ HMN ~ „ 033-14,7904 Ward Clerk ~x Indian River Mem. Hos ~s.~s~0~.. lE510fNCE-StATE COlN1i11 CR~, tOi~M, Ot IOC~TION ~4N ~T ~r~f ST~E M!MlEf ~ 1-"~' - Florida ~w~••n•«b `~Ci~larney Ave.. St.Lucie Ft.Pierce No Rt. 2 Box 2765 /wiM(!-HAMf r~yr .~ope us. MOTNER-AU~OFN N~ME rrlf rope w* ' „ _ Richard H. Smithson Nancy Knowles ~wf04uNi-N,uwE wustrrG ADGtESS ~srMn w~.~.~. ro., c~. w~ow+, s..n. ir~ Joseph H. Baqqett Rt.Z,Box 2765,Ft.Pierce,Fla. 3345Q M ,y r~Rr i. OEwm wwS UWSEO ~r: ([r+r[[ Or+tr o~ Uust ?[t ta[ ~ Nl. AL ~wo t~q O 11 ...wa.a uvse ~ j~nr~e+ow~n ~.m w~n. , - -G ' ' i~ G7~''i ` , . : M (OMM~OM{ N ~M~ ~Q ~~K~ {~~1 N{~ q ~ n) ~~~tM~11 C~Yt! 1M, ro, w~~ ~ cw~s~ae.ce a: ~i~hMO t~~ Yw~fF ~~~»O C~Y~t Uf/ ' . ~ ~t~ ~Att OTHEt S~G?+MKw?~f COr+MTqwS~ COr~~~Mf tOw~m1~~+0 q Man. W1 .M W*f~ M f.WN OMr r~Yt ~ W wU10K~ ~f ~ES v~~e ~~.~~re~ to« ~ns p~~~ abe,tru att~r~.~~wo 4::• IA. l 1 M ~ A / r0'+?r, MI~ tHf 1 ~ Ot 1M~Ofi[WNEO MOw IrtNR~ OCfYtRED ~erwo w~we M~.~vn .N i.~r ~ o~ r~n n, ~e.a ~ r-'. . 1w. !Oc At. }V. ~ ItU!!~ AT WORR KwCE Of MUUt~f .o~.~. r.a., snen. ~.no.•, IOGnON ~ s.nv o~ ~.~.~-w.. em o~ ro.+., s..n ~ ~wann~o~«o~ owrcewa.,ne. ~wani . fw 1M. }h. . • • . ~ . (.~R~KAT1(k~- YOM~w Mt ~!y ~ rOM1M Y~ t!Y ~M 43t Y~' ~~?M\ Y~ Or 1 Mi«~ ..w .+e~. wr e~wrM oeevaio IMf ~M[f, W n.t ~NTSKI~N: ~ TO rM~w , M~ AY ~M~ ~I~l~ M~1w. ~py~1 ~~ti. ~M. b'~M V1' ~ •m»N ~w ~ a r~ .rwiewe, r~' tl~ Nn•u~ rwr (tM Ni ~ t11. !t•. :3 . ~o ae e.use~i, r.•e- ` CfR7/~tqt~- EIt~MNEI O~ COlO?+ER: o.. uwa or r~ a a..,, ne Nua.~ r..t rw~.pw.a~ n.s \ ~ W+w~~O~ M M q~~ uy/q u~! M~l3~~Gat~O.~. M~+'W~. Y~ ~l~~ ~OU~ ~l~M p((yMh pM Mf Yq NN iY! ~O 4~ UVS[Ili fl~R~. ~ M 7l~. CERnR NM~E o~ rwn w Men~ m.r ~.E S:GnED ~v+*~. o~•,.e•.• f7~ ~ , tU ~ ~1 ~7k ~ ! J Mw? SS- iE fr e~~ w t.r.s. . em o.+ sr.~e i ~ 711 C:Z'Ltj . ~ ~i-'~ ~i~~ ~UtlAI, CtEMATIQN, REMpyAI FMETFRT OR CRfhNTOR1-HM~E ~ IOUTrpN cm q ro..w s••n ~ S~Krr. Removal-Buri ~illcrest Mem. Gdns. Ft.Pierce Florida ~ t. ~ DeTE ~.o.nr, .w~ fU~+ERwt nOME '~AVE ANO ADpR(SS ~ ~.un w~~.~. ,q., cm w ror., sr.n, rr ~ ept. 21,1971 aird runeral H me ~ • Ft.Pzerce 33~5~ S, ~614 MaE wY ttML RfWSiR~ S+G+utU[E , o.TE aecc~.e9 n iou~ ~ee~s~~.~ R~v.1970 ~ rw 4 QAil m Z. ~?I hereby certify the above to be a true and correct copy of the local registrar•s record on file in the Indian. a River County Health Department at Vero Beach, Florida.~~ or !~w C~ ~ ~OGD This'~~s not° va2id unless the raised seal of the Indian . R~~~r:~qi~'nty Health Department is affixed. /y~ ?-~hU W ~h'D A _ ~ • • , rnGOCm : ' '_S" ~ ~'u ° . a ~o -~+o = ' t,C^._ , y~, a~-c~o . ` . , - . . - ~ A`~' ` ' ~ >v ~ "Y ~ = ' ty Health ir. Local Registrar ~ ~ " ` J~- ~ ` ~~l , ~''~~v2 ~~,~,.~-a- _ /r r?~ ~ -DepUty egistrar ~Q ~ ' ~~~11~V~~ (~4F~~~~~IV nn ~ _ _ _ ~~-~.,3