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HomeMy WebLinkAbout1466 i - - - '1 / ~ - - - 1`' . CERTlF1CATE OF DEATH D.y.n.~.~~ .t tie.1~L ..i R~4MI~~u.e 5~..~ar. tTA7[ FIL[ NO. ~~~~~~~~A~TM FLORTDA tr~E, Ot fR~Nt IiJ ~'~'mLQ1~° ~ RE616TRAR•8 NO. 31~ ?tIMANtM INR OECEASEd-NAME rus~ r~oo.e .•a~ SE7l OATf Of OEATM ~••or~.. e•s. SEE Y11l100[ id! ~srwcia.s , BURNIE AUGUSTUS WHIDDO~I ~tMale s June 12,,, Z972 RACE rrw. Nww. url~~cu~ rr~?N, AGf-utr ~•~w~ ~ n.~ ~r..w~ ~ w~ D~tE Oi WRiM ~.wm. w. COUNiY Oi OfI?iH ~K. ~ WCM~ ~ M~~rO~~ 1 ~t~~f ~ rOf. o?t1 wpy~f YM. ~V ~ ' 6602 . White ~.7'O u ~ . St . Luc ie Coun Clfr, TOMM. Ot IOCATION Of OEAM ws~a cm ~rm 1~pShTAI OR OtNEi NSTITUiION- ~r wt w uu~t~. ~m s~rn ue wwi~ ~ s~ecr. +n o~ w * Fort Pierce yes 301A South 7th Street F SiATE d NlTN ~ r»p~ r v.~.•., anze+ a MmwT cou+nr w~ltdEO, r~EVER wwt~tlED. SuRVK~+G SrONSE ~r .rr, oi.e .,~ee.. wu.e i cow~n ~ w100wE0. ONORCEO ~ aretvr ~ yfyY Kylqyp ~ Georgia U. S. A. Divorced .~.er wcuue - uve~. . r N.r SOC~K SENlrllr MM~Y[R 1JSUAl OCCWwTiON ~ are a.n a wu eo.e wu..o .ou or RwD Of MlS~+ESS OR w01lSttr oc<w~ts r ~o~cr~D urt. eveM M~en~u ~ ~MfhTyl~pN,p1O( „ 264-O1-3262 Bu~cher u. «.o.. ~O.rsfwn. RE510EMCE-SiATE COIMIt dT11. TOYVN. Ot IOCAi10N r.sye tn ~r.q STtEET AND NWr~E ~ VlCM~ 1l! O~ MOI , ,M F lorida St . Lucie Fort Pierce ~ yes 301A So . 7th St . FAi11ER-HnME r~w rr0~~ uft MOTHE~-MAIOEN HAME nar rbpat uar ~s William A. Whiddon Naamah Keen IWOIIM~?Nt-~tiNwE ~utrwG wDO~FSS ~snu~ a~.~.~. No., cm a w.¦. s~.n.:r~ ~~~Mr . Lois Whiddon „~700 E. Conway Rd. Apt . S-24 Orlando Fla. /A~i 1. pEATM WAS (AySEp ~T_ (ENiER ON1Y Of~ CAIiSE IEf lK fOR N~, A!O (c ~n a~ IN !\~Y N H~rruM o~.se~ .w a.n. D- rrfWR UYf! - a~ Coronary Occlusion 5 min. corsmoNS, ~w+, .»~cw o..~ nse w (~t ~r.eaui c~vsi w, wt w. a~s . co..uaw..ce a: sunwo •w~~~- ioMO cwse uar _'i, ~A~T r. OTF~A SK~N~KANT Cv~v~~wwy: ~O~O~LOM COMWYt{yQ IQ y~~M ~Y~ MOl ~(yTl~ tO (I.YS~ GMM W IVi I ql 1f rES ree~ r~«s~wci ca.- ~ 1~t1 O~ wD~ LOll~O ~M Mi14YM1M0 4Y3~ O~ OI~tM H~ 111 wCUOE A ~rpwfw, pw~, ~l~~1 MplMt KpW INIURII OCCUtRfD 1lMR~ WM! p Iw~ytf /M 11.~t 1 a INt N, q!r Ot 1MOEtEiYwtO ~ ~ ~ M ~?~JURII AT wOtK ~uCE Of NJ1~ •or. ~.u, s~rn, ~~non. ?OCwi~On ~ sr~~n w~. ~.e. Mo., un o~ to.rn, s~.a ~ ~ arec~n es a..o~ ow~a wa.. t~c. ~ wc.n ~ Ib. ]M. ~ ~ (,E~i1flCAiIOH- +w~w r~ etu ..or~r Q.• •w u.o uf~ wv «riwe~ um oM . ao/p.y~~.m. w oEwiN OCtuu[O ae n.ce, a. wrt . ?M7SKlAN: TO +oi+TM e+~ ~w we~ ~~YtY'6A~w. O~q. u+0. q tNt Yir ~~TMlNOtO M! ~ M ri aMp~n[OG. Out T~ wcuuo rm.. tt~ ~ Never A~ ~ld 71~ Z~ 4S~_ ro au cwu~s~ au*~s.- ' CE~TIfICAT10N-ME01CAl ExAMM~Et OR CORONEt~ p. rn~ ~.s.s w~ wo~.~ pr u~.a rw~ stteoe.n ..s r~owo~w.a~ w•o I ~uara~iqw o~ M we~ u+o/O~ r~ve.SlK,wt~oM. ~ r~ w~..Ow. ~ ~o.~m wr ~f~~ wou~ Otan~ OCMfK Ow M! WR wNO OY! q ~Mt 4YSlW fi~~f0. ' ; n. 6-12-7~1 • 45 a K un 1, 1972 2: 30 a.~. CERi1fIfR-NAME ~ene w rnMn S wcq~ p nne OATE SIGNEO ~~TM, a~. •t.~~ ! r~. E. P. DeFriest Coroner ~ ""Caroner ~n,June 12 '72 ; wu4 SS-~ERnirt uaer w~.~.o. wo. c.~ w row. s+.a ir :y ~:~.ucie ~ount Courthouse Fort P' rce Florida 33450 ~ WRIAI. CREMATION. REMOVAI E~Y OR CRfMATORY-N4ME IOCAiION an M~o~ futt i ~f~eCrri ~ . ~ ~w Burial F ~k Fo t P' ° OA ~ pIHEtA? MpME-WAME wlJp AppRfSS ~ ant~ w~.r.a. w0.. cm o~ ~ow.~, s~•rt. [u ~ ; ~ June '~~'72 Ft . pierce FuneraZ Home lOfi So . 4th St . Ft Pier Y. 5. i612 ilN OtEC~OR-SrG~u~ ~tEGt -SrGH~rutE o~it uttrv[o ~r ?otw? ~ec~stw f R.r.197o /f tw rw Jurte 13 ~ 1 f1efA~ COff1{~/ 1f11i /b b! ~ 11'{N r11d GOfroCi OOQ~/ O~ if10 ~~OC+O~ Rep~m•rs reoord on ~tk tn ~h. St. Wci~ County Health Depsrf-fIlEO AHD RECORDED ; i mw?t at Fott Pbrp. Flortda. i S7.lUCiE ~OUNfY F~-A. . : - . . (Wami~g: Not valid unl~ss nissd sea) of ths St. Luti~ ~ FOCiR D0ITKAS T ~ County Fkelth Deparimsnt i~ ~ffixed.) CIERK C~;CUIT COUR o i. REccRC ~Fr.~iED j.7 ~ ~ •r1 N. D. MILLER, M. a. I I 44 AH ~ i~ ' 1Y,' `-i ~ r,+; = ~Y ;W ~ + _ ~ LOit11 ~i~t ~IGK dt LOCi~ ~tStlK ' - ' ; . r - l 3 - ' • _ _ ~i ~`r . ` + • .t~ • k:~f , F 3 a~ D~p1Ay LOC~~ R~Qist?~f ~ •~;1,~(- ~ ~ ~ . . \ . , - 2425'75 :~o~.:~. ~ { " ~-~t;)t1.\:;,~,. ~ ~ ~''~/iii.~:+~~'' t - s ` ~~208 ~ 1~6s . ~ . ~ ; ~ ~ ` , ~~e~ y,, ~ ~ s~^ ,-~4°r ~s-- 'S ~~u ~ ~e.~"~', "'y~M~ ~,~P~-.~, xc ~ ~ .~~~-~kY~'~.?~' . 't' _