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HomeMy WebLinkAbout2062 243011 fO'' • BURiAU OF YItAL /TAT~YTIC~ fTAT6 i1L[ NQ ~~s•~ ?:a- FLORIDA ~ ord ¦h~w BIRTM NO. R sT11AR•f NO. y r o p~ r 1] 1. KAC~ 0? O[ATN COD[ NO. aY.WT T~f10[NCt (~~.n Mrr~i Y` l~Mrr~r.~: t~~wr M/~. ~+:riw .:.e.c•a ~ •aa .111 s. ~i.~•e - ~ iw ~~T- A_ CITY. TO1I~M. ql IOGTqM c_ K RACE Os OEATI e. pTY. TOwN.O11 IDGTDM K RES~OEMCE •~~~~t IM510E CITt IWITSf IIK10E CR1I 11Y1TS1 t! 1~. rEt ? M~ 1rtS 1~0 1. MAYE OF (/Jy~ h~N~ihl. Irs WHf NfssM) f_ STREET AOO~ESS IqSMTAL OR aanTU*'o" p ~1akArs Road - Stuart t?urA a. Mwnc A..e WY~. b..r wic xwra ar r.e n`vu« rr.n CLIFTON - GR..FEN ~?TM December 12 1965 S. SEX OOIOA OA ~ACE 7. fIMtED L! IEYEA MAARKO D•. OATE OF ~tATM 1. ACE Uw /aq i 1?OQ 1 tfY YmEt t~ N!L Xw~M D~w Yww Yi.. r ~ s~• A'Ial@ NPp,TO ~~pp d~~ 3:ay 2~~ 1890 p l. ~.l ~ 10~. uw~u occw~rwr coi~r tt.t yw?t ~u ~oe. au~o os ~ss oR wousT~r t s:~rwucc (5tre w/we+r~ cw.~?s) ~ u~ a nrr aou~•r .le~ ~•r- tnial~wit rw?fN~h.wnl/~eNn~l Co~on ~abor Farmin B3acksvill S C ll~et /wk fATNE11'S MiWE 1~. MOTNEII'S M~WEM ~E •r Ed ~reen Ann Pa IS_ MIlS OECEASEO EYEII NI U. i A11MED iO11CES1 - li- SOCIAL SECUUITT 110. 1)- ~MIO • s~au?*u~ Olsa Green 11r. r. ~ r~rwt l7J ~r. ww w~r W~/ ~ww~i - No Au.•M r~w•,.1 u. t~vs~ w w?n~ ~6.a. «Jr .w~ e«~.. ~e. u~r M c•). c~~.•+~ (•).1 urturru. ~cnrctM i .u.eetii. r~~r~ ou ~rriw?~~c~ ca~ N Ay~• ~ECO~OE~ aacrru~ooun~ ~ ' • ~ ' t~• e~r- if ' . Rp•:._G =,:,tRAS ~ c~r~e•s• cti.tui..a.q..r. ouc ro ~ . , " . - ~ie~ e?• y~ ~ 1 • e . 1 ~ c~i~a~r (i> +0' qcf^N^ ^.r'c~~~~ ' r~~i~trsr ~~I t1e r~4?- pyQ Tp •itAla 7• l~ l~. ~ ?MT It. OTNF11 SKAI~CAMf Op~f~p6 OOM1MRIfwi TO OG~N ~IR IDR IIMIW N~Yf 1(~I . MAS AYTOKY 10Yf• F K~ME07 c.r a..tr 3 res0 wQ or s~~~r• _ 2Da ~ 20D. asunt wow wuu~r octwutco. (Ata *~rw~ yiyv~ h Pirt I w P~rt /f ytes ~Ia ¦atfwi ~w7 ~ ACCIDENT Su~uoE Mor~troE ai~~s~t- ? ? ? tf~f •f Tu/E OF Hwr Xwt~. Oq. Yrr . ~ uuu~r s_ o w s 2or. auu~r oauR~co 20r. rut[ os iwu~r b r~twt 4~w. ~Dl. tm. row~. o~ ~outiow touirtr s1~T[ MrN~IE AT ~ MoT ~ma.c ~ fd~. J~~. «na. Nia ery., dc.) MOIIK AT MOQR . 21. !~tt~nd~d fAi A~oNMd /rom ~ . to - •nd l~~t w~ A,~ ~fi?~ on W~tA ooaurnd ~f ~:~0 in on tM d~t~ H~Nd ~bor~: ~nd to fM Awt oI a~~ 1+w~NdN. /~om eA~ auw~ at~t~I. i i e•.• n.. aaw?nr~e ~aqrn «ww im ~oo~css tt~. wrE s~eecu art t• N ~..,~.s. . I'.arvey Pile Coroner Stuart ~7.orida 1?_ /1 /6 •!!~f ~t~. ~4TI0~1, 2~. pATE 23t. NAME Of CEMETEIIY OI! CQEMIITOIIY ZjI. IACATION (G~f/.lMrt. M p1tY/1 . ~•a•?csv~yr, ?Konterev Cemete Stuart Florida /A1~ 2~. NNEIIAL OIR -S SIGIIA ADDRESS nn. 1'Q9 • 25. OATE RECD. ~Y IOGI REG. If. REGKTIGII'S SIGMATYRE ,~...1obs A, T. Stone r^t. Pierce, Florida 12/17/65 9lanche t~artin T7~e ut ~ _ ~ . ~ . . . ~i ` ~ i~ ~ 1';• ~ ~ hsroby ce~tify tfiis to be a tnia and oorrect copy of the Locei ~ ~ . • • Registrars record on file in the Martin County HQaith Depati. ~ , ~ . = msnt at Stuart, Fiorida. ~ ' - ~ (1Naming: Not valid uniess r~ised seal of the Martin ~ • : , ~ ~ . : : . ~ ~ County He~;th C.~ .,.r~ .o ~s affixed.) _ ~ . _ ~ - . = : . ~ _ ~ N. D. M:li.=.~. ;~A. D. ~ , ~ n'1 : County Health Oif~cer 3 Local Re~isttar ' • ~..3 ~ .,~'t " / ~Ca'D: s~L: L ..:1 ~~l7YJ 7~4c~ ~`~~e ~ L ~ ~L! ~'X ~ ~ • ~ 0 R ~ oewih? ~ocs! Rey~strer ~ E„°r'~~ ~ ~ ~.1 i . ~r~, ; ,I~~ * ~ . . ~ _ . a~-~. ~ ~ ~ . . . w