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HomeMy WebLinkAbout2697 ~J 243442 CERTIFICATE OF DEATH ` ' D~~,K.~ .t Ik.A6 ..d R.~.Ia1i~.n.. 5~..+«. F L O R I D A sr~rc F~cs Ho. i IMVLSION OF IIFAI.111 Tr~F. OR ~tlNi IN ~'~~~R~~° pEGiSTRAR•! NO. 6S ~[tAANtNT IMII ~E~p_N~ nnr ..eae us~ ~X DAIE Of OEAM ~ rowtw, ~ ~arsa JOSEPH ROTIi Male ~ , , February 2 1972 I R~CE .w~n. ..eaw. ~W~K~M IINYM~ ~GE-us~ w.oe. ~ n.. woa~ ~ w. D~TE Of wTM ~•.o~a... w• COIRiiT Of DEAiN i 66~,2 nc. ~srecrn . wno.e ~n.~s~ .os. w~s woun ..w. : ~ Whit~_ fz A k . Se t.15 19 St . Lucie CIf11, lOwra. O~ lOC/?T~ON p OfAM www car ~wn MOSMTAI Ol Oil1[i NSTRUTION- .wn ue emee. one sreer uo ..wus i s?eun .es o~ +a ' ~ Ft. Pierce Yes Ft. Pierce Memorial Hospital I STATE Oi WM ~ r wot w ~.s..., aua~ C7TIZEN Oi 1NlU?7 COUNttY MARtKG. NEVEI MAR~IED. SlKV1YNG S~OVSE ~ r.re. o~rt r~rtN .ww ~ . ~aws~ ~ W~DOVVf~. WvORCED ~ erean ~ , Penns lvania USA ~Married Leona Maxwell ' rMea wct.s~e ~ l~vi0. N Ot4M ~~TM ~~E~ V~u «C~NATIOP~ IGM lM0 p ~M~ OOM~ 011~~MG rON Or Rr'b Q~ wj~.~ Q~ q~yST~Y OCCVNl~ M r'O~MO tMt, tr[M N NntfO/ ~~snnrtw...a~e „174-07-2682-A A ent s rance , ?wu1s~0... RESIGErKE-SiAIE COIM~IIt CIT1f. iONM. OR IOCATION wi~Ot t~n irw! SItEEi ANp . L~~ ~sncMr ns o~ wo ~w Florida St.Luaie Ft.Pierce ~u Yes ~w 2404 Shamr R ~ fATMf!-NM~f ~~y~ .ueou usr Mpi„ER-MA10EN NM~E rws~ r~eat uw ~ ~ „ Max Roth Unobt. ~ ~NIO~MIAPli-IiAIME MAKMG ADO~ESS ~snee~ w~ r.s. no. cm a w.rr, si~w, ar~ . 3 Leona Roth ,n 2404 Shamrock Rd.,Ft.Pierce,F1a.33450 ~~u7 i. oEwm wns ewuseo ~r: ~[NT[R a+~? o?+E uuu rt~ ir+[ ror taL (e ~?+o k ~i ~ei eeN ~o.~ix+ :~.e naw ~ ~.rwn uuse ^ !~1 • / . ~ - . • • ~ . conano..s, v .~n, ~ rw~cr a~•e ~~f~ ~0 . ~ ~r.ew.te uus~ ~m, ~ p. a wa ~ to..xaw..ce a • i~.n¦o ~¦e ~.~ie Q lf~MO C~Yf~ U!~ ?~tT OhEt S~QN~if~~ tprQ(flpv5: ea.wno..~ cowa»w~ g ne ~.ro uao r ~VSf G~'~1M iM ?Y1 I pl ~~r Ii ~ES ~en nM~~was ea.- ~ r,~s LM~~O ~M pilt~MMO C~Vf! ~ ~ ~w ee.,w IF~bey~ 1 ACCtDEM. OA i.Outw, o~t. ttu ~ ~ 1~Os~MK'~,J,~OEs OR IMDETEfMINfD ?~OW INIYt~ OCCU~REO ~ nne~ ruM! W~~.~rti ~w r~n ~ p~~~t mr ~ 7M Nc M. !Y. IWU~Y Ai MlplK rIACE Of N11X~ +or. r•~r, s~rn, ~Ktoe~. IOCATION ~ sn~R O~ t.r.C. ro., t~7+ W~0~, fr~M ~ ~vea~rnsw.q~ owue~ue.,nc. ~sneM~ ~ ]M 1M ~ + CERTRKATION- ..w~r w~ .eu +~o.'n. o•. •u~ uo wr s.w wr: we~ u~.e a+ ~ ao/ao wr w~ w~ D[~M OCWUtp •r wu ~uce. w~ ~ ~N15KI~M: / iO rO~~~w O~~ ~tu f00? a/1[~ aw~ ~wOY~1 pwtt. w0. 10 Msr ~~RlMC[O M! ~ O~ tMO~/1~Op, py! ' t~~ wn•aeo rw. ~ U~ tt~ Q ~ fl~ w~_ ~o nw uw+e~s~ u.ae. : CE~TIfKwi~ON-MEOKAI Efcu~wE11 OR O~ONER a. r.i ~.s~s o~ rw row w a•m aeeoer.~ .r~s r~o..w~.ao f[~rM~tqa pI DI! q0~ AMO/01 Iw~ INY[Sf~.~flpN, v~ dW'O~r. rOMTM W.1 ~U~ uOV~ 1 Ol4M O(CYtllC d~ O! O~R Y~O YIR q ~M! UVSt/ll 11~~t0. - tt~ M Cf~i1f~ER-NAME mn w rw.n S~ wt uur[ w nnr 4OATF S~ ~ , w...w~ z~. MELVIN WOLKO SKY M D ~n? ~ ~~"~~~u_cE~~g~ N. 7th St. 1~~~~w•~~ t,pierce t ~ Florida s'~n 3j3450 wn~u. cet~u?nor~. ~wOv~? FME7ERY OR CtEMI~t04Y-rl~E ~out c~r, w,o~.•. s,.+e ~ s.ecv. , Burial ,.?Ft.Pierce Cemete ~.~Ft. Pierce Florida OATE ~.~w~w, w~, .eu~ FUNFR41 MOME-NAw~f 4ND ~DORESS ~ s~itn w~!.e. ..o., em o~ ro.~r, sr.rr, r~?~ ~ tN ~ air -Funeral Home 901 N. 7th St. Ft.Pie c la Y. ~612 ER E(T ~URE REGI -yGHAfURf.s) OA~[ ~evf0 IOUI fFGlsifw~ ~ 11~v. 1970 ~J~ H. l/~ tw 1 hQfO~/ O~h{~/ If11f 10 b! • 11'W ~fld COlroCt OpP~/ (~C.~~ ` ~ Ropishers oeoord o~ f~le in 1h~ St. Luti~ Cou~ty Heihh D~peA• FIlEO ay~ QECOROEO ~ ~ m~nt ~t FoA Pbr~a, Florid~, sT.IUCIf C~UNTY FLA. ~ ;~~i:. + ~ti NOf vali FCGi. ~ •.,1'F.AS i 'r. ~;s~ i ~ ~9• d unlats ratsed ~at of the St. Lutt~ Ctf~~c C: ,.utT COUItT , ` ~ • • : '1~ - ' ~ COUnty Hsslth O~p~rtment Is ~ffi~ced.) R E C Q F"~ r p ti~''. •~-s r, ~f , = „ ',1~ _ ' : N. D. MILLER, M. D. ~C ~ I 12 29 P N'? T~:`~~~. bl ~ , ~iONfl ~1f1 ~{ICK dt ~A01~ ~~fit _ y~w t~ _ 4~'~~ ~ ' ~ i-..- -~ik.,l. ~.aC,-~rl~~.'',-~ ) ~ b~t~ " * ~ , L 24344 z ~ ~ ~ E } 3 . , , ` ~ i ~ oMxm? tocai Rwist?ar • n - . : ~~•?~-j~~ : ' - . . t , . , i nR pr f ~~5.lV ~1iL~~ - . _ _ ? „ ~ t .7;r a_~ ~ , ~ r - _ . , _ . .c r, ~.,~n