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HomeMy WebLinkAbout3320 '~ini~.e~- eTwTC BOARD o~ Nu<r+ CERTIFlCATE OF DEATH ~ ~ 243835 KJ~ri • BUREAU Oi VITJLL fTAT1YTIC~ STA7[ FIL[ NO. %leR~l FLORIDA ord •Aen REGI6TRAR•5 NO. BIRTH NO p?oper lr ~ rut[ O~ Y[ATN GODE Na7. Z. YfYA< R[lIOENC<I~~rMs~rrlr+t I!~~~.m.r' R~n/waNf~.~~i?w.r) eaec~ted • ~NTY STATE COUMT? .~a .111 St . Lucie (v(~ - o~~ Florida St . Lucie E• et~e~d le pe~- CRY. TQrM.O11lOCAlqli f. K?iACi Oi DEATN t. CiTY. Tu+rx.OR ~~~'iOx t. ~5 9Ec.r{tirs ••°•~c Ft. Pierce u~~ ~~s~oc,t~rr?~-~~~_ Ft. Pierce rE5[~~ ro rii.. ~ ti~y~ ~ ~ ~ ~~r ~ ~y~ ~p~p) STREET A~DNE55 NpS?~T~L Ow ~~ST~T~T~ Ft. Pierce Mem. Hosp. 908 Florida Ave. ) Nwwc o~ F6at uitlte Lur ~ wTt Alo~M Lar 1~a~ a~rN ~ o~~ u~~u~ NANCY CATHERINE McCORKLE ~ December 1 1967 S. S(It ~ COCOR OA RACC MAAAIED ~p MEYEA MMAi[O? { O~T[ Oi ~IRTM 9~GE /tV1 ~ U~~ 1~EAII i u~~E,1 t~ ~MS !vt Gvf~Iq) N..~4 Ww Hw.~ JY.+. r. t a• F W w~oowro O avoacco Md 2 8~ 18 9 S 7 2 p 1~ 1 n 1] ~Q~ uSU~I OCCU~~Tq~ I C~rr ti~~ y rer~ fwt 1~. KMD Oi ~US~M[SS ON INDUSTpY 11. itNTMPIACE (S7Nt M/O~tNA ~N~~~/) it CshIU Of w'u?i CONHTY~t •lt~ p~r- Irri~o~wtyraUal~~k.~~~/r~~l ¦•~•p~ Home Maker Own Home Virginia USA el~tk lslt ~ATMERS N~rE 14. MOTNCR~S MAID(N MArE " D. C. Galloway Laura Castle ~ ~1D••rla•r 16 SOCIAL SEN11~Tt b0 11 ~M/ORM ~ t1aMATYR[ AtOst~ ~ % ~ ~ . ' 25-05-658 -B~~~,/, cji , i f/<<.~~~-, ~i y Fun~ r~ 1 1• CAYK 0I OtATN I~n ~JI ~M t~wt Da fi~t /.r (A). t~1 (tl.~ INTEN~'AL lET1If[Eh '~S ?~~T 1. O(ATN tA5 CA{15ED W'~SET A DEATM dtr~ecor :xri_.t'L t~ lrPit t'~?"~' Q ~7l /i~e~ L~~`f ~ .~.c rtl. J / ~ ~ tA• t~~- ~j ~ S~ cir~e.c• C•.~uiw.i/•*r. ouc ro le) ~.r.~~fG~~l o Sc~~l~Sr.S _ ~/AtrrT+.~ ) . ~ t n t n. rae? ~.r. .ia~ r, ~ ~ w l o e w 1 ~a? t~tu ti). ' r e R 1 s t r a ~ Ne r ~trr- TO (t) 1~~~~ t~ru 1M1. ~ stt~la t2 Z ! O ?AIIT 11 Oi14R SIGIYfI[~Ilf ~011QII101lS COMTRWf~i i0 OUTN RJ~ MOi M4ilp TO TM[ iGrlMl OISGS[ COt~Ort~OM 61r[w w~MT ~l~) . W~5 AI.TOV~Y i ~our• •f- r ?ERfORwED+ ~ ~ a.r d+•tla s rESU ~ a or Defor• ~ ~~ieV~ Z0~ ~OA otstA~~ aow uuu~r oeeuRa[o. (8~t~r ~arr.e oJtwjr~~ iw Ps?t I r Pot 11 y'urw ~ ••k~ps ~CC~OENT wK~oc NorK~oe ~ A~~POIt- W ? ? ? z tlon et p~ TirE OF 1/wr X~wfl. pI. Ynr ; lod~- ~ ~wu~r w. • ~ o D• W e i 201 uuu~r occuR~[o 711t ?I~CE Oi iN1U11r i~ ~r ~Ibat ~OV, ~1J CITY. TOWN. 011 IOCATq11 coutiTr STA7E ~ MMiIE AT Mpi wNkE Id~. ~dN~. I~If~/. i~[[ OII~.. [f:.) ~ M1011K ~ 11T WORK ~ ~ 2~ 1 ~tt~nd~d th~ d~c~~Nd /r~. . fo _ 'S~.`.,~ ~nd !ut wr M~ ~li.~ on ~ ~ 3`~ ~ ~ DutA oceurr~d ~t _ m on fM d~b ~~~t~d ~bors; ~nd to th~ 6~st o/ mr ino.~l~d~~. lrom th~ c~uasa st~tad. ?Il lt~~s j~ CMA7YR[ (U~rOy,rt~ewl-4pltl 22% ADDRE55 22[. D~TES/~Hf0 co~yl~t~~l /.JVYri.(i•1.CC K : -6YiL '„'.LJ ~ ~J( y` ~/•~lCtl~ ~Z'/S(~'/ ~ •CCY~~t~. 2~ ~~r~iqn. 2]D pI1T[ Zl[ NAMEOiCCwET[RIORCRFMIITORY 23( LOCATqh~C ,lOrA.rtGUw7~1 ' R ~OY~I (`tiyt 1 _--~uria`~ 12- -67 Hillcrest Mem.Gdns. Ft. Pierce Florida 4, Y. 4. tEl2 . 2~ fOMEJ1A Di `Q4s SIC~N~T ~Q SS 25. WITE pUG. !Y LOC4l REG 26- REG~STRAR~S SIGMAT~NE ~ / 7~`~ N. 7th .St d-r. ~ a`..,wb' /L i~G~ t.Pierce ~ - ~ `~°7 ~ ' - . ' ~ F ~ ~ hereby <~er~1~y •thts.to ~3e, ~ Jrue ana correct copy of the local Regist rs.reccsr~~n fite_ (n'•the St. Luue C~u~ty Health Depart- fIIED tND RECOROEp ;.`ti ment .F~F4erc , ~lor;dar,~ iT. ~UC~E COUMTr F~A. ~ ~ fi(Va~ning: Not valid•`un~efs raised seal of the St. lucie ROCEF PO~TRAS C~ a-y~-`.: County_ Health De~artment is affixed.) RECORL~ V~R ilEO COU~.., RT ~1 ' ; _ _ _.l',. - ~ ; •N:'D; MiIIER, M. D. 1R{? ~8 9 ~ - ~i ' • . j ~ ' ~ . ~aui~ty Health Officer 8~ local Registrar se aH 11 ~ f;, .1. . t _ \ 24383~ 1 ~ co-? . . ~ . ,n~~; ~ Oat~ ' ~PwY local Registrar c~ • 1'+ • ~x ~g 3~.5 soo~ ~~c;~ . ~ _ r . ~ s~~ ~ x ° S. ~a.'~_,~.i~~-"..,'~~..~ ,..'!y'~:~'- , r~~~~., ~