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HomeMy WebLinkAbout4077 . - - CERTIFICATE OF DEATH ' ~ Drpu~~es1 ~1 Ikwlt` Re~b1I141te~ $eevkea fTAT[ FIL[ NO. =.~Z arvcs+owoF?Ew~n+ FLORIDA tY~E, O~ ?RtHT IN ~~~'~~~1° R[016TRAR•s NO. . Nl~lA1~1A INK DKEASEO-NAMf ~~~i~ ..roou ~•s, SEri OA~E OF DEwrN ~•o~~•, o.., .e.• . S[[ Y~100[ fOt .~ra.s , ANTHONY SELITTE,JR : Male , December 13, 1972 l~CE vn~w. WOq. u4~K~N ~«a.r, AGE=usr w~x~ ~ reu ~.we~ ~ e.• DwTE Oi ~MCM ~.~wn.. w.. ICOUNt~f Of DEwtN nc. ~ vecrn u~n.o•. n[~~si ..os. wq ( w~.~s ~..r~. rew~~ . White 27 „ i H ' Se t.10 194 . In ' a R' y cm, towr+. oR ?ouiior+ oF ot~o+ ~~s~oe ca. ~wm ?pSMwt OR O:NER NS11iUilON-NAMF ..or i~..e~, c~~ a~~ei. .w MJWl~ 1 S~fC~Ir ~l1 O~ w0 n Vero Beach Yes Indian River Memorial Hospital STAiE Of NRM ~ u w01 :w y.f.~., M~r~ CITZEN Of WMAT ~OUNTR~ hURMED, NFwER MARQtEO, SURVIVRiC+ S~'OIJSE ~y NVt, GN! W~plM wM! 1 taeMm ~ ' W~DOWED. WrQRCEO ~ s?tc+• r ~ Conn. • USA Married Rose Lee Lou e r~e~e oece.seo ~~r ~~R USt1Al OCCUPwTpri -c~+e awe or w~c owe o~+~.w .wsf a RWp pf lUSriESS OR ~t~DUSTR~ ~~no. ~ aa~w ,t 267-70-8558 , „ar C1erk-Manager Food Stores k.a. or~ssw~.. REStDE?KE-StAfE CWMtv CRr, iOWN. OR IOCwT10N ~ N+swe cm ~rnf STREET wN0 NUw~LE ,M Florida ,p St.Lucie f,~ Ft. Pierce ~~„eCyes~~ ,..306 S. 30th St. ~ FwTKER-N~u+f .~n~ .nou us+ ~?OiMER-~eDErl HaNf rrs~ .~oae ~ ~s Anthony Selitte,Sr „ Julia A. Gentile rl INEORMANT-NAME MA0.1NG ADORESS ~Pee1t O~ ~.~.o. r0., cm O~ tO~n+. P•n. t~i ~h Peter floupe ,,n604 S. 25th St., Ft. Pierce, Fla. 33450 . ~ ?wRi L pEAT?1 ww5 CAUSED ~V: (Er~iER OM? O~E UuSE ?Et twE WR fe1. 10). k11 l~ir~.i~,. o..sn .~n o:.n ~ ~..eoun uvse ' ~ Massive bleeding into chest and abdomen. ~ . . . ~ . ~ coMwwri. ~..wr, a... b ro~ Gunshot wound. i.r~oun c~~fe ~m, q~ ~o. w•s • co.uwe~.ce w sr~nwo .~e ~weea i.~~c c.~u a.s, <<, (Hearc, inferior vena cava , and liver) ?ARi M. O~NER SICsM/KANT CONMT10N5: to..a~o~s cw+~aunrc ro u.n. ~u~ «or ~euno ro uvse cnn~ ••n ~ a~ ~a5~ •If ~ES re~e nro~ras co~ ~RS a~o~ vse~to n. oeri~.~~:~c uv•~ y~ w oe.rN Ye s Ye s ^ 1~~y~,1 KGOlHT. SUK~DE A ~ rp.~tn, p.~, R~r ~ MOW INIUR~ OCCURlED ~ e~+~et runi~e O~ ~~~u~~ u+ r~n r O~ nn rer n t ~pµ~fJQE: OR 1POElEUMINFD Homicide 12-13-72 ~ 10:15p M!,y Gunshot wound ~ INJIJRY AT WOR1C ?tACE Of s~rilRY.~ ro.e. s~rn, ..cron. LOUTION ~ snee~ o~ ~.r.s. ..o., c~n oe ro~N, s~•n i ~ i snnn ns w.a~ o..K~ aoa..ex. isnon ~ _ at work 7-11Vero Highhnds ~m Indian River Count ~ CERiIiKATION- +OKrw ~ w• •tu ~ ra+m c.. •e•~ w.o us* s.w wr/..ee •uq or I~ oo/oro w~ ~nt~+ ^~t OfwM OCCV~tFD •e n~[ .un, a+ ~t ~ ?N/SKIAN: r0'~M D~~ ~1~~ ~00~ •rn~ a.m. ~ I~~d O~Tl. ~MD. ~O 71! !^S ~ .ne+oeo ~wt TO G r~ a.a..[ece. _ . ~ ?1• WCUUO reOr ~!1? (ZI~ ZII ~Ib M. ~O U.~u~s~ i.w•• s CE?i1fKJ~iION-MEQiCAI EI[AwuNfR OR COROt~ER: o.. ..e us~s o• •~e wpy~ O~ Dl~~ DK!"Jlv~ r~3 ~~O~+OV~+ClD Dt~ ~i~rr~.n0~+ W Mf 100~ uO/O~ nM ~.avtS~~G?rOw. .r. r~ O~a~O«, 1 i rW~N . Wa+ ~?nt MO1u~ ~ oe.m o w~ oue u+ n~i uvu~s~ s..reo 1 Qr L.5 M' 12~ De ce ~~b~I~_ 1 ~ ~~,7 7 2 1 1 rJ O. ~ n. °~fl'ie~c~Y''~xaminer_ ; CERT~HER-N~ME mn o~ .~.«n . StGv~!~ . ~ ~ / ~ ~ ota~~e ,.n<. ~ DATC SlGNED ~r_.+~., c...•w• , H. L. Schofield, jr. . M .D. ~ z -!CG~~_.`i ~f 2-~ -•5 72 ~ wU1RING ADORESS-CERflfrt~ a~n~. o~ ~ c~n o~ 'L•~ s.~~e r~. ~ ?M ? r~ ~ {U~IA?, CREMAioON, RfMOVAt C~JwETERY OT CREMA~O[~-t~~r!f ~IOC'7iOr+ t~n p~ ro.+.. s~.•e ~ ;N~emoval-Burial Ft. Pierce Cemetery I,., Ft. Pierce Florida ~ ~tEDec. ~~;197 ' fu~EAIMRD U1vEYRAL EHOA4E,901~ N. 7th~St.~,Ft.Pierce,F1a.3345C ~ Ow~E 4Cf~~FJ )Y tOCAI R:G~S=i~l1 3 r. s. s612 ~~C~ ~ cEC:•- ucw:urE ~ R~r. 19T0 / ~ i~ fw /l / S' ~ "I hereby certify the above to be a true and correct copy - of the local registrar's record on file in the Indian = River County Health ~epartment at Vero Beach, F2orida." , o~ This is not valid unless the raised seal of the Indian ~;A~S tN River Coutrty Health Depzrtr~ent is affixed. t~R~' - ~...~~~i>;~\; ~ S n _ ~ _ . . . - = c.vv~1T~~//~l,it~~~~-~ C~, '~-jC! O ~pi~ ef ~ ~ ~ ~ r ~l_~~j/ k Covnty I?eal ~h Dir. Local r~egistrar ~ ~ - ` : . ~ l)~ i., f ~'~~i~~: . • • ^i ~ ~ ; '1.~~ c = ~ : ~ ! • . ~ 7 . ~r- j,~_~<~~,~ ~1~~2a ~ ~,'~:y~ _ ' ' l'v ~R ~i r; ...,puty ~?egistrar . ~ ~Q '''ri' a: . ~ - ' -~?.~`~~Y~~_±~, ~ F, n... LCJ, ' ?::~r 209 ?~4; ~ll ~`7 ^ ~ ~ ~ ~ ~ ~ ' ~ ` ~ T'~:~'~c~~ , . ~'~~i.~u~~a~ . - a .~.a.,.,~~.