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HomeMy WebLinkAbout4373 ia~o ~?Ke R c~ ~ t~ ' . ~j I~IOCER ~ EIEitK CtR~~t~~~ ;~44525Y ~ ~ ~ ''.'~4525 aECO~o v.R~~~EO~ ~ - ~ ~ ~ a~ 8 30 ~1'~~ / t/~~ - :~ts e.- CERTIFICATE OF DEATH c.~es • ~~N~~t ~11{e~11` ~ad IZ~I~MIihH~t $enices fTAT[ FIL[ NO. ~.R.l ix~nx~.~~r ie.~im FLOAIDA ord •~ew• ~~O~~u~"Y~ REG1~T11AR•1 NO. ~2 properlr 1~lwt~ O~ O~ATN COOt NO. 2. YWAt 11[110tMC~l~M•MrWti.r J!.w.w~'~`• R.dwM~.!~•M.w:..1 etetutld ~•~~NT a. ST~TE F1Orida A. COUNTY ~L. Lucie .,,a . ~ i i ~t ~ • 66-025 D• Pl~e~~ r. ~S ~ES~DfMtE 1 n yer- A. C~Tt. TO~N.O~ ~OC~iqM t. IS ~l~C[ Of DEATM t_ CITr. T~MfN.OA IOC~iqN IMS~OC C/Tr ll Sl '"S'°` T" ""'TS' Ft. Pierce Ft. Pierce y(~j ~p ~S r~i.. f. M~r[ O~ (/J~wf i~ M~ptd. /irt ~htd Nlrtw) S~R(ET AOOnESS ~~"~~T~ Ft. Pierce Mem. Hosp. 607 S. 33rd St. l Nwwt o? t~?x M~Nt~ L~+t o~TE Mwt~ A.t Y.o occu?ue a°~`?rN Januar 9~ 1970 c~w «r~+~? OLIVER P. MARTIN Y S SUt ~ CO1011 O~ MCE ~ NMR1E0 hEVtR M~MKO ? t O~TE OF HItTM 9?6E 1/~ KMI ~s Ytio[~ ~~W 1M~OEa N ~MS. - /Y! ~11 M..r~. D~w Mwn Mia. . ~ i e. M CdU rnoarEO~ avo~cce Pril 15 ~ 1887 r i•l•?~ ~o. USU~I OCCU/~TIOM (CMt i~~/~/~[Mk Wfe 1~ RII/OOf ~4S~MES50~ 1110USTAY It. NQTMKIIC[ (Sfdt r IN~M* cM~h'I) ~ anaa oF w~wr aa,~nn •f tA P~t- frna yrr4~~Il~k Kew i~dtrN) ..~.p~ :~ec~anic ~Re~ire ) Railroad Corbin, Kentuck USA ~~aCt 1At 1~ i~TM(II~S 1/~Y[ }'QT"~~-c r~uKr r~~I ' " Ellen Ahler C. H. Martin ii socu? sccu~~Tr wo o IM/OAYAf17 wu.r.. ~ ~ 04-OS-859 ELLA A. MARTIN, Ft. Pierce, Florida i IMTUY~I ~II1[EN ~ ltl.~ . - Fun~~~l 1• CAYK O<ATN IE pM5[T AMD OE~iN • , d 1 r~ e t e r ?~~i O(~TN M~S C~YS[O ~Y• . IYYE0IA~[ GUSE l~) .~jCI/~L~ ~ ~ . •ust fIl• xn• e~t- i~- ~ J • tlfie~te /j,(~,yJ`~ I`~-~`_ l`l~'~_~~ C~w/Y~au. r(~~I. puE TO (61 _ L'~ ~ •~a~ lA• r~w~ ptt ns~ N ~ • - 1 o e• 1 tlort carK t~)• . • - • .[.ru~ r4 r.a.. c: - y-LL~1"~/ ~ r t S t s t r~r d.E TO (t) _~~~~I._~~~}-~L.=_ -•-y ~ , llta/ nrx (~at. ~ • f t n 1 n 7? O ?Al1T 11 O~KA 3K~IWT CO~at10Mf 01~76~1~Ni TO O[~iM RR MO7 RLU 10 TN[ lER1~YMl OlSFw7[ CO~~W~DR WRA w?MT 1(~l . MAS A TO/Sr no„rs •f- ~ . ~ KRiO~MED~ J ie~ d~~tA V ~ f ~{~yt~~ ~ES? MO „r eetor• _ ~ ~~„p•~ ~ ~pp ax~,~~pwiM~,rproCCue~EO lEw~~rsdrrr~J4jary' P~rtlvPOtllyYtsll.? .•ttos aw~ ~ ~CC~O(N~ SUK~D( MOY'CiOE al~pos~- V ? ? ? _ cton ef TWCOi !!wr M~~t~.1NI.1'r~r 5 ?oAS• V ~w)u~r A. 0 0. ~ i 2W ~r~u~r ottu~~[o 2Dr ?.~t[ os nuu~r ;r. «~ow ?swr. 20/ atr. MwM. o~ ~out~ cou~Tr Sr~Tt ~ wMil[ AT ~ NOT WNKE ~ N~A. /~M/• wrtli. i~fft ~I1.. tf[.) r1p11K ~T rO11R u 21 f ~f~~nd~d th~ d~cN~~d /rom / ~ to . ~a~c~ I , d /ut w~ ti~ih•~ on ~ ~ D~~th oceurr~d ~t ~ ~ m on th~ d•~t~t~d ~bor~; ~nd o fM b+~t o/ m~ km~f~d~~. Iro th~ e~u~~s ~bt~A. - A 1 1 1 t~~• ~ ZIG J1DD E S ?It. OATE 516ML0 12~ fICMATYw~ (IM~ tt M fblti .re to ~ C'- ~ y s~ ~o.yi.c. • ( . . ' ' •ceutat~. 2~ ~uN~~. u[r~l b E ~ • 23r h~Vf Oi CEN[T[NV~OR CM[w~TOl1Y 23/ lOUT~pN l (wr~. M cw~f ~ ~•a•; ~ Florida ~R+~1 ria~ 1- -70 Hillcrest Mem. Gdns. Ft. Pierce .,-'~`3. ~~s•i~ •~l Ow S S N ~ SS 7 th St 25 MTf ~[[O ~r IOC~I 11EG. Z6 6KTRAR"S SIGIIATWE ~ Kev.~p6~ l t.Pierce Fla_ January 13, 1970 ~ ~ - `.w 1 hereby oertify thi: to be ~ true snd correct copy af ths Loui ~ ` - Registrsrs record on file in the St. tucie County H~alth DepaR- . • msnt at Fort Pierce. Florids. . . - t^ r ~ . ~ (1Narning: Not valid unku raised seal of the St. t~xie . ~ ~ ; • - ~ ' counry He.~rh aPenn,e~t is affixed.) • ~ - . ~ - N. D. MILLER, M. D. ~ - ~ ~ . - • ` - County Heaith Officer 6 local Reflistrar _ = • ' , l . - n ' _~.~j~; , : . _ ~ ~ Q ~ ~ , rt Registrar ~i ~ Dat~ aPwY ~7 ! I ~ . - ~ ~ 2U9 13~ ~ EOGx _ : _ - - ::~-Y ~ ~ r. 1 - . . ~ . ' ~d~_ . . e. . . . , _ . _ ~ ' ~ . _ ......,a~