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HomeMy WebLinkAbout5654 - - 1'1 ~ - CERTfr 1CATE OF DEATH 245448 ~rprdwtut o~ f ~ea~lti anti ~a:.aw~ilalire Jtrv{ces RA7E FlL[ NO. ~a~ nx?~ ot iu-+~.ni F L O R I D A iY7f. V.: ~RINi :N ~`~°~~Kn•~° REGISTRAR'S NO. 61~ RG:.IAIiENT INK DEGEwSED-+rAMf ~.~t~ ~~ua.t +•~T .SEi !OwTE Of DEwM ~ ~o..~~, a~r, r~.~ ~ Sif ilUiR209t i0t csnacrw.s , FR~'IC L. ~i~R:.'S~5 2dale Decgnber ~1 7 RACE r.ut~. MfWO. a~l~K~w ~r.o~.~, wGE-..n ~^c~~ ~•e~a a o.• QATE OF NATM ~rOtif~. o~~. ~COUNTf Of pEA'M ~ ~ rt•~ . GO~2 uc. ~ s?eu~. ~ f s:~,.~.• ~~e.¦s~ ..oa. a.n . wuu : r+ . khite i,. 59 ~ Jan 20, 1913 St. L»cie CItY. iO~. OR IOCAT1pN Of DEATM ~~+~~ot oti .•r.:f MGS?:Ui OR OinEp WSTITUTION-N~f ~ u.of ~w u*w~. Grv~ SwIT •w ..uwtt ~ a•~i,.+ •~s w ~o ~ n Ft. P1P1'C@ Yes ~•e Ft. P1PSs~ ±~r~dl. _ EQSj31f"a 1 STATE O~ ~1R7M ~ u r.0~ w u f.~ ,~•re~UT12EN Gf WnA: CO.:v:KY iMARiI:D. N_VEZ uJ~.iiEO. SU~ViYWC S~OUSE i~~ wu1. GM r~Ww wuN ~ caw.r~v, k , v:~OC~~ E~. Cr:O~tCEO ~ sncr, ~ , Pennsylvania „ USA '~o b~arried ~~Pauline II~nis rveae ~i~u•~ ~~u SEGUt~7Y NU~MEI ~ f.SUwl OCCUPwT~pt~ ,~,•t a+o u.c~a ;,:,..s c~¦~~w ros~ o~ [ii.p Qf 6USWESS 01t ~cvD~lSTRY vql~+~i. \~/f I~Iti •I ~It.~IJ 1 M« ~,K ,t 210-O1-7316 F7x3ineer Constn~ction aeyon.:~ ~uwe - r-- ws.w c,n .~..:.s~ •~ST~EET we.0 nUMtER •w.iis~on. ~S~pENCE-SiATE ~COUNir ~CITY, TO+~N, C~ \OCAiiOn , .:.+u~. ,n m ..o~~ ~ ~ 1818 Binney Drive Flarida St.Iucie Ft. Pierce Ycs fwtn(it-rl,w~F nes~ ..,a~.i ;~1' .MGiMER-6U~DFNNAMf sus~ ~oae uu 3 FYank L. F.r~se;:*s Jane Reese INfOR1NANT-NAMf ,v~~':t~G A'L?i5S ~~rui~ o~ ~ ~ o ~.0. c~rr w~o.r.., s~.r~. i~~~ . . „e Pauline Arydrews 1818 Binney Drive, Ft. Pierce Flaricia 33450 ' • ~~~~J~~~~~~ .n~t1~Y ~ NUtt OEwiH wAS UUSED 6r. ;Fr:TE7 Ow;Y "utii :~dif vEa ~..vE ~QR ioi, ib~. w~+0 {ci; i~~n.n.. o..:~. •..o w.tw '^j .~:.uo..n ~:ose I u~ ~a, ~ C~ n c l,,~ ~i-~~i" ~ v~ ~ ; 2 y~ s? ~ eo~st~~~ce u.. ~ ~ co~o~.~o..~. t /1 _ ~j ww~cw G~v[ nst ro ~ ~b) ~ j~ Jt.:. 1 l: 1 tJ L ~ ++e~~.u c. usM ro,, a~.i io. a.s . co~uow»u a . ~i 1~~r~wG rw( 01~- k ~ I~~MG C~YS! l~f~ ( ~ i a - ~ ` iwR: OSMFR SiC+r+~iKANT COt,.DtT~Or~S Co..a*.Cwi ca+:~,~uT:~+i. ro ~e.s.. ~,,...o~ ....reo ~u c.us~ ~~+e~ , o. AUTO?SY ~ ri rf5 r~.e ~~~~:~~.s tw.- ` ~~~~1 Oa rp~ j i~D~~lf. ~w 4~fl~r~r.~r~G UuH c. oi.~~ ~ - - ',w,VO ~:.caoL!r! /~CC~Gf'~T. SUiUOE Oi-TDwTE OF WiuRY ~.p..o., o.., .e..: iMOJR ,MOW ~N/URY OCCUOAED ~~^~re~ ..•*u~t O~ r.n ~ G~ r.n r., ae+ u~ ~ M~:C:Df; O2 :+hOEt(L?:t~ED ~ ~ h'1 j2W ~2~.e i+. ,2Le ~ INlURY AT WORK ?UCE Of u:~URY nJN. L~~t~t, rK"C~r, ' ~«~TI~N ~ fulft O~ . r o . Gn o~ ro.+.., ar.n , ISIfGn ~l1 O~ r~01 -OMK/ ~1DG..l~C ~YFC~I~i ~ r.. ~ za ' r'~ 1 CERTRICATiON- ..o..Tw c•• .t•~ +3^~^ o.~ ~e.. • ..l' s." ^~~.~«e• ...ve o~ a~/~~o .Lr +•e.~ mt; DEwin OCCU~~ED ~t M! ~JCI. G+ Mf ?MiS/CinN: TO ry.Tw O~? .~GO~ ~~IN:A~'w ~wpu~~ G~tl.: vD, ip !1~f Yf' G1 r ~..Ow~~;~.[. pW •nt,+JlD iw! , ~ - ~ 7~. 1 iw T:e OtCt~SED r~Jr~ r" ^ iI? :71t " i21~ t~ • ~~iM O i C.~Sl.S~ St~TlO ' f CFN:IffGSh7N-?tEDKAI ExwMi~:ER CR CG:Or:ER. e•. •~e ~.e~i »:,~..a o•?:,~.:- otc~u~' .~o»a...c~e ~~.o t....~..so~ a.t wo. .,wi o~ ..~e ....is~<c.r~e.., e•., ..c.~.r. o.. n.~ ..o~. ee.r. ucwuto a+ n.t o•n .wo oye *o uuu~s~ tcJ• t.~ M . 7it ~ CERT~tifrR-r..tMF ,nn o. .r...n---. S~G~w",,;[~: n ~ xuti c. n,.e D~tE S.Gr+ED'.~c.~r... c..,.e.~~ r C~~r~LLs, r`a r Ior,a r u~ /3'~ . _ n: v .1/ai :'l.~t 'k I - ~ ` ? ~ v~w4NK wCDR:SS-CERirfKR i:.er- ca o.e .o~.. ?~.r~ t~r : k ~-v .3 r-h ~ f. ~ r ~ ~ ~ ; ~ 3 ~ 5~ S'o lUR~AI, CREMATIpN, iEM10YAl EMETE4Y OR CiEw1.~GRY-tvu.+f lGCs7~G+ o*~ o~ ro... s*.n ~ s.tar. ~ : . Burial Ft. Pierce C~;~~2ry__ ;1~~ Ft. Pi,erce Florida ` . -i - ~ Dwtf ~ ~o»*., e.r. .eu ~ ~LnE4~~ n: v.F-~R.vE ~.~J .a~DRFSS • tet c~ ~ r o . c,n o~ :o.~. u.n. iu . ~ " ;u Jan. 3, 1973 FAIFa ~AL~ 9Ql N. 7th St. , Ft. Pierce Fla. 33450 Y. S. 1612 ft~+ERAI O~RESiOR= iuiF : ~ / ~ 4i~.~y.~-«GU:ujrF ! owrE u e~veo ~r ~ i aie~sre.~ ~ ii~v. 197G ~ . ~ ! i'.•L, ~ _ t ~.C _ . J i. r' l'. ~ .r~' ~ ~ 1w ~ 1973 ~ 1 heroby cc,-tify this to be a trtxw arxl corrctt capy c` t~ss L~I R~istrara rooord o~ file in the St. Lucis County ti~ahh C;f^,,;:t- - ~ ment at Fort Pietce, Florida. . ~,rr,tt;,,~ .:c - rt {Waming: t~lot valid unless relsed seal of tho St. Luc'a f„:/, ~ ~`~s;.~ ± ~ County Fiealth Dorartment is affixod.) ' r ~ = • - . _ ~ r.~ ! ~ ~ ••f - ry~ ~ ~ ~ ` i . ' s N. D. MILLER, M. D. - 4.. : ~cx_ ~ Coun Health Officor 8~ Local ~istror • ~ • ~ , , ~ ~L -7/ ' _ ~ ~ • ~ " za i: ~ 7 ~ ~tc..1 !i• . y ` .~~`l.~ ~ 'r~'~~~ ~ ~ . ~ ~Clb ~C~tJ1y ~ACA~ ~C~71Strer _ , ! f,)»,•: j ~ ~ •S ,:'r`. . , •yr T . ` ~oEO o ~ , ~ S1 LOCIE COUNIY FU. ~ - " ~ , _ . i ~ , , << ~ itOCE~ POtta~S v =:~.~~:',.~l.,' . CLERK ~i'~'.Jt? COURT « c ~ 245448 RFCORC Ytri 1EQ • ~ ~ ~i ro 44 aM ~z3 a~~2~19 ~2fi~~ ~ r . ~ _ ~ ~ . , _ .r.._:~n