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HomeMy WebLinkAbout0346 " 245950 ~ CERTIFICATE OF DEATH Drp..~.e..~ 1 k.ld? .,~d R~6.l.:Lau.e Sr..~:ce, iTATE FILC KO. ~M~~wx~, F L O R I D A lY?E, O~ ~~INT IH ~~~~~°~~O REGI6TRAR'S NO. 2~4 ~ ?[IMANINT INK ~~~D-H~f ~~qt ~~o~w~ ~t~ SfII DATE Of OfAiH ~ row~w, o~r, qu i SEI Iu1fp100[ fW ¦sr~~ , ~ Bill ti7ilson : Male Ma 28 1972 UCf r+n. WOq. ~t~Kw wM~w, AGE-u~1t ~~oe~ ~ rt.~ u~~ ~ w~ OwTE Of NtM ~.aww. N+. CONNTY OF OEwTH 6609 ~ ~y. ~ .o~. a.. ~ .b,,.. , . Ne ro 20 ~k December 1 1$I Saint Lucie crtr. TowN. oe ~oul~a+a oewrM ~..s.oe c~n ~~,un etOShiwl OR OMEe NST~TUi~OM-N~wE ~r .w w ~rt.r~, av~ vre~ 1ve ~wu ~ irttu. ra o~ ~+o n Fort Pierce No Pen er Park Beach Fort Pierce STAiE Of {1RM ~a wp~ w v.s Mu~ d71ZEN Of WMAT COUNTRY MwR~ED. ?:EVE~ wutMEO. SUtvneK', S~OIJSE ~r .re. aM r.+e.. ww ~ tow+n ~ w~CpwED. DivORCEO ~ wc~. ~ ~ South Carolinc . U. S. A. riarried Lula McGee vMq NCl~if• socu? s[CUatr ww[~ uww~ otcwwna+ : a.. .Me w.o.. oa+. ew~.~o .oa. a~cwD Of wsw[sx oa +nousrar urt0. M q~111 - OCCYWO M rO~wO 1W. Mw ~~~~~tC ~ ~ u 267-98-1167 n,. Comnon Labor None nua~+ce wror ..w~ c.n...w~ STREEt ~wD HU~E~ a"s~". ~ES~pEnCE-SIwTE COUM~ CtTr, TOMM. OR IOGt~Ow 1 ~ ~ v~cu. •es a .w~ ,w Floridn ,y Saint bucie Fort Pierce Yes 2108 Avenue "I" fAiNf!-NAMf I~qt r.Op/ uf1 i~M~Tlift-MAY)fN NA/M( IW~ WOO~t u3~ . „ Jessie Wilson Louise Dnvis ~wOR~ut~i-?+NwE i~+~wu+?x woGQE55 ~srun w~.~.e. ~.o, cm w w.n., s~.n. ir~ Louise 4Jilson ~,,.2103 .~?venue "I" Fort Pierce Florida 33450 ?ART 1. pEATM WAS GUSED ~Y: iENiff ONIY ONf G1iSE IEt /Wf !q (bl AI~q (c) ¦~rw IM F~Yy I u,.~lw o«ie~ .~.o M.,w 1~ ~.rtww n~s~ . • ~~::;:.:dic.t.; i .n~r.~ ~ ~ . • . ..~~o: j COMM~IONl. ~I ~M~. I i r~11(M O~Y~ ~Iff ~ ~~r~N~i~ C~Ylt 101, yM /0. W~f ~ Cd+1lOMK! W . if~11MO iM~ YM~l~• t \f1M0 CAYf~ ~~{t ! i~~ ~ ~A~i 11. OT11fR SIGNtfKANT COM0ITIOHS: co..ano.a co~an~~nr.c w w•m w* wo~ uuno ro c.~se a~.. .u. ~ w~ wllTO?SY li Yf5 ~e~e .~¦o~ras co..- ~ns w~o~ Lo~~eo w~iu~..wo uwu ~ W O~~~M ~ iN , ~ 1 ACCMENT. A1 10E O~ A W/ ~ rowtw. o~t, ~l~~ ~ MOtiQ ~~flro • W IN1U~Y OCCU!!EO wtw! p IMIYN ~w r~~t ~ W 1~~r n, m~ ~ ~ ~ Acc det~it D Ir'a 2s 1972 Qt PM TJr~aaned off Pe ~ IN1WY AT WORK rIACE Of /iIU~Y •i ro.e. ~•~r, s~rer, rw[~on. ~JUTiOn ~ smn o~ •q., c~n p~ ~o.u, s~•a ~ 1lMG~It AS M M01 OMKI MOG..~K. 13?K1A1 ~ No Beach ?e~~er Par;c 3each Ft . Pierce Fl i ~ ~ CElT1F~CATION- ..o.nw w~ .eu ` ra.a w. .i.~ ' wc usr s.~ w~~~~ u~n o.. ~ oo/ao nOt nf~ M OEwiM OCCYtlfD •r au ?ua. a+A.e IM73KI~N: TO i ~O~.u~ t~Y WO~ ~IR~ M~M. ~~.py~~ O•=t, u+D, p M~lit 1 ~~flMOfO tN! q ~ 3 t~~ ace~seo rw. 'f4 t7:~ ,~t1 i74 M. io n~ w.u~s~ sr.no_ ~ ~ CERTIF~CwT~ON-MEOKJ?l E7wMwER OR COROtiE4: a+ •.i ~.s.s a r..e +o~. a.r.. ~ r.~ wc~n~..r ~.s ?.a+ou..n~ w.o ~ ew...no.. p nr we. ..o/w .M ...vesr~c.rc». • o.w.o... - - , • +a.r. t y~~ Jw~¦ O[~M OCGV~~W OM M CwR MR W*Yi(~ 14/~y 3~i/ ~ 1 ~r / y~" ( ~ lti a.~I~ 1!1 Vi: 1.: ~.t ~ Mi77f 'J ~ M ~ CERT?Ift-NM1f ~nn o~ n..n' wi44E ` seu~e a nv ~ D~TE S W.i~a•n.. w•. nu~ t3. .n."_h~,~: i' rUC. ~'i~i a i ~ i~~:l::.,.~~ ~13r/l~(~ ~ ~~wG wDOltE55-CEIilFrtR ~ V s* • o • c.n w - ~ _ u~re _ yh . 1)1 :";-•7 ' • .~'17.: ~ i:)":.~ ~ { ~i.'V ~ {WW. CREMATION. ~EMpVAI •;C6ME7f4Y OR GiEwNtOYY-NAMF V lIOCA710N c~n o~ +o~~+ s~.re ~ ~ ~ s+~c~. ~ ; ~w Burial Pine Grove Ce:ae=ery ~t~~ Fort Piezce,Florida ~ a: DATE ~.wrw, e.~, ~u ~ fU?~ER~I nOw~E-N~~+f wND ~ODAESS ~ s+nn w~ r o.o.. urr o~ ~o~+, sr.n, to ~ ~ ~w June 2 1972 n. Lee-Peek Mortuar 728 Avenue "D'~ Fort Pierce Florida 33450 ~ Y. S. ~612 f1R~ pIRE(TOR-LG?4tU " iEG+S' -AG+r.?i~4f D~1E ~ECUVfD ~7 ~OCw~ ~lGlSit~~ R~r.19T0 r~ 74, tu aTW?e ~ I~ I hereby oertify this ro be a trw and aorrocx ' ~ ' ~PY of tt~e local ' Reglstrars neoord on ftls ln tfis St. LucJ~ County Fieal;h popnrf ment at FoR Piera~. Fiorlda. ~ , fILED ~M~ RECORDEO . (Waming: Not valid unless ralsed ~al of the St. L.udo ST.IUCIE COUNTY flA. Counry Heaith Department is affixed.) ROCE=. r'11TRAS ~ ;i Clf RR C? ~UIt COURT RE~ORO V~F:;fIED...~.r..l~ N. D. MILLER, M. D. , ~ ~ County Fiealth OffioK ~ L.ocal Rogistr~r 1~ Il ~ PM 73 - ~l ~ ~ . ' ~:z c.s. o~, ~,~.i a~,~.~? 245950 e'y. ~ O ^ ~ B::~r, ~1O PAGE ~~V r; :wz - , . ~ ~ - ~ ~ _ ~ ~ ~ ~ ~ ~ e