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Home My WebLink About0376 245968 ~ 5 _ . . CERTIFfCATE OF DEATH ~ep~A~weu1 0~ ~Icrllb ~no Re~.al.ililall.re $tnicea STATC FILi NO. ,K. ~.,u.~ cx ~~r_v.,,+ F L O B I D A 564 fY?E, Ot ?tIN? tH ~'~~~u~~~' REGISTRAR'S NO. ?i1~NtN? INK OECEASE~-NMK ~~•s~ w0~~ ~•s+ ~~i iDATE Of Of~?TN ~ ro.tw. o.~, •w ~ fEE NIiDt00[ FOt .nwawrs , BOBBIE ~7. PERKIrS (,Fernale November 16 1972 RACE w.wtt. wlGq. u~t~K~r u~o~~~, AGE-:~ar e~ae~ ~+t~+ ~u~oe~ ~ a~r ' DATE Of ~IQTM ~~0~~~, D~~. ~CQl1Nir Of QEATN ~ ,..~+f~iite .,..6~ ..E..., .b, . ..a.. ; .t.. , 6602 ' . ;.Sept.24,1905~,. St. Lucie C111f. TO~MN. Ot IOCAT1pN Of DEATM .~s.ee t.n .r..ri MpShTwl OR OTMER NSTITUTION-NwMF wor f~M~. GM ftM~~ ~~+0 ~+wMf~ 1 ~ s~tt~~• ~~s G~ .~O ~ „ Ft. Pierce Yes I,. Easter Manor STwiE Of WiH ~ r~or u. v.~ ~,GT12EN G w~T COUKTY~ eMY2:f D, r:EVE~t w~~lftED. ~SUtvivNG SPOUSE .ue. om ..q.. w+r ~ cown. ~ W wED ~IWR ~ fntor ~ ~ ~'y•,41~~~ ~ Missouri USA ~;~`~~arriec~ John Perkins ~ .~e¦e wa.uo ~CUViy I~Nl~JE! ~ USUwI OCCu~w1K~ , w~n ...o o. .ro~. oa.~ w.,..a ~oa~ w~itWD Of WSwfSS W ~t+D~ST~Y ur[u. ~ u•m + w.~„~ u~~. m•• no.ic + ' u,,,~,a,. Own Home „488-09-1514 ,y Home Maker ',u .eHw.~ce uwu o.ussw~+. eESWE?iCE-Si~tE COU?+ir }UT~, TOWW. OR IOCnTION ~'~sw~ c~n ~r~rs ~STlEE? w~D N~~+~Ee L~~. ~ ;~v~co, .~s o• »o~~ ~~Florida ~u St.Lucie Ft. Pierce No 751 Cypress St. ~~7 Fwl„ER-Ih/w( ~~n~ r~oat ui~ MOTME!-MAIOfIi NANf ~ri. r.oa~ us~ ~ „ Cyrus E. Varnier Inez Cam bell INfORM/~NT-NAME ~1MALLWG AOGIESS ~au~~~ o~ ~~.o. «o. un u ror», ~t.re, t+~ Arlyne Kerr ',,,6301 Citrus Ave., Ft.Pierce,Fla. 33450 a ....o....., ?wRS pEAiN WAS CAUSED l1I: !EHTE~ O++:Y ONE CAUSE PfR tWf fW (oL (bJ, wwD ~c)~ ~trvttw o..sii ~.~o ot~m r.eoun c.uu . ~ I , ~ ~ ia, r.'j , . ~ n:.y %.i ~ -:i ~ ~ ~ /)t~.t ~.~i ~ ~6~ .i . co+s~?.~.t+:r o~ , ~ I i Y' I U co~o.no.s. r rw~u wre use *o ~ Is~ - - ; ...io~.n uw~ ~m, ow w. w .s . ~owaa~a..~. w )t~l~wG tw! Y~+Dt~- ! ~ \1~~aG C~YH 1~11 ~ ~ ~ " ~t~ a ?rUT u OTnEa S+Gnu~Cwr~T COr+D~i~OwS- ea+wno--s co«~n~u+~.e .o w.n. w. ..a~ .u.rio ~u c.v~e o~.~. r..~ .;o~ wUfO?S~ if ~ES .~e.e n..a~~os eaa i ~ ~a o~ yo~ s.wuo ~r wn~r~hwo tws~ O~ Ol~~w j ~~w )~~J , ~w ( ~i.• w:UDfwi, 54~C~Df O! OATE ~wiU2Y ~~o«r., ~lMt ,MOW iN1WY OCCUR~[O "~run o~ •tiw~• r~~r ~ o~ r•n t~, rtir M;N,uC~ pR utOEiEW~NtO Es ~ M ~ 20C Fx M~ iut ~ iN1URY AT WOtK ?uCE Of w~uRr.r wp,+1. uu~~, ~.C~J~~, ~Q~ATION . s~uu o~ o no . Un O~ ~Or.., H~q ~ IflfUn ~tf O~ M01 ~WrKe MOf .!K ~SMC~~~~ 't }G ' 70~ , ~i ~ CEMi1FICATIp~- o~~ n.a ' rO..rw o.? ?!u ~~w ~Sr Lr w~.t..U •u.~ Ow ~ ~ ao/ara .qt r.tr M~ DfATN OCCUNED •r MF ru(~. O•. py ?M~StC~~v: ip ro..tw D~• ~1~~ ~~00~ ~~rt~ of•n. ~~~w~.~~ o~*~. u+o. to sq ~eu ~ ~ ~ftfrtDlD ~w! ~ - ; . 1 - . , i j (i O~ rt U+O~+IlOGI. W:l 14 Gttf~stD nor ~ 7'! - 1? ~7h ~~i/ l, 1~h M TO M! UNSl~SI S~~1lD. CERTY~U~ION-+MFOKwi EA~u.~INER OR COROn:ER a~ r.t ~•>n w•~~ ..u:~ oi u.*~ o~uu..+ ~~S ~~O~+OU~.CfD Df~D ~ ~auw~iOn W Mf H'At ~r~0/O~ M w~l1T~WrKiM. ~r. rr O~~w4.. ' _+O~~ir D~~ •f~~ wGU• .O Ol~~w p~CYl~lO W M O~*[ I~MO DY~ W TM UYlI•S~ S~~1fD ~ 27• M. ~ 77~ ~ f M. CE~TtFIER-wwtE :nn o~ •t...., ~ S:G`VATURE'' ,.1 n oeet p~ nnt OATE SKar. D~.c~M. O.r, ~WI I~I D ra /1.,-_ ~i J`- ~ ~k Bernard D. Ross, . . ; ~ w? ~D Yf CEfilf f uu~+ u~ r o. no c~*r w+o~~ • sr•~ n• ~ ~~."~or~ ~t. ~ucie ~:~G D~T?c? C:~ t ~ ~ ~ Florida 0 ~ ~urtiu. CRE~.~wTWw. pEMOvwI CFw~EiEtr Oa CrtE~u!GCr-N~ ~~iOUi~Or. ~n o. w.~ sr.,e . ~ inu~ ~ ~ Burial White City Cemetery F't. Pierce Florida ~ , o~~i 1~,1~"7~~~~ ~~BAIRD FUNE~A3Lf HOME, 901 ~N.~ ~7th ~St~. ,Ft.Pierce,Fla. 33450 w ~ ~ y rt- ~ Y. S.1612 i~~ oJ~~ , . ~ ~ rt~G~ 'M!t-srcruiu+t _ . o•~ej~OfV@.:IDe~T~' ~~~sr 1~972 ~ R•v.1970 ~t? %~S~G .ir~>-~y~ 6 c. ~ . ~ • , iy ~ ~ . I hereby catify tfia b be a true and oornxt oopy af tt~e lccal Reglstrers reco~d on file in tfis St. luci~ Gounty Haaith De~ ; : m~ent at Fort Piera~, florfda. - - - : •y = S = ~ = ' = . ; : ~:a .~,;:'.4~ : - ~v (Waming: (~lot valid unless rafsed sesl of tho St. Luda t~: ~ M ~ • Gounty Health Depanme~t is affixed.) 245968 ~ . - ` ' ~ , /y : ~Y F LED AND RECORDEQ• ~ ' - ~ ~ N. MILLER, M. D. S~.LUCIE COUNTY f~A " ~ ' ~ ~ • ' Gounty afth Officar dc Rcgtstru ROCE? aO~~RAS = - . . ; - , ; ! ;k_ , CIERK C,"~U1T COURT • , . , \ . ~ .t. ~~1 ~~~f ~ CQR~ ~rEF'~iED_~-. , 1..' , x J 7 • ~,i.Ct.7~i.x0 ~'7.•Z - ~J _,c,a~ s~ ~ i>`~ . . + ~j paf~ Dsputr L~ocal Racist.er ~g G 12 f H ~3 ~;i f~ \ . . ~p ` ~ 6,Gh'" 5-~-e ~ r ~ ~ ~ ao~?Kz1~ Pa~- 3~ ~ ~ ~ ~ ry : T R3 y~:.., y~ ~y y' r~~„..N; µ ~`~.,..R . _ ~_.t~,_,.