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HomeMy WebLinkAbout1407 2~sss1 24ss91 ~ FILEO AM[? ~fCJRDED - ST. LUCiE CpUNtr FLA. ROCE* ~~tTR~S C~E2c .~J~T COURT RFCCP.=` ~E~: ~ EC - CERTtFiCATE OF DEATH ~ 46 PM ~~3 *~t~ -(kp.r~~e.~~ Ik.I~6 a..d F~Lai,~t:~.~i.~ Srr.:re. 6TATE F:LE ~:o. ~~y (NYlW1V 17i 14_Al lll F L O R I D ia 479 ~ Tr>;, Qi Ii~Mi IN ~~'~M~°~~'~ REGI6TFAR'S KO- ~ ~[4MANLNT INK DfGE~?SfD-/+wnE ru~~ ..~a.a .•s~ ~,5E? ~OwiE Qi pEwT~ ~•o•.~., ~•r, ki ~LLR:tJOI f01 wuwc~wrs , BERNARD W. VA.~EY ~,:Kale Se te:nber 28 1972 ~ACf rwn~. w~OW. ~+~uCU~ wN~?r, AGE-~~N uti~~~ ~.t.~ , a.. ~ DwTi Of ?.iTM ~.0.~... N~, ~~.C011NTY W OfAM 6VV2 eK. ~Mltu~~ r~na.r~ry.q._ ~0~. ~ o.n .y.P.~f rw. ri.~. . White 51 ;t~ ~ ~.Jan.28, 3921 St. LLCie GfY. iOwM. O~ tOG?T DFwTn ww~ c.n ..~u~ r~ts~;w~ Ol OinFa ...SZ~TUTqn-ww.E w. w eu~y~. a~~ ?~r„ rw~u ~ \ Y W w0 . ~ Ft. Pierce `~es F~. Pierce Menorial Hospital y . _ STATE OE WM ~r ro~ w~ .~.~~GT~2Era Oi weu~T G01M+Tqr !wv~ti:F i, I:ivEC titwil:ED, .SWVNY':G SP011SE .w ~v~, on~ ~~Nw w~~ ~ New York w we~. ~:ro. ~o,..K.., . .,....~.,,,.u E~ USA ~.arrie~ Ruth Buchholz ~.'~o~ ~o ~,e. SOGN SECua.tV wUwEt -i c,wu occw.:a~ ~ .Ma w w.. aa~ ww.o .o~s o. :[u+D W w1wESS O~ u.OUltRr •ti..a.. a... „ Z42-18-6649 3,~ Broker~~~~ ~Real Estate d~ NqM ~EYCENCE-ST~rf GOYNtI/ ~UTII, TOwn, Gl ~OG'~0~~ c.^ •~as !Si~fEt ~uv0 nvM?E~ ,~,Florida ,y St.Lucie i;M Ft. Pierce w p~~ s Yes 22d8 Cortez .~lvd. ~ iATMfl~NA1M( ~uft WCV ~~1~ ~~.Mi~rtF2-MAl~fN NM~f ~rfr ~~h~ uU~ '',s Robert John Varley Nary J. Connors . IwOMUtii-tv~rE ~•,u~l;r..,^, w~GxtSi ~sr..n o... o. ~.o . c.. w ro~., f~.a. ir, Ruth Varley '.,2208 Cortez B1vd.,Ft.Pierce,F1a.33450 . ^ ' Iw~t 1. DEAA1 WAS C.WSED ~Y. ~En•Ei C.tv:t G~E C,r.uif ht t?+t fOa ;e}. !?1. uO ~ur~~~. o..se~ .~.s c~•~. i ~ wh.q t ri~ ~ l,C~~~~ .~~r~~ ~~;~;~;r; ~ti . , : ~ ; ' - : :o ~ ~l, ~~%,4~~i~ ~:~~!rr, f ~I , ~~7j; ~J L~%~c~- +~f0~ TI C~ yar fsr M p. O~ ~ l0~ Own(~ V. ~~/~I ~1~t.~G ~w~ ~ \~~MO C~YM ~~ft ~ , . ! ~ ~i ~ • G~T Ot~i ! S~+YK~wT CW+O~i:,y.i cw.no+s ia oi.u~ w. u..•~a •o c.eu e..~. wuiO?Sr ~ u vf5 .,~n .~..s~..e~ ea.~ . /I'~1~ ~,~f~}(/ ~ / ~ ~ i~.u a~,/o~ ~ w~i: r~..~....o c.~w ~ LA~`_(-c~!~^t' J W~LJ ~LG~V~^_ , .iti ~:h ~ . t..~A~~~ K.:.r~[wi~Sb~U [ A7FTi~FY+Wi ~..o~.r.. w., n... .Nwt ~ tiOw 1NlJ~Y OCCUt~EO ~~+r~~ ~•rw~ O~ ~~y~. r.~~ ~ a ni~ r.OMK.D(; O! Yr0t1[frw.t0 i . ~ 'ti1 ~ I , ~ 7Q - M uawt~ wi wOt[ ?UCE Of w;u~r ror. a~ru, ..crw., :GGwDOn. . suu. o. . +o . c.r. o. .o~..~, ...n ~ ~ WUti tf~ 01 rOI .O~K! r~G..~K ~fMw ~ 70~ 7i~ .~%S . ; ClC.Y~C~T~O+~- .w~+ v.• .e•~ .o..u~ o•. .i.. ~ w us' s... ..:.t o~ i. wiow wr .HS ..e~at~~n OCt~a~~a .r ae r..u. w~.~ ~ ~wi3Kuw: iQ . ~ ..o..'w a.. '~oo...n. a.ew ~~~a.~~ /J e•r~. a~e. ro e.a uar ~ ~ .ntwo~a r.~ ' ' . /7~ o. r. ¦~.o+~x~. cd F r,. e.~~..~~,.o. 9/28 60 _n? 9/2~/72 r~~ gf2~7 • ~n. E~'j ~n.y~..~ ...o...~.,,~~.~.~..~e. i Cit7Y:UJ+O~+-MEDiCw/ Elt/uMWf~ W CO~G+~E~. w r.~ ~.s~? e• i~e ~ a~.r. . o-~ a~ciw~. ~.s .w~.a:.~ui w.s ~~wrr~~n0~. O~ ~w1 KA~ W!N ti! ~nffl4~'b. .w VwA~. . /~~Or~tw W~ w0'~~ i ~ l f OI~ti OCCY~M~ Ow ti MH MY OM q iw~ C~~S~~~~ ft~i~0. . ~ s• nt ?l~ ~ M E CE~TYtEe-N.w( ~nn o~ n«n S~ E. ~ i wuu ~ i • Owif SrGr+FJ r.o~*. o.., nu~ _ :;21vin wolkowsky v,D ~=~c.Y1l.c'rZ-' ~t~Z ' /O, ~ Mw4Y.G ~DJtESt-CEtiR~Ea +~a~. o• ~.r.a. ~N. c.n a•o... ~..n . T ~ r. ~ 334~0 ~W~M. fAEMwT~W+. Irtr~OVw~ CFw~EtEer OR CAE..uivpr-NU+: ..OUT~Or. c.,. c. s..~~ ~ ~ va.n. Burial i,~. Hillcrest :fem. Gdns. Ft. Piezce Florida 6~Tt ro.nr, ~.r. n.~~ iUhfAA: MOMF t.w~F a~J ~D:.A:SS . u~u~ o. e ~+0., us• o~ io..r, s~~n. o~ ~ , ,u October 2 1972'n.BAIRJTFli\E~.xL HO~~~ 901 N. 7th St. Ft.Pierce F1a.33450 ~ ~ S. ~6 i2 fu~+ERwc Dal~? Oe +N f) :EG:i R-S.Gti~:..tE ~ o•rt uce•vco ~r ~ou. ~te~a~u~ A~r.:470 ;s((/..~!!/i'~ r., e ~ i ~ ~N dCTO~Y` ~ . 1 hereby certify Mis w be e trus end ~ oopy o~f tfie tocaf Regimsrs reoo~d on fib in tfis St. 4xi• Gov~ty He~lth p,~~ ment et Fort Pkroa, F{orlda. i (1Alarning: Not valid unless ralsed seai of the St. Luda - Counry Fieatth Depanme~t is affixed.) ' r'~ _ ~ 1 . ; N. D. MILLER, AA. D. ; . ~ ' j~ - Counry Health Officer d~ t~ocal RoQtstr~r • ~ t ~ l T~ ~ ~ i ' . f 1~-~-~~,~ : ~ _ ' ~ - ~ ~ t ~s•~.~.. ~ny LoCa! Rsoistra? ~ ~ . . J ; 1 s ~ , ~ ~ ` . i . , i.:'- ' \ s ~ ' # ~ ^I `~1 ~~a~ 2l0 i ~05 ~ ~ . _ - ~