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HomeMy WebLinkAbout1439 . - _ ~ ~ - ~ _ - 246'71'7 - CERTlF1CA?~ OF DEATH ' DeP..~.e.~ ti~.1~4 ..d R~?.6rUuu.e &..~ce. ~ F L O$ I D A RwrE r~tc ao. UI~"[SiQV IIFAl7}I ~1 Tr?E. Oa ruNT ~N '~'•~"""'~^^O 4U8 ~ ?ilMAMINT INK nEGi6TRwp•S ?,t0. ~ SEI ~~YiWOI f0l DECEASED-~/~w[ ~~u~ ~a.~ .•f~ ;SE1 ~OA1E O~ OEATM . ~o.~., ~~r. ~ ~ .nre~~e~a T_1'DIA T~ :i.~~T '~~e~al Septer~ber 18, 197~ , • RwCE wuq, w~NO. ur~K~w wwr. AGE-wr 'w~e~ .e.~ uve. ~wTE Of NiM ~~o.r. COUNir Oi OEATN ~K. ~W4n1 ~~l~~f. +O?. O..r? . N+~-j ,~~~t.~~ I 6609~' • ~ite ~ ~1 . ;S, " ~~5eot. i3, 19201„ Saint Lucie CrtY. TOwN, Ot ? tWN Cf OfwtM ~.s.a. c.~ ri tipar,i~y Ji OinEi ~:STITUT~pn-hAME ~r .p ~.w.. cM ~ra~~ ..o .ti.a~ ~ ~ ~..ca. .u o. .01 Fort Pierce ~ ;;~~0~ ~oa ~ri Zndizn River Drive STwiE W WM 1 M MOt M Y.\.~.. w..~ Ui~IEw Of weuT CG..~'a-- Y ~ ww+^..:p. r.evf~ wwat.E~. SWVrvNG SqHSE ~r ..w. onn ..oaw w.r ~ <Orwu~~ ~w.pQ'M:'J. J:rC2CEJ~Yatr~. ,,,,,.~u,~.,K. Pennsylvania ~ U$:~ . _~1.:.p Domenic R. D1~i~U:O r.~y ~eu.x• ' ~ , un~. v w.u~ SOCMI SECYbIY WWE~ USU~U OCCWwT~6N .a.i a.~.a o~ .wa w7.. w....c .w~ p [r:D OI WS~.ESS Oa W01ISif'f OCCY~UO a~ ~Wt+O aW, [~1~+ u uf.~t0+ Iw1w...nW. OM . ' { ~ „ 163-1b-~113 u,_ F:ous....ii e ~:one " eESWE?KE-Siwi[ CO~N~Iitf OTr. iOwty. Oe lO~:wt~pr: w+w tn u..n ,SiafET wr+O NuMNa L-~y, F i ,"'•~"'•~•O'•'~j 8~05 S. Indian Rivex ~w IAr2C)d :a$t. T.L1CiC ~aFAYY ?~1,`1'~`~ ~~u ~:n ~r. {ATNEt-N11NE IyM .aN~ ust : ~+GTnLt-MA/DfN N~ME ~rN r~w.~ yy~ f ,s John A. 5~lo~:cr.e `~z:-i ~ Pal^~ ~nfOMUwi-MNwE _ i~+w::v+G ~L.:~SS ~urn a..a. w. cw. w w~«. ?~.*e. ~r~ i3 . 3~-rr~Q Do:~enic 12. Di'~t~uro !,n ~~OS ;:-:c,zan River Dri.ve Ft . Pi r~,~ rui oum wws uuseo ~r~ •eNrfs av r a.r c.ust ..r :++t ~w • 1.i ty. u+o ~.rt ~ ..w.:...n ..r, ~~Tr11w O~Ht ~w0 D~~f~ 1~. ~r~ CWf~ _ ~ - ` ~ ~ ~~_L/ C~~~ivLV"'~~~r~, / ~ 3 / ~ • • L ~ . =ow«no.s. • c« o.n .n~ q~ f?) ~ ~~~N~t~ C~YI~ 1N. M q, p~l ~(OMf~OM~.G W: ~f~~~1~0 /wf Yw~IF ~ ~ ~~Iw~ CNN U?I n t Iw[T y~// OT~( t S ,1~f T COt+Oii~ i•S: e ano.s eo..}.:•,n..: p ea.r~ ' ~i,,, ~o e.us ~...e.. w, wuTp?1~ N vE5 n.s..4s ea.- 7~iy~// - ` /f `~m p..o~ f w~u ru~......a urs~ /Il~~ ~ t~7~~~A' f.N ~ . /;/Y1a/~~~a.~ f„'~ ~"~Hi1G+l ~d/~ t ~1~T M ' ~ / iw +e~M~ ~ ~..o..l.,w.,.i.~~ ',r.OW ~ ~E ~~K~Ol. 1M0ltEtrvrtO t~ ~ ' nOW ~NIU~~ OCCU~tED ~~~ru ...nw w~w..~~. s r.n . w•.u ~ti war u~ I ~ TG~ ~:4. r~ ' 7's • • ~ ~ 1?UU~'/ AT WOK ~1ACE O~ WM~.~ ror. ~.r, s~nt~, r.au~, I ~OCwT:Oh ~ a~u~~ Oa L~.~. w0., tM W t0~. N~M ~ ~ ( ~~r~4nnf0~+0~ OnK1MN.,~K. ~VK.n~ ~ 1~ , ~ CIRTYKATiON- s n.~ ~ ..c~.'.. c.. ~ ...o ..s. a...~.~r..~~ ..n~ o.r MOfNS^1q~ vM~ ~Y) DF~iw OCCuutD ....c~. w /M73KUN: TO ^ ~j ~ ' ~C+iw M• IIU ~p~ uTl~ N~'~. {~yy~ ~ ~.n. .•.e. q s. Nl~ q r~rtfM(Y iy l~ -S / `/'y A/ ~ i I Or ~wO~UOG~. 6.~ ~ 71~ Nc~.S1o r~o. a~ ~ ~;7:~ f /J I 1 ' 1:: / t II~ ~ 1 j11 ~~C /A ro tw~ c.~f~~a~ fr~ryo. C[~TY.GT~pa-MED~CwI (iwir:nEt W WtOnEi. c» r.a ~.s~~ w•.r wp.~ ,x~x+ tw~ MC~.l~wt hpwqyw(~~ N~1 g ~..~...~o. o. at ~o~...~iw nr .~...~~.~c..c«. ww.a.. ~ : ~o... n.~ ..o,.. 1 g ~ s~•~w Otcw yd~ M Mb ~N hw p W 4u~~s~ f~.4a- ]t ~ /C~/ 7h ~ CE~T~i~E~ M. o . .n . M S.:w~ 7' / M;,~~ p~ r.• , D~Tf S/G1ED ~.a.... ~.r.. ~ . _ /y/C f' rar j/`~! , -G~Y'?' i /~7 ~ ! r. 9 ~ µw?wG wD a e a+..~~ .3 w~. u.w n. GL~ ~ G' i c:~; :-z-~z. 3 i~/ ~ ~ ~Utcwt, GEMAT ~EMOvAI ~CEl~fiEa)'~.7R C:cw~.~::..r1 na.vc :.O:.Ai;Gh un M q..+ s!.r~ . ~~nc.n~ ~emova 1 ~ , ~ _ ' fr~~..ols, . Pniiidel.~nia, ?enn. _ . _ DwtE ~.o-ww, ~.q n.a~ fUNE~A~ M4MF~h4a1E 4.\A A:,yiiSS s:..a o. • r.o. wo., an p~ io.+, u•n, in ~ ~ ~ Sevt. 21 I9~1 Yate~ ''v~ 7?'7. Ft. Pzerce, ?la. 33550 ~ v. S. ~b 12 Euntw o+Kro~- r , _ : ~y+~ zc~ c-5::..ti.:,,,~ o.n ucurio n.ow ~w~srw a.v.io~o :a .t ~ t ~ / 1 ~ . /S~?/..lAl /OX : !N V~nTP~n•y7+ ~J 1 n.~~ . `/~-y ~+T:.: r~~ ti .~71 'r~ii6~/i~~~ t ~ 1 heroby os~tFfy fhb to be a~flN and COfT+eC7 oo~'y Of 1F10• ~+00~I ~ f' .~'L~ Repimers reoord on file In 1F~ St. Luci~ Gourtty ~ieahft Da~t? msrtt d Fort Pier+os, Fbrtda. - Qw~,"'. i~~5~'t~~~. (Wameng: Not vaHd unless raised soel o~ the 9t. Lucf~ , ` ~ 1 ' •fi, ; : ~ • CountY Heafth DePartrnens fs affix~ . ~ , . ~ ` ~ ~ ' _ ~ ~ ` . N. D. Mlll6i~ All Q "~i' 4~ , t..r M~ ' ,J . e \ He~.irfi off;cor i~ t,ocd ~~r •~'•.s~`3~~~ l~Q~:ac~ : ':y ` ' , ~.~~t- s~~ ~ ` ~4/' 3 / ' l - ~ ~T i.-Q(.."7 f~i _ "W~/r1'~~~tiv~ ~o - ~ ~ ~r . R17~ D~IAr laal ~tttrar p ~ ~'''%1 i?, n, ~2:~ FILEO^1~N REC~~DE S1.lU~~~ ~OUMT'1 FLA. . iiOG~~ ~'J~~R?S ~~G~ ~ CLERr. ~~..CU11 COURT y-: pc~QRL~'1~F ,IE~~ ~ • ~~f ~ t~ 3 33 PH'73 246`71'7 aooK 2~0 P~cc 1437 ~,3 . '5~,.3'`f . ~ ~ , E,~r ~ y _ ~ K s.~ ~ . , . _ . . - _ ~ S-x,>~scYr,~