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HomeMy WebLinkAbout2979 ~ ~ 24'7'796 ~Y ~ /00/ 9.3,2~_ CERTIFICATE OF DEATH Qr~wrt~ewl o~ IIe~II~ aatl N.~ul.ililaln~e Service~ 1 STATE FILC NO. - ~w.~,~~ FLORIDA it?f, OR ?RINT IN ~OS~LLw~~O REGISTRAR•5 NO. 21 ?[~MANlNT INK ~~ASED-N.Wf :SEX DAif Of OfwTN •+o..~+. a.r, r~.~~ SEf M1W100[ FW nn~ .:oou uai ~T~~ ~ CARL JGSE?H STARICK i,Male ~,January 13, 1973 RACE rw~rl. w~G~O. ~W~K~w u.pur., AGf-i•sr uNe• ~ rtu rc..ca ~ o•r DATE Oi LcATH ~.wtw, o~.. ~COUNT7 Of DEAiN ~ ~ ~ .bs a.~ ~ ~,,.s , , : 6602 . (,~ite s. 72 U ~ Dec,14, 1900,. Saint Lucie CRY, 70WN, OR IOCATIpN Of OEATN wuw C~n .r~n MpShiA~ OR OTHE~ wSTITUi1pN-NAME ..pi ~i.1y¦, o.r~ stwet •.~o ..wu~~ ~ s~ec~.• •es w ..o n Fort Pierce Yes r~ Fort Pierce A~lemorial_Ho~ital STATE Oi /~!M IM NO~ W V!~.. r~~ri CITIIFN Oi WnAT COUNTRY MARpEO, NEVft MARt1fD. ~-SUtVIVNC 51011SE ~r~, p~r~ .uuotu ~ure ~ cowmi WlppwFO.U1vOKfD~vecrr. ~ YzV.~•~+~~~ ~ Germany__ + I1SA ~:arried .w~ ~«,yp A~na ._GtastZ~ch ~~reo a~n~ SO~~wI SfCUMi1f NUMK~ USUAi OCCU?ATION ~wn awo or .rai pp.~~ o,n~.w ..oa~ p i KWO Oi W51NFS5 OR INOUSTRY ocwues ~+a¦~+c u.~. m.. n.t+~.w i ~~•°ry~~•~^~ „ 128-18-1701--A „ Tool & Die "laker i„~ Air~lane -lYOlMC! NqR _ ~i~~ RESI~ENCF-SiAtE COUNT~ C1TY, TOWN. OR IOCwTIpr ~m ~~~~s TS~~EEi w?~Q NU~f¦ i ~ s.tc.r• •n w w L-~ ~..Florida St. Lucie ~~ort Pierce ~:o !~..2101 N. 53rd Street /A1NE~-NAME ~~U~ r:00a! .{~f~ i MOTHER-NUIDEN NMNE ~Nlt aDOt! ui~ ~s Richard Starick Eva Rink INIOWwNT-r.M~E i MwLLwG ~DLRESS ~sr.e~* o~ o. ..o , u.. a ro..., v.n, ir~ Anna G. Starick ;~n2101 53rd St. Ft. Pierce F1 3345A ~~T DEAM WAS GUSEO ~Y. ;ENffR Ora1Y OhF UUSE ~Et /wf fOf (ej. 101. ~/rD i~17 •~~e~r•~ ~un+~e. o~s~i ...o w... rreOU~! [~uit ~ t~? `~ear,_i,nGL ~ aa~%r~ ::a o; ~tiie ~-t.~;;~c1r. ~ L!ru!e-tea~:;.rted 6Gi~b~.s. ..seou~ e o~ - - - T Cowon~Owi. ~~n, r1" ~ ~ r ! ~ j ~~~u c..i •~se ro , lel W~'~ CO~fY~ ~J4~lttC~Lar1 O~ ~L(' `~lO~f'G~otiS. 3 v,,ceK.~. -..~o... ~N.use ~a, ~ ~ ro. a .i . ~o«uc~»ce w . - i~.uro e :..eu- ~ l~INO C~Y1~ 1~ 1 I (t~ ! ( ?A~T Y OiHER SIGNNKwNT CONWi1pN5 ea.ano.,f eo.a•.~oe,»o ro oe.r~ r.or .r,.nu w c•u~e o~n.. ...r ~~o~ --TwUiO1S~ IF ~ES wue r~..o~..ef eor~ '~~~f G~ MO~ j S~OI~tD Iti D~1l~r~w~r~p (~yu ! O~ Ol~~M E N~ ~ ~ € y IirobsW 1 wCGDftiT. SUK~DE d~OAT[~INJi1RY ~.o.+r«, p.•, rt•e~ r~Ol1R ~ MOW IN/Ul~ pCCUYRED ~~~r~~ ~•TUn or ir~un r.n ~ O~ r•n ner ~ M'~~U~, OR UrOlIEW~NED ' ~ Ep ~,y' to~ ~ 1~. M~ Nc t IIiIU~r AT WORK KAGE OF WR1RY ~t wOrl, ~u~_ S~tll~, ~KiO~~, i ~Q~ATIQN ~ P~tf~ M~ ~ O~ MO ,-Uh O~ tOrw, Sf~R 1 ~ - ~ ~ ~/?IUn nt W w01 d~Kl MOG., lK ~VNin ~ ~ . J0~ 7M ~ ~ ~ CERTIiKAT10H- .wrw w• n.¦ . +o..n~ o.. r•w uar s.r .~r..~. •~~.e oa o.o/o~o ..o. rK. e~ei DE•iti~Ott~ut0 r..e ruc~. o~ n.e ~ ~MrSKuw: Tp ..o~rw w• •e.¦ '~oo.. v. w•m l.+ou•~ o•n. .tio, ro n.e ~~sr •n~r~O~D M~ 01 r~ arOr~lOG~, OW ~ ' M 9 7 ~!c~. /3, l773~r,, ~`~Cn. 1 ~ /473i~,. 7v~ 6.-15.;~„ ,o...E~.~~,s,s..,~o o~«.uo ~ / / b ~ CERTKKJ~Tqr~-MEDKwI EiwwtaER q CO~tO~+fR. o•. ~.a~s o~ ~~e .oo• or ee.~» ~~e oee~a... ..o..ou«ua oe.o ' ~~~rw~fqw p M qOt ~r~O/O~ tM Mr111Ki~epr~, :w rt WwWw. rO~+In Mr •f~~ MOU~ M~M O(CW~lO OM M~ D~R ~wO OM 1O M C~YSfISI 1~~TID. ~ F; r M -~73 ~;1S--~M i..~i 72~ _ _ ~ . ~ CEti~F~F?J~-?+~ME ~nn o~ r.wn SK~ t~Q~ oee e• rnu ~ DwTE S~G?~ED ~rown.. o•~. ~t.~~ ~ 2~. l~. f.$. ~00(1WLrI~ ~ l'i. iJ. ~ ~ _ ~c /It ~i~. l ~16~J? MANWG Aqp~ Sy~. CERitfIEl suir o~ / r o..o. c~~+ o~ +o+~ s+.n rr z~ 1~.V. .50~C h l l ; i~~~~fr ,t ~ ,~r.t ;J ' n . / ~ i n {URIILL, C~fMATqN, REMOVAL CEMEiEtt OR CREwV.TOiY-N~F :OC.wTION c~~ w q+... it.t~ ~ ~ sna... ~ _ D~TE Cremar tion' fu~FtMO~Pierc~e A Cre:nattOTo.~~o o, c~~+o..o...;,~,ort~ Pierce, Florida ~ ,N Jan. ~lb, 1973 ,~Yates Funeral Eior,ie 8ox 777 Ft. Pierce F1 33450 7~ ~ RiG~6T~ Q-SIGNwiU4f 4 I~ /t O~7E y4-!D l~~IGfSIJt~~ ~ Y. 5. i612 fu~+Ee uE t A ~ r. 1910 . I f J ~ al dlllldY~ ~ 1 ,+s` ..n.. -ri ;F-r t • ~ ?K _ rl ~ ~ hOtO~'~l G~1i~~/ ?f1~i 10 b! • hll~ afld COff~OLY OO~ p~ 1~10•~~ ~ Registrers reoord on fil~ In tt~ St. LucJs Courtty ti~akfi Dopar~ , . '4 .,x~z ` msnt at Fort Piaroe, Flotide. S~`~ i - ~ 7 ({Afaming: Not vaiid unlea~ nised ssa{ o~ the SQ. LtuJO ~ • . . , ; ~ _t , • . , .;1" 4~~ Counry fkeHfi DspaNrrwtt b sfftx~ ~ :~k.~`~ . _ ? ~ ~ • ~;y._ ~ . r - - W. C. MI~LBt, 11~ Q : M 5 : _ s " ,~ocs~ly i~IMlth Ofliar i l+ocd ei~trar . , s, . ~ . - C'' . : . _ . . r . 'f~' ~r :k~, • r~: . ~ : • ~ ~ ~ ~b ~1 ~i ~ ' S ~ ; , ~ _ , ~ ~ ~ ~'="',_"+~...wr...- f~ F~LE~ AND 9ECOROED I~1 ST. ~UCIE COUNTY F~A. . . . ROCE? r OITRAS l ~ CLERK C~ ~CUIT COURT j~ RECORD v:u~~iED~,~ ~ ~=Y Ffe I ~ '?3 9 i~ AH ~ocx2~~ . 24'7?~?96 lt ~ 9 ~ ; n . . . ' . ' . . - 'r _