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HomeMy WebLinkAbout0999 - - ~ . _2 . . ~ 248433 _ , _ ~ ~ _ . . ' a~.-... '7 ' ' . . . CERTIF,CATE OF DEATH D~y..~+r»~ .t Fk~46 ..d R~.Mbau.e SK.;Ka F L O R I D A ~ATE Fl<i ti0. rn~•eticr~ cr er~u.tu it?E, OR ?tlNi IN ~~~~°"~fO REGISTRAR•$ NO. Z~6 - ~SlMANtNi INK ~~A~~N~E ru~t ~sa~ ~~s~ pAT~ pF pE~M ~ ~o~rw. ear, rt.~ ~ SEI Y110100I Wi •sn~csan ~ Richard J. Davis ~ , blale February 17, 1973 R~CE •+n. .awo. a..eeKw rww. wGf-wr ww¦ ~.e.. • wa. ~ e., OwiE OF ~+RTH ~.aer. ~.r. COUNi11 Of OEATM " 66Q2 "M~~'~ White ~,~7g~`us' A~' ~ ~ ; Aug .2,1893 i,~ Saint Lucie Gi1f, iOwN. Ol IOC~TWM OE/?M ws,x cm ~r+n NOSNTAI OR 0/1+Et tiSTIM~Or+-~+~u+E ~+ww w e~ee~, wn sneu ..o wr~t~ ~ Fort Pierce 'N`'~••efp'"° . n yes 111 South 22nd Street STATE Of ~ItM 1 M NOl M Y.f.~.. w.~ Q1~if?i Of ww?i COIArTR~ .,~e~,co. ~vER .we~o. StltrNr. ; SPOtlSf ~r .rvt. anr~ .n~per wt. wM.,.. ~ tw~oowco. a ~ vac.. ~ ~w...~~..~ . Germany . U.S.A. IN marr e`c~ „ Martha Hubbard r~rq nn.xs u.n~. r~e~r SOCW SfCUmY MW~E! u3U~l OCCUtATipa ~u.a aw o~ w+a eow aw.w .ou a KwO Of MlS~+ESS Oa w0Y5M ~„R OSO-OS-24U0 ~,,,,~„~,4~„~ „ „Taol and Die Inspector Republic Aviation `O""1O"~ ~swc?+cE-sur[ touwrr cros, Towt+, oe ?ourwn c...,,..s STtEEi wrrp r~WE! ,M Florida „~St . Lucie ;4Fort Pierce ;;u`~yes ~M111 S . 22nd St . FwtMER-ntA~wE ~,p~ rep,i usr ~cOTNER-ru~DfN ~t~wE .uu .w~t uu ~f Unobtainable ,t~ Unobtainable ~N~OAAUHi-?~uMf _ MnlwG wDD+ESS 11ti111 O~ MO. C~fT M~O+~r~ f~~M. tIl Mrs. Martha ~avis 111 S. 22nd St. Ft. Pierce, Fla. 33450 rwRt oEwtM wws GuSFO ~r: jE?nEe Ornr .x+E uusE ?E~ u+E fo~ Nl A1 uao kp w»wawr~ i~v~a 1~. r.ew~ wse K~..ur owie~ .w N.n. Gf~RIII/~ c f3RNrS i . . . . co»o~r~o..s, ..n •+~c¦ c~.i ast wi l~) trrtM~t! U~11 1e1. ~ q. « y~~~uOYI.K! a: lT~f~wO 1wl ~..oa- - - s~~..n c.rs~ usr (q ( I !S {T ~ /2 S ~ /1 V ~ ~ / / ~ 4/ .S ~=i~s c ?w~i Y. OTNER 51C,trfICAnT CONOITtW~1S: co..a+.ri+s cw,.,.~i.,,,p ,p a.~„ ~w wr ~e..n~ ro uus~ a~n» .u. ~ w~ ~WTO?Str ~F ~ES .eee r,,.a,..os co»- . ~~na o~ w~ Lwato ~w an~.u.nw ou.se W ~l~iM . ~if~ n~ H~ i~nbssM KCJOE~aT. SNbDE OR ~+Owrw. o.~, ru~~ N01J~ lMOW INW~Y OCCURtfD ~~Nn~ a.~rM Or .Mwn ~M ~~I? f M/Y~ N. W~ ~~1 ~ Ot t1~~LfTE~WNEp ~ ~7k M.~~I! ' ~?+1tR~ wT wO~tK MCE Of NAJtR.~ .ora. r.r. s.r~~. ~.na~•. ~ lOUT10?+ ~ sn~u o~ w., un w ro~.... s~.n ~ /f~li?T ~/f W MOI OMKI MOO..IK. If1lG/fl 7M 2M. ~ Nf CERtaKwT~ON- .c.nr w ~eu ro.... o.~ •w uo us. s.w w.?ra u..e a. . aoiao .o~ .u~ ee - . ?N~SKw+_ TO .o.+n. ~.i nu wef,.rn~ w.y~. awrM occuuco na n.ct. a+ Me ~ ~m.~ws rwe ~~w~~ su~. .wo. ~o ~re ~esi p~ wa•uo .wr !7N ilc p•• ~•c+uou. wa C(tilfKAi+ON-i?~fDKwl t7lwiwr~Et Ot CAlO+rFt: o» r.r ~.s~s a nr tb f~ ~ 7h S'~ M. *o u.e cws~.s~ suno. uow o, w.n. Mf MCfMMt ~r~! MOwOMYl~ OI~C ~..ra...wA. M .00. .»,G. n.. .«.a,4.n0.., r~ O?..~0... ( ..D'.4 w. ~e.. - Ol~~w OCM~H P+ ~t Mp ~MO Ni! q~M 4vi1~1! sr~p0. n ~ ~ ~ ~ ~ . ~ ~ M ~ 77? ~I ~ M ~ CEttY~E!-NAINf ~nre w se..n ' ? • .Ww~Wtf ~ ~ ~ wwu w nru wT[.S1C,YEO ~+a.a., w.,,u.~ ! f~ . ~ J . G /i~ ~ i71?. ~ ?k r ~V i nDWESS-CEfflf~Ft srne. w~...o ..o. un o~ s~q r r- ~ _ n,t u ~ ~ ~ ~ c - - L ~ i fiIRULL. CtfMA . ~fMOYAI FMETER? O~ CiEMA:OlT-N~iME IOCATIOK ~ Pn p fo~w sr.t~ ~ s+et.n . r.. Burial ,wFort Pierce Cemetery Fort Pierce S~. Lucie Co. Fla - ~ OAiE s w?, w~ fUNERAI MOME-r~ww~F Ar.D wDJRESS ~ snu+ oa ~.r.s. ~W.. cm M Wrw. s~~n i~~ ~ 2-22-~"~ Fort Pierce Funeral Hame 106 S. 4th St . F't . Pierce, Fla° Y• S. i612 f DiRfCTOt-LGNATWF . QFGiSiR S~GV~TWF i - DwIE ttCE~vfC ~7 ~OCy e~ ~S~ R~v. 1970 ~x ~r1 0~ ,iLU.tyGC: t.. r w. i« F@b2'ildt"y ~3 ~`~973 ~ ~~r ~fY ehfa t~o b. e m~. and aomeer o~py cf f~ Loca~s~i~i= ~ouf~i~t f~ ` : R~gTstrar's neoord on fil~ In tfi~ St. Lucle GouMy Fioahh 0~1~ ._i;T4*S mOnt at EoR P~er~cs, Flotide. CLcRK C:?; ,liT CDURT [ ir~-„'~;,t~~ (Vlfarning: Not valid unless rsised ~el af tf~.a Jt. (t~ ~f COR ~ vi ~ ~ ~ : E J ~ t • .~s ' CountY tie~ettt~ Depirtrr~f is ~"~'i_'` • , ~"~4 ~ FEe 26 2 v3 PH'73 y_;~ ~~r.: , r . - ; z., N. D. MlLL6~, M. D ; _ , tie~ltb Officmt ~ ~ _ i~' r ~,i~`~,.~ ~ ~ . ' r~ 24$433 # ` _ ' ~ . . ,,.3:~ ~ _ ~ ~r• . ~ 7 3 , a-~, c,z.o ~ - ; - . ~ . .~i - , : ~ p•w~y ~ma~r ~ . - . _~,•7 ` •i ~ i~ _ ' Y. 1~ - 3I,~ l~~"~~y1~l~!~1t. , . R .~1~~/~ , . . ~ooK 2~1 9~ _ - _ - - ~ ~ ~ . . d-'~ Y _ _L".-