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HomeMy WebLinkAbout2789 r----- / - . . _ _ 2~9~2~ ~ Tsis 1TAT[ .o~o of xs,.~,x CERTIFICATE OF DEATH : eo~~s • ~YR[AU OI VITAL frAT1iT1C~ lfAT[ FIL[ N0. '•=•1 FLOHIDA ord •A~w •IRTN NO. pE tTRA N. 7 proy•rl~ 1. ?u?CS O~ ~[ATN GOOi N0. Z. vsuAa ~[NKNCt(saw~r/r.rd/w! U;..r~ t..d,..rN/w,.6u.,;~ i- •a~eut~d OO~i71T1f a SU1Tt OOUMTr i D; : St. Lucie ob-025 Florida St. Lu cie i¦ ~•e- urr.ro~.at~ou~~ a rua os a•:-M s. aTr.roN~o~ t,aaT~or e. a ncs~ocnct ~ii:~~ Ft.Pierce ~ csm uNOp Ft. P3.erCe r~cs m,w ?u~r[ Oi ~f/ w~t i~ ~w~iht. fw ~hed ~Sdsw1 I. STRtCT A0011[SS t NOS~1Tl~ QR UtST~TUT~ON ~ p Hotize Drive 710 HoF?ie drive ~u?YC o? Fb.e V~uls L..r 1. arc ~(..a Dq Y~w " iitiru«`i r,q t~TRIiu~i - HOY • o°u`?n~ February 12~ 19fi6 ~ . SEx s. cOla1 011 IIACE 7. ~ wTE OF wTM f. I1GE tlA Ntl~ r u~o[a ~ rtu wU u ~ws. +u+wto ~tv:~ru~iuto? trt~ir~?) ~r..w o.w r... ~ra. ~ i e• Fe~.'ta1C j.'h].te rnoowco ~ avo+~cco e y 1. ~.1 r ~a. uwu occw.*w¦ ca~.. i~„~ yw.a a.~ 100. K~ND Oi ~uS~AEif Ot ~wWISTR~ u. wrw~.u tg.a w p?w~. a..~n~ a+va or .wu aa~w~.r. ~ ¦ 1 t? Ds t- ~rri+1 iwt N wr4f~/ /e/r. ar~ fj/~NMdI ~ ••p•we Teller $ank P:t. s ' a U~ ll~et lwt 13. fATN[l'S M~YE i1. aq7rElt'S M4~DEw MarE •r ~»••~11i~ I3avid i:cCorraick ~:iria*a Ev s ~S. w~s at[wsto trc~ w u. s. ~Rrto ~aeets~ t~. sau~ sceuiuTV ~.a u~w • siow?Tws A V. Ho9 I Ia. r~ a.?rw1 UJ M~. M~ w~/w~ d wnW • ,~0 1 a-1 E- 28S wu.~.. r~w.r•i e~use os ou?Tw ~e,rn.d~..e c.... ~r. n.~~ t.~. ts~..a~ u~.~ ~¦rur~u ~cr~rccw e a?r•ecor r~~r~ ourwwnsuus~osr. aaeriuwourn ; ¦uii t~1• WM[OU?Tt GWSE W~ C Si _ tY• e~t- ` i tl[1Ctt• ~,f~~~~~M1. ~ ~ •itl? t~• r~k~ ~vtr~ t~ ' 1• e• 1 ~li+r~ ~u~w (~1~ t ~t~tiy Yr a~/[r. Olri TO (r) r~=lst~~• /~u~ «an lpf. } .iea~w ~s = o rut K aRw sKw~uun oo~o~m.s oamaKrtwc r~ ouTr wrt wr ~uwm *o na turrw~ asux oorar+o~ iwa w?wir K.J . ru ~uTOrsr ~e~t• ~ KRiollqtW ` t~r d~atA 1fEt? MO t or l~ fe~• jQp. pE~~ ~pw WW17/ OCNUIIED_ (blta *dwtt N Ww/ k~~ l M AMt !1 IttA ffJ •~tlws ~ ACCW(MT wK~oE MO~tK~OE ~ ;~°`;t ~ O D ~ _ ' ted wound Lo head ~ Dedr. Tu~E Oi Jlwr ~fwtl, D~f. Yr~r _ v uUullr ~ r. _ . _ W1I OCtuMEO 20t. /twCE Os u+lullr (t, iR ~r ~ w~, m/. pTY. Tpwll, pA lpCwTqQ COYNTY STATE N»nE AT ~ MOT MMtIE N~~. /~N/. aVtet. ~~ttGt Afy.. tfC.1 ~R AT MORK u~ Ft Pierce SL. Lucie Florida 2~• /~tt~nd~d ~lw d~cwNd /rom , ta ~nd/ut ws A,~ ~4?~ on 1'1CVC2` G~eJ? aeeorr~d ~t • e.+ rh~ daa ~teud ~bw~; ~nd to th~ bwt of m~ tewwhl/~, /roai tA~ e~uw~ ~t~t~d. ?11 lt~~• ~ ~p~7Y~i . ' .r• to i• (~MKKi?u) ~DDRESS ??e. W?TES~GMED c ce~p~~t• ? F P D iAilllt iN~Iiai. i~t`i'w5C 2~~1a~ ` •CeY~~t~. 27~. MMFiK.q[WT10l~. j,~. OATE Z]c_ ~uMEOFtEMETENrORCREwTOQY 2~_ LACATqM(~f/.[MrR.Khs~/t/ (aTdf) ~ ¦E~~L (SpKI/~) ` j - -66 ~ii3lcrest :•:es,orial Gard. Ft.Pieree, Florida ; v. s. ~eis su~~ oac o~ s sw~un~c Y~irJ~.4~'#3: :.=tf.L }:Ci::i: 75. OATE I~fCD. ~Y IACAL RE4 tc acar~~s s~wunMC ; a••.'9as Jack .T. Hoore r^L.Pierce,r~orid 2-14-b6 Anna Lee ~nisan, d.r. 1 hareby aertify this to be e tru~e and aorrect copy of tta t,oml Regimars reo~ord o~ flb in ths 51 Luci~ Ne~t~}~ p~~;, ~ - Ne~ m e n t a t F o A P i a ~ a. F b r i d a. ' t i~~ ~ Mluning: Not valid unless ralsed seal of the St. Lud~ '~-!~~`~i~ - County Hseltf~ Dsputment is affaced.) u'a'° ~ - ~`~i!'-r ; N. D. MtLLfR, M. D. ,s~`'.,.•`~ : ' `~r ~ ~~t' -t ~~yy• _ ~~~y Offiar d~ ba) R~gistr~r J - : ` ' . - ~-~~1 s- ' ~ • _ .:-a~ ~ ~ "~'~j~~+~~`~~ 'f < ~ ~ , - fV.a~ _ i . ~ ~ ' . + Yf/i wfxi~Jr LAGOI RBQisttal A~;' ~ ~ : ~ f : ~ ; - `t - ~ 3 j ~ ~ ~ ~ . ; ~ - - ~ . - . ~ ~ . FIIEC AVr. :.;G4RJE0 ST.IU~~~ ..;;~HTr FLA. RO:,E= =~):7RAS l CtERE :;t;;; ~OUAt ` Rr~~:- .,.-f.. aoaK 211 Pacf 2~~ MA~ i~I ' a 3o PN r3 N[ILl aRiiilN JEfFR1E9 L LLOYO ~Q~~ CMApTEAED V P. O 907c 1270. FORT WERCE, iIORIDA 33450 - tEIEPMONE (3051 ~46s-6200 - - . . - - - - - r _ - ~ r- ~ . ~ . . : _ ~ - ~ o . . ~ .