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HomeMy WebLinkAbout0784 , ~ , i i ` - - - • - - . - - ~ - - - ~<<a/VY~~~~_ - ~ 2 3 CERTIFICATE OF DEATH ~ Qepid~tot o~ IIe~ItL ~wd Re6..w:iutlve $crvicca BTATE f)L! NO. av~c~v cf ~+rwin~ F L O R I D A tYIE, O! ~t1NT IN 1tSrAN2NT INK RFGISTRAR'S NO. ~,F . SEE Y$100[ F0~ ~a~Nµ~( ~•~s~ r.oou ~•~i ~SEIC ;owre oF oewTn ~ rowrw, o.i. n.a ~ IDIZ~I IA~-~E Fenale March 17, -1973 lACE vrR. ~FGW. utaKu~ wOrw, 1 AGE- Wt ~wt~ i.t.~ '.;~+o~~ ~ a.• D=TE Of WM ~.a+~. wi. ~COUNTY Of OfwTM nt. ~sntvs~ ~s+~ ++euai ..o~. ; o.rs ~ +~w~s ; ..w . ~i.te ~ ; Il~awiv. 6,1899 St. Iucie , CIi1f, TOWN. OR IOCwT10N Of DfAM ~~~+~~e c~n .w~rc ttOSPiTAt 6R Oi?1ER NSitTliT10N-NM~i ~u ..0~ u. rrt~e~. em s*ru .+w w.ni~ ~ ; x snu~• .ea u ..o i 6602 n Ft. Pierve i,~ Yes Ft. Pieroe bla~xarial fyospital ~ STwTf Of WTM ~ u roT v.s .....i GT~2EN OF wnwt ~punizY'~'w~A~tED, NEVER ruwR:ED, SURV1vNG SAOUSE ~ u.rri, e~ve r.~oe~ .we ~ x ~w FD Nf'~ ED wtc~n i ~s~.~ ~ Gern~any , USA '~.'~RSar~ie~ H~?xman U. Lahde ~~.eu wa.uo u~W. r oa~s~ SOCW SECUtITf NU/.VER -U51/Al OCCU?AT10N ~ur~ ay.o w Wta oo~+e ow:w ..of~ W .[M1D Of WSMiESS O~ 1lOJSTIY oeewuu w .~oawe ..n, e~n. n .e.ut> > ! a~ 334-40-7310 Haoe Maker I,, Own Ha?~e ¦eyoe»ee uron. ti RESWENCE-3t~IF COYnTY tiTY. ro~, Ot cOC~7tOrt wswe cm u.aa SttEET wr~0 wU~NEt ~ ,wFZArida ~w St.U~cie Ft. Pierce ~'es.'° 1234 Binr~y Drive ~ fwTMER-N~wf ~ ~.a~ .~w~ae wi r?OtMEt-/wwDfN r~~ME ~rs~ .~ow[ usi ~ ~ ~ u Dmll Iac?ewlg B~xt'„a NiChterlein ~ ~ 1?uiORM~l/T-w~h~f `rM[WG wCG~TESi ~srua w~.~.u. ..o., cm o~ ro..., a..n, tr~ Henaan U. Lahde ~,n 1234 Binr~ey Drive, Ft. Pierce, Flarida 33450 j ~ .rrqn~.te ~wtear ~ J ?Ati 1. OfAM WAS UUSEO ~Y: ;ENfEt ONtr ONE UUSf 7ft tirE f0~ (oL !AL wHD (c1: ~unvte~ o+~+~ .w~ u.:M N. rro..a u~u / ~ ~ i p lO~ C~ r c c~_~ t~-. ~(%7 i~t C~ ~ ,,,y . .f ~ wY t O~: , ' =OMO~TIOn~. ~i wM. " ~ ~ ~ w~cw c•v~ us~ w ibl C='_ ~ C-' !C-T~~ ~ ...ea..n c.ra~ ~u,, ow ro. ar .s ~ ea+sea~e~.e A Si~71MG ll~[ ~..oiF at . ~ ~r~wo c.~u ..s~ i (c) ?w!J Y- OT+fER SIGNY1CwNT COHO~SIOnS: cow.no•~a ca.a~.ws~..e ro u.n. ¦„r ..p~ nuno .o e.~s~ e~e.. w ru~ ,.o~ AUTOfSY jF YES riee ~iwa~wea ten- 1~its u..o~ ~ s:o~~ea wTEa+~~i~e ewu a oe.rw lH~. !1t~~1 ~ Ib {?.e~elJ~! AC(JpEAT, SU:CIOE Ot 'DA f :t+lUiY ~.tw.tw, ~wr, ~e:~ ~ MO~;C ~ ~ MGMiUDE; 02 IIf9ETEW1NE6 _ MCW 1N1UlY OCCUtREO ~e~te~ w~wt W W~yti ~M /VT ~ O~ ?.u iy rt~.. rs~ t:wc+M 1 ~ ~ YJb . X1 M ~ Ni ' " IN,Ll1I Ai WQRK PLACf Of 1N!'JtY sr .r~..e. r~~.., arp=r, ~.c~J~T, ~p~A!1QN , st~~~t O~ ~.~.0. i+o.. Un o~ tO~+r~, st~tt ~ 1s~ean ns o~ ~+oi ~oNKt MoG..IK. ~S?etwr~ ~ ~ i 70. ~ ' I1C1. 1 (~,.ER?1f1~AT101H- ~O.~M Wf T!~ ~G~+~1 Ow~ lEY ~+'ti 41T Lw wr: M(~ 4ri! QI ~ 1 pp/O~C M1 ~RV W I CEATM p~C11~lED IT :w[ Iu(~. :A! ~ ~NrSKtAN: , ~ rOi+iM Wf t!Y ~~00~ ~JiN D[AA1. •nJY~~ D~Tl. TO 4[ ?!SI ~.Te..ao ~.e T~ 1 ' i l cr c.ow.toei. aut :1• uct.seo~~¢r ~tn :~G~~Ct: ~~,~~~~~:ta ~~1~~~? ~lt~. ^ -Ii:e7~~1'1 rM.ronuewseu~swie. ~ fEtTIfKnTqt~-wtEDiCw~ E1uWt~tER OR CGIO.vE~: a. •~r ~.s.s o. nn ..o,,. q, o~.;.. MCFOlNS ..y .~p..,p~.,~w w.o - ezuw.t+p+ W rwt wo~ w.,o/G rwe ...~st~G.r~o.~, w.r u~w~o... / - .oa~M p.~ r~•~ ..o~~ YlwM OCCIM~EC OM A1l WR ~MO OYE 10 Al U11S~t1I Sl~SFD ( .1. St~ '~C.~1 G M'1I) i'iG'YG~' ~7 ~~i?? ~ _ CEii1F.ER-N.M~f mn o. ...wr~ . S:G+~~~ ~ ~ ~ ^ r ~ ~ I cean! e~ w;+e OAS'c ED ~ Tw. w~. •eu ~ , i . . !d._ a_ G;,~~.~•~i.n~ ~'t- ~ ~ 1~;: .~-.,r " "~--'l~? •u~tNCa~!p(S~- SS-CftiY~ER ~ ~:ut. w a. o.~wo. . c.n u q... . i~e rs ~ . JM ' }•~~~i 7%if"7 il' . fY~ ~ = ~:1 ' I 3l:UAl. QEMI1TiON. iEMOVAI CEMfTiiY OR C4F~nwiOiY-M~xF ; iOCAi1GN ~ un w va.w ' snrt ^ : ~ Burial " 1 ri~ Iiillcrest M~norial Gdn,s~. ; 2.~ Ft. Pierce Flarida ; i- DA7f ~..onrr. oar, n.t~ }F1iNFRA: nOw~F-ywNS wLaaf:S sr.:cr n~ a. ~o., c~*r p. rov.., s~.n. t~?~ f ch 19, 1973 ~n. Fil1~L i~~ 901 N. ? St. Ft. Pierce Fla. 33450 ~ v. 5. s612 tar SK'.nu1IMlf :.f:,~5i^. Sti.+vwn.e[ _ aw7~ atc~ryFD n aow ac~srua - a~v.1970 C{j'~ w.~ , ,o tw. v Q - i 1 h~t+oby oartFfy thls to ba a trw ar~d corract oopy ct tha Lxa! ~ Regis3rc~s record on file in th~ St. L~x~3e Gounty Hc~}th p~is} - ' ment at Fort Pieros. Floride. ~ K~~'-~. ~s¦O!'f1U19: ~10~f V~Id tJ~1~eSS fitiOd f6a~ C~ t}1~ (il('j, .`1.{~ t" 3 ~ Cou+tb tieahfi Depanrnent ~s affixrd,) ~ ~ ~ '~r~ 2~'~% `•h N. D. MILLHt, ~ D. : '~'~e~~~,~' ~ ~ ~ . ~ u__, /~(j~y_ w e -.t r.l~'- -i'~ ~ -~`Ja ~ • - - (~l~1 v, •M7 at -'iY',f;;Stf'~ ,~`!i ~ i i~~~ a ~.'K,~': ~S.~~ ~ ~ ~ n +~,I~ : 3 - a ~ 3 r,~ c~ c~: "~3 ~-~t~~1 ` A.~. r i , e~ tr i~. - ~t ~ . • %„~.i° ~L . ~ ~r ~~r ~0 p RE ~R{~R`~ s = j~'' ~ ( f~ ~R~ '~y wai`~ cov ~ - . , - ROC~R POiTRA1 ' : ' ~ CLERK C?RCOIY OOURT ~ ~ t . RECORD VER FIEO~-==- • t,.~.. - . .`l,: M~ Zb 10 os ~M'i3 n R 250453 aUOK212 ~ .?$4 ~ :~f„ . _ _ _ - - ~ r: . _ ~