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HomeMy WebLinkAbout1727 ~ _t l CERTIr ICA i E OF DEATH ~~O`9 ~ ~ .•.~e?l1~fNi q Ilfill~ anal kr~rl.ilil~l4~e ~er~icea STA:E FILE t~0• . „~~~~~<<* ~~f.~j~~ FLOAIDA TY?e, OR ?t/NT IN REG157RRR•5 NO. iIliAANENT INK ~ECEASEO-NwMf +~•1 ~~s+ :SEx DwTf Of DEwTh ~+o»~w, o.., u~~: SEE rwDt00[ F0~ ~snuaars ? KA~][NE CaR T~Y Fenale rsarcr~ 29, 1973 iI1CE r.rrt. wtGq. ~rle.G~r uMuw. AGF-:.s~ ~•u• u+.u ~ o.~ • fl~TE Of WtTH ~ ~W.rw, p~w, . ett. ~ ireWr ~ ~~~~rwa•. i•u~ ~ n.a ~ ~COUNTY Of OEwTH +i~. D.ei , ..0~~1 6002 ~ ~te gp . Feb. 2,1893 St. Lucie ~ UTY, TOWN, O~ IOCAT~ON Of DEATM wa.o~ c.r ~.+~n ~:~pSP::AI OR OTnFR NST~7U~10N-NM~f ~u w~ :w t~t~.t~, ont i:ui~~.w wwu ~ . v+c.+. .i~ o~ no; „ Ft. Pi~erae I,, Yes Ft. Pierce rSerrari.al N.os~i _tal --r------ --------r-~ STwTE Of 4tM ~u ro+ w u.s GTUfN OF w•ru~T COUnTiY ~ wUtRlED. KEVfR µw[irED, SV2YrvwG SFOUSE wJf, GW~ ...~pew w..t ~ ' • town. ~l i W WON'; D. D:~'QiC: ~ sncr: , ' , New Jersey i. USA Marriec~ Ri.chard Corble .~.~~~.ko - - - - - - - - _,Y - uno. u a•n. S ~ CI A i S f CUi1TY N U M~ E R USUAi OCCU?~T!11f. ~:.wv~ ~wo o~ rpu x~+i cwvw ~i' O~ ~Wp p/ W~F;aS Oi u.~pLSiRY otevue~ w C- p i rWav.v:~.~st. fq..M.~. ~•le'~ " ~ (~.7~ ' inft~triWM.GM ~t OS.TOT~PH~ iD1.~tT~ 1~ `IM 11YDl~+C! M,q( ? tES~DENCE-ST~It COUwTr C~t~, iOwt~, OQ ~OCwT~On. ~~~?~a .~ns TST~EET wt~D ~vUMEEt ~tY~G~~e ~~3 W MO~~ ,y Flarida St.Iucie j: Ft. Pierce I~o E. Arbor Avenue (109) fATnFR-tv.wf n~si .:;wi t~f' MJ7K:i-A4iOfN hA.NE ,.asi _ ..,uoc~ ~.yT :s H~'1~ S~8t~T1PX i: A~11TY~.d px INFORMAN7-NAME I~y~~ xGG:tSS ~s~ui* o~ ~~.o ..o., an w*or.+, s~.u, i~?i , Rirchard Carbley 109 E. Arbor Ave., Ft. Pierce, Florida 33450 vwitt ~ pEwM W~S CJ~u5E0 t~ E~iia Gv~r or:f Cw~SE i£t twE i0[ o e' u~ c •••.o~.~.re ,.,e,..: ~ ~ ~ ~ ~~li~!!i+ O~+SI~ ~w0 Dt+~~ ~1 1~ WrIOUI! UJlt ' ~ ~ i (Oj ~~I~l~l~` I f~~i'V'~^~'~(Vil'` ' I `~t~ \ \ ~ u •1 • ~na1GJ.rl 'v ` ; ` ~ ~ ~ 1 ~ \ wOwo~r.O.s. a• ~ ` ~ ' ~ ` •7 r_~ " c .a ~l_. ~ f ,'~i' ' •r,• ' ,c,. re i~a~ ai j (e: i~ t' ~ l'. f i l l S/~ ~/l ~v ~ ~ ~ ~....eu~.r~ e•w~e ~u,. ~ ~~t ~o. o• . co~..>i~..,.::c.~o~~, - . ~ s..n..e aw~ o..oe¦- •IIw4 C~Y!! ~~3! i ~ 'x' ~ , MYT u. OTMER IC~wT COr+J~f~ONS. ccr-rn,r.s :.r.•a.~~::~. •o o~.:.. ..or a~..vo ro i.uic o.n.. ••er ~.m ~ ~UTODSY ~ ~F YES wea r,NO...GS co~- ~ j~ ~.ru u o~ ~ s..uto u. otruri.~Np uuu -1 i uVC~c:S :Vl~ (t ~u~ I ~ OI OIAiM c /~IV i .?.obcU ; wCGDE~T, SUii~Df Ol jOwTE ~ WIUCY ,..~.,rn, w~,.~.~ nGUR . nOW tNJUQ? OCCUiRED ~~~~e~ w.+ua or u.~u~• ~r. rur . o~ n~~ nt. ~ ~:;r.t~3~: o~ unocr~uuk~o f ~ M I:a x. - IN1UR11 AT WpR~C ' MCE Of ~JUi~.* »:,+e. r.•.., a~u~*, r.~iw+, i IOG~LOn ~ lv~a o~ ~.r.o. ..o., un Oa .orw, i~.n ~ t1114~r sIl Ot w0~ ~pwKf MO4.~K. ~Y~C.n~ • 7G ~:G I ~ i CERiV1UTipN- ..o~.rw o.~ .w ~ .o..-.. o.• ve.~ .wa ..s' s.r .+.!..ea .~.vt a+ DW/G~p wJT r~[V/ r..~. DEwtti OCCuuiO .r i,.~ ?ucF. o~ s.i ?MrSK..N: TO ~ +o•.... a.. n..~ ~~oo• .~re~ a.n.. j:..o...~ o.:~. ~..u. *o :..a ~.a: .ne~.ara ++.e p ~Z ~ ~ ~ ~ ~ 71. eece.seo a a.a'.r,ixa. co~ ; ~ (i _ 4__?3 :71i q 7~, did 6:1~3 M SO Dr! C~LL~N STtl(A . CfAJiiiU7~r~l-Mf04w1 EXw~twER Oi C01iOwER~. o.. :»i ~.;•s a iRe a w.r~ - s~i w:~u..T ~+.s •.o.+o~,.:ceo oe.e j u...w.ia.. w :..e wo. ...o~o~ ~wns:w.rv», ~ti u....;a.. ~ ..e..r.. a.s ..e:. t - o!.r. utunto w,wt o•+e ...o ww w*«i e.yse~s~ a*.*io t T~. 6=?~3 a. M:~ 3 2~ 6:43 a.M CElTIFI~R-P:M~f mn o~ rr~..n ~ S~a,rvA~u•E ) f ~-u~~ee a:a1~et ~ ; Dwif S~GnE~ ~~o.*~., o.., •cu: il~ Aernard D• RO$.4~ Li~D• 2;e ~:~_i.:ces, "~~,•i ~ la~~~'IR 3/31/73 ~ j a~wri wa SS-t~~t~s~E - ' s-uF- o• o tic. c.n o. :o~ti ,i r.• ~or~ St. ~.ucie Shor~ ;n : Cents~. Fort Pierce Florida 0 i Wilwl, CREMATpN, REMpvwl CEMEiE+Y Ot CRi/rJ1TGRr-nwN.E -.pUT~Or: c~n o. wi+~. ir.r~ ~ : s?tCUt ~ ,w Burial F.illcxest Di~n. Gdns. Ft. Pierce FZori~.a ~ OATE ~..o.aw, w•, n.~i fUNERAI MOn~tF-A4t!~ ,s~D wD?^•ESS ti~~ea o~ o o-, ert~ o~ ~o~+.., st~rt, tn ~ t., rsarch 31, 1973; • HCx~, 901 N. „7t.h St. , Ft. Pi,erc;e, Flo~ricia 33450 I. S. ib 12 f{M'1ERA? OIR UR . REG~S•N.-F~R-SK,~a!Uii DwiE tECE1vfD ~OUa ~fG~Srtwl q Rer. 1970 7~ t~-t- 7't [L•r c_o ~ ru ADY'il 2~ 1°73 ! s ~ [ hereby aertify thia to be a tn~ and eorn~ct c~y ut f~ La~l f 0 A!1£~ P.ECpR~~ 2`~' Reg~strar's record on fite In th~ Si. Wtb County tf~,:al;h D-~:. .~1lC1E GOUNT~f LA. i_,. :~i. , : rr~nt at fort Pisroe. Florida. ROGER PdiTRA~ ~ ~ (Wamin^g_:. .No~ vua-ii_d{. ~unless nised t~{~l a~t iyh-a Lut:~ Rf.C4RU VE~'i EO C4URT - . ~V~ fl~orll~ A Q"Ni:~ : 'J ~ ~ ~ ~ . ;~~~r . : N. D. MtllQt, IGt D. I I 16 AM 3: s~ . T He~ith - 1 ~ ~'i ~ ~''.o~~. , `~1,•+• . f _7-~-73 ~ ~ . ~ ~r.. ~ ;i: i (~(M ~ ' •~3'+'" ; ; "t'~ /?,.we,w. ~ ~Yf • ~ • ~ ! + T ~ v~`% .~k , , ~ r~~~rv~~ ~~Yri~ ~y~y~.~° ~ . ~ „f ^t~~ • ' ~ .Twt~ ~,s~~ ' r , =~J~Il~~1~~ t F ~ .:s. i BOOK ~1~ PAGf ~7~7 ' • w.~ r . ~ : ~ - - _ ss,- z_