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HomeMy WebLinkAbout2305 ~oo~9~s, ; 251542 ~ . . C~ ; p~> rrwTi 4~wKO o~ Mwa ~ Ccc~c'f1Fi~..-if E Or uC y ~1• •1 ~~a- ~Y11~AY OF YITAL fTATIt~tW ffATi FIL[ N0. ' f o~a ¦~~w FL082DA • SI T N. R 616TRAp•• NO. pr~~~~ly rawec o~ w?TM cooe No. t YfYAt w[MO[!IC[(Mwrrcrt ll:.rw.w: t~ivr~I.s~i:..:rJ ~ ei~ert~• ~ ~TM a STATE OOYMTr ~ ? ~w~ •111 - . ' 1~ ~1~eN - ' L • i lf 1~~~ 1. dT~. TOMM.O~ IACATqII K r1ACE 0I DEATM pTy. T0~1M.OQ IOCJ~TIOM t. IS IIESIDENCE iii~ ~ Ft. Pie1Ce ~iresC3~ ~~io~ uw~7ElnTr~wa i 1 Ft. Pierce NAME Oi ~p~ a y.~.t. ~tr~ ~a«t wba~1 s. u~rM ov t micc~ ~oo~css ~ ! . ON A iAIIM/ . ?10 Oran e Ave. 6~4`rs:~ ?10 Ora e Ave. ~O w[Z ; wu~s e~ ty..~ N+ar. t.~e • 1. wTC x..u ay Yn. ~ JOSBPH WASHIN(}TON KNOWLES ~T~ Feb. 12 1962 ~ ~ fEX S. ~1AR OA AAC[ YAR~[D u MM~ IIM~IEC M7E Of MwTM A6E 1/~ K~/~ N IMO(w 1 YfM YifOQ N N!i ' f M~1 X~~ O~w Nwn X4. ! - • 1 s. Male 1~ihite ~noorcu aw~cro Dec. 12 1872 ~9 , ` . i.1 r la. usw~ ooar~noN (OMr tt,~ yort r..e t00. ~cwooo wswcss oR wousr~r f I. w~rw~wc~ (ar~rs ~.I~W aw.I) 1. o~ ar ~wr aournre .is~ ~~r~ ~~Hy~wtyrwtlNl~e.wn1/~N~M : •••••s . En eer Railroad Palatka Fla. USA E 13aOk !~k 1 IA7M[~'i Ni?ME 1~_ YOTMEIIS MIYO[N NAME ~ : i • i ~s*•••~~•• John AndreW Rnoxles Emil (3lisson - i i MJ13 O[C[ASEO [VER 1M Y. Z AllYEO NOQt[St 1. SOCIAI SECtIRiTI! N0. 17. IM a i1~MAT1Mt 3• • at@S ~r No...a..r w.•...:«..?.w..r.~.:.+ 180? 9G4 waa... Ft. erCe . ; rre•r.l 1~. CAYK N~twTN ~bl~M MfI Me e~wr per Nr}r f•). ce). aN (e).j IuTCitv~l ~E'rx[E~ d~ t~ f /A~T L 0[ATN MAt CAYSEO ~Y~ ONSET AMD DEAT11 , .~.s r•~. w~cou?n w~c w Art-Sclerotic Heart Disease , e~. «r...s. ~ky,,, i~n,, ~,o H rtrn xith H ertension - 18 Yrs. .is. at. 1 • • • 1 ~ t~w~~e~•~ ' ~.e... ~ t~• Com lete ~ ocardisl Failure - 8 Hrs. .feef¦ s~ ~ tNy au[ t~t. ouE To (c) - ~ ou~ f- ?iuT u. ona SurKwr co~anaa ooMrawmw m ourn wn Mnr qu~o io nc ~urrr~ o~sug oo~arwr u~ r nn ~(a~ - w~s ~uTOmr . ~ IERF01lME W ~ °i`•' G eneous Foot ~sp „o? • er 1•t•r• : ..t~. ~ ~o~. ~ 2oe. ocscRUC ~ww wwr ocwR~co. l~re a.eve y41~?t u. art l.r Pre ~I y~r.. uJ ~ at•~iis-' ~ ~OC~DE~tT w~CwE MOMK~oE f { •w tf ? O U ~ ; d t0e. TwE OF Hwr XwN, D~, Ynr ! ~ ww~r ' y O. i = 20f. IMJINI~ OCCYIIREO mt. RASE Of pUYIIY (t. i~ Y~As~f 1~~e. mJ. CITY. T0~111.011 IOCATIpI OOUNTY STATE ~ lnul[ AT ~ rot wnri ~ lM~. /.u.?~. x.sa. N~s e?N-. eua . w01lK AT MORK ~ ~ I~tNndNtlwl~w~wd/rom 1957 . ro ~ Feb• 12~` ~ndl~atw~ A,a ~li~~on e• 2 DwtA oeevrnd ~f 2= p~ an en th~ d~t~ st~t~d ~bo?~: ~nd te tM Awt d my lrw~l~dN. /rom tA~ uuaw ~t~t~d. i ~11 lt~~• tL. NOIMri1K (DiMaaWk) ?ID. ADD~ESS ?It. O~TESKuEO i •r• t• 1~ °..~l.s. ~ H.B.Goodrrin Jr.1~.D. Ft. Pierce Fla. _ 2-14-62 ; •t ~r~~t~. j~. Mru. fJiJYTCN. 2~. MTE Zk. NAME OF CEYETERY OR CREM~TORY ?3/. LOCATqM (GSf/. fw~. M nwfp ~ (BTie) ~ ~~~s~~ 62 Ft. Pierce ~em~te rt. Pierce Florida 4 Y. i../A1~ =A. iYME11A101R Oll'S SIGMATWIE AOORESS 2S. DATE RECD. YY tACAL REC. RFGISTRArtS 51611ATYRE - - r a••.1°ss J ~T Yates Ft Pierce Fla. 2-17-62 Anna Lee Denison d.r. l ; - . . ` . ~ , - ' oci,~~ . , : t<?•, ~ ! . s~ 1 ~ •.i.~t+ ~ i ~ ~ •,i!~-`,•••:'~~•~ 1 h~e'el~'Y o~tifY thM to b~ a tru~ u~d c~orwd oopy of ths Loa~l s 1~- -r~: ~ iasp~s rooord on fli~ tn th~ St. Wd~ p~y R~ K ~ s Q~ ' 7 f~Nlt ~t fort Pi«~os, Horid~. s' t.'°2 ' t~;~" :'r~v or . , ; ~ "-Y : t ~ ~ . ~_JC~~ • F - ` i ~ ' r S0 'VM T'~1'` {7. i ~ (1AI ~ valkl un ~?ai~ed s~si ~.1Ld~ 3•-. ; ` ~ Ne~sltl~ rtment It - ~ ~ i , f.~.~ ~r,` ~ • ~ ~ ~ { N. 0. MILL9~, IYL 0. ' 1~~ ' ~otswy Hwhh Offio~r i ta~l i~pktrar -~~•~t~ ~-:1 ~ t J h ~ . - / 3 ~ o~pwr t~oor ~r ~ ~ ~o.~p Reo~+t e ~ ;~.lUC1E COUNtY ~ i ' • lIOCER PO?Tit~: ~ ~ . COAO VE R~IEO COU~- ~ - l1EG . ~ ~ ~ 9 a ~ ~'z3 1~ ~ : . eooK212 ~2306 251542 : - r , - . . - ~~r ~ _