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HomeMy WebLinkAbout0756 . ~ i t _ : . _~T. - _ - - - _ _ . - - . 252502 ~ :.i. ~rwTC aowao or Nsw~rt CERTlFICATE OF DEATH • ¦YRGY OI VITAL tTATifT1Cf f?ATt FiLi NO l•s•1••~- - FLOSIDA •rd sA~w eIqTN NO. REGIGTRAR'f NO. yr~p~rl~ 2. Ys11wt A[NO[1it[lD~wra~..a q:..wwrr.: it~d~wN~..v:..:«.) ta~e~t~d 1. MAC[ OI OL?TN GOD[ N0. sr~TC counn ~wA ~131 ~ St. Lucie 66-12 Flo ' d Lu i 1• 1~f- C/Tr. TOMI~ OA LOCAT~On r. K?LACE Of OEwTM c. pTY. TOIIIN.011 tOCAT10N t. K RI5IDEMCE ¦~~~~t Y4t0E GTt UMITA INSIDE GTr LIMITST r,i.. Ft. Pierce res~ wp Ft. Pi e res]D Mo0 I. 14YE O~ IIIwM V~MIr~./fM Ibqf W/fM) L[IIGTN Of I. STREET ADOIIESS OM A iARYT { 1~05?rtLL W ST~Y ul 1? ~ '~sT'T"r'°'F E:e~t Ho Y 1 h t' res? "°O y. M~i N tyar u;tlts Z.at t. wr[ Xwu Dq Ys~. ~ Viola Russell Poole °EATM 11 0 l~ 8 ~ S. iUI ~ i 00~011 OA 11KI 7. MMtll~[O ~ KYER MARIIKO 011TE OF 471TN ttlt 1~rtWl) Y..~?. 'pM Mw.r 2N"~'a. ` ~ 1 t s Female I~~l~ ~IOOII[D? OlW11C[D QCti• ~ 18 ~1~1~1~ IOa.uSU~?OCCY?1T~OM(OLrWl~Jwlln~ IOS.K~MOOiWSwEfShcwDUSTll1f 11. WtiiVa~CEI$~ttM/W[ysowW/1 1.tt~u~Olww~i0ou~tRtt .ss~ ~~r- ~.riyswtys~.+fv?yr.«esy.sYrl! iiou exife i~ew York U.S. . ~l~slc l~l[ 17. ~~7~'S w+Wt 11. ~+07NE11'S r~+OtN MArE er ; Ge R• J 1' La.st .e v" 1 1 : IS. ~AS O[C4:S[O [KR M Y. S~YED ipC[S' K. socu~ sccuiunr Mo. n. u~ro s s~wuTUwc J.W. Yates 1~~. r. ~r w~rw/ Yf ~r. M~ w~rMYr rwW wu.~.. F F r..•r•i 1~ CAW[ N KATM (GIP Mf/ Mr t~aat p Gar Jr ca~. (0). q/ k).) ' IIRE11VAl /ETl/[EM : t f r~ e t~ ? ?~IIT ~ 04TM Y~i CAY6[O w: ~ AMD OEATN i ¦r~t !il• w~[~n ~ t\• c~r- .i::~~s.. ~~"'~'~u'~"q'• ~*o c•~ uY1D~~nsive heart disease 1 Yr. + 1 • e . l .e.~r o.e~ r~xi~cr~• ~~W tlt s~It~- Dbt TO (t) • ~ •1t\f~ 70 l~ O /MT IL 0~/a SIf.AfILMf CO~O/i10~6 COMIM1If~G TO OGiM ~Uf I~OR RE41ED i0 TN[ TW~WL OISfAf[ 601iO1i1011 G1YE1~ M?MT 1(y . WAS AUTOfST ' Y~~r• •f- F ~(RipRYEDT s YESO UO~ ~i •r D~t~r• ~ ~ ~p ~~,~~~~y~uRieco. (F.ntoa~rrss./nyr.~hP~rtlrPot!lyYnsUJ l saki~s ~~1 ~~p(MT SYKW[ MOMKtOE . f -,,.,..s- O O O ~ t~• ~ ~~l'. ~ mt. ur[ oi ll~r Xwt1. D+1. Yrr YUU~t s. C 1- W ~ i 20/- W~~r OCCYyIED mf. ~LACE Oi tf~lllllY (r. b~r 1wl ?esr. mJ. CITr. 70~w. OR lOCJ1T1011 COi1MTY STATE xMrc ~T ~ roT ~ac a h~•. /~l..ursr. •pu af/...u.) 1IORK AT ~R ~ 21. /~fNnl~/tA~d~owwd/rom_ ~1~~ , to 11~~Q~jB ~ndlutu~ ~f~ ~li~~on ll~.~v~~'~ D~~fA aceutnl ~t ~ Y• e! ~ fM d~t~ ~t~f~d ~bo?~: ~nd te tM bwt d m~ kno~I~dp. Loin fA~ uuw~ ~t~Nd. •11 i s~~• MCw~TY~[ (l~rpa rWlr) 72D. ?ooRFSS ??c. o~TE SKwEo 101 Atlantic Ave. s 12-2-58 ~.,,~.c. a .D.VanZilborg, 1:.D. ,Ft.rierce F •it~f~N. ~LL. ~yE p~ ~METENY OR GREYATOAY 23/. t,OCaT1pM (LSf/. (wr~. M cwt~) (bl~ft) IIEr00~t lSytA//) .er..o~al 12- - 8 Oa:c~road Ce~cete :;ount iiisco, tiex York ~ ~ 612 2f. i1iMEAAI O/'S SKa1~T1ME A0011[SS 25. OATE 1tECD. ~ IOC~L wEG. I~. IIEGISTMR'S SiG11ATY11E ~ a...,~ss JoseDh 'd. Yates Ft. Pierce r~la. 22-2-58 Anna Lee Der:ison, d.r. FIlEO AND PECOROEO ~J-A ST. WC1E c~uNQ S U- ROGER ?o~ A _A CLEF~K CInCUiT CGUAT VO 1~ cortif~r thb to b~ a tru~ end co~r~d ccpy ~f f~e I~IC~~~+1E~~ftf0...=------ ~ Rogisfrals rooord on file in th~ St. Wcls County Fkaltb H tT3 . ~ ~ ~ 19 3 zs P ~t-~ ~s _ : ~~:3 : ~ , . . ~ - - t;~ ~ • - _ - M~~~^S: Nor vaiid untess nised sesl of the ~ 4rd~ (,lJr . , .t -'•i r= _ cour~r Heet~b o~ewrnnen? a .ffi~cod+l < I - - ~ ~ . - , N. D. M1t1Ht, IYL 0. L~/Ai V7~liiii ~ ~ . : • _ , .'t;: . . ~ b - 7 ~ ~n _ o _ ~ ' ' ~ " , ' ! ~ ~ ~OCi~ ~btl8t ' . . ~ ' . - . ~ ~ . ~ . ~2i~ ~ ?55 . ~~~n 5~ t~- ~ ~ ~ ~