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HomeMy WebLinkAbout1191 ~ / 252844 :e?s 1~- ~TAT[ WARO OI~ NtALtfl CERTIFICATE OF DEATH • ; eo~~~ • ~Y11LAY 0I VITAL RATIfTIG fTATt /IL[ N0. ~ 1 1is•~ FLOSIDA e~d •A~a OIRT NO. 11[O iTRA11•f NO. ~ P r~p ~ t 1~ 1. KAti N KATN GOO[ NO. 2. Y~A ~A[M~LNC[ l~M~ Mir~1 M; l1~ tr.M.r Nhn ~/+iMi~+) •a~e~t~d ~ ~N~ •wd •111 oi.~.a cie ~•r- cm. ro+m.o~ wuTas K PI~CE Oi OCATM e. uTr. mxKOR wurioM a as~ocNCc •ap~wt uWOt Crt11 Iw~TSI uWOE qTi ~Ir~i3t f l 1~. ~s rEt NO I. NJ1ME Of (lJlnt I~ ~M~If~1.1iN IbM MfttM) STREET A0011ISf NOSr1TAl 011 . "a*'T~*'~" ~ 11 . e Avenue ~u?MC or 17nr N+ate . a.r arc l/«~n oq Y~a rn~s?+~~ HELEN IRF.NE POPE ~?TM February 19, t 967 ' . SEII COIWI O! ~ACE 7. NAR~IED p,] MEMER M~111E0 OJ1TE Oi MIITN AGE Mp~ ~f YMOtl1 ~ liWl I7M0[~ b 1rS. ~M1 ~YfNq) M~y~ p~ Nwr~ Md. • i~• Female White w,oowco - aro.cw December 6, 1925 41 ~1~1~1~ 10~. usu~?ocqn~Tp~tQi~rrtalNwtM~~ 1~.KWOOFWf11~SSOAINOYSTRY 11. NRT111l~CE(.9'~ffMMtwplt~f11) .O~1m1O~nMTOOUMi~t/ ~ •!tA ~~r- tsrlV~wtNwrtfql4k.nrwl/rd6tp ' • Tele hone o erator Cammunication West Pa1m Heach,Florida United States ' llaek !~k la. iAT11t11'S M11ME 1~. MOTK~'S rMDE11 NAME O~ ~~r••~ls.. Claude Davis Ollie Conner socuw sccuRrtv ~a. IL w s~auTV~s wqn.. 26h-~~--b?54 ~gene E. Pope 1120 Pine Avenue,Ft.Pierce, Florida r~n••ai ~a e~usi ~r iurn ~atiwa..h..e o..« n.r p. c•). t~t..st td.) urtuv,w ~crrcc~ ~ a i r. e t~ r ?~~T i a~rn rns uusco ~r: Uridete27111i1Cd DOA aacT uro ourN . s ri irrcou?n c~?usc t•~ ` ce• e•r- tffie~t• - ~y~rt~a.i/p/. ~it\ tl• ~ ~y~ ~ ~ TO (~1 1 o e• 1 ~e ewar r~sistr~r at~tiM t?e rsfer- WK 10 f~iy nwr l~N. t 40 u r t • f' ~ ~AwT N. OTIf~ 9GIi1WB CdI01t1016 GGMIMY~~i 10 OGtN ~If1 MOT IIMi[O f0/Mt 1[lII~YI 06GY 001~1710M ilYEll M fMT t(~l . MAS AUTO/SY ~ i s ~ K~iO11MED7 a..a~ res ? w Q . , or e~t~r• ~.pESCJlyElqMpyU11YOCCURllEO. (6'~fawdWe i i a~klwt ~ ~IOEMT SYK~o[ ~~CME N Vr?~bPM!l~rPrMIly~swl~.) •P~~~ Y ? ? ? ' O• TIYE Oi HN? XMf1, Df/. YtM J ?ea~. wunr n n. i W ~ 20f. N~N~IIII OtCUMED 20t. KACE Oi WJU1111 (l. i~ ~r ~rl w~t. MY. TOtMM. 011 LOGiION ODYNTt STATE rm~ ~T ~ wr rn~at ~ /«+«t. rr.d. Nke ery.. dr.) MO~K ~1 tiO~K , 2~ ~!~tNnd~d tlw d~u~wd /rom , fo ~ed INt ~a~ ti,~ ~/i~~ on DwtA oeou~nd ~t 2:45 . s~ on fM d~t~ ~t~fW ~bor~: ~nd to tM Awt of m~ 1no~hd/~. /rom th~ uuws ~t~t~I. ~ll it~~• ~ ~~A7Y11[ ° • t• t~ , 1• ~~NN M fb1~1 AODAESS ~t. OATE SIGED ~ ~e.p~.e. a l~:artin G. Gou1d,M.D. Fort Pierce, Fla. 21 Feb. ~6? •et~?~t~. ~T~ ~ j]r ~ME OF CEMETEII~ OII CIIEMATO~Y 23/. ?.pCAT10M (GSf~. [NVft. M CNU1f/) (Si'~ft1 '~'ur~~'' 2-22-67 Hillcrest Memorial Garde s _ Saint Iu cie, Florida Y. f A 1 Z 21. NNEIIAL E 0~ S SIGN~ a e$ j' QIDE ~ 2S. O~TE IIECO. ~t IOCAL IIEC. IIEGKTMII'S 51G11ATYRE ~ R~..~ose Jack J. P.oore, Ft.Pierce,Fla. 2-23-67 Anna Lee ~enison, d.r. j - _ _ I ~ { ~ . ~ - ~ , I heteby,' ~ tfii~ `^be • true and wtred copy of the Locsl fIlEO A~t~ }lECp~}p~p ~ Reqi~t~ji'~s~r ;•~~~e. in tfis St. ~ucie County H~aMh Os}~art- ST. LUCIE COUNTI? f~A. . RGCER POITRAS ~ .ms~tf Fort Pi~!q~ ~lorida. ,-;_~.s.,, i C' CLERK CIRCUIT CQURT ; NofL~ilic~unless alxd seLal of s,h~~e1St. lucie ~ECORD YER~F~EO ~ Y ~ Te T""_"1" . ~M R~~J~W.~ • f -~~~i t: , ~r~t 1~1 3 aQ PN'7 4 - 3 N. Q MILLER, M. D. f•'j'' Cowify Hsslth Offket i t~ocal Rpishu ~ ~ r~' ~"~k; - . 2528 ~ ~..µ[t/ ~ . ~ 44 ,Vr'6~~ w o 4 4 i`~~_i ~ c ~ `pat~t ;~-a'f . ~°P'+ty tocd Re~atrar ~ . ~ sx ~ ~ ' , ~ 3~?r . ~ ~ ° R 2~3 ~~~.i90 ~ aooK ~ ~ . _ - a ~ ~ .y ~ ~ _ _ - - -