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HomeMy WebLinkAbout1277 _ / ~52910 ~ . - . ~ CERTlFlCATE OF DEATH ~ Dty~..+.K.~ 11~id ..d Re6.bi4a~i.e S~..~. srwTC FiLt NO. ava~o~ o~ ~~~u.m F L O A I D A Tr?E, O~ ?tlNT IN ~~~R'""° REGIiTRAR~f +~o. 233 •ERMANtM INK ~_Nµ4, r~esr .uoa~ us* SEIt Dw1E Of OEwT~f ~.o.n., ~~u ~ fEf IuIM100t FOt . - ~~JO~ Elizabeth Couden female ~Ma 19, ~97~ ucE ~.R. ~..o.o. r»~.•~, ~cE-.... ~ a. DAtE Of N[M ~.awM. cas+n a oEwrH [K. ~ wtr~ ~ Mrar~r ~rtus~ .wt. wn ~ wow~ .w. nw~ ~ 29 1916 St. Lucie 4 white s.. 4 s. ~ Dec. 6602 , TOWN. O! IOCAiION Of DEwM r.s~e an arun M06?(fAl O! Oi?ip l~t5 - ~r ww w e~e~. o+rt t~~ .w .~wn i sncrs ~~s o~ uo ~ * P'er e es Ft. Pierce Memorial Hospital . _ STATE Of ~1tM ~ r wOt w ~.s.~.. .~.w Of WNAT [OUNiRY ruRLED, NEVEt M~RbED, SYtvlvNfl S/OUSE ~r ~nw, ow~ r~ew wur ? ~ „~~~„a Louisiana ~U.S.A. i .r¦tu wu+se~ .mo. r oe~~ SOUAI SECUbT11 MI~ER USUAI OCCWATION ~ant c~+o a wOU oo.r owNO rOSi O~ KMD Oi MlS~SS OR MOUSTRY otcw~e~ w wo~[rO Wt. evt~+ r ur~to 1 ;;~',.~,o';; ~:.43g-22'4982 u.. Seamstress ,s. Self Employed ,o.~woM. aESnEr~-srwrE cou~+n tm. rowr+. oa ~outww •w.e c...~.., st~ ~ra - Florida St. Lucie Ft. Pierce """"""O'"O 610 Texas Cnurt ~ IM. Ip. Ik IN. @ 3 IM. + iATlEt-MANE t~!{t ri00~~ ust Y?OiMER-MADEN NAME ~~W . rN~~ uf~ 1 1 ~s Ur~btainable Unobtainable ~ WO~M~NT-?+M~E w?~wG ADGRESS ~weo a~.ri. w.. tin o~ w~+... ware. t~~ u~ e A. ~ouden ~n. 610 Texas Court Ft. Pierce, F1a33~+S~ r~er o~?n~ wws Cwsc~ ar: ~~,+r[e avir or,~ uusE r[~ ur+c ra~ ~i a~ aao k ~[eretw owa~ uii ~e~~w ' 1~. ~ ww L N? E' [ i~t~ t~~L ` W- U V'w~ Q. ~c.._ ~l ~ . . . . . . torarwrs, u ww~, .wKr o•rt ns~ » I~ualOl~1! C1~Yfl /N. ~ q. « ~ ~ ~~x~ p: - llA11N0 /M! YN~lF \i1M0 CAYf! 1~f1 - ~t~ Iw[T di~1ER SIGtr i o uwn.~c a a.w wr ..or ~e.n~ w urse w.ew w. an ~ ai ~f 1E5 r~~t nMS~MOS tOw- ~e -e V h'~ J- ~ns or .a~ a iw~ wrfawrwo wru ~?~.pa6~ ( ~w. N o ~w. ~OD6 O! IMOEtEWn~EP 1~Oniw. M~, ~t~~ 1 MOW INNlRr OCCURREO ~ t~nt~ wqNe or ~rwrn u~ r.n ~ q ru~ u, w~~ ~ , ~ 7K. 7ic M. 2M. . ~ 1DWRY wT w04c KACE NJIRY.r .or. ~.a~. srras. ~.crw?. IOCATOH ~ sruo w ar.~. .ro., c.rr oe ro+n.. u~we i ~ ueun ns w wo ~ ow~u Mw.. nt. ~ srennr ~ iw- fM. CE[flfKwilOH- .w~/+ wr nu ra+n. wi rw w+ie us~ aa+wlwn .~nt oM ~~r/ao w~ wrw we oEwtN Ottuui~ ~r a~e n~ct. w M[ rwrs~c ~rn~.~o n.e ( TO vw ~w. ~ ~.w~. ~ o.a. ..r. io ~ ~u 7?. aec~.sea f Ml tik tk. , Or n~o..uoG~..,,t ~tl. ~(i ~ J ~ p~, ro wM uwse~u u.ns. CEtTY1UT10N-~.~EDKwt E]t~wER OR GORONEt: a. me uHS a we wow a x•m oeu« ru rwMOw.a~ ow e,......na+ d a.e ws. uoio~ nK rinsncwna.. .n o.r.~o~.. .anw Mf nu ,q,~. ouw ow/mo w~e ~+x ,u.o ew ~o ae c.vsew u.ao. ~j 7l. 1Y~ - µ ~ CERilfl K`~ 1 S~GNw a OATE S~I~IEG t w~. r i ~tiv „ ~ i ~ s - v'1"=' _cEf ~ES V... ,iricy....a. n j ~ ~ ~ ~ ~ ~G~. ~ ~ (J - L.~.. ` tUR1IN. QEMATIOM. ~EMOVAI ERY OR CrtEMAiOtV-W4ME IOGTIW~ cm a~o... wn i ~ YKYr ~ _ al r..Hillcrest Mem. Grdn St. Lucie Co. Florida OATE ~ro~+ni, rr, n~u~ WNEtAI HOrtE-w?ME u~O ~OOitfSS i sn~n oa ~i.e. no., cm o~ ro p~n. twi Ma 22 ~ 97 ~ ~s.. Fort Pierce Funeral Home, Ft .~ierce , Florida 33~+50_ v. s.16 ~2 ~ oR- ,s~u , ~cury~-s~.n,+~ ~ 24 ~1971~ ~ a~v.197o . L ~ ,~~aY~T^'. ! hereby cartify this to bs a trus and correct copy of the Local Regi:tnrs ~ecord on file in tM St. tucie County Heaith Qopa~t •;.ri: -;:'b ~ , ~ j, ~ : ~ 4 msnt ~t Fort Pieae. Florida. ~ ~ ` ~ . - ` ~ ~ ~h ~ % _ (Warning: Not vaid unisss raised'seat of the St. LucJs ~ ~ Cqunry Ftealth Departtr~ent is sffixed.) <"iE' ~ j`h~..`'~ ' • . - . ~ y~ = ! . ~ . i ~ ~ ~ ~~`s ~ , ~ ~ ' `i ~I~ f~ N. D. MILLER. M. D. ~ ~~'r-~(~ , ' ~ ~ : i2t ~y~` . 'i.c• ~ i COUf1fy NMlfh OffiCOf Sc LOC~I R~OQlftfif " 1' s~ ( ~ .ir'- • ~ i•. ~ d ' t w r s i . • ~ .~i.l.r'•~ ~~~•~f.-! jk~i ~ tis t ~ - ti ; ` .,"~~~'•~'~;°~i~['''',`~,,'~ ' p~{xAy L+oc~l Re~imsr lE0 ANU REC~R~E~ , ~ LuctE couN r l• L ~ t;I ' R06Ea ? ~I~ COU~T " i , . . ~ ~E~~p.~! YER~FIED ~r' , ' ~oQ~213 ~~~.2?~6 e~~R~ . , i ~ ZS 1122 ~ - - 25z910 ~ ~,r~ , n , ~w a' ad'' w.Lx ~ ~ ~ ~ r ~ n