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HomeMy WebLinkAbout2102 f i ' _ ~ ~ 253~69 . TA1s ti.- .T~TC YOwRD OF HEw~.,,~ CERTIFICATE OF DEATH 4 • suacwu oF virw~ srwr~anc~ rrwtc ~~e Ka ; 1ea•l ~•a- FLORIDA ord •h~a REGISTRAR•S NO. ~ ~ prop~rl~ BIRTH N0. ~ • ei~eYNd 1. ?LACC 0/ OtATN CODi NQ 2- YtYAL IKf10pICtl~~~~~~ l/.v6er.r: lt~w..widr~~iwin:r) •nd •!11 ~NTM e. o~.~.a - ~~A~ Florida St. Lucie ; in y~e- C1TY.TOMM.pILOCA7qN t. 6 rUGE Oi O[AT1t t. GTY.701NM.dl lOGT10l1 t. K RWDENCE ¦an~At U6~OE G'CY lIM1T51 iMS10E GTY CiM1T51 rii.. Ft. YierCe YES~ «o? ~s~ J. MA4E QF (/JIMt iR 1Myitd. Irs Wtcl dt?iN) t. LENfiTN OF STIIF ADOnE ON A FARMT "~T"T1Q" 20 N. 18 St. 85~rs. ~ 20 N. lt~ St. r~s 0 No O a. ~c o. srr xy~ L~at W1TE x..u n.s r~a i`Ti v?~.n Earl F. Ross ~*M Dec. 21 1957 S. SE% WIOA OR AACE 7. MARR~EO ~ MEKw MARNIED ? a. ONTE Of W7M A6E (h t~tl~ li 11~(~ I YE/Yl LLrOER 2~ WtS. ! ~W~/f YwY~ D~w Bwn MG~. y.ale White - .noo~o p a~~o b 1891 ~6 p 1~ f Ol r ~a. usu~ oaw.~wu ~a:. t~.a y...a a.. 100. KIND OF WStNE55OR MOUSMY 11. WTNKACS (ST~ft /MtMA GN~d/) IL (rt~771 OF M~Mi GOYYiRYi - . f c h y~ ~ lwiy n«t N w~t+v pk. an y?~tv~ ••a•o~ Foreman Railroad Sho s Strasbu Ya. U.S.A. Dl~ek lut ~j, FAYI~II'S ~uME 1!• MOTMER'S MMDfM IuME O! t~p~~~~t~~ k'illiam Ross Painter t5. w~s occ[~s[o cvcR w u. s iurco Flwtccs? ta. sowi sfcuaTr ?a~ n. ~w~ow s acr+?TUwc jytS~ W.M.TOpping~ Jr (1r. r. ~~wlr~1 U/ W. M w~~Y~ r~rl Yes W t A~~u We t PaL~n Beach Fla. Fun~e~l u. ewuse w aurN (s.u...ir..~ w.. an t~I•• e.?. te~...~ ~a.) iwrrxra eerw~ dlr~ete• ~~T~ ~TMr~UUSEO~Y: ~T~~TM wrcourc cwusc ~ F LEO AMD RECpiROEO .u.c r~i. S~.IVCIE COi1MTY fLA, c~rie.s. aOCEA AOITRAS + °"E TO1 CLERK C~:~CUIT COUIlT •i tD tD• ~e~i[? /pt r q ~ o 1 ~~~+r~•~• ~ RFCORO vER1FIED~ r~sist~a~ x~w ~ t~- p1;E TO ~ ` l~iw~ nrat [ut. ~ ^ 1 •St111n Tl ~ fMTILOTIF~5KMIFIWQWML1TIp~SCOMitWfwCi00EATN~lnwwwc.~.a..•~~~ •7~~~~••••••~r~ .WASAIJTOrSY hour• ~C- F ~~~~pD~*7 c~r d~at4 S YES? r+Oy . or D~fo~• ` ( pES~pUE1WMtNJURYOCCURpEO. (Ei~ft?t1d~/a~/t~j~v~i~PWlIMPolll~Ji/lslfJ • ¦~klsj ~~7 ACCIpCMT SUICIpE IIOMICIpE •po~!- ~ ? ? O } TIYE OF 1lwr ~/w~tl. Dq. Yrr ~ oody. v uUUaY a - : o ' y. ' ~ IO/. IMJURr OCqIRNED IOt. KACE Of 4~1UR1/ (s. q~r ~f 1~~s. 7DI. CITr. T01MM. OR LO~ATION C~O~lNTY STATE ~ wN~lc eT ~ ?aT rrM~?[ ~ l~~+. f~ar. x.sa. ~Au et4.. etr.i ~ 1AIORK AT INOAK ~ 21. ~ 7~1.7~55 . to 1~~7 ~nd/atM~ h~~ di?~on ~l " . ! ~thad~d tM d~a~d /rom him DNtb oocutr~d ~t Y~ m oe~ th~ d~l~ at~~~d ~Dw~: ~nd to tM but o! m~ inorl~dt~. /rom th~ uuwa ~t~t~d. ' ~ll lt~at ~r,~yTYlt[ (DqrttMlbk) IlA ADDIIESS I2t. DATE516NED •r• so D• . co~pl~t• L.D.~anTilbo M.D. 101 Atlantic Ave,Ft. Yierce,F a.12-24-5? - atCYf~t~. ~~.~wT~ j~, p~yEpp~METER70RCREY~TORY 23f. ~OGTIOM(GV/.[w~.Mna~f/) Ren: va~SD~~~ llec. 2- 7 Arlin ton Natl. Cem. Ar ' ton Va. ~ Y. S. ~611 j~. FYI~EIUI 0111E OA'S SIGItAT{{ItE AOORESS 25. DATE RECD. BY lACJ1L NEG. 26_ IIEGISTMR'S SIGNATYRE ~ i 1 a...~9aa 1K~Iton W. Baird Ft. Pierc , Fla. 12-26-5? Anna I~ee Denison, d.r. ; ~ ~ t ~ . i ! ~~10/t~ G~H~~I 1ll~i 10 t10 O fTU~ ~f1d Cnl'T+dCt GO~ CF LOm~ 1~ ~ ~ Reglstrars reoord on file fn th~ St. Luc(s Courrty Hfts1Mt ps,psr} • ~ ~ meet ~t Fwt Piercs. Fbride. . , ~ ~ l~` ~ . (W~i'u~g: Not valid unless ntsed l001 of fhe 9f. LNCJv • 1~,?~'.~.~ y''" ~ ~ county He~er~lt pe~.rt?r,enr a.ff~C,cl,) 1~~.r..y.. r,,, • •~;~'-4~'~ - ..,.'f- =F' ~ u. M~ue~, ~ a : ~ . • j~~;;` ' ~ ~ ~ _ T C01~~ Heslt~l OffiO~ LrOC;~ ~t ; . k'~ ~ f,: ~i ='s,• ; ~ s' r,- Y,l,., s: '~d~ i•~i': . 'S'• s - ~ . ,~ay . • . ~u- ~3 C N ~ • ~,~1'~ l/ ' i ~lfr~s%~~~ ~ v y. r . ; ~r~~~ s~ ~ t~ood i~Ovhtrar . ~j~•; u _.s~:~,••~~~ .1 . 1~n'1• ~''~/iii«<r~~''~ ooK213 204g r•"'~' ' - ~ Z r :r:=- ~ ry~ ` - ~`f, ~ -