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HomeMy WebLinkAbout1373 ; r ; _ ~ ~ C_.~T1FI~ATE OF DEATH urcyw~~ew1 ~ t~e~llb u~ ~.'~{.a6i1i1~1i.t $e~rices f7ATt RILt NO. WYLSNAY (K f4:A4TF/ F L o a i D A ~t?f, OR ~t1NT IN ~~~~'•"b~O ~ NE61iTRA O. Z9Q ~[lMAe.anT IMK ~A~_N~WE ~ws~ rwae ~~s~ SE1t DATE Of OEA ~ roMrr. a~r. rea~ ~ ' ~ SEE IWwtJ~11I f0~ . ~T~~ ~ DAVID ~ P. ALLISON t Male ~ June 2 970 ~ ~ iwCE rwm, wesw. 4..e+~c.n wwM, wGf-uu ~~.ne~ ~•e.e uwe~ ~ e~~ OwTE Of MRiM ~.o.ar, e~?. COIM~TY Oi DEA - "~K. ~fNCrr~ M~ ~¦e.¦t~ +.OS. W.rs MOUas rra. ~ s6o2 . white ~"7~ ~ k ."'io-z6-94 st . Lu~~ i CrtY. TO~MH. Ot IOCwTiON Of OfAM wsw cm ur.o MOSMiM OR OTMHt NS - ~r ra w ~mr~, cne s~q~ ~+e ~wta ~ ~ skcw .es u ..o Fort Pierce Yes Fort Pierce Memorial Hospital ~ STATE Of MR1M ~ r Not ~ ~.f.•., M.re dT~2EN Of wnAT COUNTtY ?uRliFO, NEVEt M~RflEO, 5lItVIVNG S~WSE ~r w~w, ont raetr~ wiw ~ F 1 o r i d a U. S. A. °n°~° ' + ~ a ried n. lma ikel .:~ie ~ axie~i. SOCUI SECIM~tI~ MJyw~ER YSU~?? OCCU?wT~Orr ~ c.ve a..o a.ou oow owwo rw~ a cr+u a ws~u ot aousnr octw~to .a ~rour.o ~w. tnr. u umn ~ ,"~'""'O",O"' ,r. 264-0 - 06 ,~.Retail •~•~..•K. ~ro.. ~f G r o c e r an •0i'~s~'Oi• ~ES~DEMCE-StAiE COYMII GTY, TOWN, OR tOCwTWN wa~e cwr ~r.n SitEET ANO NYWE~ ~sntr+ ns w .q ~N Florida ~y St . Lucie Fort Pierce Yes 3021 Sunri.se Blvd FATHER-NAME •~pt r~oae . usr MOtfEt--MA~EN N4Mf wsr .wae .W ~s idilliam P. Allison u O helia Futch I~MORMAHi-NAME . MAIING A06fESS . ~sneE~ a~.r.e. wo.. tw~ O~ b~», st.ta, [r~ v.Mrs. Alma Allison ~n3021 Sunrise Blvd, Ft. Pierce, Fla 33~+~4 ~ART 1. OfAM WAS UUSfO LY: (ENJE~ ONIY O!E CwUSf IE~ II~L i01 hl (~l AI~ kN .rrwa~... e u.n~ru y. r..~eww cwu ~trveeM orseT u.e ne.T.. LU11t~j'Ir~.P~.e ~A,~OC.G~Ldi1.U~ c~CtMGIa/l~ `Z d~1,l~ , . . a: co«Nno¦s, u ..n, t~~~~'vvt/ti^-ry? ~M~Cw 6a~! usf tp (Y) ~rMlM~1~ C~YS! 101, ~ p, W~3 ~ COwStWlrKt p: f~~~~wO ~Mt VM~~!- Lf1N0 ~AYff l~ft t~VWVY . • ~wRT OTNE! SIGNiKANT CpJWi1pN5: ta~ano..s co.nw~rwo q p.w~ wt .pt ~eune to uuse arve.. w r.n . w~ ~OK7 IF 1/E5 ~rert i...o...cs cw- ~~es a s~auo .w wrea.~..u.c uwsa W OlAtM IA. IN I~..~aMrf KGDE?R. fU1d0E A INIIMY ~..o.~~., wr, ~e.ei NOUR f10W INJUIt OCCURRED ~ t.m~ ...~use p ~wrn u. r.~r . q r.n u, we.. ~ ~ 4 oe u~oEr[wwco . ]o. ~ :k. M. !Y. INrNT At WORK ?IACE Oi R1ARY.r iw.t. ~ur, f~4n. ~.C~.r+, IOCATION f suep q ~r.~. .w.. cm W M~., u.n ~ ~arear~ .~s w ~.o~ ar.n aoo..e~c. ~sntwn~ 7b. 7M 7y . CERTIfKwT~ON- .~o..~w w~ nu wr.~ w• ,eu uo usr s~~ wr/.ti~ u~ o.. ~ ae/ao wr v.[w r«e o[wd Ottuteto .r oa n•a. a+ wc rNrsKUN: ' .~p.,n, 0.. [J 70 ~ I](~ rtu(~ ~/O~O~ utt~ OWU~ ~wu~~ wn. ~.o, q mt ~[ft 71a Wte~ito r~0. ' -1~~ ~71i ~ 2 1 ' ' lc (i .L-1 ' -1 1/ ~ 7N ~ i "1'~V cwst~3s~i:*io CfRTMICwiipi-MEDIW RAAWER O~ CORONER. w rwt ~.s~s b ut ~ a oj.+~ nu oectoe.n w.s r~onoiw~ceo oe.e ~aur+.i~0i+ O~ Mt ~Ob~ w0/O~ nr w+vESt~wnOw. u. ri O?..qw, rOMm Mt Yt~~ no ¦ ww~w occwm a. ~e wn ..a we p ne ursea~ u.no. y l I O~ oo •.~a~~ M rr. ' iw m CE~i~f ~ . b ~l n . ~ . . . s T ~'~"E~"°~e ;.t 7c , r~. • rtt4~m, s ~c~ " 'MAKM1(~i A~~ IF tl ~ ~ rytr~~' Ol l.FD- ~q • ~ yq•- - ` J~WV~I~iAIr•R IV f V'{i~fr J~/(',~~/( ~UNAI. CREAMTION, ~EMOYAt CFIAETfRY OR CiEMATORY-?~AMf IOCATION un p q~ swi ~ YKr? ~ r.._ Removal ,.~Crestlawn Cemetery ,k Vero Beach Florida ! DATE ~rwm. w~, ~ RiNEtAI MOa~E-ruME wND ~DOrtfSS srua o~ ~a. m w ro~ u~n, r' 13 ~ , ,s.Fort Pierce 10~ So . ~tree'~ , . Pierce , 33~+~0 v. s. ~612 f - . r~s -sreNwrueF a~a ~cccnEO ww .co~sTU. N~v.1970 ~A ~Gr~. K. O'~^ . Zw. Ji1T2g O O0~'11~? i~i~t ib bA • fIUA M1d C~TnCt pppy Gf ~j L4Gl~ ~ Reqistr~ra record on file in ths St. Lucb County Haahh ~par~ msnt .t Fon Piarce, Florida. FaEU ~?~+n ~ECOaoE~ ~ ST.IUC;E~~OUNtY FIA. , ~ (Wurun~: Not valtd unleu roised seel af tha St. lucio ROC^r ~~t=~AS . Counfy tieatfh Oapa~imenf is affixed.) CIERF. ~~511 yBURT ~ , . : • _ . ~ • . ~ . Rff.(sF~ Vi~..~ cb ~ . . . • . N. D. MILIER, M. D. ~r 23 t7 41 AH `-±y'`'~' Cowity Haalth Officer ~ loct! Rt~istru `~~:ti= : : ~ . 1;. ~~;s"~ 1 ~ Z~(~ - - : , y t • ~ ~+:~4 ~ . Vi r` , ~ ; ' Deputy Loc~l Ropistra? . ~ , . . ; J ~ Y S,%• , t?„2?- , ~ . ~ - t" ' --4~~~i~i:~' . ~ Eo~K22~ P~~~~372 - ~ - x , _ ; - ~~~~~~~~r~~ _ ~ ~~.4 ~ ~ - >