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HomeMy WebLinkAbout1231 • • . . 25696'~ ~ ~ CERTIFICATE OF DEATH oe...~.Ka a1 Ik.aA ..a R~i.b~lh.e~.~e see.~. , rrwTi p~s uo. ~'~+~~fw~TM FLOAIDA 1Y~F. O! ?tlM IN ~'r~~"M'~° RCOIfT11A1~'! NO. NlMAMNT INR ~~p_Ny~ ?NV a+~u ~as~ ~Y DAIE Of DEwM ~ ran~, ~~r, ~~u~ fH ~IOOI I~1 , Henry Rrederick Heesemann Male , Ma 11 1973 f/?CE •n~w. Mww. u.eac~w .~ww. AGf-~•s~ ww~ ~?u~ u.et~ ~~r C~TE Of NtIM ~.o.~w. sa.. COU~AY Of OE~TM e1. White ~ $•4 A•~•. -M- ,""iKar. 9 190 Martin ~ . TOWN. Ot t T~ON OEA .a~ cwr ~wwa M06M~A1 O~ 011H NS - ~r aw ~ enw~. cr+n snen u~ wrr.~e ~ s.ecr. nt o~ wo ~ ~ Stuart Yes „ Martin Memorial Hospital STATE OF ~i11 ~ r r0~ M ~.s.~., wu.t d11ZN~1 d WMAT COIMtlr MARrEO.1~E~ER Mu1dE0. SIR~1vNG SrOVSE ~r ~+w. wa r.~.. wr~ ~ vwu'ptob~q ~ NQIN JerseyC~f' U~S~A• 1~. l`~cL1YlA Lilian ~USj ~++.w ~eca.re ims. w N~r SOG~I SECUafY MW~ER VSU~t OCCINAtqN ~aa cw a ron w.~ wrMS roa a tf+D p itlS~+ESS OR x+D17S1tr OCGYtlN N ~ ~10SM0 Uq. MM 1~ ~t~MM 1 ~ „ 2~5-OS-7571 President _ ~ u; Electronic Cor oration .e.~.w«_ eFSwcHC[-sr~n caa+rr tmr, rwn+, a~ na+ Ms•• ~~••r•s sr~ u~o _ 1 VlCM~ ~[f O~ MD Florida ,wSt. Lucie ,«.Port St. Lucie Yes ,.,438 Tran uilla Ave. f~TNER-NAME rep~ us~ MOilER-MADfN NAME ~w awae us~ ~s Henry Heesemann „ Magda2ena Hoeftner u.owiwr-«~ w?.ac ~co~ss ~s~••• a •b, «a 33450 Mrs Lilian Heesemann 438 2ran uilla Ave. Port St. Lucie Fla. riur oEwm wAS CAVS[o ~r- ~Etl?[R aQr o1E uuSE rfr u+E rot ML 16L u+o k~ ~ wne.....ww , N uws~ NI .L- ~ / O 7 t ~ ~ ~ ~C ~ carano¦s, u ~rr, ~M~cw O~~! ~~s~ q ~ ~.~in.u c~vu ~a, we ro. w~s • co..uou~..u w: f~~fINO 1Mf YM~lM . \t1Mp C~Yl~ ~ift (t~ ?wRt ~ OTMER SIGNrtKAMI CO~~WNS: CO~OAWf COwr~MwO q Ol~1M W1 MM ~lY40 b C~YM Gne~+ w~ r~n ~ Im ~ ~ES .~n nrMwos cw- ~ ~ns ~o~ yw~e~ r ~en~w~wo t~w~ I O~ N~t~ r/ {A ~ 11? -C~~~~~u~+CM'1 ~E~A 11W~i ~rwrw. . n• INlU~I U[!ED ~twre~ wro~r M aiwn ir ~.n ~ o~ r~n n, wr N~ M 7w 1k M. 7Y ~MIUtY Ai wObc ltwCE Oi NJ?rT .o.e. s*~en. r.cwr.. ~OCwiqN ~ sm~. w~...~. ..o., u.. w w..~. a•w ~ ~uwn ~es w Mo~ ow~ wo..nc ~sncwri i~. 1~l ~ ~ CEttWCAT~ON- .anw r~ wu ro..r w~ nu ue uf~ «../wt~ uM oM ~ Ms/ae .a~ .~er w~ otwrn otcuu[o ~w w~tt. a. ~w jL IM3KIAN: ~WM N~ qu ~OO~ uR~ My~ - ~MOM~ NN, W, ~O ~R rp 1~ ~..n.~we nw io ~i •J Q1 s's or iw.enoe, we ~'y th. wcrauo ?eo. ~ - ~ ' ~ 7~ tA 7 1~~ S' ~ 7~ i11 ~j tN Q M. ro w~e cwf~o~ suw~. w CEtTIf~CAi10N-ME01Cwl Ef~WNE11 Ot 0110HER~ w.w usn w wr ~ow a ee•M n.e eeceN«~ ..s na.aiucre ~eu ,41 e¦......wo.. w r~ w~. ...eiw ne .neanw.wr. a.wo~.. .anw nu wow . ~ J ~l~~M OCCYYlO Ow ~ MR ~A W! b~M W~ltO~ Sr~RO. ,A MJD AL J ~ CE~T~i~Ef-?~~wf mn w~a ~ ~ A ~..o..w~. e?•. nr~ - I u7 ~M P P r~ ~ s' - -1 E MAIMG -C[ftlfrtR ' sr~tr w~ r.o w cm o~ s+•~[ ia ~ ' • ~ r~ / C'S /7 ~ P/J P ~ia/t~ /~'R ~S' , ~ t~ W~f~?l. pEMA~10N. ~EMOVAI iERY OR ClEMATORV-NAMf IOCAf10N an d ro... suN ~ Burial „~Hillcrest Mem. Garde Ft. Pierce Florida 33450 ' OATE r r re~+r ?l1?+EtAI MOME-?+Aiwf uA 400~E55 ~ s~a~~ w~ r.~. Mo.. cm w ro~w, sun. ~N ~ 1 May ~4, ~973 Yate's Funeral bome P.O.Box 777 Ft. Pierce Flori ~ o~Y• • 12 " f ~EGiJ - RIK o~a ntento n ~ow uo~uuu ; ~'~~~i o E. ~r~z ~ i973 . ~ '7~~G a? ~.~ilie:t?l.~.~r~~~~ - ~ x•~-/~ . ~.~.~rv cs-r_ti_f_v Jthl~. ro be e true and a~orred aopy of the Loca! . `J Q~ \1~,t';~~'' ~ i' . R~IS~f~S fECV~u 0~1 f1~9 Ifl the Manin 1.0U(IIr 1'7~biili vQrM'vC~'i- ~ ~ ~ ~ ` - ~ ~ ~ urrM af Stua?1. Florida. I : -y-..: J~;r CQ , + - A ~ ~ Y c. ~yVunirg: Not vslid unless raised seai of the MattiA , ~ J~ - County Heal~h Department is affixed.) . N ~ L ~ .'`s` r . ~ :Z r ~ : f . a ~ _ t'~p-~;~`~- `V ~r t O -r ; . ~ ~ ? j ~ ~ . N. D. h11LlFR, M. D. ' County Hea~th Oificor 3 Lotsl Reglstrat f s~'~~ ? f ~ ~ i.~`: ' t. ~1 ` ' . $ : ~!~t•• ~ , i . /f~1\~ ~ ~1 A~~~"nt /L ` ~ ' . - , , : , ~ l.or.al Re~t~t , . ~ ~ _ 1,?~~ ~ ~ ~ - 3~r ' _ _ _ r ~ ~ ~y". .r . ~ _ ' - - ~ r~.._,.-~ - _