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HomeMy WebLinkAbout1577 . 2571'7'7 ~ s ~ - . - - _ - - ~ CERTIFICATE OF DEATH Drp.n~+t tk.46 awd 12a~6abiliutire $mrices 6TATF FIL:. ii0. ~~'~~~~w~TM FLORIDA trrE, o! rtINT ~N "'n'•"~.`w~'s~r° t!lMAN[M !NK REGI6TRAq•f KO. 7~ StE YL'I~OOt FOt ~ECEASED-..Nay( ~u1t roat ~~sr SEn OAiE Oi OfAM ~ ro~t.., c~r, ~e•~ ~ +rsrw~rors , James Roy Stevens ~9ale ~ May 14, I973 fACE ~rrtt. woq. u.eiKU~ ~rww. AGE-ust v~.w~ ~•e.~ uwoe~ ~ w~ OATE Of 6iiiN ~~o.nw. w~. COUNTY Oi OE/UM nc. ~sncrr~ ~1~@ a~rww~~~eus~ ..os. ~ o..s wows ~@P.t 20,1907 St. Lucie ~ ~ A. 6~J N ~k ~ + Cift, TOWH, Ot tOCAT10N Of DEAM ~.swe c~n irea MpSrytAt pt OiMER l1STITUT - ~a wt w nW~, e'rt sutn ..o wu.uta ~ ~ sOl~2 r sntu~ ~n a Mo - ~ n Ft. Piexce Yes Ft. ~ierce Diemorial Hospital . : ~ SiwTE Of MAiH ~r wor w ~.s.•., wre pTiZFrI Oi w?f~T C01lnitY ~ltvfD, t~EVEt ~EO, S~NNCs S~O1KE ~w ~Mt, GM .~.wa+ wr i j S 01K ~w.?.~.~..~. , Necv Jersey * USA „'~4~Px°f"~$°""`°' Margaret Weil ; ~ms ~ vueuxii~ SOUK SENtlT1f Nu+MiEl USUN OCGWwT10tr ~wn awo w roai oa+~ owu~w ros~ o~ KWD Oi WS~ESS O~ w[1YSTRY ~ ,...~.~.bn. on. ~ ~ 14u-09-9962 Owner~~and~ o erator Saw riill ~ ...~..K. P ~s. '~"'ss'o"'• r.w~ csr ~r.n SttfET wwD H1w~ER ; ~s+~e?+ce-sran eourm cm, roww, oe ?ounoH Florida St. Lucie Ft. Pierce ""`_"Yt~'~'"°'! 2910 Rhoade Island ! ly IN 1M Ib. I~~ j iwinft_N~,wf ~~ar rwre uu ~rOTnEt-~uiOEN w.wE ?wr .ype wt ~s Joseph Stevens,~ Lizzie Carney ; f INfORAUNT-fJAME MA4wG wOGRfSS ~va~~ a~.~s. r.o.. car o~ ~ov.., sT.p. tr~ „~Mrs Margaxet Stevens ,n2914 Rhoade IsZand Ave, Ft. Pierce, Fla. ~ r.ur ourn wws uusEO ar: - -••w•~••, ~ , IEkr[~ O~+ir or:F GusE ?Et iwE ~oit hy (b~ wr~D ~c31 ~~n~eK a~i~r .wo a~~r r?ewa uwu ~ ~ ~~f ~l ' ~~2C~: ~~j ,-/~//<</ ; . ~ . . o.. ~ : ; co«o~r~ors. i...n, i;• / .iU;'1 ~ ~ `/~/~'C!'L~' t ~rw~eM e.ve use w( (e • t- t(1 C.~ i/ l( . ~rrep~tt t~Mft ~w. ~ M q. ~S ~ COw1~0ut~K.~ O~ , f*~~INO iM! YM~~4 ~ / ~ L~~MO C~YN uf~ ~ ~ - <<~ ~-~rG~~~~'L~'~~~:7C~Lr3G:I~..2 ~}i~ .l-~::-? ~ • OtNEt YK/yHT CO~vOtTWevS: e y~n s co.a ro w.r~ wi ..o~ u o ro u..~ e~n.. : rut ~ w~ ~~?'sr ~F YES .~~e .~~o~~es ea.• • / ~ns ~ s~w.to w~~.u~wc c~vs~ ~'7~Gcc_ s~E/7~l~ ltl !/~~~''~':I-l~l~>1' r ~A~ ~ ~71~1~~Y1~1C In ~ ~%o~~tw 7 z ;~~.,po6+tij w~ ~T.TEWwED ~ Ow ~ w~rw. w•, r~.~ ~ ?iQYL.iM lY OCCU[!EO ~ ewrt~ w a..u~n r..~ . w ru~ u, aa. i i DE, ; ? ~a, `M ~ M i ~ ~ ~ ~ ~N1U~Y wT WOluc ~IACE W1utY.+.~o.e...~.. aneR, ~,eron. ~OCwTIOn ~ suar w~.r.s. ..o., un o~ ~o~w, sr.n: i ~~~n res O~ w0~ wrKS Mw..~~t. ~vK~ni a 70~. 7M ~ 3 CERTIfKAT10N~- ~i~ +0~~ u~~ rw .wo us~ s~ wWq~ ym ao a n0~ v~tr a.e pfwiM pCCUUlO ~t M! /1Kl. p. M( - IM11SKt~N: /7 / TO i ~ ••OwT~ O:f uf~~ Otaa.. ~«W~ oa4. .~+0. io u+e tetr ~~n~r~YlO M! ~ 31 J ~ [ ~ ~ ~ O~ rt apOw4DGl. Du! Tla OlCt~flp.r~pr lt~ ~ / / TI~ 71~ / M. 10 M! GuSl.1i S~~riO. CEtTYiGT10N-MEDKAt f7IAMWff OR~CORONfR: o.. uu ~.a~s or rne • a•ae.n. rw~ euw..r .u r~oww~ees w.a ti.rw.no.. w mt wm ..o/w na rnurierno+.. ns.~ow. ' rwm ' ~e. wv~ oi+m auwao or~ re o.+e ~.ro ore w w twVSen~ sr.no. ~~~7~ ~ ~ ~ ~ ' 7T• L~ 71~ M. CEli1f1ER-"~j~ n ~y ~ SK~wj1M~ / ~~1 ~a a n~ Dw ~`r ~.o..rn, wr, riu~ n. C? Its ' ! ''~«~4:~-.r I ? ~ `7 MA4~1G AOORf55-CEfilflEf~'` s~a~~ o~ ~t . c~n - t,~ r,. OG ~ , ~ % c' ZrC" ~~c~ {UQ1Al, CffAMTN~N. ~EMOVAI GfMETERY Ot CYEMA70R~-NM~E lOCA110N arr o~ w.r,. s~.n ~H""~2emaoval N~Egg I-tarbor Cemetery ~ Egg ~-Iarbor City New Jersey - DATE ~..pwew, w; n~u~ WtiERAI HOMF-~tAMf AN3 ~tDO~RESi r srett~ o+ e.~.s. uO., tm w t0»', st~n i~r ~ ;~ia 16 1A73 ss..Ya~tes Funeral Home Inc PO Box y77 Ft. Pierce, I'la. Y. S, +f 612 f u+E+t~u sEGtit -sxav~n~ owTC accrr[o sr totu accisrtai R~v.1970 ~y H. tw ~t - s . ~u+c,f c~,x ^ ' } ~ ho~+~y oeryfy thb to bs a t~w and ~rocY c~y j,~l ROCfR P81TIiAS ; Rc~tttrars recard on file in th~ St. Lucls Co~nty H~a}ih p~t} pECORD YERiF Ep COUpI : ~ ment ~t fort Pieros. Flotide. $ t (Weming:l~bt valid unlsss nised seal of the St. Ludo .~IN IO IO 33 AM ~'3 couMr Me~ett~ oewrrm«~! k effiz~ . _ : . ~a) ~ - ± ' ~ ; , ~ f N. D. MIU9~, J~L D . • : . ~ , Hoalth Offiazr ~ Lo~1 ~rar - - ' . . ; S- /6-?3 ~ ~ ~ _ c~r a,~y ~ ~~r , - ; ~ - s°oox'~5 r~cci574 ~ - a-~'~~` ~ ~ ~ ~ ~ ~ = , . ~~i