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HomeMy WebLinkAbout1985 . ~ ~ ~Y. l i,,,__ ~ ~ • ~ . CE~T1FfCATE OF DEATH D.~..~~~i o( 1 t~.l~l. R~I..Irduu.~ &..+ce. erwz[ riL[ No. ,M.~~...~~QA~n~ FLORIDA lrrE, Ot ?¢~?ai ua ""'"""""Q"~° REGI6TRAR~S NO. 3OH Vi[.lAliS?iT 1NK ~.~s~ .~oaa a•s~ ~Y DA7E Of DEAM ~ ~on~w. c.•, nu ~ ~ SE[ R1iD100[ FOl OfCf~SED-n.wE asn~cra.s , ~n W. Carclan :Male Ma 27, 1973 IUCE r.~n, «ecw. u.~uc.M r+w++. ~GE-us~ •~»w¦ ~.e.~ w+oe~ ~ o... O~TE Of M~iM ~.o~m~. w~. ~touNn o~ otwn+ ; ~x. ~ v .rt ~ u,~w , ~ ~~.~s ~ ..oa. ~ a~n ( wowa ...a. n•~ ~ i ~r~ute ~ ik ~ I~iay 10, 1905 St. Lucie 4 . ~ 6~ 2 CITY. TOwN. O~ IGCwT Of OEwT11 e u.s.a cm .r.n MOS„TAL O~ OIHER KSTRU~ION~- IY MO~ IM l101l~~ o~ve srri~ .w ~w.n~ ~ • ~ ~?tcur .ts M w0 Ft. Pierve Yes „ Ft. Pie.r~e Menarial Hospital STATE Oi iiYiM ~ w»o~ w r.s.... wu~ GTIZEN Of WeUi CO:JNfRY MAtCED, NfYEt MAiCED. SWVIVNG 51~OVSE ~r w+~. Gan w~oer w~ra ~ cowm ~ W ED. ~ snc~r ~ • Gea~x'9ia , U.S.A. _L.~~rr~ie°~`~ Duda MatY~e~nts ; ..ui ~u.seo ~itriD Of luStE55 Ot N+DUSiRr u,[o. u a.a ~~u ~~~Tr M1MiE! USUwI OCCUtAflON ~ wvt iwo or ~qa pp..~ awwG rOl~ M ~ accu~ne +w ~~~w u~t. ty+ u~e:~atn ~ . j .,i„~,p... ~m „ 421-10-5509 S~iPerinte.r~ent Stee~ - : uLae..u uroa •~..~,w». rt[sweNCe-stwr[ tou?mr urr, rown. oe iourw?+ .•s~e~ ca....w. SiREET ANO NYb4ER 14 Fla. ~,a St. Lucie Ft. Pierce Yes ,..1607 Seawa Drive ~ fw7nEt-NA.wE ~~u* ..wou wt M~OTqFt-MAqEN NM~E Irp rrxt uN i ' if Wiley Cordon F2c~r~a I. Taff = i Is.~fOYMnKT-.H~E M~1lwG ~DGRiSS ~uuer w u.s. ao., em o~ w~.., u.n. tr~ : Duda G~loa~ ~~n, 1607 Se3way l~ive Ft. Pie~e~ Fla. 33450 ' /AjT 1. UIW\YYit u+I~WN ~ OfwTt1 wwS CwUSEO 6Y (fMft OM Y O?~E UUSE ?f+ tNE ~Oe (e~, pl kN ~~*rtw o.ui •w oe.n. F u..eo.:n i: > ~ . :a~ ~ <o..~~... . o. L~~.r.~~Q / `~MOIIIO~), l1 AM. n 1 ~ ICM G~~~ •~f! i0 ~ ~ti~ ~ 1 rfD~~ff C~uSE ~o~, ~ w~ y r~~Gt~ I 1iAtlw~ irl! YNO!\- ' - IT~nG <.~Y1/ ~~1t ~ r ~C~ ~ Pwt7 O. OAfER S tf ~wt GAh'O:TK'i~.1: eo..ar s co-n... .~~w: ro ~x+» w+ oT ...no rc ..te ennw w r.~i ~ w~ ~T v ti vES ~+~n r~KO~..es ewa ~ ~nyq i i u ai. c i~....~.e cune c.~ r~ I ~N.7µ~GDE: O! 1WOE1fW1NED~ ~ATE Y ~.w~ Y•,n• . MOUR ~MOW WRY OCCUItlED ~twrl~+unru ~w.~n ~w r•~t ~ .n w. n~r ' ~ h~ 1 M 7~ :NIUNtl wT W~UC KACE OF WJllYY ~l ~+Orf. i~W~ litl[T~ ~.nu~~, IOCwT~dv ~ sn~n w~.rr. ..o., cmr u~o.rw, s»n ~ ~ ~srwn ns w~.o~ f OnK~ MOG..lK. ~S?eC.n~ 7H 1~i ~ C:[~.f+U710H- +a+*w w• nu ..a.a w ~w ~+w us~ f?`~ ^~.i~n tim on ~ ao/o wr .~[.r ae DEnM OCCYNEO .r n~i .,.~e. w. m[ IMiSK1-N: TO ~ ~ ..ei+iw wr nu We~ • w•m ~wou~~ o•n..w. w nn ~esr , . iri~oea ~w~ .y r o~ rr u.t.nleu, w ~ - :7. ~i: c.ua rro. :)U ~ /•7 J ~ ~ 7U 21~. M. 10 M 4YY:1~ s+.no. ; CEit1ilUTrON-MEOKA: EJ[wiwnER OR COQOnER: a. .w~ ~.~.s u• w~ u.n. . ~ TM oK~ ..r o~s nowou..eeo +O ~ ~....w.ra. a u.e sno. .,m/o~ ~w wvesue.fo.~. w..• q..,o... m w• n.~ .o~. . pl~M pCCY~~~D OM AN O~R ~MO DM 10 T4l 4YSf~1l lt~yD. . . M.~77? M . CEii{f1fR-N~f ~nn u'.n..u - t SK?'! ' E Gai w nnt ' DATE SICYEO ~ro~TM. o r. rtu~ . ~Le~v~.n ht •k 5 2 9? 3 i+u:autiG ~ ESS-CfRT1' :rne* u a~r.n. em o~ rovw vr tu . Nort~i Seventh Street ~ 6Ua.~u. CREwui:ON. £f~nUVwl FMEtEiY OR GAE,W~TORY-nwME iIOC~ ~ON un n w.w+ ss.n , snc:n ~ ~ :w- RQt1C7Vd]_-~1,~Fa C~dr IIl.ll C'prrml-~,~_ t n~. BESSE3'!1E'S~ l~.a. ~ ~ i ~ OwiE :w.«. a..., rw~ W7~ERwl HO.ME-~wN.E .uv0 ADDCfSi sr.u• o. u.o. w.. cm w ro.+.~. sun. :n. . ; 28~g~ Bai~d ~u~eral Name 901 N. th St. Ft. Pierce F~a. 33450 ` v. S.s612 f~ES~? ~ -eEGiS --s+enrwttnff wn aee~vEC sr ~ouu uaarua . Tt f +~~r.197o ~---~t ~ tw. JU.*1c'_ 1 1°•73 . _ 1 fi~reby aertffy th(s to t~e s trw and c~urnx.t oopy ot t'hs LocO! ft.,geatrars rc~cord on file in th~ Sf~ t,ucb Caunty Hsa9ih py~srrb 3 moitt at Fort Pieroe. Fbrida. - . ' , (Werning: Not vaiid unless raised scal o# the 9f. lucjs , s-• o='f :;f County Heahh Departmont ts eff[nsda : M. •:K.. . r f. . . ~ - . . ~ ~ ~ tV. D. MlltHt, 11l~ D. . ~ ~ " ,~r _ T Hesltlt Offec.7 t~ E~istrar - ~ `K~ ~~.A : . 7 ~ ~ ' ~ ' ~ yr • l - -~y~ Tu. ',.i i ~ I ` ~ ~s~ ' `~T i ~ v r~ r } ~.4 ~i . ~ ~tJ:~l ~C1~ P:Q}S1iCT ~ . " ~ ~T . ~ f14E~~ ~4 NEC RCEO : : . ~ ST. ~~E COUN~Y f~~?. ~ 25`7481 t ~ ~ a ~o~Ta~s . : ~ It COURT CIERK ~Q'i:EO.,++" p~CORO VF ,w~ 25 ~1 ~3 ~'73~ ~o~~ 215 ~A;~~ 198 2 _ _ - - _ ~s ~ ~ _ . . ~ ti