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HomeMy WebLinkAbout2520 . ~ ~ 25'7825 • CERTIFICATE OF DEATH Ikp..~.w.~ ol i k.h6 ..d Rr6.6ilu.n.e G..t~Y. fTATE F~~c No. tN~i4(W (1F IiAt.lll F L O R I D A i7?E. O! /~~MI IN °~~~~~m~° ~ qtMA1~N? INK 1~EG16TRAR's NO. 7H M~10p1 IO! ~EASf~-N~ME ~ni~ rea~ t~u SEt OAiE O~ OfAM ~ rOwtw, e~~. ~f~~~ , John R. Stewart , i?lale ~ June 23, 1973 ,o ¦ACE ~1l. i+~Oq. uY~K~w n+CUr~. AGE-tait wee~ ~~[~r vwp~~ t wr pAiE Oi /MiM r+owrr. e~i. COU?11T Oi DE~iH -7n f/1T ~ fK. ~ fMt~n tlltw0 • n~~s~ rOf. W~1 ~01Mf ~w ' O~- -i.._ ~ White ~ 6~ A k ~une 19,1910 btartin o,,,~~~ crtr, iowr.. a iou oc~rN ~a..~.~., MOSNfAI O~ Oh1ER NSTRUiION-NaMf ~,.M.. ~M ~ ~ ~ ~ . sncrr nt oe rq n' _~-r ~D Stuart Yes N Martin Memorial Nospital n- : ~ ~ Si~tE O~ w/M ~ a Mor w tl l~.. w~r~ G11ZfN pf VvHAi COlR~R11 MA1tR1E0. MEVE~ ~ROED, SINvn~ S~OUSE GM W IO(M M~Y~ I T c c i~` u 1-42 , New York USA „°~a°i~r~ie°~"~`~' i„ Irene Sokoloski o A~o ~ ~rNM O![!~flD i ~~.ee r N•w~ SOCUtI SE~Utlt? ~wWfEt IJSU.LL OfGtJ?A11pM .a¦e ~aw w.~a~ ~a.r e~er+o rosr w c1~D O~ M?S~+ESS O~ u+DVStw o~ ~ ' 6^* „ 210-O1-4907 „~~~'I~ireC~or Athletic Club = a ~ ~m i ~e~w»u M.or ..i so . fE51DENCE-Si~tE CpiMTV pry. TpyyN, pR ~pu110N w.we ~T irns Sf~Eft ANQ NUMLER ~j ~ ,NFlorida ~q Martin ~wJensen Beach ~""''Y~"O' 323 North Nirii~'A e `d;' ~ f~TMER-NAME rr~u r~Oxe ut~ MOiMEf-AU~OtN N~A1E ~w~ r~oa~ Vsr „ John Stewart Nellie I3arker IN?OWArJT-NANE MA4NG AODRESS ~sven w~..s uo, em w~o.~, s~.n. rr~ ~ ~hMrs Irene J, Stewart ~~3 3 North Pine Ave. Jensen Beach, Fla. ~ . ?4RT 1. DEAM WAS GUSEO (fNtER OfKY p~ UUSf rff lNf ~Of (ol. (bl. ~ND (~II ~~e~~.t w oNSe~ Muw . N ~ , (el ~ . • ~ ~ ' corsmo..s. n ~.n ~-Q~(LVCi~L~ I (~1 rw~tw 6~~~ ~~5~ f0 ~ (a) ~ ~ ~rrlMir~ ~~Vit ~p. M M. M ~ COwSlOMK! 7. - - u . f1~IIN0 1M~ yM~~~- l~IMO C~YSt l~{1 av ~A~i Oi11Ff S~GN/KANT CONOIf10N5: to~~t~O~f COMMN~wG q Ot~n~ ~ut nor Ni•hs ~o c•use eM.. •.•...r ~~e~ AU?O?S? R YES ~tn n.+o~wo~ eor- ~ ' . . a rq~ Lw.eo ~M oft~~rr«~ro C.~1rM d Ol~~M ~?.ebe!7~~ Iti j IR NOMKJ6[, Ol~UNOE~TEWWED A ~ror~w, w~, rtur NOII~ ~NOW IN)U~~ OCCV~~E~ '~~++e~ ~+•nrq w~ww~. ~r ..n . p~ r~n n, m. H r ~ ~ ! 1K 7b M AI ~ INIUI~/ AT WORR R~CE Of anMr.~ ~.o.e. a~r~., r.aon. tOC~r~ON ~ snnr o~ o«o . t~~. o~ ~o.,r, f.~a ~ ~ INfC1/1 ~ff O~ ~+01 OMKt ~tO0.,f1C. IfMCMI1 • , f , 1A 711 7~1 i CE[fiK~T10N- ..wrM nu ..w~. o•. •..o us. s.~ +wiw. o~ ~ aWaw w• •.n. w o~~rN oCtuuto w.~ h..ce. w~re i rwtSK~ww: 7p +n+.. o.• n•• ~eo• •rn~ a.m ' ~..ov.~ ~ e.n. ~..o. ro +y ~es. ~ .m~+oee n.e ^ ~jn t~• ace.s~e r.o.. 7~ ~tn 6~ d~' /J j1~~ <j ~3= 7 3 t~• 5~?~ o nn uw+uoee:aw CFRiIFICATION-~wEpNCAI EI(A/A1MER O~ CORONER~ a.. n.~ s.us a rw ,.o,,. a. Qr.... ~ r~~ o~ceor... .n .w~.ou»cro o~•e /~~~M~np~'M ~00~ ~W/O~ t~! NYtfr4~*OI~. 1N r~ WM~Oa. i rO~TM o~• .I~~ MOV~ N~~ OCCVMW OM M MR ~rA 01~ b tw! (^Yfl1l1 ff~RO ~ t1~ M '17„- M. CE~TMKR-NAME i n SK.NATURf / ~ oecn~ o~ nyt DAt KiNfO ~«o~~n~. e~~, ~~u~ ~ ` '~i°7~'ur S. Tarner ~tD ~(/~•7 j ~ MA4NG ADORfSS-Cf/IAfER •n ~ o~ ~ . o ,~S - ' - M ~w rLG" ~ ~ ~ 2 ~ Ji ; 160~ ta?st c an nlvc~~, ~tnart, T'lor~c~~ ~ ~U~1M. CREMA11pN. ~EMqVAI - F/MEiERY OR CKMAi011Y-N~ME IOCATrpN c..~ o~ .n+.. ynn ~ wtwv ~ tN Burial r.~All Saints Cemetery ,Jensen Reach ~lorida O~TE + ~ RI Al HOME- ,?Y ir+p • S ~ v?er. p~. o~o . oi ,o.w s~ rr ,y June „~~ates F"~unera~` ~iome, ~nca ~enseri l~e.~ch, f~lorida ' r. S.1612 ? eEC,~sj?~~_siGr~~ru~[ o,a coveo ~ocu na~ste~. 't II~v.1970 ~ ri, /~~j,,E~„r~. tw 1 7 7 3 . • ' +If.• ~{~1~ 1 hn ~ fn~ p (~ttt~~ .th ~j,,~,~,x, i i~a.ev~ w..~.~ a.,.. „ ~_t?.~ rn..nrf moy of the Lotal ``~1~, ~~3'~ j; `C^ ,~'i~' , Regislrars record on file in the Mar~in County HQahh Ofpart . 5.~~' ,'s's,~ • °1 ~ ment at Sfuart, Florida. , • f s•~~~*'r~"~ . , ? , •,~r?_ (Wa~ning: Not vali~ ~nfcss raised scat of fhe MartiD , • County Health Dcpar~n,en1 is affixed.) ~ . . - ~ ~ ; 7 , ~ ~ ` . : . ~ ? f ~ r~~ : ; 2• F~ _ N. D. A5111~ P„ ~JI. D. ~ ~t ' r ~ = t s~, ,1-'~ ' Cou~~iy ~Ic~ttn Oif~cct $ Loca) Re~isttat •~i~~ ,''s `iitiw;.r i % / ?.i ~1~v i~ f_'I s ,S - ~ /S11 ~~t'~j~1H~~~• ~ ~-~i~~~./ J ~ ~ ) l.E~+C~-C L C. ~i (.:.iC jJ. 1 ..u_~ ~ , I r ~"~~l~~~~ ~ . :P:11 D~ts Depvty Lacal Reg~strat ` _ L..~,.,.~.. L~ ?51~ ; , - ~ ~ _ ~ _ . _ . . _ ~ : _ ..r