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HomeMy WebLinkAbout1760 2~3~0 ~~~~~t~ oc p s~~~rR~a ~~~RK InCUIT COUAT RECO 0 YfRiFiED...~.,..~~ ~ Jw,18 ~ 09 PM'~3 ~C~ DEATH CERTIFICATE OF~JEROME S. ROGERS ALSO KNOWN AS JEROME STANLEY ROGERS 2S9340 ; s • • F t { _ • _ . . ' ' . . _ , ~ C~~ i:FiC~`, i= OF DEATH I ~ ~qy~lrerl ~ ~~t~~ti. ~ep ~e~u~»l~~?li~t lrrrnr. fiTATE FILC NO. ~ n:.:.H:v~s ~u:.~~~~ FLO :iDn Ttilf. O~ ?~:r+T u~ REGIGTAwR•S NO. ~~4 IllYANtNi INK ~iCE~S[D-NM~F . SI[ IWi~iuOl H7 , ••~st ~.~a~ !SiA OwTE Oi OtwM ~ ro•~•, r~•~ ~ ' ~ rsn~ci~ , _7~^~,. - i, :•:s.le i, ~:~~ch 13, 1973 ; iwCf .rn. .eow. .•~.Ko +a~.. ~ ~~GE-..u ::o.' :.~-i J~ ~:iin ..w~.. a... iCOW+tY O~ OEwtn 1 Oc. ~ Wtrnr ~7,~ ~ ~~,awQ.•q n~•~a.~..~f . a..~ . y+Jyn ..w p pp^ T ~ fi{ilte ~y~ l70 ~ ~y; '~'•~1t/• O~ 1001 i1• Saint L1~lC.le 6`J~2 GTt. 70Wn. O:IOUtq~ 0~ DiwTM •.+a.,y,. ..~.n nGar~fwi G: O:nFt iI+SS..YiIOh-N~JME ~r .w ~.r+i~, cw~ ~iru w.~~~ ~ ~ t f~~:••• IS J~ w0.. ~ n rort Pierce Y~ s ?~.r ~ Pierce i•te:r.orial Y.ospi ~al ~ STwfE OF WiN .r .o. +...s... GTU(N C~ WMI Cwn~~r ~,.•.:..iJ. i.tv[i wu'eu~O. Suavnr:G SrOUSE ~+.N~. o~~ ..w~. ~..+e ~ • • cow.M~) •w::.pwtD. J.vJ:CF~.vKrt~ ~ . rs.i.~u~o~.c~ ~ ~:CIV :~OYlt • L.5 : :..^..~~=~G ;t~ ~SSlv ~.c1)7 Seed z r.~u Nc~.ua SOCW S[CN4iY MNWE~ ~S:.i4 J~IWA.~.~\ •..o o. aw~ o...+G ros~ O~-r[:W O~ WSWfii Oi M~OUSTlt u.1•. r w.r ~ occw~m w ' w.+.a .w. a~. .~•~..a. : : ~ p.. ~Olp ,C1:;;::,s~ U. S. Govern~ent K~ NqM 'o"- tfS.Jir+Cf-SiwTE COW+tr .uir, tOxn, pa ~OCwi.Or. c.n ...•n !fitEET wrW ?~uWEI '~v~c~.,.i~ a wq , ^lorida i:.~ St. Lucie ?ort ~ zerce Yes '~..2~12 Sunrise Blvd. ~ iwie.it-Nw~.f nw ~..o.e .MJtnEl-rta~FNH~WE ~rs+ ..~w~ w~ 1 1 ~.Y . • `L~+ T_uthe.r ':o^~~-~ . Frances ~'.all ~ ~ N3~u~+t-+wn~f ' Mw.. ti: wJ:%.i.5 ~w~u a..r e. ..o . C~n M qo~ ~I~4. 1r~ rSS1G' S. .^.oc;ers -•?~i : ~~:^YlS~ FSZVCj• :•t. ~].22".C~ 33~50 ~ ..o.....•~ ~ . ?w1T 1. Q(ATM WAS CAl{SiJ ~Y. ~inift O'~./ 'vtic :+.:>E ~Fi,.?:i {01 te~ :eL ~ND it)'~ •y r1t+ o..+~* ~ ,y , ; "jy°~~ i~'.:.~~ 1{ ~r~lwp ~ ~ C ' . . .s - ~ " `s . ~ ~ ~ ~i: ~ :t-~..~.o~,u.-~. ~ i ~r~w0~1.6~1. ~w~. ~ I . oo ) rrlD~~f~ [~y)~ I M W. p~f ~ CWfIY.~~C1 G Y 11~~.w4 ~wl YM~~~• •t.NO C~YY \~1I ~ ' / ~ --TiWip7SV J YES .nn ~.~a..cs ccr.- ~ Iwiyg ~ OT~+E9 S~~i~C Y~Oti' LL7h1- ~c?>.jO.i eu.+u~v~. etn. ~.r~.~- ~y-ar-+v:.r~ i.n~..1+ ~:r , I ' ~ {~~~1p~~ ~,f~i~~~iu~iit~~~.w~r04~L G-.'Gi ~ ~ ~ ~ L~~' ~ / . ~ ` y ~ , ! jf/ "~/C/ . ' w o~.~. c ~ • o~....' C L~•. hA 'tq i 's,~a~l wCC.xH'. l.:C~JE ~ DA~~f Mu~]Y . ra~~. w• •..~~uo tiOW IhlVlr aCUliF, ~ 1+~~~ .y~ .~w~• .w ~~f ~ a r~t w n~.. ~ ~~I:JLf. 02 YId" FW?i[D ~ ! ~ ~+Y4i~ ~ ~ l~ . :J~ .1y ~Y.. M iic ~ t If:Aii~ AS YCOR ~ r.wCE O~ wfWr .w+e. s~au~, ..:~ur, . i~wLGw - ~ sr~~n M~.~ C.n O~ ~o~w, u.r! . F ~~114n ~~f M ~01 •JnK! w1G.lK ~WG+~. . ? r.. ; ~ ~ C[tTJ:C~:~O~+- •a•~• ~ w..+~ c.. •.r.. - ••u s.. t~i.i~ ow ~ o~ah.o ~.o~ •yr w~ Ot~:w OCC~tnD .i r.~ n.a. o~+ ..u INt~K~~N: / T~ ~ 1 ~J~M O~y ~N ~ JN~ p~b_ V..~ C~it. ~N. 1[I P~ ~[SS ~ ..m..oee - /y . ^ . I ~ ~ o.....c.NOU. a.a ~ r. a~~~..~~..o.. - 11 / ~__l ~ ~ 1fl1 ,I:~f~ e? tOWCw]lq~l4it0 ~ CEttNICwTtC~a-~wED.CM Fawr,i.ft O~ LOtd.E7 c~ .~s.s o~ iH ..o„a y a~.~. e~c~oa..~ v.s .w~w.u~ w.o ~~ur.~.o.. 01 w.~ K.e• •+a/w M w.~s~.c•.o.. o~w.G~.. ~ +o..r. uW~ ~~7 a . OI.~~ OCCW~~O W~M NM ~wD W! q W C~YL.1~ S~~yO N. lli M ~(~~I/IE~~h4ML '~M M .rt. . ShshA:Ji.• ~ T~- "~f1 t~M AT4 (Y. ~ J•H. Batsche, 21.D. ;u ~~i. ~_%-.~~%C : ~ ~ ~~k~~~~~'j7~ ~.u4++G ~DWESS-Cf~t~Ka ~~r~- c.. ~ c~-. u +or.. . ~u ela~:~.re :_v~nu•e~ Fort Pierce Flori~c~a ~~50 ~ ~.:a~wa. CtEru~t~p?~, tErqvw~ iCU+F:Ei~ O+ C:ww:G.r-nawat ~~GCwt:Gn on a w.+ ~~.u ~ - ~ ~ree~n ~ . . Luria.l {:.;`-i~=cres-. •:a::. ~;.r~ans:.. ?ort Pierce, rlora.da ~,ATE ~ M~. ~ ` tfy '7A~ NCMF~~ FV_ ~vJ A' tL_ , fi~1~t O~ J. ('~t M tGr'+, ~T~11 j.1 ~ ~:arcti~'lo, ~973 !„rta:e~ . .:r.a::~~.:c:~e, ~e~ 777, ; ;'~e~ce, ~1~. 3355~ 1N V. S. s6i2 IwrEiu ~ C.W-P wr,;:f ~~~A. -$~y.1i!Jif ~ ~~J . o•n uct~vco n.oc.. ~[G~u..~ i w~r.1970 n? i!-t.~ ` - ~1,.z,.~~~ ?--C.-,,..,. Q !:a v~w+~ ~ ? 973 ~ , t ~ i 1 ha+eby osrtify thls to be a trw and oorrrct oopy at fhe troal Regtatra~s reeord on file ln th~ St. Lucb County Fie~s}tlt D:;33t~ t - ; ment at Fort Pier~oe, Fbrida. • (Waming: Not valid unless nisod sal ofi t;~a Ltrdo , ~ !~I County Fieatth Dapartrr~ant fs affix~d„) ~ . . . - ~ - _ ~ ~ F~ N. D. MIIIER, ~A D. • - ~ Hesltl~ Offi~t & ~,~:~rar - , 3 -~y ' ~ - ~ 3 ~o-?t ~ , " - . ~ Dcpusy t~1 C:~t:rr~r ' 3 - ; ' ~ . ~ ~ . ~ t~ /F~1 ' ~ e'~R(( ¦ _ ~yr-~~ i t ~ ~ _ . . . _ ' .~aw : ~ . ~ ~ - ~ ~ r ~~'~Y,s`.~ F _ _ ~ . _•s _ . -