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HomeMy WebLinkAbout0287 . ~ ~0422--- - . ~ CEc T1FiC:y; c. OF DE~'aT'rt nepr~lw~ul u~ ~Ir.I~I~ a~..~ ~c~uLlld~l~ve ~rr~icca STA7E FILE t~0. . tH~+vu~iu ~u~~ui F7.GRiI~d TYVE, O~ ~21N1~IN ~'•~m.an•.ar~. ?[tMANt!(T IfiK REGiSTRAR'S ?i0. Z61 AE iW~i3Gi f6i DECEASfO-HM+F ~~~ai +~5~ ;SE1 ;DwTF Of GEwTr. ~ ~u..t., o.•, .~u ~ WSflY(i1WS , I:;;^•'~T4: .L~~ ~;~?S~1',`~:ale , ::arch 15, 1973 iACE '~w~ri. r~c~o. .w~.t... u.C.~r.. ~ AGE-~ ~.s~ ~u+ t. ~ re.. ~ o..V TDwTF Oi ~+YiM ~..atir«, o.•. ~COunTY Of OE.win uc ~ srytwr~ ~~~~r..o~~ nuas~~~ -+O--a -wrs wcwa ~ nae. . . H]:lite 64 ,Ik ~ , ~~nt .19,190~„ Saznt Lucie „ CITY. tOMN, O! ?pUtION Oi pEAtN ~+s.~~ c.n :.+~rs n_OSh2wl O: OTnER HSTdUTpH-NMIE ~ u.of a*«!~, Gnt a~uu .w ~.u.~a ~ 60~2 Sr~c.r. .IS G~ ~.o i n Fort Pierce Yes ?ort Pierce :-:emorial I:ospital STwtE O? ~RM : u..o~ ~ s..~..~ •Ctttltti p wrur CQ:n~~r w~w+..t~. +:f~i~ ,~+nRS~FG, SUQwiVwG S~OIiSE W~r~, cni ..o~~ ww , CQr•T~~ ~ ~ ; wu?JwiG. i,tti~U~GfD , ve.r. ~ ~ ~w.,•~~•~, ~ Florida i~ LTS:: :~.~rrzed \ellie Denem ..e,ewct.s~o ._._---__l . ~ ~~.ia w oi.u~ SOC~AL SECWLIY ?~X/Wtf USUwI OCCU~wia~t , c~.~ .+.o o. ..u~. a~... o~~•,,a +ese w .[YV0 Of WSn.£SS O~ ir~USTtY u OCCY~YO w ~ 4G~~~(' ~M(~ ~v[w ~fi.~13 ~ + ' ~*~~~T~•~~~ „ 150-09-3717 , Truc?: ~river ~:aule Industxies .erov.e~ uw~e 1 y ~ tb °"'s~~. RES~OEr+CE-Stw?t ~CpyNtt ~Utr, iOwN. Gc WUti~ ~•~sw c~~TaEEt wrr0 Nuw~Kt ~ ~ 1ree~~. .ta W w0 ~ ;.~~lorida St, I_ucie ~=crt ~'ier~c~ ~o ~~~5013 El \ueva Avenue fwIME~-nuw~F r~~a~ ..wo:i ~•fr : n~(~InF4-MA4~fN NM1f ...ar - ~00.~ USi ~s lexander :,uls~v i?.la ~•ia_~ce~ield INFOiMANi-f~AME ! W.4iTw 4LY..3ES5 ~f~~~t~ o~ ~ r o. no . ~.r~ W ro~.., a~.n. au. :~ellie D. l:ulsev ~,,,50L ~1 ~:ueva ~v2. Ft. Pierce F1 33450 ?~iT t ...roa:.un ~..na... OFAM WAS UUSEO ar~ ~:NT~i U/v~V G~'~E CAUSE K~ I:TiE FQi (p;, (b}. AN(1 ~tj; ~~~M![w ON~tI Ot~Tn ~+/lOun {\~pt . \l (ei ~ 1 4 ~ t~..~~_ ~ c~.~ T,.i . ~ t,,,. v ~ w - - ~ ~~~L' 6u~."'"w .T. ~ u ~,,:..Z. „ 1 yO~D~2~0~.1. .1 ~w~ (t ~ t ~Cw G~~-I •~3f t0 ) (O~ rfL~~T\ C~Y)! ~0., O~\ i0. W~S ~ CG«yJYI~+Ct fI - , l~~~~MG IM~ YtiOfi• ~ ~ \~~MG C~Yit l~~t ~ : ?wii :1 OtnEA SwiWVKAHT CO~.D.T.pr.S. eu~o-np.-s .a.+~. r.r.ti.;, vp ~~.r.. ~.r ,.p: .r..'eu :o c..u :.~r~.. .:o~ : AUfOi Y ¢ YES ~en n..a~nes co... . '.~~f o ~ LOe1fi iI+ Ofifa.~:n.r4 Uu]f 11~ ~ , 1N o~~1n i'..,n:c'•' n~L~. fr:t. SU:C~Df ~Oa iOATE l~ WIUaY ,..c•. .t.~ , tiO.iR . HOW INiUQY OCCURCEO ~~wre~ a~t~~t W~w~u~~ ~w' ~u~ ~ O~ r~~t u, nir ~ - ifC'ixK~J[, Oi HPDtIfUM+KED ~ ~ ~ t`.x..f~l 1 ~ "aN0 , )G1 ~ fx .M 7u! IhrJRY wi WORK UCE GF W/wlY.* ~c~. s•ui= r.~~;,n, i tOCwTtCN+ . scuu u..~.o ..a. un o~ ro..~, sr.n. . t ~qGn .N M n0~ ; WrK1 ~WG., IK ~ s~~t.n ~ . :o. r~s Ci~TUK~i~Orr- ..o..r. wr •a•¦ t ..c.-« a.. ,.w i- v.~ : e~ ..~n a. i. D-0/DW w01 ~.VV twl~CEAT1{ OCCJOE, n. r r I /M~ iCt~N. D ~t t00~ tt~ Ol~ M. , S ~ ~ T I~wJ~t; O~A. ~~+0. 10 M! ~fS" •~TtNOfO Mi ) ~ ~ G~ r~ ~ / 1 ~ 7 3- 1~ 7~ 1 ;~1 E/v,,~3 ...~.,x~. t~~ ucuseo +•o. j e ~ 7ic R~ ~ J:. M fo :.~e uwu:s~ snzm. CERIYKwTiOt~-MfD~Cwt ExuwriEt pQ C040r+fR'-`o« •'.i ~...s~ ~.o..~ o. ~e.r.. otceuti~ ..y ..o~.ou..cto auo ~ i i,...w.ra.. or me wa. ..wiu r»i ~..v~fi.c.r.aw, o... ~o+.~w w. .t.. ro.. ; Dt~iw p~( ~~lO On Mt O l MY WM 10 Tw! UYS/ 3~ Si~~/0 . I ~h T~F~t ~IL y~\ ` ~~1~ ~ S~:,wv~:c,~2f ~fFt ~ e ~ DwTE wEL ~ M . > ...t ~ • j~` ~ aakW . D - iilRii~ i s•~~~: o~ ~•r o no j-~~~ i~oM.. ~ rau ' ; ~ a ~ t -~~C.~ ' c1~ y ~ f /11RtAl, EMAi:QN. REAAOVA\ CEMEiEQ1! O~ CCEMATOiY-N~IM: -~Q~At1ON C.t~ M qw.~ it~tt E ~ ^ Eurial ~ver _nreer. Cenetery__ O:teechobee, Flori.da i OATf ~..o..rw, w~, v~~~ FIiNERK MJME-N~t~!f AvD ,~AUAFSi • fnen o~ a..o. ..o., em o~ rar.., sr.n, t~r~ ~ ' ~a•~arctt 29~ 1973 :s. Yate~ ~.r.~ral Sc~~_ 777 ~'t. Pierce ^1 3?~50 ~ : ; 7. 5. r612 ?~E~AI • K'O:-S:Gri~TU+tf fiEG.S~" ~-AG~.~:u~E ~~/f IFCE+vtD ?7 iGCw~ aEO~s:a.~ R e v. :9 7 G jsa etc' ~t :s y~ :.L. : 1u *d ~ ~ ~ i ' i i ` ~ heroby aer~fy thb to be a hw and ~roet oopy af the l~S~ ST~LUCIE COUMTY FIA. itegisfrm's teeord on fite in thr St. (cuk Coursty N,ez}ph p;,µ~} ROC£R P4iTRAS rnert? ~t Fort Pierce. Florlda. CLERK C~f:CU1T COURT - (1Naming: Not valid unless nised scel o~f tt~ $L Luc3~ AECQRO YERt~lEO..._~..- e_~, . ~ = counry lieahh Deparnner~t ts afftxcda ~ ~flJ , ~ . . 3 Auc 1 3 4o PN 73~ ~ z~.` . ' t~. n. M~u~, ~u. o. 250422 , ~ - ,.-r ; s : : , ~ s . ~ Health Oflioc~ ~r~r • ; . ; ' - ~ ~-02/- ~ 3 ~ ~ ox\ - - ~ .L~ v?-y : . . . , j ~ ~ ~ i . ~ , E . - • ' ~ ~ ~ . ~ : .1•' 6 ' • • • ` ~ ~ g • ~ • ~ ~ , t• f f t . " ,~,if•i ! ~ ~R ~ ~ II1:il `7I~( ' ~~`,r~~' v4r ~ ! ~S'S-s'"'^ .~^",s- J . . - . . • ~ .,a+ r 3K