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Home My WebLink About1764 . K~ ~ • y ' ; - J ` _ _ . - " ~ - ~ c tr~. ~TAT[ wwRO o? Mu~TM CERTIFICATE.OF DEATH i eo~~~ • ~U11tAY OR VITAL RAT1.~61511 fTATt FILt NQ i ~.s.~...- PLOBIDA 1 H. 11t M11• M0. ~ ~~~~~~1~ - COOt NO. Y~W~ wtfl~sNCtl~~..srir~M.a flw~:~r.r: A.~rww...I.wr..) i •s~e~t~~ 1. KAis N MAtM iTATt 001qR~ • ~w~ •111 A t ~l~e~~ ; 1~ ~~r• C~TI. TOwN. Oll ~ t. ~S ?lA 0/ o~ t. d?1I. TOMR OI~ LOCII~IOM K It~S~O~KE IMS10( CIiY IIMITSt IMS10( CITr LIMITS/ i;i:~` Ft Pie e .c: ~o e s +rcs No t I. ~urc a ~ry..r w.~tw. Nw•aa~.wra~1 sTUCT ~oo~css ' r"~'r~au ' ; p'~. Pierce l~em Hos 1 Ceor a Ave ; MA~K K FIrN Afffrlt Lrf ~ 1. W?TE ~/W~ Dq YHr ~ rn~i•~r~ LAURIS T. JOHNSON ~*N June 7s 1966 . scx aao~ a~ iutt ~ wui~~to vt~ we~KO a?t[ os wTN !~.c 1 wM~ r u~ou ~~w waa N~s. ! ~ Mw~~ D~w Nwn Xi~. . ~ e. M M .wo~rco orw~ccn Narch 14, 1889 f~~ ' ~ 1~ f•1 ~ 10~. uSU~t oCt~ATqw lQi~r N~1 y~rt MK Kra os wswcss o~ wousr~r 1 i. wiTw~~cc lbt.te ~.rM. ar~en) - a~o~ ar rwr aou~nrr ~ .ft~ Iat.~..ryw.t+N~1k.~r.b?dirN) ; t Ideat Union Ioxa USA /1~~t lwt 1 IATw[~'s wtE i. rOT~K11't ~u~0[M Iu?Mt •t t~~~~rit~r OZE~1e 1.81"d011 i aocu~ xcwuT,r uo. s s~aw?TU~ ww.» • d ohnson 810 S. 1 th. St. FE.Pierce, Fla. ~ ~a awi K w?rN ~a~.a...rr w~..e rn a..l~. c.~. ~ei...~ xrtc~va ~cTrrca r air~e~~• r~sra ou?TM~~suuscew: ~~oourM r~~. w~a~~c wbc Cerebral Lhrwnbosia t~• e~r- . "r'••`• a,c ~o ui Cerebral atherosclsrosis ?eara ' ~ltl tA• q~ 1• t a 1 tlwt ~~r r.{i.er.r ~~thl He rNrr- oYY To te) r~n$r~.iZ~-~}.~O .lt~f• 7s My aur bM. ---o.... ~ fMT N. OTN1 SN~K~11f OOIIptO~f 0011iA1RM ~O O[~fN ~IR 110R ~[~A1[O lO TMt lilY~Ml pf47[ OOIi11~OM i111~1 fMT 1(~I . M~S A a~~e• •t- F, • ?tRfOitrE a~r ~~at~ s Kf? Mp(~ •r ~~hr• . suyE ~ nMMr octu~~co (6~/n ww~ yi~/rr~ h PrM I a Art !I yMr~ 11~ ¦a~~•s ~OCIOEMT wK~a MorKioc •~••i- ~ ? ? • •t mt TU~E 0~ l/wr A(w/l. M/. Ye~r ~N~. ~ auu~r • ~ to~. ww~r otwaao ~Or. rt~a os ruu~r ~e. a w~at w.e. tDl. atr. ro~. o~ wtwto~ OOYMTr ~ STA?E . 11rMRt AT ~ MOT 1n~lE ~ I!cfM/. ~treet. ~~t[ AfM•. dt.) . •OIIK AT DOtR 21. 1~tt~wd~I tM irawMd /ro~n A~• ~ 95'Z . to ~e ~ ~M /ut s~~ A a~lin on ~ DNtA oeeure~d ~t ~ ~=,~n A- ~n on tM d~t~ ~t~t~d ~Do~~: ~nd to tM 6wt d a~ tnovl~Ip. /rom tM uuNS ~t~t~I. •il fa•¦• tt.. s~MU?Tw~[ " (Drvee«rWr~ tts ~oouss 1tc. wresw~co •r• t• 1• [ n LL ~~.~~~e• a Alf~'ed J. Cornille~N.D. 403 Hiblsous Rd. v-~-~~~~ _ •tl11f~N. MMSK. C~[W1Ti0M. 2b OATC 27t. 141ME OF CEYET[~~ O! C~[Y~TO~~ 23/. LACAT1011(G~f/. qo~. M ns~f/1 (8~fd ~u .'~`a~'' 6; -q-66 Hillcreat M~em. Cdns. Ft. Pierce, Florida t. s. ~ eis 2~_ rw~cw s swn,rwc . . ts. wn acca ~r wcw ua RtaKtiw3 s~TUu a...,~ss ~t~ M. Hairci F6.Pierce,Fla. 6-13-66 Anna Lee Denison, d.r. ~ ~ . i ~ ~ - ; .,i -.1~.~~.,u?~~~,~~~":. ~ • Y ~lY ~'~!°'y:~` ~ ~ ~ ~ ~ • - ~~.....r~.~ . ~ I,.nby c.rrity thla t~ b. . tn,. .nd aom.ct oopy of ths t~oa~ . 1•-s~~ri?r ~7' t-s . itepimars noord on fil~ tn Mw St. t~rd~ County HMhh D~pw~ r r-•~ t ~ _ m~nt ~t Fort Piena. fbr{d~. . k - . .,rsr~ # ° ° fs _ _F~ (Vl/aminp: Not vaJid unl~ss nlted ssal of the St. lucl~ ~ ' / : r.'~~ . ~~;~,d' ~ _ ~ t ` Counry ~le~hh Oepsrtmer+t is affix~d.) ~#f' _ y`,~ ~ ~ ~ . ~ • ~ ; ~ ~ . ~ , , . . N. D. MIIIER, JUL D. ~J~~J i_.~S ;y', ~ M~alth OfficK a loul R istrar q 1-1~~ ~ p . ..~~`4%~-- 3 ,f/ ` . - 7 . • _ p~ D~xA1r loal Reo~+•+K ~ ~ _ ~ - - - - - - - - - - ~ - - - . - . - - - - . - ~ Y- t FILED A1~Q RECOROED E ~T. LUCIE COUMTY Fl~. ~ ~ R~~E!5 ?n1tP.~.S ~ , Cli:~.~: UI' COi;ItT p~rr~.~. ~ - { J ~ PH'73 = FEE. PARKER ~ FEE. P. A. A~j 1~ ` S : ( ATTORNEYS AT lAW ~ aCRK~1~ PACf ~7vU POST OPfICE BOX ,ooo • 1 ~ FORT PIERCE. FI.ORIDA 33450 ! ~ ~ ; ; ~Y i ~ - ~ a Y ,d.,.~ ~ _ _ , . . ~ .v. . ~ ~ 'etfts~~'" .