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HomeMy WebLinkAbout1550 _ ~ ~ ~ 3438 ~ ~ . . . - - - - _ . _ . _ . ~ - - _ . CEi27fFtCA7E OF~DEATH ~ - . ` - Depuf~eN ~I Ik~ItL ~ ReLa6:N41Ne Senice~ RAT[ F!L! NO. av~~v~~t.w~n~ FLORIDA Trn, o~ ru?rt u~ """~"""'•""O Ara~ctrwAA•s No.~01 ~ . ~ltlrAN[M IMK OEGEAS[~-qAM! rra ~,MU ytII p,~tE pF pEwM ~•o.~., ws, ~w~ fE[ YMIOOI /Ol .sa.c~ws ~ I~RY EGIII~1 ptTIIKANS ,.Fe+male , J1i1 14, 1973 ` U?C! ~n..rNO..rMt.w ww+. AGE-uu we.. ~ n.. wa. ~ w owtE Of wiN ~.ar. ~OUNitt O~ OEwtN , . 6602 ~ ~wcn~~ll~ 84r~wr~~A.w. an .ors .r.. ~'P.b. ~89 ei. $t. ~1C1@ . . iOMM. M l t ..s~ c.n u.n NOSI~iw? Wt OinN ~ai - ~r rw xa~e~, w.~ wra u~ ...~a ~ r.n~MwO _ Ft. Pieroe ,~tes Ft. Piesoe Mano~rial Hospital tiwTE Of W~ ~ r wo~ r~.~~.. r..r O/ W11AT COIR~riY ~WnEO. ~+EvEe a~WrED, i11h111ING SPOIlSE ~r rra. ~w~ ~rw wr ~ ~.w.p~ New Jersey ~ USA ~°~~wc••~ Jaoques'Putmans arr Na.u~ uns. r w.~ iOCUU fEQMITY MlWEt 1KYnl OCN?wnOH ~a.e w a.o~c ~ar ~wrr .ou a KwD p M7SMESS Ot ti01lfm vo~c.y uw, e.tw r uw~ ~ ~ : 143-10-5861 Haae Mak~er Own Hane - ' ~ ~ESqErKE-St~iE COIJN111 dm?. TOW?4 Ot ~OG1Wa Mw cs ww S ~o« 4001 Ave. R Flo~itla St. Iucie 14. Ft. Pi.er'oe ~wn~Ee-ru~+E ..w wwe ua wor~--wuo[N ruw[ wx .rw~ us~ ~f Berbes't Wi,cks - Addie D 'eC.a¢~care IN~OW~M-NUw[ rut~+G ~OG~ESS u.nn w~~a. w.. cn a~o.., ww, w~ ~ ~h Jaoq~es Pui~nans 4001 Ave. R. , Ft ~ Pierce, Flaocid~a 33450 r~ar ~ OEwe~ w~f WKED ~r~ IfMEf Orit ONE GYSf rEt lNE !'O~ 1~1 AL M'~ k~ •.+i..p.~ nee s a.e. - ~ ~ . ~ ~ - ~ ~ . ~O...hO... M .Y.. 7 . ~ ow1C~ ~~H ~1N p ~ , ~ ~ ~r~lWi~ t~tf~ 1M. M p.0~ • OMK~ W= . 1 . ~t~tlM~ 1~~ YM~t~ an..~ t•rw ust Id 1 ?w~T1. OM~ C cwwK.~a a K. y~ ~.a r w ro wrw eoa.. w rN+. w ~UtOK Y ~ES r~n nrNra~ ca..- 1 U ~nt rM~e~ u. Mnu.w~wo awrN ^ ~ M ~l~M , iw ~i ~ MpO~.~K1~' E. O~ UrOli(WrtO ~ ra.r.. r•, n•~ NO INJYl~ OCCWtEO ~ uw~ .r~w ..w~r w r.n ~ o~ ?.u h. w. ~ . i 10~ - 71a. 71/ _ _ . _ . . _ - _ , j ~wutr wi wOU Of f+11J~r.. wr. ~.w. ~~ro. ~.c.o... ?OCAnO~+ ~ w~n o~ wo.. an w ro~. wa ~ . ~ wun n~ w.o ~ ow~a w~o.. ac. ~ varr ~ i IM 7M. ~ ~jR~KAtlaj~ ~OI~ Yf t~Y rOM~ YT ?W ~M W~ M'/ r+/M~ YM p11 ~~iw .a .r. ~r sewm occw~es ~t Y{ ~y(/. pr Y~ i f ~6~A Y~ 1~V ~0~~ ~/19 M In011~1 W. ~M~. p M NY ~ ~ ~w~sK~u+: TO ~ . ~ ..mw~~ nr 9 21 66 tn 7 14 iu o~ ~w~wuce. Ta Nnw~ no. } tK. ik M~o w uvsau s~.n~. CEtt~lKAiqr+-rEOKAI Ww+ER O~I COeOaE~, w w~.ys a ~r a w. n«ce~.a w r~onor.Ku Ww1~ M H ~W~ w/M M Mqt4n0.~. w~r M~+~O~. ~O~ Mf A~ ~OM OOdrM O~ ~ YA ~w~ Mq ~O r 411M4 N~A~. ~ a wu O~a*~, e.s, n.~1 ! ~ ' ~M(Z~?iAMf ~I~ M /rwq Q~ il~. ~ + . urn a• cw' o~ ww ~r ~ ~ ~0~`~ `~orth Seventh Str e ° ~ - WtlAI. ClfM1~i~OMr ~EMOYAI iE~ Ot CRf/NATOtr-HAME IOCATiOM an p q~. Nut . ~••«x• ~...Hillcxest Merorial Gdns. H.. Pi,eY+ce Florida 7N. ~ July~1°)~"'Y~9~, ~NE~~o.~-~~k ~~9~Y"N:'~t'~i'~«'°1~:~'~~erce, Fla. 33450 . r. s. ~ ~ 1Y f • ~G~.s• - • ~ uunN .T ww ~ea~uw R~r.1970 ~ ~ ~ n ~ ~ ~ K ~ ~ fILED ~!~'.,'•EGORDEO ~ ST.LUCtE~.,O~N~~SLA. . , - t hen.~? arrity n,a r~ b. . rn,..nd a«r.et oopy o~ th. toc.~ ROCE . - - Rspisfrars ~~oord on filf ffl fh~ St. Lutl~ CO~lnfy H~ehh D~pM~ CIErK ei?F ~ n 6oURT si i a i~ j~~%, ~ : m~ n t ~t Fort Piero~, fforld~. ac~~R" V`~ > ,`J~ , ' .f'IQI~~I' p '~3: j ~ (Warninp: Not vaJid unl~ss raised seal of ths St. t.uct~ S~P ~ 26 i N =f_ . - County ~ieahh Oepa~tmsnt is affix~d.) r~';~~,` " : x= . , . • 2_. ~ N ~ S x . c ; ;r~";- ~ ~ N. D. MIILER, M. D. ~v~3S 'y,~•,-~~ - . .,J ~ 1YO~ ~5~, ; alth Officer d~ loul R istr~r ~n ~ ` - . :ry. .~r,~~~-~~~~~ - . ~ , ~-~1 • 7 ~ • ~,q • • i ~ pNr O~pAy loul Reakr.er ~ ~ ~~~K 218 PA~;E ~549 ~ F ~ r;- . . ' - . _ . ~ - - - - - - - - - - . - - . . . ~ `f` - . ¢ ,s ~ ~ , ~ . r~''~. ,r,.t3 ~ - - ~ -a. 4 ~ '.a ~~~c~ n,.."~~v,.r x ~i . r _ _ _ . _ . µ a.~„^~ ~