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HomeMy WebLinkAbout1596 ~ /Il ~i+ RMt pt ~ ~ O fi ~?iC~i;;,4GiMRiS~ ~ J ,~.fi3~~~ aif~K ..~~.r oou~t ~ I~ 2(~!~ /~y R~l OFf .4 • 9 `~~+`t ` ~ MARGUERITE B. LUCIER ~11 ~ ~9 ~M ~~3 RE: Lot 8, Block 162, LAKEWOOD PARK UNIT 12, as per plat ~ thereof on file in Plat Book 11 at pages 26A and 26B ~ of the public records of St. Lucie County, Florida ~ DADE COUNTY € . • ~ , , ~ DEPARTMENT OF PUBLIC HEAIfl'H ; ~ ` MILTON S. SASLAr1. MO, MPM. i~DO N. W. FOURTlENTH 8TREET DIRECTOR ~ _ , ~ MIAMIi FLORIDA 33123 • ~ ~ # _•_,_S_._."_.._ . . _ _ . _ . _ E, y~ GF-~ . . ~ ,•,L~ . :I ~::~~I~~Sf•'TE~~S~' TO BB A Tlt[JE COPY U~ T~ I~OCAL RBGISTRAR'S IYECORD ~ DEATH. ~ `~:`;:3~.~~'Cf • r ~ , , , ~ r , rn --t • ~ ~ . s.. ~v _ ` :T • -~~l? :.n ~ ' : ; ~ ~1Yttlf*_*'-- • 8 • ~ ~ _ ~~~'~.9,' ' r ~t valid unless the raised seal D PQPY It'EGISTRAR ~~'~*~••A-'i~:.~; .,••,,~of the Bureau of Vital Statistics VITAL RECORDS t1NIT r ~S r • • ' ^ ~ ' is aff ixed. ) DADE COUNTY F~AL~i DSPAR~lBNT ' -t: ~ ~ ~ IKIAMI, FLORIOA r -Q..•.. . ~ _ _ : . _ - ''`li~. ~ ;;i CERTIFt~ATE OF DEATH ! (k~~~~„~ of tie~te~ .w~ lY~b.Wiu.~r.~-~YS BTATE F~~c No. ` ~•~~~~~TM FLORIDA ~ ° i °M~~~`R~~° h RECi16TRAR•S NO_ K` OECEASED-NMIE . ~~tst rbo~! SEri OA?E Of DEAM ~ routs, 0~~, rt~~ ' t i . + MARGUERTTE B LUCIER ~Female Sen embe = RACE wN~rl, W4W, wrtt~CaN ~NOUr~, AGE-twSi ~~a~ ~ T~~f v..W~ 1 D~~ OATE OF NRTH ~r~s~tN, p~~, ~~y ~~ATN i E'C ~ S?tCa77 ~~aMD~i I~t~~Sf rOS. M~4 MW~S rN. ~t~~1 ~ 'r7hite ~ 76 u k June 18 6?. Dade ~ CITY 10wN, OR IOCAi1pN Of DEAIM - n.f~ee tm ?rws HOSFiiAI OR OTMER NSTITU -NAMF ~ u wt w iu.ut, Giv[ fue[~ uo ~urst~ r ' s?eu~r ~es oi No ~ ?dorth Miaini tieach Yes Park~+ray General Hosoital_ ST~TE OF iiitiFf i rt MOt re~ u.s ~.~e UT12EN OF WMAT COIMTRY MARRIED, NEVE~ MARRIEO, SURVIYINC+ S~WSE ~w wne. a~n w~wt~ wr[ i cpmm r WIOOWED. DIVORCED ~ s?[cn ~ , Connecticutt +~Jnited States _'~arrie~ I~~. Arthur J, Lucier• Sr. , 7 SOC~At SECUbTII rJUMlER USU~I OCCU?wT~O~N ~ c~+e awo o. won oo.,e ow~..e .war a KwD Of /USwESS OR u~DUSi~~ - vqswG we. M~. ~r een~fo ~ ~ 030-14-336~A` ~s Housewife At Home ~ RESJDENCE-SiATE COUMY CIfY, TOMM, OR IOCAiION w~ STREEi ANO NUWER ~ " / WC~~t ~!S O~ MOI . r lorida ~w. P.roward . Pembroke Pines ~a Yes 1~Jl Y. trl h Te . ~ F~TMER-NAME rint ' woRr ~+s~ /NOTNER-AAAtDfN NMlE ~~ls~ r~oae us~ ~ _ . - ,s Charles Bti?rne MaroarPt Carten ~ I rrsOtUMMi-NAME MARU~G ADGRESS ~rntn o~ ~.r.o. .q., c~n w~o..+, s*.n, tr~ • ~ "`r. Arthur J. T.ucier Sr. ~n 1K~1 N. `r7. 7qth Terr. ?er?broke ?ines Fla. ~ ~ART 1. pEAiH WAS GAUSED ~Y: ~ [FNiER ONIY ONf CAUSE ~fR 1WE fOR (o), {6). ANO ic;~ ~ ,~ttv+eeM ONS[i ~r.o a.m • ~ rr~O~w~t C~~St ~ I tO' ~'r,eii'~-) • i" ~ ' i PL %v ~ . E , Of~3~C0 V MFO~ CONOiT10MS, AM, ' ~j ~ a~ wn~:h G~re bse io ~b) a.wj•'7 ~~~~•f~~~ ~EC~wf! CAYS! ~O), p~y! ~O, G ~S ~ (Or~l ~LwCF 0~~. - ' f;~i~wG tn! VwDl~~ ~1 Sl, - , ,..c uuse us~ . ~ " " ~ ' . ~ (cl =rf ..,st Vi-RT OTMER SK, uaT CONOii~prr ~ o..anc«s ~~~Jt~NG tO ~TM ~yi NO/ ~l1/1~FD Tp ~~yl! ~tYfN ~N ~~~T ~'OI -TA~Q,SY IF rES M(~[ ~IND~MGS COM' ~ ~!S M NO1 S~Df~lD IN 0t71~M~ti1MG UYS! iw I1T0 ~h oenw J . ' b-b~r1 KC~OENT, SUtC~DE OR DATE Of W1UAY ~rp~tw, wr, rtu+ HOUR i~IOW INIURY OCNRREO ~~~n~ n~rur[ or ~Niun o. r.~r i o~ r~n n, rt[. u~ - t-~MiUDE; OI tRDEiElMINED r ~;.!y~ . 7Ja I YJ! 70c M I Md ~ ~N1URr ~T WORK tIACE Oi ualURV ~ore. uetn, r.cro~., IOC~T:(}N 3!un o~ ~ r o .+o , un o~ rorw, sr.*e ~ , i5~2:!~~~t30~N01 O!/Kt~iDG,~K. ~3~EC~n1 „ Y. ~ 201 ~9 ~ ~EkTIfICATfOM- rOnM W~ t~~~ ' MCwTM Dw~ ?[~t •'~o .~Si Sww w~~~1u~~:t Or~ i WD/D~o NOt ~~~[`r iwtlD(ATH OC_UlRFO w~ T~t ?uCt. Ov mt ~i~'SIC11H: ( q"~ 1 r0.~TM O•~'~ fl~~ ~OOr ~Itl~ Dl~M. IwJU~~ O~R. ~wD. TO tM[ Mlt . ;e~< . .~.,~.~=~~..~.~.-.r~~Q.'-l~ ~7~~~"~ . ~ ~Lq~_qR~..Dj,lSLdCdLdi{LY+t.I+J.t }~0 ~,FCEAflO t[OM ~]I~ ~ 2~t ~ 1~tlV ~;l/~ TO rnt C~uS(~S~ Sr.+tD . ~ ~ CE~Ti~iUTIpN-MEDICAI ExAM~NE4 OR CORONER~ 0./ rwe 14115 O~ iMF MJV~ CS Df~~M ~FI CI:tMNI MwS 1tON04nG(D DI~O y e r.u•v~•~o`~ o~ Mt wo. •NO/o~ 1»[ v.vesTw•Tar, n. o.u,~o.., ..o..n~ o•~ ~.ot,~~ ~ G:CVtt(p pn ME D~~[ ~MD Ouf 10 'w[ C.uSf~i~ S~~TtD ( ' ~ , - - - ' - M ?7i _ _ M. I_f~TIFlER-NAMf mrt o~ n~wn S1GNnTL'RE ot te nE .DAT-T E S~GNED I~OM~M, Ow1,Tl~~1 ~ HAR.VFY A. FT~IS?-~R, M. D. ~ :,k Se t. 15 1972 . ~•+!UNG .tDDRESS-CERitflER SrnE~ 6~ ~.~.0 ..o -un w ror~ su•E t~• ~ ~ i9 o t} rr 2 A BU?~AL. C~EMI?TION, RFMpVAI CEMEiEAY OR CREMAiORT-NAME IOUT~ON an Ot ro... si•tt s~tc~n, ~ Removal St. Michael! s____ _ Rr~~r~,~CQr~~ ~ ,~TE 5ent. ~ 1~,1972~~ „"f~~~ Bennett~k Ul~ms- 15201 N. I~7..~ 7thTJA~e.T~ riliar~i FIa, r33169 NERw AEC_T SiGNA~i~ RE iE ~ s owII trj(~~ ~ wL~~/-~~ rue ~ ~ ru. ~~(/L~ ~i~• ~.l~S!!Lt!C Q~6~G ~ 7N ~i ~ ~ fJI'4 ' - - - - ~ - - - ..~..~.~~~~rr r - - ~ - ~ ~ ~ NEILI ORRrIN JEFFRIE9 i LIOYD :-4 CNAHTERED f~ ~ { "4 V ;jj~~ r P O BOR 1270. iOFfT PIERCE, FLORIDA 33~50 - TELEPNONE ~305) 464-8200 a n~r x ~C ~ R~i f1 ~~~V . ] y~ M: v ~ ~ . . . . . . ~ . . . _ ~ r:;. : . . Y - ~sa.. _~.F.z . . . . ~ _G,a a.- _