HomeMy WebLinkAbout1599 ~E~3~'~"~3
RE: Lots 4 and 5, Block 3, DREAMI~AND PARK, as per plat
thereof on file in Plat Book 7, page 38 of the public
records of St. Lucie County, Florida.
RILDA EMMA BRADX
; CER7]FIED ABSTRACT OF CEA7l-i C~R7IFICATE ~
4 GEORGIA DEPARTMENT OF PUBLIC HEALTH
VITAL RECORDS SERVIGc
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Custodian
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D~CE~ID l t ) I ti) (DaY) wr
(T P~ or Priat) ~ D~TJIlH
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C' or lows Ia Ci Lu~ib LEMG C~! T Js ~ 0~~~ P1u~) -
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SEZ ~ , ~°9a ) C01iI1TY
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DATE A (itl7wu IP UI1DFi 1 lFJ11 ~ D~DF~ 2{ ~ p~ C ~pH ~
8 I~ ~ No.~a. I D.r ~oae:
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axrEn +u ar al - stctu
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USUJU. OCCDPATlOlf SGiti Idad e! work' ~ CWI D
~ort~ alost o! wOiiuny lil~y ii r~ )~UA~T1Y -
AS ECEASED U. 1Ct~? SaCOEIlY lf . JIDD
( Y~s. no, ar ~ekaowe~(It Tss. qi~ os dttM a! s~nie~) I i
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FA
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MOTlt~P'8 MI[[D 1f11l~ Da~ -
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CIIUSE OF DEATH [Eat~r adt os~ uw~ pa ' fw (b), aad (e)•) PLEASE PHINT VAL DElYVEEl1
PAHT 1. DEATH WAS CAU8ID DYs OlISE! JlI1D DEJIffi
Dp~Dli_IE CA11SE (s)
~ Con3itieas, i! anT. D11E !O (b)
O which qa~~ cis~ fo
F=. abo~~ CiL/~ ~a).
K s!atinq W~ 1m ~t-
~ lpinq Cam~ last. DIIE 20 (t)
PA9T !I. 01h~r siQnilicanf conditioos coetributieq to dWh but nel r~lat~d to tb~ broiw! ~sMN coadi6on Qi~~a m Part I(a) ~ A11TOP87?
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v ACCIDEHi ?+PLJICE OF 1N7[1aY (~.y.. ls os about IIf?U11 OCCIIRHEp - T~ ~ xO ~
d SUiCIDE ?{6om~, fan~. (aderT. str~N. ~ Wh1~ at Work ? ~~7 p~f ~l~t I atNSd~d t~ dre~aNd
~ HOMiCIDE Qfotfie~ bidg.. ~tcJ Ma we~, a~ woac p js b 19 - 1Lat 1 last ww 11~ d~c~aNd
°~cmr oa rowx) tcovim~ csixte) ('rn~ c~) cD+r1 R•+•~
~ - OF 19 - a~d that
_ ~HY dwtL eeea~rc~d ~ lto~ tL~ caasN aed oa tb~ dal~ sut~d abo~~.
HOW Dm I~SY OCCIIiT gt
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A G ~ G ~ ~ DAlE ffiG1~D
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f ~.EO a~+o rtECOR~~~
~4UMiY lA.
State of Georgia ~~1 ~OU1tt
2634'73 Y~~~~
Eo
~o~ty oF ~ I t g s~ A~l'? 3
I hereby certify that the foregoing is a true and correct abstract
of the facts oP death as shoWn on a permanent record of death on
. . - L . - YiZe in tnis office. _ '
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~s todian of Vital Statistics Records
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~ ~i* 3EAL Date Issued _ -
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• ' R~M-S. i'r:
NEILL ORIFfIN JEFFRIES S LLOYD ~~t ~`~y`, r,,
. 'MARTE~iED ~`~J+l ~ V ~,c
P O 80R r270. FO~ Pt[RCE. FIORIDA 33450 - 7ElEP1!ONE ~305~, a6s-H2O0
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LS6. ~ , _ - ' '61
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