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HomeMy WebLinkAbout0778 - "1 ~ - - ' ' ' t~- ~ 1 ~ 264968 ~ . ~ - CERTIFICATE OF DEATH . . ~ 1 pep.,~.e.~ .f (k.ld~ ..J RoL.MIN.~i~e ce..Kt. srwTC F~LC No. a~~or~ow~m FLORIDA TY/E, O~ ?~1N1 IN REGIGTMAp•S NO. 491 ~ i I/aMA~t~M (NK ~~p_N~ ~N~~ rp~ u~~ Sf; pwtE 010EAM ~~Owtw, ~•r, rw~ f SEE WYI00[ F01 ¦~~~s LYI,A SCHMIDT ~ Fema ~ Se tember 26 ; ' ~wCE ~ra. w~w. ~rucw r~ww. ~GE-u~~ we~ ~ nu YwN~ 1 M~ D~tE O~ MtM ~+o.w. w.. COIlNTY W OEwM ~K. 1 Me rr ~ r~wr~~ ~ n.u~ i r0~ sa.~ ww~1 .ua ~ 6602 ~nlhite 82 w w ~ F b 2 St. Lucie ~ i . f0~+. l w ca~ u.wa rWSht~t Ot OT+it+ ~+SUTUI ~ r ra w twr~. ow~ ~y~~ u~ Mwp ~ ~ wtr. .~s u ~.o ~ i n Ft. Pierce Yes „ Ft. Pierce Memorial Hospital STATE Of WiM ~r u0~ w~.~.~.. «~.a GTIEH Oi w/N7 COU?~TtY ~+wRIGf~. NEYU rW111E0. 51MV11ING SrOUSE ~r ~n. Nw yNM wr~ ~ Cwnn i WUOWfO. DcYOtCEQ ~ wGn ~ ' . Kentucky • USA Married F~rdinand Sc idt ~Mq NCYL? SOd~? SECWrtY W~Hf~ uSUM OCCWwT~p+ ~oa w w~a oa.~ w~we rou a [wD Or MiSO+Eii O~ a~DUSTtY t~. M N~r . 266-4I-4664 .o....o....• M..,..,~.~., ~-u^~• ~ Home Make~- ,x ' Own Nome •~•~.q rror wsw c.. ...n St~EEt Mw~E iO1~ ~.SlDEHCE-S/~if COYNTII UT?, TOww. Oi IOCwTIOt+ ~ Florida ~w St.LIICle ~4 Ft. Pierce ~~u Y@S« 108 N. 9th St. IATME~-NAME r~ ww! uM MOiME~-MMOIN NAME rrf~ .wa~ uH i J. W. Simmons Franaes Unobt. ~wO~Gw+T_7+wt rwlwG wD6~ft1 ~MM~~ W~.~J. MO. C~N M W~. f~~N. ~r1 . Ferdinand Schmidt i,n 108 N. 9th St.,Ft.Pierce F1a.33450 ~ ~ ~IIW~W~ Iw ?w~t ou?m wws cwuseo ~r: ~t.+rt~ owr or+c auu n~ i~[ ro~ ~.L n1 uo t•A a...~. o.,n .....e.~. "i c.ra ! N. / ~ N~ C r~~ +~C~'v~. E ~ ~ ~~~«.~a... ~ • c. e... .~s~ .o w~ ~ .~(~..f e-L(c~ ~ i r~tM~tf C~Y~! IM~ ~ 'j'~ ~l~tlw~ t~~ 11r~~F M q. p~~ ~(OMLOMMC~ l~~ ~~IIN Y1t ' " ~ { ~ IA~t OTM(~ SICM111(ApT CONMiqN1: to.awors co.www...o q u~~. sw wp~ yun~ ro uvs~ u.er. r~w ~ Nn ~t~~ ~i ~ES ~IMNMOI ~OM• ~ ~ ns MN.u r wru....w~ cwa 1 a ~~•tw J..~ q~ N~ ~ ( V 1 ~OMt~. Y~~ ~1~~ / 1 Q wr o~ wo[rw.rrto How wwer octw~fc ~••n....+w o. w..n . w r.n m. ~ ~ 7U 10a. M. 701 oUUt1f wt WO~[ hKE 1r~liMt.. ~wr. ~.w. naa...c+w., lOCwnOr+ ~ sa~n a~~.c ..a.. cm a~ow~. u.a ~ ~ MK~n r~! a wOt M~O/ MM.. tK. .YK.h ~ ' 7A )M. ~f CERTIfKwT~ON- .~w~w w• .a.w w. '•w ~+~e uf. a.. ...+/we~ p.. ~ w/~e .~p..rv w~ pE~rw Ottun~o ~i M hK1. Ow M + - ?w~MCuw: TO ~ .a.a •e.• ws. ..N• w•r. ~.w~~ NR. ~M. p M NS/ t ~ ...u.N~ ~w /s C` ^ , C .J ~ a ~w..eeu. we Mu.ue ~w.. Ith ~ 1r~71. r 7 / i~~ 7b ~o w.~ cwxo~ wno. ~ . <ffTYKwtiO?t-.MEWC~f .COeO?sEt w r.y a.s.s a wr .w~ a x.r a.~ ~n no.o~n.cu w~ ~ l~u~M~~OM M~ KM~ NO/M 11~ r~~1~WIOw. M~~ MM~. ( WYM~ MI tfif 1p~ ~ N~M p((~M~tO pN M Nq ~M NR q 4f 4MIIf1 ft~q•. ~ n. m CE\TNKt-NAMf w n~~ tE etap~ p r~e OA ~o.w. n.~i j n. /I~S/ ~m n i SS- t t ~ ~ s.rn o. o _ a~o... , /7~- u.e ~ V tli ~ ~Ut~wl. ClEMI~TION. ~EMOVA? WETfI'! M C~EMASORY-N~w~E IOCAtWN 4n p q~w wn' ~ i ;'~emoval-Burial ~~Ever reen Cemeter ~wLouisville Kentuck ~ OATE ~.ow.q, qu~ WHEfµ NOME-Nd.NE MiJ ~OJf1SS ~ sr~en a~ w-, em o. ro.+.. ?un, m~ ,..S t. 28 19 2,,.BAI1tD UNERAL HOME 901 N. 7th St. Ft.Pierce F1a.33450 " S. ~612 r~+etw Ct nEG: - a-S~Gv~rv+c owre aa~. we~u uo~srw A~v,1V70 t~ C .-d n~ ~~Y' l~ 1 ; ~ 1 henby oerfify this to t~ a tn~ and torrect aoQy of fhs t+ocsl P, ' i Rep)st?ets r+eoord on fils in fhs St. Luct~ County Heahh Dspsrl- ~ECOROEO ~ ~ mw?t at FoA Plera. FbrWa. FIlEO Ak~ .t~.~~ . . St.lUC1E GOUHTY flA. r. , ~ ~ ~ .,,r (Wami~: Not valid unless ~alsed:eai of ths St. t~ud~ R~G~~ CpURT ' ~ ~ CLERK C'". :J;~ i a~ . = ,~~..r Counry Hsetth Dsp~~tmsnt ia ~ffixed.) RECOkOVE=.~`~rp„r..r ; ' z ~ : i N. o. o. j 3 a 2o AN ~z3 ~ i ~r~ .im ortro.r ~ ioo.i a.Q~~ ~ _ ~ ~ ~ jd`~; ~ ~ : ~ i . _ ~~~.'t ~1 ~ ~ '.t ~ l 11 7 aa+ c.p,,,? ~,o~., R.o~~+.~ 264968 ~ i B,,~K2~9 ?7~ . ; , ~ - - - _ J ~ , ~ ~ ~ _ x ~ ic..rw~t„'+a ~F~Z~.~. ~l - " ~ , _ . _ , . . ' i`r r`aF- ~ nL':r~ ~