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HomeMy WebLinkAbout0602 u/ ~r ~6 - • v- . CEi2TiFICATE OF DEATH • Dr~f~erl ~1 11n1t1~ ~ Re~.{~ilildhe $er~ke~ fTATt fll[ NO. ~ n~v?s~on cr ~sw~m F L O R 1 D A Tr/t. O+ rn?+/ i.. .~..........,...s ~ S /~~MAWM IN¦ RiOloT11AR'f NO. Z24 ` fU NYil00f IM ~«~~N~ ~a~ ••'~w~ uu Sfl! OAtE Of OEATM ~.owt., Nr, ~t~~ TtiOMAS VIRGIL CASO:.~ Male . A ril 20 ?972 IGC! w.~. r~NO. ~rrtW rtir. wGf-ua vw. ~ re.~ woe. ~ Dwit Of NtM ~+ar. wi. COIJMY d OEATN ' . 660•1 ~ ~K. ~ MKr~ ~ wr.r ~ ~w~~ w? rr~ .ow~ ..a Tw ~ . t~Thi te 60 ~ ,tl ri 1 20 19 Sai nt Luci , i l M ww cn MOSniw? Ot OTNE~I wiT -N~u~f ~r ~a w. ~aw~. Mn w~n w ww~ ~ var. .u o~ «o ~ Fort Pierce Yes .~o~t Pierce ~Semorial Hos ital ~ ~ iT~tE d WM ~ r ro~ w ~.u.. w~a di~tfN Of vAUi ~O~M+Tr1r rWtutO. wEyEt w~tisEO. S1IWNNG f1~ON6E ~.?rw wr ~ ~ `o~.~ "r°°r:r`°'°rv~o`C~°~w`~~ ~dith Fiansel ~w..u.«.~. , Florida . USQ .~arr~ed u. ~IIM ~!(~~1f~ ~M~. r~ar fOOM iEC1Mrtr MMyE~ ~SU~t OCGwwtiOn ~a.~ a.r a.or ww w~a.w .w~ a KwD W M~+ESS O~ wWKttY OCCW~l~ ~1 ~~O W~. tR~ V Y/YN ~ . '""'""'O"~•"` 2b4-07-69af3 ~s. :~echanic ~s Cit ? Li h Pl ~ESwc.~ee-surt tou.~r un, towr+. a ?oewtwn • ~+«.e cw ...+s sratn ?aw~cR ~ `~Y, ~wa.. w. o~ ~o , ~~T'lorida ~wSt. Lucie Fort Pierr_e ~.a Yes ~a 1921 k C~i , /4hifR-NMME ~MN rM~ u~l MOTNE~-AMD[N IiAME /rft rM~ 4M ' „ Thomas C~son `•tamie Futch ~ 1 WOW~NT_l1AME I~u?wG ~DOtEiS ~an~~~ w~r~. no.. an w q~.. ww, ar~ ~ Edi th .i1. Cason ~~n 1421 T~:c'•cer Ct . ~t . Pi r e. F1a . 33~ Sn ~ ~ IAIt l DEAfM WAS WfSEO ~Y~ itMtti Owr Otit Cwuft u+R /Ot Nl AL ~D kA ~~n.~ p ow~~i ~y N~M ~ M ~"r - 1 l~r i ~ ! NI ~ ~ ~~~I i~ ~ - i . ~ ~ cow«+.o.q. .r ~rr, / oKw uN q ~ Pl ~ . i i~~lM~ry (~oN NI. M q. W U~(OwMOMwG M. l~~br~ ~w~ Yr~M. ~f1M~ C~IIN 4~~ ~t~ wutOrS~ ~s rEi .eu nw~.re~ co»- ~ ~ , M!r Ot ~ f1fi,+~+/K~N+i T n eorwM..o w~w wn ..a u. n~ a~` owe. r.n ~ w~ , ~n~ wNa~ «n..~..wo uw~a ~r..~.~y~ ~ ~K / 5L ~ ~ L' ~Gl~ ~ - 'r ~ _ L ~ _ CCi'li~~' ~CL I/`i': ~w w ~ ~ O~ wOttHlrw[O . ro-...., wq •i.~ ~~aua «ow y+w~r octuEa[O ~~w~ ~aw rwr~ ru~ ~ w r.n wu. n~ ~ . ~0• M~ l1a M. t01 ~ ~H111tr wT Mr0lK ~IwCE d s~lu~~.r .w..•.., ~.un. ~.PO~. ~OUi~O?~ ~?ru~~ a tr.~. wo.. c.n w ro~... w~w ~ ~ ~ ~ ~wan n~ o~ ~O~ owKt wM..tK_ ~frKS?~ I . 7h ~M. M/. i CERt~iKwh0ls- .a.Mw +w .o..~ •w ur ~.s. .w/.~~ .~~n w . ri•+.w oi.n. oeevaeo wy nw. o.~ r ~ /MtYCMM: rO~+q Yt AY iC~~ Y~ M~~L f~1011~/ M4. ~W. p M Ylf - / T~ C ~ J1 Q ~ o. rs ..o~.,~oo., 7t• MC~~H~ ~~0~ _ ~ / !ra - It. ~ ~ ~ t~~. 1b. . to ~w cwyn~ ~nne. ~ CEtriKwiqn-MEWCw? f1urM~E! pe Olp+ft: w wr ~.w a w .~w~ a w.w ~ceM'~+ ~y r~o.~o~N ~w ~ _ ......,~.a...~.....,~ _ .~.,,b..b......~ a.~... , ~ ~ l ~ w~ OtRYMA ON ~ M1~ M~ ~M ~O ~ UMiol H~N~. ' ~ _ _ ~ _ . M. Cf~iVlf4-r+~[ mn e~ nwn ~ r.w~iA~F w ~u -~a fD ..o»~.. ~.i. ~aur ' J.Fi' . Br+tsChe, M.D. t~y = ~`f I~.. ~~/-7~2 ~ /rA?NG ADO~ESS-CEIitKR sr.~i. o< <.~.y. »o. an o~ w~+ ~ suw tr ~ j 906 Delaware n~~er_txe ~ ?ort Pie e ^ ~ ~ j WR~~I. ClEMI1~qN, ~MpV/y ER pt CREMwiq1Y-wwE-~ iOCAt1pN - [~n a q.+ suq , t ,.,~[3uxial .~t. Picrce Ce:~e.ey• Fort Pi F] ~ OATE w rr, w.~ W NOrE-~umf wND ~p E S i snea R. ~ em p w,n ~a ~ ! Apri~~3, 1~72 ~ a:es rv~era~~:ar~e, ~ox ~177, '~t. Pierce, Flori.da 33450~ Y. S. ~612 ~ - ~ aEG -f+G~+~iWE wa nc rveo ~r ~ow ~[e~srue t ~w.1970 t4 t ~2 ~w ~ 2 23 ~ s s fuEn ~~~~koEo • sT.~ UGI:. :'3~lN;Y ft1~- ~i_r,-: F iRAS~RT Clf f:f• • . i. ` p~r- , f:_ ~ • k . E ~ cz ~b I o3PN'73 . ~ ~ f rbroby c.nify thia to b. . rrw .nd oorr.ct oopy of ths . ~ R e piitrar: reoord on fil~ iA 1M St. t~ucl~ Coun t y H~altfi D r p u i- _ Y'= ~ bo . ment et Fort Pierae. Fbrid~. ~ . : : ~ (Wami~g: Not vaJid w~lsss raised seal of tns St. luci~ r n . ~~I`~ t~" = Counry Heahh Oepartment is affix~d.) ~V~v~~ . . ''~x`~ _ i - r J' S.,'!'~ X'rtl:~•. s . i1 ~ ` t? ~ ~ s N. D. MIILER, J1A. D. ~J -~d ~ L~~';cs " County Health Off~cer b loca) Registr~r ••.~~~~;11•;~`'~ ` - . ; LG Q~~~~~ ~ , . ~ ~ . pN~ Os lotel Reaian,~t $CG! (r~r~ rAL'E ~ - > „ . _ _ _ _ _ _