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HomeMy WebLinkAbout0618 F~ 7~i1 RE: The North half of that part of the South 220 feet of Lot 2 of the Subdivision of Russell's Estate lying East of the Florida East Coast Railway, lying and being situate in Section 28, Township 34 South, Range 4G East, according to the plat thereof as recorded in Plat Book 1 at page 186 of the public records of St. Lucie Countv. Flor?da. . , . ~ - - - - - - v - - - _ _ _ . . , y . _ - - - _ _ ~-i TAIa e._ .~.~T~ .ow,~o w Nr~?~rn CERTIFlCATE OF DEATH ti ~o~~~ • ¦URtAU 0? VItAI. fTATIfT1C~ RAT[ F1Lt ~i0. ,•sa1 FLOSIDA erd •A~a BIRTN NO. Nt61iTNAR•! NO, preP~rlr 1. ?41t~ OI ~[Atll COD[ NO. 2. uWwl R[t1~tMCtlllb..r.rdiwa /l:+Kw~w: s.r.r.W«.~.w.w) ei~eut~d ~ ~M~ a. STATC tOU~TY .~a .eii - 'a St. Lucie s• ~1•e.~ ts A. C~TI. T01tM.OR IAC~TiON K K~CE Oi OEATM t. C~T11. TOMfM.011 LOCATq~ t. K RES~OC~Ct •~a~Mt iM~~ C~T~' 1~y~7~ INS~OE CITY IIMITsf fll~. ~fS MD? Ft Pierce ~ES 1. N~~E O~ (f/Mf h~Nyifd, ~in WM ~IbtN1 I. STII[ET AOD11[SS 280] N. India.-~ Piver Drive »~T~*~ Ft.Pierce l~~m. Hospt. 7. 11AY[ 01 iYr~l Af//IJ~ l~t WT[ JNwt? D~/ }ea (~M;,,~,~ Richard Robert Sursmerlin, Sr• DUTM April 20, 1967 s. SE)[ ~ COIOw OA RACE ~ MMw1E0 ~ ME1Rw MARR1[0 OATC Oi NIITN ! ~6E (f~ K~?1 II V~0(A 1 TW UKO[a b MS. fad AvNIq) M..W Mw Nwn M:.. . i s• N,ale '~~hite woowco0 aronao Feb. 19 1892 ?5 ~ 1~ 1 O1 y 10~. USUnI OCCIM~TqM (Qi~r ti~~ ywr~ M~t I~. Kil~00F ~U5INESSOA WOUSTAr 11. ~IATNlLACE (9Jl M~[MA lNt~t/I) lZ GT1t01 Of tM~T 001JMi~t? t~ ~rrl vsrR4/ hJe. e~e~ i rd~rM e Ret~re~ yFisherman ~ Co~r~mercial Florida U. S. A. ?l~et Iwt ~A1NE~'S IiAME 1~. MOTMEII'S 11~10EM NArE ~s~•••~~•~ Edward C. Summerlin Poll Ann Osteen ~t_ socu~ sccuRiTr wo. n w ~ s~ow~Twc wu.~.. 262-ib-71?4 Dennis B. Su~~:erlin 2301 N. Ind. Riv. Dr.,Ft.Pierce,Fla. IYA~?~~ 1~. ~YK N WTN ~~1ff? M/~ Mt CMM M li~t (~l. ls). ~~I l~l.~ INTEIIVAL ~ETM[[M ~i..ea•? r.aT~ a~TMMnsc~usco~r~ 31 18.~1uT6 ~ hroc~TM w~~a..E wnc c.~ ocardi ¦r~t fll• t~• e~r- eu~~.~. Acute bronchial pneumonia 6 days •ltl~ tl~ r~k~ pre r b ~ I• e a 1 ~e tna~i)• r• i~tr~r M~+I t~ rNn- . P_v2t~~ ~e~ra s rr~•s rw. a,c •o c~? ~}Cner~ tronhv rri_t.h hTn ' L d • f te i w 7~ O ' ?A11T t1. OTIp SKKICMR Op101T1016 COMf~K i0 pUIN ~tf1 MOR ~[Ui[O f0 M R41MMl CIXASf CQ1~1tIDM iME11 M/Mf 1{y . MAS AUTWSY \N~• ~ . , ~(IIfp11YE0~ e•~ e..ar S res~ w~ •r 1~ tor• ~pp pESt~u[ ~aw uuu~r otc~~~t[o (Ewrn w~trn yn/v~ 1w Prt ! w P~rt tl yY~~ f~.) •~kiw~ ~ ~tt~pEwT wK~a ~~C~OE tq~~i- ~ ? ? ? •t i~MC os Hwr 11Iwt~. p/. Yer lsd~. qUUltr s. A. `o R W = 2fM. 1M1U11r OCCUIUIED 20r. ?uCE as uuu~r /e. I.. ia r.n~.[ Nnr. m/ CtTr. TONM. OR LOGTIOp COUNTY ST~TE IiINRE AT ~ MDT wMll[ ~ ~A• ~MI. wrtd. ~~ct 01J?.. tt[.) ~ MO~K ~T LOIIK 21 I~tt~ndM tM d~u~Md ((rom . ro •nd fut w~ A~~ ~/i~~ on ' D~~tA oetuir~d ~f :'Z~~i m on rM du~ ~t~eW ~Dw~: ~od to ~M bpt d m~ l~no~l~dN. /rom the uuqa ~f~t~d. ?11 lt~~• jj~ NOMATYU[ ~ a~~ se N ilNNer~?WA> YLO ~ooRESS 7It. o~rESiGwco ~..o~.e. a H.B. Gooc4r~in,Jr.,:~.~. Ft. Pierce,Fla. 4-24-67 •eerr ~t~. ~~u. ~rp~ t]1 p~~ 2k N~Mf O~ CE?~[t[~~ Oq C~ErA7d11/ 27/. LOCATAM (GY/. t«rs. r nrwtsi (~~~1 4-23-67 Ft.Pierce Ce:..etezy Ft.°ierce(St.Lucie) FIa. r• iei: j1. ~ 3~~T~~ S ~ ~ 2S MTE RCtO. ~Y IOC~L REC. ~~GKTM11'S SKN~TYRE a... ~ase Roger L. Hyrd pierce, Fla. 4-25-67 Anna Lee Denison, d. r. . ` ~ filLr ; y~ '•=C~~UE-D ' ' ST l'!:;~ °'~ltN"7 FLA. ~ _ / ~ R(i:;t ~ . :~~~:145 i CLE'~.:."•".~J:i CDURT ~ ; , 1 hewby qAify this to b~ • trw ~nd oorr~ci oopy o~F fhs Loui ~ s ~ Requrrars r.oerd on f~l• rn fh. Sr. truet~ Count~r H~ehh O~p~e~ D~T ~0 2 fl7 PH 73 ' msnt et Fort Pieru, Florld~. i (Warning: Not valid unles~ raissd sea! ot ths St. Lucb ~r6~Q`-~~ County 'Health Depa~tme~t is ~ffixad.) r y, rt j.,- n ~O)~ ~ N. D. MIIIER, M. D. ~ y.~ ty Heahh Officer 6 l I Registr~r = 7- = : ' - ' . ~ " . - s- .~s: ~ r; ~ ~ _ ~ lp•.2 !"-7 3 A~ - ~ ,"j b~~~.soi~: ~ - , ~ D~1~ Osot+~Y Loul Reaiar.,~r ' ~,1~ j•~;i~J` „ R 2~O ~E 618 accR ~ ~ ; . - ~ - _ WILLES, BITTAN ~ WILLES P. O. BOX 309 FORT P?ERCE. FI,ORIDA 33A30 s_ . ' _