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HomeMy WebLinkAbout0794 . J ~ / _ a ' . `11 1 Y+ 1.Va , . CERTIF[CATE.OF DEATH ~ ` Oqrel~eN lie~l~ ~ RelrbrMWl~e Senkes tTATi f!L! NO. , avdorr or ?+swim F L O R I D A TY~E. O~ ~tlN1 IN /r~wwwaw~ . 1~LG1[TpAR'! NO. ~j6~ NlMAWM INK ' fH YrWOt /M . . ~n~ .+w w~ SEi OAtt Oi OfA1M ~•ow~w, w•, m~ ~ ~ ~~rs ~ Catherine W. ~sontgomery ,Female iOctaber 11, 19~3 ua ~....~.w...e.c.~..w~, ~cE-u.u o~n a wnM ~.o.ti ca~+n a ourN ac. ~ wcro ~ ~ww~, ~ ~w» .os. rn .w+n .w_ n•~ ~ White 67 ~ Dec 20,1905 ,~St. I,ucie 66~2 ' ~ «we c~s ~r.s MOSIItw? Oi OME~ NST011I ~r .a w e.wrti am u~ee...~ w~.r~ ~ ~ wcrr ~u a no , Ct. Pierce ,,Yes „~`t. Pierce Memorial Hospital iiwiE p MM i r Mo~ r~ ~.s.~.. r.r i1261 O~ w1NT CqINTRY MAtYEO. liEvER rAwEO. SUtMNMG 1101/SE ~ r.w, swr rN.f Iw~11 V~rginia °a....~ ~ USA ~"D~~a6~E~,..K..~ „ ~ u~w~~. r~ia~~i~ SOCW SECYr/71 MlwER uSW4 OCC1Nwi~On ~ o.w w a.w¦ w~n w~.rw .oa a trO OF MK~+ESS O~ 1~OIrittV • ~ Otcwu~ w ~O~aro w, ~Rr r at~ee~ ~ ~-'*^„u, ~ ,t223-12-0622 Searatress • ~ ~swc++u-sun cownr on. *ow+. a~ouna+ c...... s .«w~• `r Florida St. LuCie Ft. Pierce "O ~w ~w ~u YQS ~yI722 Binney DY. ~ ~ rwtN[t-wAMt ,,.w ,...u w, ~rprN[t-awo[M xwt rw~ ..w~ wr ~s C~ A. Wniteal:er Ollie Riddle ~ ~?YOWM~T-ftaM[ ~ w~~r+G wDO~ESS ~w~?w ar~. ro., un w~o~.. ww. ir~ ~ ,h Mrs Elizabeth Durhara Bristol, Virginia ~ rNtt ~ o[~~ w~s C~us[a st~ ~..t[~ owr a+t uusE rt~ uN[ Eo+ Al al y+o kN , a ..M o ur .:.i ' K ~ • , ~ Mi ' i ~o..~o......~:. . . , l iMCA O~A ~1~~ p ~ ~ ~~~~N~q f~ot~ M~. M q. O~ U~~O+MOYlK! O~~ ' tr~rlw~ fry r1f~~? ' ~ t~MN C~~M laH ~ ~ ~ E ~~uT OME! fK'.++~t1Gw~ CONOrt~O?4. ~wan cor«~ro ~o w~. ww wr ruw~ q~.w sn~+ w e~ wYiOK1f M tEi r~~~ r~.~~wo~ cow- . ' ~w~ M rOt YN~t~ wr Mhsir~r~ 4vN ~ . ~ M ~W~ t?.+?e6M Iti H~. Wr~SWf. Ot 1RO~IUrMlO ~~ow*~. •w~ fWM INANT OCCIM~ED ~~•~a~ .riw O~ ~.Mn iw ~u~ ~ p r.w q, an ~ ' : ~ W ~tlhf 70~ Iw. M 7M. fNAlt~ AT WOrR E d INJU~~ u.o.r. ~.r. ~~rn. ~.~nwr. ~OtwiWN ~ u~~a a .o.. an e~ PN ~ . IlMO/~ ry/ p AOt pMp y~..~K. IMKw~ ~ ; ~ ~ ' CEIRVKwnO~+- .o..rr w~ ~e+a +w~ rr .w w w. ~.r~rfw ww a. .»/~r.~ .r. ~r ee.+m o[cvuto ww n.n. o+ we } ~w~s~uu~: TD .a.r w.~ w.~ w..aw~ M.w. ~wow~ ~.w. ~o w ws. . • p ....b....«..,. r , ..~.......M / 7.l /o-//- 79 . !M NCf~A~ ~~0+ ! tH 7k. Iq. h. ~ il ~o ~ urMa~ u.»~. CEnrrCwTiOn-ME EYAM~~R /x O~ Mf YMl O~ A! +~OM W M~~1 M M[ M~ ~1~1 NOMOY~KN ~M~ 1? ~trN~~4~ M w~ W~~ ~M/O~ M M~flAWlaOU, w~1 M~P~. /4~M M? AY ~OII~ ~ MaA OCCM~M O» r~ Yw M ~M b~/ t~11M W ww~. . iy,~ y~q,~m ~ K ~h , CE~ YLL1S 311«J~s COUIZZ'.S Ii. D. ncn~ o~ o ~.ar. «..rw~ i i !h. • tD. ~ ~ + . ~ ' wut [ tr4t s+wu w~.r.o. w. car a~ iow~ ww ~r ' , ~ ~L Yaware Avenue Fort P4erce ~1 rlda 4 ~ueu?. tt[Mw:qM, +a.wv~? Tcn o~ cnE~zo~r-+u~ iouna+ an o..o.» wn ~aMt~f~ E w. Removal „ti.~nollkreg Ceretery ,w Washington Co. V3.rginia t AT! Mt / iy tAl MOME- ANp ~ shfu f~~. wp / r~, ~ ~ j „~Oct 1~; ~'1~7~ „~~ates ~unera~~or.ie, Ync. F~°~8x `%`7''1' Ft. Piexce, Fla. ' ! Y. S. a612 tu~aE • -yG~utu~t ~wu ~e ~nto toau no~st ; ".v, i9to ' ~ K.. October 12 , 1`~73 , ; Ei~'t: ar^ p~c.?~~f0 . ~ S?_t~3:~~ ,~L'~?7 flA. ~ Rn~F ~ ; ~'R L _ 1 hemby csrtify thit t~o be e trw ~nd correct copy o~ ttfe locel rt~L! :;i:;' C::SaT _ Repistrars r~cord on fil~ (n th~ 5t. Lucl~ Cou~ry Haehh Dspert.r r r=. ' `{;s ~ . ment st Fort Pierce, florlds. q 1Z 3w P~'~ 3 ;ti~! gr~~~ (Warning: Not valid uniess rsised seal of the St. Lucl~ W,Z 4J " . ` ~ 6 , County ~Health Department is affixed.) ~iY~ ~lo~. y!J ~ ~~~`i; 26'~1~~ + a :i,} N. D. MIIIER. AA, D. i t 1 6~ . ..1 ~~`±:s Co~ty Health Officer ~ lotel Registrar - Y~ ~.~j~= r~ • ~e _d 9 . ~ 3 cj ' 1 a8 ~ ~-`f = Gr-?. . - ••y~~~.• i<<~~ . ~ ~V LOtel Reaiar.,~~ / ~ .;~..y.~~~,~;, . e~, 22Q ?93