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HomeMy WebLinkAbout0854 ?y C l~ - ~61~~J - - _ + - _ • . CtRTlFICA ~ E OF DEATH D~p.n.K.~ .i tk.hi .,d R~l.b,4au.e S~..jce. arwTC nlc No. ~ p~~~~'~~~~ FLORIDA 22~ ir?E. Ot ?t~NT ~N REGI6TRAR•S NO. /QMANIM (NK ~p_Nµ( rrN ~w.a w~ yfY CwTE Of OfAM ~ rour., ~.r, au ~ ' SfI rWi00[ /Y~ ~~T~ ROAvA?~' T. ~AC~US "~a 1 e A~ ri 1 20 2972 tAC! ~+R. wNq. utMtw www. AGE-wt v+ot~ ~.t.~ u.u~~ ~ a.~ OATE OF MlM tow+n or oun+ ~ 6602 ;K' ~w`~'~ White u~°` Mn , Feb.lO, 1893 Saint Lucie . i . O! ? OEA ray~ t~n u..q MOS?.TAI Oi 07„f1 ~'aLhiYT - ~r rW r~ ~~y~, Ow~ str~~ w~.wu ~ Wtrt ~1~ W .M R Fort Pierce Yas „:ort Pierce Menorial Hosvita2 SfAiE Of WM ~o ro~ w ~.s.~.. ~ur~ GTIIEN O~ 1MNT COUr•t~Y ~ul[CfD. wEVEi wu~bEO. SW~IIYH6 SIOVSE ~r ~rw. u?rb+ w~r ~ OOMwAI W~DOWED. DNOtGEO ~YK~n~ ~~u~«•« E. ~ecv Jerse USE1 ::arried Edna :2uth James ...r...K..w. uqs. r N•r SOCu~I SECWitY WI~Y[R USUY OCCW~T~Ori ~4q aw w raa ~ow~ w.wo .Ow p I[WD W MlSYSSS W WOUiitr ~ Ottw~~ w ~+O u4. Mr Y 4W.7 ~ ~,o'; ~r 276-22-1463 ~z. 3oat B~.ailde: ~n. 3ac!cus P,oat Cor.i a:: ~ES~OENCE-ffAiE COIM(I1 Gi11. TOwM, Oi lOtwT~ ~s+~ cr~ wn ST~EEi ~+YWEi . ~ ~ ~YK+~ ~~f M r0 Florida ~w St . Luc:e ~k For : Pierce Yes 1214 gos ~on Ave^ue IATMlI-MAME /rN riw~ usf NOTnfA-MAIDEN N~A1E ~wr rM~ tAV u Geor e Tav ~ic'.:tis Josenhir.e S;:eridan IW01WM~i-w~irE Mw?+r+G wOGRFSS ~NM~t O~ ~.~J. r0.. cn a w.w. w.K. ar~ v. ~ R •c i~n ~ 71 ct ~r-iGtt~T+ c,~r i~ t= 11 ~n ~ ~~n ~ ...w.~..n ..n.... ou.m wws uuseo ~r. ;ENJEt O P O/rE Gt~SE IE~ iwE !Ot NL (~l ~MD kK ur.~u o~s~* •w ~a•*w w. i ' Nl ~S LtC • ~ , I Li~a . . ' CO+Mt~Owl. 1/ ~M. ( ' ~wKw ~~r~ bs1 q ~ 1~1 ' ~ i~~M~f~ l~H~ M. M q. O~ Y~ CM~MYMKI M~ ~~~t~1~~ rMH~ . \nM~ C~tN Yl1 ~ (t) ' ~ ?ART O1ME! SIGtaY1~~Wi COt~WIqNS. to.rwau eorwau.o a~ew wr wo~ u~.ru q 4VN o~n. w r.n .~p MRO?S~ li TES r~•~ r.w~~.e~ eo..- . F ~ . . _ I~n~ u••o. M~l~ lIw Nf~WwwO CwY .~w~~ n~ ,w ~ 1~iOMK,04 O~ Ma[tt.Ww~[O ' ~•a.r.. Mr, n.~ ~ ~ MOW 1?~IU~~ OCCUl~EO ~ t.w~~ wnw p~w~n w iu~ ~ u ru~ ~u. ~ ~ c- g n 7w Q ~m -7~ C~ry:_3P_u*-LK~/!~C'~ ~sirt 4.^..~t x'O//t~ £ tWU~~ Ai wO~R ItwCE wAMr .or.•.u, ~ ru, r.c*o.•, IOCwTWN ~~n~~~ w u.~. wo.. twv w w~+w. wp ~ - ~ ~anan ~..e~ ow~u «y.,oc. ~va.n~ g ~ o~:'icv ~ ll7 rti~:~~th «fr S~oex. ~t. !);,c~~,e. 91.r._ ?3~:r: ~ CEKMICATIDH- ~b~w Mt hY .O~~ti Mt flu ~w u1~ Y~ .w./M~ Yw{ pw 1 M/W w0~ M Ot~TN OCCYUfD ~1 nN ~u(~. p.~ M rwtsKuw: i0 + "a'r. .w ww .rn¦ ~e..~ ~wow~ ~.n..+:. ro wr .eu . •rn.w~ an ~ . 7 ^ ~ ~ ^ w a..o~..eaee, a.~ 71• Na.f~~ ..o. (1 t7~~ i~72 t~~ t_ ~27 T~I i i~ lt~. 'M. w wti cwu.i~ f~.:.o ~ CE~TY1CAiqN-MEWUI ELWNER Ol C fR: a+ ny w.~ a n~ ~w~a w a.~. Nnoe..~ .u no~.w..u~ wu ~ ~WN~~~OM W M q~~ ~M/M M N~~~hW40i+. M~ ~t WwW. - ~ rOw1~ ~ / Mt ~~7~~~ ~ ~ w OUnMf~ O~ M MA ~M Mf ,O M 4rY~Y ff~q~. I. ~ , M m h~~l GC. ~ 7 / 4 I,~,~ ~ M ~ CE~iY~E~-MAME mw o~ r~wn ^ v c . ~ t '.w~ i wTf S~WrED ~..o..n.. w•. w..~ , i~ ~d. IS'. o~dwirt ~.it. ~`l. ~r,, 'n, t'',•i.~ 2~ / T ; rtw?WG ~OO~R(S~S-Cffilf4f u.~l~ ¦.r c~ a q.. ~ ~uti t+ ' tM i.~ hn /l? :e-,. J~ ~i ~t. i~'n n 1~~iL~~ ??~S? ~ ~{7tlAl. CtEMI1T1pM, ~E/~OY1y if~~ Oi U'fW1iORY- . ~OCASql~ un o~ qsw u.p t 3urial t. Piesc C~:~e~ery Fort Pierce, r^lorida ~ ~ r-. . O~~E ~rw~w, w, nui fYr+EIY NOi.~F-lw.wE .WD wD~iif ~~~uu o~ .o., tm o~ ~o.., ~~.n, ea. i ~ ,,,Anril 23, 1972 „~Yates i u:~era : i:ome, ~ox 777 Ft. Pierce. ^]_a. 33~'.50 f ~ v. S. ~61Y ? rwt nec.~.tt - sc.'uru;t Owt! ~tUnED ~i ~OCU ttG~~tu~ N~r.1970 7A -r ..err.l'j 7~ tw AAT`ll 26 i < ~ - ~ ' f1l£D AK~: ~=~~'?~DED ~ ST.LUC:i. C~~N1T FIA. R!%S F• ~:z ~A5 ~ ~tccr r: CtjUR1 ~}J+ '::i pF~~,? , - _ ~ I heroby oertify tfiis b be a true s~d aorrsct copy aF the Locai ~ . „ ~ ~ Reqistrars reoord on fil~ th~ St. Luct~ County H~ettfi Depar~ O~j I 5? P N Z 3 4:; me~t at Fori Pierq, fbtlds. ~ - - (Warning: Not valid unlest nited seal of the St. Luci~ ~ ~-.y ~ _ - County 1lealth Department is affiiced.) ~p ~~OS . ' . rR ~ ~ . ' • rT.`K.," ~ . 4~..r ~ . ~ N. D IIIER, AA. D. - ~.e- - _ % ty ealth Officer b t I Registrar ~ - - ~.1 i ' - ~ 3 ~ . ~ . ~ . - ~ 6 ~ r} , D~t~ DeDutY Local Reai.r?~r ~ ~ sG~~} a k ~:1!:i Uc1~ x~~ . _ . . . . • . r.a-.t '~as -~i ~ ~'a_ . . . . _ . _ _