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HomeMy WebLinkAbout2852 _ ~ 268558 . , ~ . ~ . ~..~----T-~"'~` ---r-----~- ~ -_-~--~=---y - - - . --msassr.~_ ~ti~ i•i• ~rwT~ .owRO or Ms~.rt CERTtFICATE OF DEATH ' • ~u~uu OR VRAL RAYIaTip srwT~ ~~e Na ''s" FLOaIDA erd sl~w B1 T H RECISTRAR•9 HO. ~.1 ~ V~ r 1 r 1. KACt ~twTN GOCt N0. t YtYAt w[f10q~ ~.rn/ r.d. J/ i~.t:~r+.: srir.r ~I....f.:..:w~) ~ •a~ert~~ ODURT1f a ST~TE OOYMTIf ..a ."1 ST. LUCIE 6b..02 FI~ORIDA ST. LUCIE ~i.~.~ i. ~.r- R Mr, ro~. o~ ~ACJ~7ar e. ~s rtACC or a~Tw a uTr. ~qwt~. ae icuTw++ s. a n[siocKt[ ...•.a u~oc cm uwrtr ~~oc cm urirs~ ri i.. FT. PIERCS res ~ w? FT. PIERCE res 0~ ~+o D ~?urc as (d,wt h 4qiat. rir wr«t .Nrw) ~ciwrn os R sTMC~r ~oo~css ~~py~T~l Ow ~A • ON A fA11N1 "'~1T1T10N FT.PIERCE .HOSP. 0+ 101 N. 2 th ST. ~s0 w~] 3- WM[ OI ~'1?M 1/~t LNt DATE Xwf~ Dq YtY c~ ~ HENRY T. BEAN o°uT~ MA.RCH 2!t 1963 S. scx s. ootae o~ iucc 7. r~uu~o QI Mcvc~ r~~co ~ an os wrn ~ty~ yU,.w?e..~?• r u~oc. ~ rw ww x?rs. .-r i e• K W moorco avoeao DEC. 19~ 1876 iib ~'r••w w« r.... xi.. ~ i•11~~ IOr. uw.~ oau~~Tw~(tH.r wI yr..t ~«e Kwo ov wswcss oa w~ousr~r 1 wiTw~~cc (er.ie wln+yw aswrl crtuu a rw?r aourt~,n •is~ ~~r- ~ rU wrp+Mp~r.~a?~1irM) ••••4• F~Q~ENSA~I lT1nB~t ~ INDIAN CANiP, W.Va. liStl ll~~k fDt 1 IAl11E~'3 rMME 1~. rOTMER'S MA~OEM MIU1L •r •~,..~s~.. HIRAl~I BEAN ELI.EN CUTRI(~iT ~ xa ocwsco cvc~ r u. s ruwco ~ccs~ K. socu~ sccwurv so. ~M • s~ow?TVU A.H . Starcher ~r~..._~-.~r ul....w....sr..~...w ~ Ft. erce a. r..•.a~ e~ ewws N.urw (atir....qi..e aw ~e. a~sp. cs)...~ (a.l . urruv~.crrca ~ t r. e e•• ?urr ? oE~n~ lrns uws[o ~r~ aatT iwo oEnne r,l. ~.rcw,~ ur~e~c ~~erebral Vascular Accident e?• e•~- tiftc~s• y~~~p,~ ~A~ ri~ ouc,e Cerebral Arteriosclerosis , 1• a a 1 MMt ~(i~ ~ r~~l~trar ~ ~M +k ~Mr?- ~ ~ (e) •it~i• 1f z . ~ lerr• O ?~uT M. O~~a 9c~rfuuR OO~prwMf GoM1~MYrrK 1o Oun~ Mrt im IIwiC~ fo iM[ 7dtwGl OaEASC Co~lnoM Gwa w?MT ~p) . wAS ~~ROKY ~ ?E11F01tYEDt ~ 3 Conaairiuted Fracture Rt. :ii H static Pneumonia „ES p„o ~ •r t~~• ~ ~ o[SGtME NOw wlW1r OCCWREO. (bluo ~~tws -atfwa ~MT ~ ~qyK~ N+~h~r ~ P+t ! r Pnrt ~I yk~. uJ - ~ ~ p ~ Fell at hame 3-?-b3, fractured hip , ~•a~. ~~t. TWE O~ r~.. ~w.rs. D.r. ra. NUYRY w. ~ 8: oA ~ _ _6 = tOt. w~r oauueco 70r. rucc os uuu~r ~a. i-. w.twt bne. ~D/. un. row~. oR wuTar oowmr sT~tc ~~ic ,r ~ wT~K c lr... /.dKr..r,sd. N~ce et4.. et~.) ~ At home Fort Pierce St. ~,:cie F2orida 1 ~tf~ndrd tM /wm~7~ , to ~ ~ ~nd /arr w~ ~lir~ oe ~ ~ D~th eoew~ : 2 A•~. tM d~h ~t~ad ~bo?~: ~nd to tlw bqt o! ml tno~lsd(~. lro~ tM uvwa u~t~d. •lI it~~• ?t~ NaNAY,VI~t • ' e t• 1~ (Qq?a ~r [Y!r) t26. ADO~ESS ?7[. O~TE S~GNEO ' °••ra•~• ~ H.C. McDezsnid M.D. Ft. Pierce Fla. 3-25-63 ~ •Oertat~. Zl~- ~ueal.G~out~OK t~. OATE tlr. N~rE OF tEwETEII~ OII t~Er~TO~Y ?3t. IACATqN (G~tI. (w~. a cw~yl (Stde) ~ ' ~~u~ii°a~~ 3-26-63 FT. PIE..RCE CF24~TERY FT. PIERCE(ST.LUCIE) FZn. i s t s ru~c~ ~s s~cw+?nMC "~~th . S. ts. a~ra Rcco. ~r ~.oc~ Rcc. REG6TM11'S SIGtATYRE ~••.~ass _ I~L{lton W. Baircl FT. PTERCE,FLA. 3-27-63 Anna Lee Benisbn, d.r. , ~ 268558 ~i~f~ AMv R~coROEa 1~ St. ~UCIE CBUNTY FIA. 1~~ ROCfR PQITRAS ~ CLERK CIRCUtT COURT ' ~ 1 heroby casrtify this 1~o bt e frw ~nd o0rroct oopy Of ths LOtsl RECORO VER+FIEp~,~~p',.~~~~~~1`' 7d.T~~ ~ i Reqistrala noord o~ ftt~ in th~ 5t. tud~ County H~aFth Osp~r1- ~ Y~,: ~ msnt et fort Piera. Florids. Nor I 5 2 36 PM . f ~ : J ~ ' (Waming: Not vaJid unlau rsised sea! of ths St, lucl~ Counry' Health Depa~tment is affix~d.) - . . ' - ~ . s = N. D. MILLER, M 0. '%.i - Health Officer b Rsgistrar > > 1 ° ~ iJr, ~ ~ t ' ~ ~ ~ 3 - ~3 ~ ~ ~ ~ ~ - ~ ~y`"~r ; O~tr Oe~x+~h/ tot~l Reaiar.~r ~ i ~o~c~ r~~~t~ . ' ' ' ' _ _ ,f