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HomeMy WebLinkAbout0475 r~ ! ~~~iu°ciE couMj~~`~. , , • • c~e~°c Rc°un cou~t ' 2~9016 RECORa veR~~~EO ~ . ~I~t 21 ~ ~o PM'i3 ~is . CER7lF1CAT~ O~ DEATH De~..n~ert ~i tk~ld ~~e Rrl~b~luulve $eevla~ iTw:L f~L6 r~o. ncv~~r~ c~ ~nn~.iu F L O R I~ A = ~ iY?E, Ol ?4iwT ~H ~""~~~~'~""'O FCG:L:iinR'+ f.0 ~ ?::::.G:::NT IHt DFCEwS(~-r+AM( ~w~ .~wu ..s. ~SEi ~GwiE O~ ~:~7n : . SiL l:..:::}7[ f3~ ~ csr~;awrs , WII.I.IAM H. ..~'C'i~-'~IG N',ale ' i J,..::,;.~~v o, iwU v.u~. .~ow. w~K~r rw~. wGE-uar ve~ ~-r.• .-o.. ~ O.• ' GA'E W~1Tq ~rO,.en. Nt. GCNhTY G~.~Tn ' afC. ~ MI~Yf 1 WM~~ 114~~~1~~OL. - Wr~ ; wO~~f ~ rw '~1.~ r : . S~. .~:c_ hhite w 73 ' ~ ~~.~lv 10 1g99 } T' ~ C+i11. tOwN. O~ l iWn~f~OEAM +w~ c.n .~..n n1STiw: J; G:nii ~S. ~~'•~O~-+~~E .r ~o~ + ~~~N.. a^~ s~ua ~5~2 Ft. Pieroe ~K Yes 1002 S~Fa Drive . n r. r, Y ZTA~E Of WM.r rOt r w~y GT1tEM Of W~Ni CQIN7tY ~i.V.li:i9. h:vca ww::,ED. ~Slrv~vi+G S1'O~.SF ~o ra~. o..a w.~. I W~~ ED ^ yG`~i0 iv~c+•+ ~ \ew York USA ~3rriea i,~ Elizabe;h Pzry~ rV~! i~~~.Ni I - .nia. r.i.r S0.iK SENtl1Y NYWEt YSUN OCCWAT+W~ ~a.1 a.y M rMa ~w Mw .w~ u ~ Ky.O Of W W.ESS 03 uL~STa1f OC:+aatD ~W W. Mr Ir MLlI~ ~ ...n~~a. fl81-28-6333 ' ~ , ~ ~ K. ~.o. „ ~a ent i~„ Traveler s L. ,sa c~ ~ESWEnCE-S~wtE COIMR Git,10~. W ~OGT~Ow ~+~sr~ cw~ ..+q S1~ffT wr.0 t.~+:Ea ~ 14 C l~riLi~ IM ~7{.~iAi{wle i4 P~Ce f 11 ;K~V ~O~'14 ~QO~ ~.^^`\CaV JiivG 1 7CG iAi~1f~-NMrE ~.at rMU ua~ ~ MOin[i~A41DfN M~ME ~rst .~nw~ ~a - r:.:- „ Hennan R~hri F2ricicna C~::-.,~~.,. IW04+wNi-aMK ;nuyi?:G wL:.~ESS ~wuu w ~ r.~. w., u.. a~o.., t~.. ~r~ F.Z1Z~'.2'1 RO~11^• , . _ ~n 1002 ~eac~v Drive Ft. Pierce Flcr_c-: r..~t oEwn~ wws CwstO w. ;cH;tr a+V:r c,~ cwust vt+:r.t ror . -S { 4(11A~, _ r U. ~w M,y (~1 ~ . Lt•+{ ~ i.. Nf'~i~' > /~Li co.c.~~o»i.....~., ~ ...c. o..~ ..z~ w 1 M1I ~~~O~~~I C~ Y1» W~. I ~ M. O~ U P(OrS10MK~ M~ ~ ~~~~~wG ~r~ •~F ~ ~T~MO C~YM \~1f '?w[i u_ OinF~ SN3~+~Kw+~T COr+Or~~Wai, co~w~wo~? to.rwa.+o w~a.w. ..t w~ .o c..u a..~. n. ru~ ~ At1:GSr v' •nw :~..~.r. ~..•-....~...u _ ,~M A ` ~ ~ fii.::"\T. i~ A I~Owiw. yr, lt~~~ .+~X nV'~M ~A~i1iY ~C~uiifii ~aw:l~ ~ur.~: G~ .'~..~i .w r~~i . ,~a r.~. . ::.w:c.~i. oa w~oucuu..eo ! ta s w ~ :N::li`I wT WO~K hACE d HXM1 wor. r~~., ?rrn, r.[*u~r. .:OCwIGA ~ seuu o~ a~.~. ..o., e.n o~ ~or.., u.r~ . - 1)ry4n M ~OI ;OAI[! MW..~K. IVICYtI ; ~M 1 ~+S ~G CEt7~f~CAT~On- .o+~w Mr au ; .O..r a.• i~.~ ' u.a yr .~/.~w...+~ on Cw/s~w• .av r-~ ~E.•n LiC.....- - a.• ~OOt :.~.+w. " . /1~1 LK1-^ " w .f / T~ ' ! . ~J~~ . I lwNO ~M J r y / ( - / 7 ~ ._~i -~/'/'.'..r. :5•: ' _ I 1~. o~ee.a~a•.o~ ~ T ^ ~IJ !7~? / ~4 _2~~ ~.i' ~e.....~tt~ -2'• - ~ ClctdK.?iK~-+Mf~UU Elwa+~++E~ Ot CO~G+Ei: a+ ~r .u~ o. nr +ow ~ ci.n. o~c~;w.n ..s •~a~a.rua s~.a f ~.......o. o~ w .w. wic. ~r ...~~.rrra.. w+..o... ~ ..o..r. w. .a.. _c.. ° a. oe.n. ocew.n a. ~r w~ hw ~o ra G.o?e~u ~..n~. ! ` r. • 3 Cii:Uif!- M~f ~nn. '~~''"y ~ / wcn~ a :.w:i S.G'..;, _ ^i ; n. i~~~~/l~l~t2_~~- `.r.~ / _ ^ ~•~•~Q-_f ru.+rG ~DD~ESS +Nf s~uir w~.r.o ..c u ; 3 1- C .E~~C° G F-- i~:%:~ ~ ~:::~w.. Ui~MTqH. UEw~pvw? iE~~ Oe QEwuiO~r-N~wE ~GtwnGn c.n o. ~ wc.n. ~l ldl 7.. 'H_??-~~- ,ra.?. Gdns. F`~. Pierce ~'~c=y:,~. ; ~~~.~i~~ ~wiE ~+o..wy ~.i, nu~ fUNE~~t nOrf-wa.rF • _ ~ L.Tan. 29, 1973 w:~fss s...., o. - o.. a.o-.. : . ~ r E-tYvE,901 N. 7th St., F`t. P~rca, ~'icr`:.G..-3~:~~ ~ Y. f6'2 ?L~1rt1tA'~' 2 Ot 'r'GtSi' -:K.ntw'.:]£ _ i.~.:k .tC-.•_~ ~i a:.~:.w. _ a.~. ~9io : i j~/-~l~-ri ~ . H.. r t~ c~ ~ n :N ~ 1 ha.::by certtfy this ro b~ a trw and eorrxi oopy of tfie lo~l . . c Rc~Htrafs record on file In th~ St. Lurls CouMy F1ealth D..•ptct~ rr~M at Fott Piet~te. Floride. ~ (V'laming: hot valid unless nised se~l of the St. 4u~0 - ~ C.ounty Heahh Oep+rtment k afft~cada . : ; ; . , :,~-/M " N. D. MlltHt, IHl D. . ~ ~ L7R~~ VI(~~ ~ i~?~~~r • l ~y2 ' ~_a 7 3 ~ - ~ ~ - : ti' . : ~ ~ . ' ~ ~ j ~ ~ ~ ~Y ~Fit1'~ s . • : • - ~ ~ _ ~,t~ a~: ~ s~~' ~ ~ ~ ' ~ ~j P 6~. ' ~a K ~ ~ 6UJR M~;E ~ ~ - r~~ ~ ~ - - ~ _ - . -