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HomeMy WebLinkAbout0650 ~ . , ~ - . - v~ - _ 269144 ~ ~ v,_ ~ ~ s , - .i ' CERTIFICATE~OF DEATH 1 ~ tTAT[ -F1L[ N0. ; ; ~~i~on~cx ~iw~.~n~i"~"w` F L O R I D A i trr[. o~ ~rMt ~w ~.r•........~..e N~GIiT11A1~•f No. C ' j NlYANIM INR ~~p~N~ ~ . .rw~ uu SEi OwiE O~ DEAM ~ wwr., ~~u ~ . f fu ru~ c~N. ~ ~yy 90PI~ StTt'ICN , Fgnale , Octab~x ~6, 1973 i + i ~ ~ACl..w. wNO. ~wrcw rwN. eGE-w~ r•a. ~+e.~ wu~ O~1E Oi Ml7N ~~awy COW~? Oi Ofw1N i ~•~•`••~`~ite A.'• Feb. 15, 1910 St. 7~ucie ~ ..rw c~ u~w~ MOSht~t Ot OMFI NStrtUt - i~ ua r~r~~, aw stin .w rwa ~ ~ ~ 6602 ' ~ ' ` a .b ' Ft. Pi,e~roB Yes „ Ft. Pi,~roe Mem~o~3a1 Hospital ' ; i w I SiAiE d MlM ~r ~a r~.~-~.. ~ur t1tM Of M1Ni COUNt~~ wy~up~b~ED~. ?EVEI r~lrEO. SIIn1NNG SlOU6E ~r .~w. Mn .~+u. wr ~ . ~ ! m~~~ ~ rYiLL~~vKr~~ C~1~~ .~lt~t ~ v1Wt awe~C~ K 11. ~ owr ~eaae~ ~yV fECYd~+? M11WEt YSUY OCCWwt~On ~an aw a.or ww ~wwa .oa~ or Kr0 OF MR~ESS Oa UOIAm? . uw~. r Kw .w en v~~ ~ i . ' 377-07-1528 `"Ao~e ~r ~ „ O~a~ Aane a~~ fEfIDEuCE-SlA1[ C011N1~ dlr. TOMIM. O~ IOCATION ~•~w Cw ~w~ fTflEi MW~f~ ~ , ~tnc+. ns a wo ~ `.c.~ca~.~ p~I+ `i? ~y FIA~~d S~. I11G1@ ~a. F`t. P]P.1C@ u~ NO ~w , li-~j rwr~rtR-w.~r .rp L .y.,. w~ aotMt~-~wo[~a ~+~we r+n ..w w. j u. Joee~ah Schiltz Ca:ez~~ i -,r,~,,,„;_;.~ - - - - - ~ _ _ - - ~ Carsoc~ Sytton „~~115~Ce1,estla Ct., Ft. Pi,e~+oe, Flarida 33450 ¦ ~ W ~~~Y - r~tt L OEww w~?s GusEO ~r~ {[~+rt~ a~ar awE G?uS[ rE/ uV[ rOf 1.1 Al w+o kA ..m.u. o+w.... w.a K . • ~ Acwte Cotona•t ; ~ COMNt~Ort. a uw. ~ W~ ' : ~ . _ • ~..c+ o~~ m~ ~o A1 GQ~t~ 7QLlWt6 u~~M~q C~~ff ~M. M 10. O~ U~ tOMYO~MKI M: ~ • i f~~nw~ ~rt rw~ ~ s ~ t~w c~~w up ! ~Q~ ~ i ei Ui.cKa. B~o,rchi.ti,e. aith i.n~teexi.nal vwolue.~ent , ` ?AtT OTNER SI6M~K/WT ~TpNt. csr.rsn co.w.wwya a~wr w~ .a uur~ ~o c.rw ew~« w r.~~ r wYtO?S~ V ~ES n.n.o~ ca« _ - ~I ~nap~ +o~ rNU~ «n.r.ro u.w p ~t~r~ ; ~w /CO ~w • • ~MK11~ , Ol vdtl~rMO ••di°'. ~•r, rw~ NOrv wlYft OCCW~fO ~ Nw~ rM O~ wwn ~ Iut ~ M?rr K M~ ~ ~ • ' • 1A lk. Y IY . ~Iw~~ wi wO~[ p Nlu~lY +o~e. ~M+. Nw~, ..no.~. iOCwi1ON ~ wn~ w~.r.~. +o.. ae~ w~e.... rN ~ IMMA A~ M r01 PK~ W..~K. ~M~Cw~ ` ~ 1w. 1M. ~ _ i ! ~ CE~IrICwTiON- .o~ RY .a.~ ~.r nu ~r ~i..~ wY~ w~~i~.i ~ ~.ow~~~w Y~. ~O ~M MV IM~iKUM: 1~~ ~1 A~f ^t ~j ~ ~~~NM~~ M C A7 1~ / L l o !r) ~ IN 7N. Z. 7 o a~~ aW~nt~G1. M ; T.. ««.fe...o.~, ~ ~7/ ~ !t~ VC~f~.. GV ~7/ 7n K ~o wr ~.wn. wws. F CE~t/1Gi~OM-MEOK~I (1~~arHE~ R: OM M YY! d F! ~OM O~ MM~ W N[~.wN ~IY MOMOYffM NM ~ - ~.......ww d r ww w/o~ r wtuc.~s. w o~.o. ( ^ /j ~ . N•~~ OCCMM~ OM ~ MA M M~O ~ 41M4~ V~M~ 2: ~O ' ~K fi V{~4W ZV ~ 7~ y ~O ~ /7 M. . CE1MEt-wWl m.~ a rr.n j wan~ p Ow SK.wfO ~.w*~. r•.n.u. ~ I ~ a. B. oo~~ . M. D. ~ . ~ ~o a~ ~3 : j W~R~Ki -CEHt4R un~. o~ u w c~ •.o.w wti rr ~ ~ 1]1 n ~ ~ ~ - Wlllwl. CJEiMip~4 lMOYM tEtY O~ fOIY-M~Mf iOCAi10f~ Gn p~O ~ W+~ , + ~ v~cn ~ t~.. B~]]~~Al ~a H111C7CeSt Meli?. ~2riS Ft P _ ~ ~,t~ct 2~~19y3 ~ ,~EBAIIiD FU.~tAL~I~iCt~,901,N~•7th..St«pFt.••P'~ierc2, Fla. 33450 ; - ~ ' O~M ~[4wt0 ~OC.r ~eGiNUa ~ s. ~61Z r - n~.c • ~-sK+un,r~ ~ •...1970 ' ' u. w October 29 2973 ~ , . ' ~ - - - - . . - ~ ~ ~ ~ 1 het~sby aAifY thls to b~ a trw and oorrocY oopy o~f ffis Lotal ' • £Y Rs~istrsrs r~oord on fil~ in tM St. Lud~ County H~aFth D~p~tf- ' ' msnt et fort Piera, f b r i d~. s ~ "°•~~';~~«L~ "~:~~y: : ~ ~ (YVarning: Not vaJid unleu raised seal of the St. luct~ ' ~•~,~ary p':•'(~,'=' <Y, County' Haalth Oepartment is affixed.) "•'Y'~ t.. _~i f: P . `7 . . - ~ .r- ~ I - . ~ . v''~:F •f~.,~,`~-~~ ' ~ ~ . ~ N. D. MIIIER~ Ah. D. 269144 - ~ ':r ~ ~ + ' • - ~ County Health Office~ b locel Registrar n~ ~ ~ ~ ~ - ~ _~.~r~~.r-..~. - - lyp,~..•S . f • ~ `-j- ~ ~ ~ - •i`, . ~ a~~~ toul Reaea~?~r I FILEO AND RECORDEO ~ ~ lJn~ ~ ~ ST. LUCIE COUMTY FLA. ~ ROCER POfTRAS ~ CIERK CIRCU~t COURT~~ RECORD YER~FIEO~~ ~ - No~r 1~ I is PM'~3 6C;:k f.it,E ~v . ~i~ . _ _ . _ ~ ~ _ . . . . . . . ~ . ' ' ~ . _ ~.~i . _ ..:J ,