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HomeMy WebLinkAbout0738 ~ ~ - - 269211 _ CERTIFICATE OF DEATH ~ Da}..~.eN .t fk.kL Re6.61Mbtl.e Se..ke. srwTS ?as Mo. . onlvor+ ~ fE~u.n~ F L O A I D 1l ' ~ 1rrE. o~ rRIN? IN ~~•wwwa+was RcG1<T11AR•s MO. I Vt~MANtNt INI[ ~_Ny~ rNfi r~~ i~a ~x OAiE Of OEwM ~•oMw. N~, n~~~ . ~ WILLIAI+I ISAAC GAG~ ,I~Iale ,Februar}~ 2$,1973 ~ ~11Q ww. rww. urMCU~ ww». AGE-wr w~ee ~ w woe~ ~ w~ OA/E Of W1H ~.o~a.. [OIM~Y Oi DEw1N ~ ~ ! nc. ~wcr~~~~}llt@ ~3~suw~Arw. ~•n ~,:?ar30~~.~09 ,.:•lartin ~ i ~ G1r. TOwl~. O! l OEAiM ..s~e an a.r~s HOSMtAt O~ OTMN !~S - w. w emw. ow~ aKn w~rrs ~ ~ ~ sreur. •ts o~ w ~ Stuart h Yes A.artin ~~emorial Hos ital ~ SiAfE Oi Mt1M ~ r ro~ w~ ~.s.~.. r~re d wlMi OOIJNt~~ MAlMEO. tEVE~ MAlrEO. SIIf~l1VNG S~OUSE ~ r.nw. ow~ r?~oen wre ~ ' ~ aoww~~ w100MrEO. W~ICEA ~ rttn ~ • . . ~~.,~,K, ivew YorK , u~~ marrieo „ liur~Li~•,• u• ~cii~i~ell ~..~r wcwn SOCUI SKIMR~ MW~ER USUAI CCCU?~iION ~aw aw o~ wo~ ~o.K wu.o roa a ItMD Of MlS~+ESS Ol s+OtRTtv u.~o. r w~ ' occ~ r~ ~otwo ar~. nr~r r rw~u ~ „113-14-6~~6 „_General Precision Aviation .~s....K...ro. ~ ~swwwu. ~ESIDEMCE-SfATf GOIl~A~ Gfr. ~OWN. O~ IOCAl10N wn~t cw~ arw~ StlEEi MID ~ ~wcr~ ns a w Florida ,w_~iartin Stuart ho State Rd . 71 ~AMt-NAME ~aA rYM! uft MO71ER-MADEN H~ME tw~ rwM~ u~M ' „ Bennie Ga e Lucinda Lill~~ i ~ ~ ' IMOWANT-aAME - wutllfi AOWESS ~swn w~.~.~. w. cwr a+o.r+. suw. ' Dorothti? C. Ga~-e P0. Box 2E~1 Stuart, Flcrida 3 4?4- ; ~~r DEw/N w~t CwsEO ~r: ~E+rttt a+ir oHE uvsE rEt tr+E ~ hl: M1A. ~u+D kq Nn.ew~ o¦w+ M.n~ ; ' ~ cwu . ; N? M A S i VE O ~o o M~ ; . • ~ . ~ cor~mows. ~r ~wr, ~ ~/~O S i S s. i ~rwrcw O~n ut! q M1) ~r~~M~t~ CAYtt /M. M~ p. M~! ~ COMftOlltMt! M: ~ ~ S~~tIMO 111f rN~p- r ~ ; k, c o, rto ~42~tc R.~v s~ E RnS ~ s S.; ~ ~AlT OTI~! SK~r~KICAH? CO~WNS- COMUOwf COMMMw10 p M~1w NI~ wM !LM q C~11f! OMM w~ rY~ ~ NI AYtOK~ i 11ES ~nn NMNMOf CPF ~ nf w.~o r~t.es w. ~tt~t.~rw~o ~~wf ~ ~ O~ N~„1 t~ 1* ~ Ot WOlttwwr[O ~••o..n., r~, ~rtu ~ Now ~NrNtr OCCUitEO ~ e.n~ .uw~ o. w.wn ~ r.n ~ w r.n s. w. ~ j ~ ~ 7R M. 1Y 1 ~ nUltY wi WORK 1MCE Of NJU~ ~•w. r.w, s~en. r.c~wr. IOC~Tp~ ~ anm o~ ~.r ..o.. em w w.ni. s+ue ~ ~ ~ snan +es a.w ~ ana wa.. nc. ~ wc.n ~ 1w. 11. ~M CE~i1HCwTqN- .aww r. nu ra.~ .uu uo usr s~. ...iwr~ u~.e a+ ~ wiae «w +e. w o[~m ottvreo u ~w rucr, w we ?~nsKUN: T~ .o.iw rs nu ~o~. uw~ K•~.. ~woNr tiw...~. ~o M[ rw ~ ~ p rr [~prueOf, p . tN. MCl~SfO ~lOM }n Zlt Z~/. IN M?O 11N C~Ylt~l/11~~A. ~ CNtiKAT10N-MFDKnI Ei~w~E~ O~ COI~ONE~~ a. wN ~.s~s o~ we ~ d~e.x rwe ~c~w .•s .w~oiw.cae s~u .eu .ow ~ 1~ ~ eur~unw a s4 ww w/w me ~.efnwr.o... w~ .n or~wo... 1 ~ N•m ot.twrw Ow M Mw Yy w~ ~O M uYSe~f~ su~t•. ~ ~ ~ M f1~ CEl1Mlf~-erM~E ~rrn w~wn ~eeae w~m A O~ . wr, n~~ ~ Zeon W. Powell bt. D. ~ 2 7 ~ w?INC. ADO~ESS-CEfisrt~ s..~e. w~.r.e ..o. cm a w.~ s+.e tr . ~ 11/ " ~ WRIAI, aEMAiIOH. ~EMOVAI f11 OR GEMAiO~r-NAME lOCJ1TiON dn M ~o.rw su~t / ~ fMtOr ~ ~ ~ Burial Fern Hill Cemeter~~ ~ ~tuart Florida OAi~ ~ M~, eu~ W Ml MOMf-NM~E ANO ~ s~aa o~ ~ r.~. o.. m w tow.., su tn ~ ~ ~ ,~ichs, ~1~73 ~.~ohns Funera~l ~Iome 961 Co~cradc ~'ve . Stuart, Fla • ~ Y. S. ~612 t nAF eEG~int~e-S~e?+wrurt o•rt Kceneo ~r iocu aa~sru~ ~ v M ~ v.19,o - - m c~ rw. eu.e.L -t, 73 ~ . - srt-- bt~~ ~ ~ ! ~ t i1~/NN.:;r-•~j~~~ i h~sby osrtify this to be a true and aorrect aopy of the Locs~ o ~ ~r T 1 A C~~~:-•:' - Re+~ishsrs reoord on file in the Ma~tin County Htafth Depart. ~ > a ~ \ - O m~nf at Stua~t, Florida. , Y ~ .h . e..~_,.-~ _ . ' • - ' '~~fj , Z ~ ~ - : (W~ming: Not valid uniess r~:sed seal of the AAattin i~~:_v,.. ~ ~ ,'7' , ~ ~ • ~ County He~Sth C,.,.,., .p.t ;s ~ffixed.) ~ i _z ~ a~:s`? "'%~l,.. . 3 c~ yl 1 (,l Q • ~ ~ ` • ; ~ ~ ~ - i ~-~-a a o N ~ _ ' FC ~ y ? . ` ~ r~ ti''~ - rn '~4~. ~ Q~ ~ N. D. N~:Li. ;J1. 0. } .J p ~ • ~ • 1~, ~ • Counly Heal~h Ofticer 6 lotsl Re~istrH ' u`~.. = ? t r~'r' ~ 1.': - ~ : ~a _ : ~ ~ ~ } CC , ~ ` , .1}~'~i ~ . ~ ~ ~~Y (f I i ~ . ~~~~~~i~~~~ ~ i ~i ~ ~ C~4 / ~ ?e ~ . ~ 3 . ° F P.A R ~ ~ . ah Deo~h? lou~ Reqisn ~ - ~ ~''~iiiiiilN ? ~ ~ ~ ~ .s o R ~ C73g~ ~ 600x ~~F t ' _ ~F- - ~ - . - _