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HomeMy WebLinkAbout1083 . / , ' _ ~ _ - . _y' A~___~' . ~ _ ~ CERTIFICATE OF DEATH Depr1~ ~1 IIe~11L ud Re~bi11411ve $enke~ lfAT[ FIL[ NO. on~a~ aF rswi.n~ F L O R I D A IY?E. Of ~tlNi IN ~~~~~~~0 FE61rT11AR•! ?+o. 44f. NtMA1MNT /MR ~~_N,w( ?as~ rrw~ ~~a~ ~i DwiE O? oEwm ~.oMiw, e•~, ~ SEE Mr100[ iN ~STMITIi/S ~ t 1 U?CE ~rs. ~ow. urac~r wur. AGE-u~~ ~++a~ ~ n.~ w«~ ~ rr OwTE OF W/N ~w.nw. COIRiTI~ Of DEwiN eu. ~ vec.s ~ w.».. ~ nu~ ~ ..os. ~.n .ows w ~ • hite s. 72 r ~Au . 10 1901 Saint Lucie sfin,l Crtll. TOwN. OR lOG?T10N DEA r.sa car ~ras 11OS~RAI W OMER NSi1M - ~r wt w enM~. c~ sne~~ ue .wre~ ~ anc... .es w .w No H Fort Pierce Memorial Hos ital s1wiE a MRM Mo. w~ ~.s.... Mur CITIZEN Oi wqAr c01R~Tar M1AlbEO. NEVER MARbEO. SIRVIrNG Sr01J6E ~r ~+e. oM r?reN wr ~ coww~ ~ W~DOWEO. ONOlQO ~ vecm ~New J rse • U.S.A. w Married ~~Leatha B. Loveland .wr ~acaw~ SOG~I SfCYtlT1t NtMME! USWI OCCtMwiqN i w.e a..e a.wc eo.N w+wo rou w [w0 Oi MlSMiESS O~ MOtRtri u`n. r ~uw ~p~p uil. f~r~w v MMI~ 1 n142- -8786-A ~L.Construction n, Buildin Su ervisor ~ urftwr. ~ESIDElKE-S/AtE COtM~II GTr. tOWN. q IOCATION r~ Cw~ ~rq 1tEEf AND N1W~E ~ ~ vet.n .n w wo Florida St . Lucie Rt . Pierce rural No 1411 Angle Rd. fAtlER-NItME rwu rere un MOM~-MADEN ?iAMf ~rs~ ~rw~ w~ lman NNW Koso Unobtainable ~?I~OWANt-iu1ME du?RMG ADOtESS ~amn w~.~.~. w. ar. a w.r. s~.w. n.Darwin R. I.owe ,n National Chapels,Boynton Bch. ,Fla. rat? oum wws c~usEO ~r: [Nr[t o~ur a+t uuat rt~ u+t ra ~rro ~ ••••o•~••• ~ ( O u hL 1?1 ( 11 wnrew o.ne~ ~a ' N. ~ ~ • -.~~L, ~/YLt. i_t ~ ~12Q!!~• / S I _ ~ COMMIOM{. 1~ ~M. / 7 ~ ) ? ~a ~ ~MICM O~~! ~1l~ ~O V ~ ~~~r/~•' ~ ~ ~ I u~lM~Tf t~11f~ /01. ~ Wl p. • COMff ~ ~ ~ ~~~nMO ~we rr~n- ~ lt~MO ~~Yf! l~~f •/l , r ~ . - I ~ ~t~ i (y ? A~asr ~ S 11~~~ NMOIMOf COM• ?A/~/ ~ ~iNf / 1~~ C MNwG Ol~M N1~ M01 N t04VS! GMM w ~~lf ~ 10! IA! p MO~ ~N n~ 0l1lfa/wMq Cylf~ ~ ~ ~ lT~ fG Y ~ C . / l - / `~.i lt~ 11~ Ol~tM ~ OR UiDETtWw+tO ~ ra.r., r~, n n 110UR MOw INIUIY OCCUltED ~~Mt~ .uwr~ w ~wwrn ~M r~n i w r•n n. we. n ~ ~ ~ 7k M. 1Y INJUt11 Ai w0lR MCE Of HRK~ ~•or~. r•u, snen. r~c~W~. tOCAT10H ~ fnen O~ ~.r.~. ro.. t~n M~O.n. u~w ~ ~uean ns w.wi ow~a wso..nc. ~wnn~ 7w 1M ~ CEttiKwi~ON- •.o.nw nu .n..M ue usi s.. wriwn um a+ as oo w~ .r. w otam occuueo ~i w~e ?~.n. a. we ?wTSKw+: i0 .o.~• w~ n n•w~. ~ ~.e, uo. ~o r rs~ ~~RlMOlo tMf //1i 7 ~j p r~ c~lO~nlOGt. W! !N. ~ecuae ~wr ~ ( " / ~71~. Iv ~ Tt. , ~ ~ tU ~ t/~/ K ro ww cwsen~ sano. CHtiIGTqN-MEDKwI EiAW1~~E~ OR CO~ONER: a+ me ....s d ae wow w:...r.~ *M ~ r.s r~ouowcee w.o tu~w.ea+ a wr ww un/a ne M.esnwnw. w. a.no... ~ s ~ rw^~ _ w/.~ ,e.~ I~~ A N~M 00[YMIO OM M O~~! ~M MR b Mt 4V!!q1 tt~p0. I/ ~ M. 71~ O-~ M vd CElTV~E!-wwE ~..n w r~w~n S~GNw I cn~ w wTE ~~o..±~: ~w~ ~ H Batche M D ~ri 7 W~ING ADWESS-CEtT~f4R s~an w~.. c~~r w ro.r~ w•a w O la ort Pierc Florida 33450 ~UMAI. QEMATION. ~EMO~AI fMETE~! Ot ClEruTOtr-N~ME lOCw110N an w~o.~ sun ~ vecr? ~ Removal Pal~ '~ac'~ vP~. T'art~ ~ ~ ton T~ach F'lori~'a ~ OATE ~.~ornw w~, w~ FUNERAL ifOME-NAME ANO ~OO~tf55 ~ fnu~ w~ r.e. .ro., cm w~o.rn. sr.n. :n ~ ~ 8-16-y3 ,s. National Cha els or ar Bo ton Bch. ,Fla. ~ r. S. ~612 ru+cent o~-s+W+nnNE -s+c+~~tur o~rt acEnEO n ioc.a uc~srua ~ N~v.1910 ~ ~ rY ~UPllSt Z7 1973 ~ . ~ ~ f lE0 A110 RfCOROE~ ~ haroby osrtify thb to b~ e trw ~nd oorrsct oopy of ths Locel f~.lUC1E_COUNTY FLA. ~~t,,.. , . Rs~trnars r~aord on fil~ (n th~ St. Lucl~ County H~ehh D~psrt- ROGE ~CUIT COURT ~ - ~ rt~nt at foA Piero~. Fb?fd~• ItECOROVEPtc1E0 ,',~'.:l!9 yd ' ' ' ~ (Waming: Not vaJid u~lsu ratsed seal of ths St. lu~ci~ 29 Z 19 P~ ~ ~ p, y. L y'" 4y County'Hesith Dep~rtment i: affix~d.) ~ . - . ~ ~ _ _ C N. 0. MIIIER, M. D. ~p ~7r - ~ - . , ' v = _ Health Officer a Reqittr~r 2i69 _ v~~ . ~ t ~ / < j ~ ' 7- ? 3 ~ . . . : l~~~s- D~t~ D~pAY Loul ReoMe•+~r ~ ~ ;y yf: ~ 4''~~j i'`~ w~ ~ °ao~K 221 FAI;f 10$3