Loading...
HomeMy WebLinkAbout1324 . , - ' ' :~----•r ~ . -r~ ' _ _ _ _ _ _ _ - r 3 CERTlF1CATE OF DEATH ,~t~~ Q~a~K fTATt flLt NO. a~~worv or ~w~n~ F L O B I D A trre. w~n~n acairr~wR~s No. 6G0 NlrA1~NT INR ~~~p_H~y11( ~u1t ~yp~ ~~ft SEi OAiE Of OEATM ~ YOMU~ n~~ ~ ADDIE IAUISE CANt~d, , Fc~nale ~ November 24, 1973 ~AtE ~n. NlOp. u~lMC~M wN~M. wGE-uu woe~ ~ rt.• ww~ ~ e~~ DATE Oi ~'1N ~rO~ar. M~. COUN11f Of DEwTN ~ . i~ite ~.p• July 5,1910 St. Lucie ~j6~2 Ct111. TOwN. W IOC~i~ON A r.we cn irn MOSM~A? O! OME~ NSiRUt -I~AiwE ~a wa r ema~, oM ae~en ue nw~t~ ~ j!~(N1 Rf W MO „ Ft. Pieroe Yes Ft. Pi,eroe Met~arial ital STAiE Oi W1M ~r r0~ w MuU Qi1ZB1 O~ MRM1 COIMT~Y MARtlfO. NErER MARbEO. SlRrfMNG 51'OVSE ~r ~re. oiN r~~ rrr ~ ~~~.y~~ ~ t01M7w~ *T~+~ ~flKn~ * I+..wy,~~~~ l•Wia ~tsMrK~ ~ `''c'~'~~ , ~ V~71~ ~ 11. ~ L• ti.AJl{.Lr• • r~a eece.aeo SOG/LL SKUR~t~/ nUWE~ UWnI OCCW~110t+ ~om aw w.wa w~e wa.n .w~ w Ktr+O Of MK~+ESS Ot ~D1KTRr r ~e~w~ , OCC71Y~~ M rV~~4 tMl. MN M MWl~ 1 „ 263-41-5244 Hame Maker O~ai Hame u~rqwM. lESIGENCE-SiATE COIJtif~ CIT1. iOWM. Ot IOCA~ION MsM an arw~ SttEET AND lNW~E ~y FZC~lCld $t. I~U~Cl@ ~M P1P.l~C@ iN YPS«~ ~N 1002 Mayf2ower Road fAiMER-NM~E ~ra~ rraa us~ MOTNfR-A4lD[N N4Mf w~f? r'oo~e us~ ~s J~nes J. Kinq Qiee~ Cas~On ~ WORNUHt-w~tMf ~uRNG w00RES5 ~aun o~ Mo . cm O~ ~o.r«. snn. tr~ ~ Rfly L. Cantrell 1001 May~laaer Itoad, Ft. Pi,ex~ce, Florida 33450 ~AtT 1. OEAM WAS fJWSFO ~11: (ENiEf O~R7' pE CAUSE IEt lNE f0f NR Pl~ ~ kA u~.ep OM1~~ ~wC 0410~ N ~•i ~ (1LO NG /Z . `T~ ~/~.v4•_ ~~Tl~ ` ~y--~ ~ . ~ r~ U :i ~w o •i iisi ro I i?t • ~ C ~ ` ? ~ ~ ^ ~rr~M~lt C~Y\t IW. { ~ q. p y~~x~~ a: ' sT~lINO tM! YM~fM r~+ \lINO C~YS! Lwf1 I ~ ~Atj ~j1~A SKjN~ AHT ~Q~1(I~NS• CPMAOM! CpOMNuq/q'~p~ M N1~ w0/ pN4~ M UYS~ GtilM M/Yf ~ q~ ~~«Sr M 1/ES rl~f ~~MNM01 CO~? ~ O ¦ ~ V~~ 1* f ~O * \f0 ~M WI~UYM~W CMIY a ~e.~~ ~ K~OE~~~IOO~TEWIN[O ~~n~, o~~, •u~ ~ 110Ut MOW INlYt11 OCGURREO ~ bwt~ w~wt w n.wn w. rur ~ M r~n w. ~M+ ~ ~ '!M M. MI IN1Ut11 A~ WOlK R/1CE Of NAKT ~w+e. srro. r~cwn. lOCwiIOH ~ fnett w~.r.~. wo.. tm w wvr, a~w ~ ~ fltd~ Rf O! MO/ pM~U M~p.. tR ~ 1/KM~ 1 I 7w 1M ~ ~ CEIR~fKw~ION- .wm r~ n~u rw~ wr ~cu ue usr a4~ w../we~ ~ar.e ow ~ a~/as w~ r~n. wa o[wn~ OCCUUN ww n~a. a. w ?MT~lCNW: rO~M y? • ~ON • ~ N~W. IwOY~~ U MR. W, q M ~lf1 ! ~ ~nlMOfO ~M! t~ ( _t ~ r tb ace.see.wr ~ ~J~~ ~ tk / H/ tt~ ~C ~d tM ~oor~c. um~ss.~ i CEtf~flGi~ON-~EdCAI EXAMM~E Ot t w*w ~.s~s a ny .ow w~e.r ~we wcwe.n ..s ~+o.iowne w•~ i /a~rw1O~ W~M! w~~ u~C/M M~l11~Wt~0u, w rr o?r~Oa. rOi+M Nf rfu wOV~ ~ WAM OCCV ~!O ON M WR ~M NR b 1M 4VSty1 St~1~0. m K 1 E cE.nnc: ~ ,A ~`C~ v~ \ n? ~ ,~,u ~ G i t~ ` ' ntAlll~1G fiLf nes ~.~.e. /.o. rr n ~ ~ ~ 111 \ 1 - N~IIt(. /pN. ~[MpYAi fMETE~Y Ot C11fMAT011Y-N~wE lOUT10N a~ o~ u,.w sun s ' Burial Ft. Pieroe C~emet.exy r.. Ft. Pi,eroe Fl~orida ? OATE • w~ fUNERAI NOME-NAME ANp ApDtES$ s~nn w~ ~.o. ..o.. cm w w~n., sun. n~ ~ € ,y Nov. 2'~,~'~~73 n. BAIItD FUN~iAI. FiCi~,901 N. 7 St., Ft. Piex+ce, Flari,da 33450 - r. s. silZ -s~ • -s+r~un~ a ww noru... a...ly~o ~?ove*~t~r 29, 1973 e t - - - ' 1?NC REO RDE~ . , b: - - 1 hwby o~rtify Mb ro b~ e trw and cor~~ct oopy af th~ Locs? i#. UWf COUN~ f~ ' Rpistr~rs reoord on fik in th~ St. 1uck Goun~y H~slth MQsrt- ~OCf{~ POIT~~S " ' m~+t ~t Fbrt Pi~rte. Floride. CtERK Ct;CUIt COURT ~~!~~+i I~r , d~0 ?4., ~0 VERIFIEO ~ . . ~ - ra.,a . , . (War~ing: Not vMid unless raised tieal of th~ St. Luci~ ltEC4 Gounry Hqalth Oepanment is sffix~d.) ' "r- ~ ' : p~c 3 ~0 5~ I~ _ - . ' . . = r N. o. M~«~. o. 269~ , . ; : . . . Y: : _ ; Iffi Offiqr ds LiDU) R isttK d~id i~ ~ ~r , /-.2ci_~73 .~~,1 ia~ ..Y ~ dC• . ~S ~ ~ / ' I~` ~•~~~.i.~~~.• ' . ~ D~Q1Ay LOCAI R~OiSt~K . _ . r F R ~i32~ ~DJII ~r~••~