Loading...
HomeMy WebLinkAbout1538 RK ~i:.tul WRt ~1~~ i ~7 ' ~E~~~O yEMif~tO..~•~+~ ~ ~bs8~.2 ~ ~z3 p~ g 1~ u . RE : Lot 23, Block 283 of Port St. Lucie, Section 1, a ~b,~&~~ Subdivision according to the Plat thereof, recorded in Plat Book 11, page 53 of the Public Records of St. Lucie County, Florida. . - ~-1 6 7 7 7 E$ 02.00 ~s CERTIFIED COPY Of A DEATH RECORD ~ r Fil ~N WlTH iY.°EK'R!IER OR tEGibtE ?RfNTINC- STATE OF IlLIN015 s'^T' "~E , NU??IF~ ~FG'ST~A•~:pN ~ ~F ~."t~[O ECE~EN's v MEDICAL CERTIFICATE OF DEATH T^ ~4u~*~ Ho c+s~r,c* No 16.42+ ~~.;~ee. _ 194--- _ L _ j ~ D~ACE OG ;,icA'.. _ _ - JSU/1l RES~DENCE •w+~~• arw.~a ~e •e,d~^:~ cr~,~ ~j., S[~1f ~^.uti'• i, i(ATE ,e COUr'.~ odr..~ an i { tLLiNO1S ! ~~i$~ B~=~~ __...---1----- i~ . ~ INS~n[ . r. ,~.;,o,arr_ ~o.- r- ~NS~DE <~oo.c~e' +i c,~+ occ o. r~co.w•n~ea'c., i ` Union Pi~r . ~ ~ ~ . . . . _ . 1 ~T„~ ~ OUTSiDE r~rDO•ore . ~.~-_-----r-~~.~~•.. eFSiDEH-E ..d ~ OV S7i :o~:o~c'~~1 •ON~~O - ~ oo~,e. I ~r j: ' 7o.-s~ o-orre ~'q i Ra-o O i.. ~r No ~ 7 Vls - Rs~ D v~ ~ S ?.~i - - ~ ~ r~ . .a~~.1f ~F NQSr~T/1i 7R ~:~:j' . . tQ :f•.. P=$kh[YC~ A'JDR~S) 'S^«• ~~o P ~ . Vetaraaa Adm. Ninas I11. ~_0-0-12 " ----1--- - t . - - Baoc 91 ~ . _ • ..>c ~ . . , ~ . S . c ~ - ~ ~p ~ . - - ~ - - - - ' : c ~ece.'e^• •~+,de :;v ~ ~~~u •f5 ~ j "i~~ ~ ~ - - ~ ' . i ~:AME e ~ tc. - - ~ - M.^_,:"c-- - ,-~~g*-----T~-~^,~ - ..r'.v`•. . G~-. ~.~~.~i I ' A - ' `f pg~ BSxEGBR ! E" 1 1964 _ _ ' . _ - " _ __J " ~ ,~~r- ~ ~~~v.-~ .:~Y=R M,~KR.~[ ~ ~,+?c ~;t a~R?H ~`f ,,~o.~T -a..• eo-T-~ae~7~!.~s 5 ~ . . ~ ~ ~ ~ ro...~ ~ oa.• ~ .ov~• r~r ~ Mala Whita , r~ - ~ ~~~~~c~c ~ 2-22-1898 ~.'6S - - _e :.•S'J~: ~CC C,~'.~,r~ -t ,G K+`.~0~9VS;NESS'?RitiDUS'GY RIQTH~iH!:E , ~ ; ~ g o_. ~ _ ';.r.ce.o..h.,. ' + ~ ~ Tool gtind~r - - ~ - Unl~v~ ~ Yv~oslavia _ - - - f~TNER 5 FU, L • MOTHER 5 W ll - i' y,~M~ M~iDEN NnnaE John Bsracak (dac.) __Barban B~ntor ~c.) ~4 :Yn: ^.ectoseo .e• - S ~ ~ ' rt~ SCC~~_ SFCUR+Tr ~~~.tC.`RMAhI „ - ` c> . . ; ~u~rt a s~c ~~ruREP't1~R A. JBtiI'IINGS, t~isf, R~$.Div. . ~ ' _ , - - Ysa WoYld War I i 321-OS-2S62 ~CDRESS c REUT~pNSHiF TO ; t~ ~s ~a~~:c~~ c u E HiASS. I11. ~I-3-7200~H _s~'~~Egctoos+d• i . oAit ~ ~~FA'ti w•IS ~AUifC~ E~ iE~rr c, c+t• ^e'. 1{ o+O i F-- . _ ~ - ' ~ ~ •NTEtvAt ~fTM~EfN j ;j t,M::'~'c _~l;ic ONSQ! N_~1 0_!JEATM ~ Acuta ayocardial infarctio~. i unawwa ~ ~~-a,~ o-r ~ ! _ . k . qr.~ . r . ~ ~ ~.~~;~.<<MwEC'~Tf Art~rioaclsrotic h~art dissa~~. , _ ~Al;$F 'Ai s•o''.' i ~ .r.e ~_~NC:Q~`."t:G ' ce_tie es+ ~~b~P' ~.i.iFf S:M'F"~A~i~'~~`9D'T~`~~~5 :.ON'1.~~/TIN'o T D I1TH WT O' E' O C T'1E •E~L/: N ON 0 AUTOP51'~ f • Mataatatic carc~noaa o~ r~i~~U~~~ ~n~a~a ~ ~ - - Adenocarcinoea of_~tooach. - _ o.,~ o. o.~...,,,. .~..T. •.o,..s. o........ , ~ : I rE NO - - - - - -1- - - ----i - ~ ~ NOTE: If •n ~n~ury ws +n.ol•~d in this d~~th, t6• Coron~r must b~ noti4i~d. i: Zl. 1 heret~:rn:~~ rnor l orrendeJ t'e deceased G~rn 3 . 19 to p~• iS , 19 ~ , rAo~ I losf sow ~.1e dtceosed oln~ o., F~b. 1 S_. ~~64 . o~e dze~, «~~,.~d a~ 6: 4S a. M.. ?.o~ rne co~~K o~d ~ ~f. do« ~~w.e ax.. s v~~-~c- ~ FLOYD E. WB~RNEB ,f r 35804 .,~?t 15-64 ~ Hina• I11. c;.~~~~;t FI-3-7200 nG;: o: > ~ ~7----~c,~. - ~ a`,~-A - - - - - Z•i$-E~i 'f. i~vER^: D~RECTGR ~ . ~~oE ? JoaaPh Panrl~lc~ Jr.. . - R . Resurrsction + 4039 Joli~t Avs. _.~~«-.e ~ , Justics. Ill. ; L~oua, I11. N~Tte. . . 3933 ~ ` ' _ ~ - - - i-- - - - p.~ ~ _ - ~ . . . ' ~1 a~ _ . . ~ , c y % r- - ~ Pabruaryl7, 1964 FRHD J. RosE Fors~c ~u~Cy~ - ~ISTRAR ~ _ - - ~ - - - ~ i ~ 1 fiF,'RF./i) ('ERTIF')' THAT the ln~enoing i4 n tn.~ and corrett copy nf th. dtatk setord fvr f~? ~_d~~e'~ld'eltl'w4mt~~af itewt J nr~d thnt !hi~ ntord u•as txtnbliei~rd nn~ hlFd in my o~i~~ i~ ~~~?rdnnce utith fh? prpriaioni R% i~ler Jil~ti~ia •tat~Rt t~la[iftg to :~-5 :1 ~ < : ; rh~ ~~g::tr~rtinn o/ hirth~, Qtillbi~th~t on~ d~afliR. i, • r : ~ .sl . ' 'S - - . -5 ^i : - '-~r ' . naTE - - - - - - _ S1GyED---------~ %~:i ~ r.~ ' •°~~r~-T ~ _ : y . . Forest Park Loca~ "A~$fitru ~~~i?1"Ststistic~ ~T - - _ illinois.. OFFICIAL TITLE__. .,._fi.~;.-, - --jc--- - • , ~ - ~ ~ • 1~ r ~ ~~Ib~ aad loeal ~f .hr ::~.ai :e~ :rd .,r tn•. 4eac%+ perm~^antl> fiied ~ilh tht ILI.iA101S (~EPAR?MENT OF FUBI.IC HLALTI!'st e •tK~-• ••r• a•.ti~..n:~! t., m.~?e ~r•~4i suon. from royit~ of tAe oriRind rsc,..d TAe iU~noi. ~taWUS Dro~id! that tllf c~~t ~Rw~ K 1KON ~.~_.a~tr-.~ • P.,:.~~~ H.* ••r. ~.~r nr,.cn~ u: tn. -.,•.int~ rlerk sShc b. vnm• fui• .~~ideaee in •11 eoutL ~hd t~l' tru~' tLN« ~.1 S'fs! ~ ~ . ~t~~ .str -c , . :.,:-wf•,* r_ s~ _ •c,: t•+ . ~ P?1wW ~ 1~1nt~Mk3' ~[=YI~ ~M d dN~i ~ . . . : '~t~ _ Y':Y Y41i.L~S, BITTAN ~ WILLES u: ~ ; P. o. ~ox soo O R A~~ FOIIT PIEiIC[. FLORIDA ii400 G-~ so~~ 221 fa~t 1 _ -