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HomeMy WebLinkAbout2830 t l / . ~ - ' _ ~ - - ---'-----~-~---t 2~a~4~ ~ CERTIFlCATE OF DEATH ~r1~tAt ~1 tln~l< ~wd Rc~bilil~~i~e Cenke~ eTA7t FIL~ NO. ,w•~+~~uA~,~~ FLOAIDA TI?f, OR ?tlNT ~N ~~~~~R~m~ PFGItTNAR•• HO. S~ ~ ~llMAFNNt INK OKEASED-NM~f ~~~v .~oau ~•sv s(X . DAtf Oi OEwM ~•orrw, e••, seui ~,a~,~ ~ Richard ::o ~:a:~iZton ,:~~ale ,October 13, 1573 ~ RACE Yr~Yn, Mf6lO. ~W~K~M ~uouw, •GE-.•tr ~.u~ ,'u..oea r oas ; D~TE OF NttM ~ro.nw. W.~. COUWiY Of DE11M lK. ~ WCV~ 1 ! M~MD~~ ~~1~~1~FV r01. ~ W~S +OU~1 ~M. ~ Il~~ 1 ~ White i~ v7 ti, i~~'ov ~11905 St. Lucie CifY, IOYVN. Ot lOCw1rON Of DEATM i~~sroi c~n .~.,n .~OS?+T~i OR Oi„f~ M.Stit~i~pN-?r ~w .io~ .r ~~+~e~, cm atr~..w wwi~ ~ 6602 k o. »o; h Ft. Pierce Ycs :'t„ :~ierce ~:a~orial Y.ospital SiAIE Of ~IiM ~~r No~ ~ v.s w.r~ UT~ZEN Of weuT CUUr+iRV wuit~EO. n:EvE~ w~1vED. SIMriV~aG ~r ww. o~ au~eew wra ~ tpwin. i i W;ppwED DiYORC(0 ~ fm+r ~ ,,,,,,,1p1e„K, , Vir~i.nia ~ IiSA - aYri~~c: „ :taryaret ?•1acIntyre ..u.k. - - ~m~. r~tew SOCW SECYRI111 NUwEI USti~l OCCUI~:+av ~ .wo o. .w. oo»~ ow~.w ~.o.~ w• cwo oE wswESS o~ wousnr oeew+i? w / .w~w ~w~. ~ve.. a.~.eo , i ~..innmo».c~.. i: GENa~crl~pG~f :~ishez:~:<~^ is NWlK! Mb~! r4N C~n ~r~rt~ SfREEi AND I1ES~OENCE-STATE COUNtt Unl, TOwN, Of ?OCAiiON ~ ~S?Nw ~tf W MO ,wFlorida ,HSt.L ~cie to Pierce ~~~Yes ,.,.lOE3 N. 24th St. fA~MER-NAME ~~pt rWO~! uf~ MOTMF~-MAIDfN H~ME ~M3~ r/Ot! ult Sa.auel :-!a:iiltu_^. Carrie Jester ~M~WW~NT-n~E ~u4wG wOL~tf55 ~s.un o~ ~.r.e. .w., cm w wrn.. sr•w. tr~ Mrs ~iargaret :iz~i lton IO~ e 24tn St .:'t . Pierce, Flozida ofwtn w~s uus[o tr: cnrt~ a~.ir a+c e.uu ~c~ u+t ~ae loL (~l. ~ro I q ~ atiruM a.wT ~r ~e.m N. ~.rw c~vu , ~~..'G 1Z. ( ~ 1. . . . .x . . COMNf10Mf, N 4M~ ' ~ ~t wr~tw O~v~ ~H! q ~1 ~ . Ir~~p~t~ C~Vf~ NI, • Y {ftflMO fMf YMIfF M~ p• q~~ ~ C~~~~ ~ - • - lfINO ~~Yl! lJl1 ~ / j '7. 1 L 7 ?Yi OtNEt SK~~fKwNt C ca.a cawesvr..a w oa.~ ~ uun~ w ane~ ru~ ~~y ~ rf S vt~e s~rmros eoM- ' , wp/ YN~l~ ~M MTt~«w0 UYM M ~t~t~l ' IA Ip , yw~M~ 1 ~CWEn . A ~.o.rw. r+, ie•~ ~ NOIIR MpW IH1UtY OCCUt~ED ~ euro wMe p ~wrn ~N wr . o~ rur n, wu. ~ ?qYlUOEo O! U!QlitW11if0 ~ 7A Ik. M. 7Y ~ ~Nlt![~ Ai WORR MACE Oi NKIR11.~ wor. r•~... srun. ~.aon. ~OtwT10H ~ sn~n o~ ~.r.s. wo-. cm o~ W+n. s+~a ~ ~ wan ns w..o ~ ow~ ~eo.. ~+c. ~ sncrr ~ ~ 7w !M. ~ CERIf1U11O1d- ~M M1 tfY rp~w~ M~ ~!Y ur Wt Y w/ ~ Ywt O~a 1 M/ w0 M OEATM OCCVtR[D at Ip /u[!. OM w! IMTSK~AN: rO~~1M qY ~OY~ ~M. IMOV~1 O~q. 6MO.101~! M!1 1 lfllMOlO hN t~ ~~'Q ~ W rf {~IQrt/pQ~. oy~ ~ . tl~ wce.ses ~w+ 'tl? `y'~YL \T~+~'V`~ ~k ' ~ ~ t1~. tN. ~ . M~ ~o wN ewseu~ su.ns. . CftiR~CAiqN-r+~EWUI E7IAMYrE! OR CORO?~fR: o.+ nw ~.s~s p rwi uow w a.s nu w.n .n norow.cee ~w j eu.wna. w wa ww ..eiw ne ~na~w.w.. w. a..a.., rw~w w~ +w wov~ ~ i[~s OC[MKV Or~ M M4 wM MR p M GYSfU~ f~~RO. . u n. M. rn M. ' ~ CE~iK4~~-NANE ~me w re..n S~G?+A1UtE 1 ! nne A yIrw+~ n.•, •w~ ( David ~i. Bleech ::.D. _ , C~"~.~ IU/t~1~'?~/ ' Mw4MG ADORESS-CffiMLf stat. wl...o. ..o. tm w~ u.R- :o - i Vir~,tr.ia Ave. Ft. Pierce Florida •W1A1. CREMAi10N. EMOr/LL flMfTfRY Ot C~f/NA70[Y-NAJNf lOUT10N an o~ iovm auh ~ . ! ~VK~~ ~ ,M I3vrial Ft. Pierce Ce:aetery ,,.Ft. Pierce Florida ! GATE ~rw~w. w~, iw~ RINERAI MO/ME-NAME AMD ADORESS ~ sn~n o~ ~ r.~. ..o., tm w tovu, fi~n, tw ~ ` C~ t 15 1573 ,,.Yates Funeral Hore Inc. PO Box 777 Ft. Pierce Florida v. 5. t612 fu+E KT ~j~jyn rfc,~ -S+G+urutF w*t ac[rveo iow ~ce~srua ' a.v.197o ~ .7~ , ` 973 1 hsroby c~s~tNy thls to b~ e frw snd oorrK7 aopy af ths 14c,~1 fILEO AH~ R~C,ORDE~ Reqisttars r~d on fil~ fA fh~ St. Luct~ County H~nlfh Ospar~ ST. LUCiE C0R1MZlf FLA. ' `t~ tnsnt et Fort Peea~. Flodda. r- , ~ ~ aC.,t~ f ~,TRAS L (Warning: Not vaJid ur?lu: rsised seal of the St. Lucl~ CLERK C~"t~ Utt COURT I d~ u~: -.Y County ~Neshh OeparimeM is affixed.) RECOR? ~ER 1E0 ;~j "~y;, f-= DEC IO 53 AM'73 ~ ' - - ` ~ . x _ -s _ N. MILIER, M D. ~ • _ _ ; . ~ • Health Off~cer d~ l 1 Registrar ; . ~ d,~~, '~~Ct~:.;-s`~r . . ` /D - l p- ~ 3 ' ~ ° _ 1 ~~o i;:~~'-~ - _ - ~ 2~~~43 %n ~ . Dr1r OsptAy tocsl Reaint~~? 4 1 BOkK G~~ FAGE ~U2~