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HomeMy WebLinkAbout1606 ~ 2'71961 . . . . . . CERTI~ICATE OF DEATH , . . e ~ . . . . ~ i , i~ .~n..h.. 4..i.n f7ATf FIL[ NO. . . ~ FLOAIDA ?t.w~ :..,r._ n.~ ~ - - - - - - REGIiTNAR•S NO. SEI 1{MuiUOI 16~ . • ~ ~ ~ • • . . ~ ~+eete ~~s~ SEi DATE Of DEAM ~ rca~w, e.., .~.e. '~'"1f0" , FI~1i3Ci:s L SIDNE : x ~a~ 1..... .~r...~... ...a~... •GF -i.u vw~~ ~.u~ wat ~ w OAfE O~ ~Ml?~ .rorm. w.~ COIMi11 Of OfAiH r~. . • ~~.rro.. nu~f~ ~OL wn wlf~MS rM. ' f White--L 73 ~ k +_Ilv, i~ 1V~'~i. pR IOCATIQN Qf pEATN wt0! t~ tr11f ~IQj~TA~ ~R O7ME~ NSTRIR - ~q ~ ~M lltM~. GM SIN~~ ~M •w~~.. ` SRCMt ~ff M MO Stuart___:_ es H Martin Memorial Hospital Sl~f( O~ ~MTH .n wo~ r. n s~, w~w CITIIEN OF WNwT COtMiRY MA!lIED. 1'EYFR MARbED. StItY1HlX'i 51'OUSE ~w vq~. ont r~rot+ . coww.~ WIDOM~ED. , ~vrtn~ <<•~.~=r,.... , Ohio . U.S.A. marrie~ Rflbert Sidnell ,-nr r~a~a~r . . . . ~.•r .r t~~n. ~~l t~FtY M~ ~ VSVAI OCCU/A~~ON ~art tM W~+O~t OOM~ qMwO ~Oat M KM~ Of ~USMESS OR MOVSTRT ~~-1~ ~~,m....,.y.~~...~ „ ~ Housewife At Home .rr~s?~o« RESH~ENCE-SI~![ CWNIY CITY. tOWN.O! IOCAi10N iwsia c~ ~rm SfffEt ANO N'JMi(f-- ' IS~~LNI 1~1 a ~1~ „~'lorida St. Lucie 14 Port St. Lucie yes ,w 834 Festivo Court fA1{1E~ -NiM( nn~ roM( uf? MOTIEt-~t~kNN N4ME ~rs~ wo~t „ Char2es D. Little Lillian O. O'tTeil IHfpR~uNt-?~AMF MAlM1G ADGRESS ~sm~. o. e. ro. cm w w.», u•n. t»~ ~3450 Mr. Robert Sidnell 834 Festivo Court,Port St. Lucie , r• 1~. ?ARt 1. OfATH WAS CAUSED (ENiff OlKI ONE CAUSE ?Ef lRrt f0~ ~o~LpJ, A1~ ~t~~~ ~ iar~.~~.. ...c oe~n~ - - y.ra•n c•vst tT. Wc~E cOUNTr F~~. C ` ~ i i ROCEF. P0~ A . • • e • ~ { , • a~coRa v~a~f~fo ~ ~ 1`~ti .o I ~ti, . .;t ~...'s ~ ~~c• ~ rf - - i V`YOl~ ~ c . ~is~x~~:ea. ~ 2 as PM'''1 ~ ~~7~sTr~~ ~:...:~~,:,~t. uu ' t.'°:'~.. t Lcr~ G4~tr Pr ~ k. - e~:i :l '•I~~tI SY.~111N Alli t~~1~•.~~~,~ti' r ...C~nO.~t COMMIA~ , ~ . . . . . ' . . ' , , . ~w ro a~m ~en .qr e~utto ro c•vse ~...n. ~ r.n . mr ~ YfS ~f/~ ~~NOIMG~ CON- ~ ns w.ro~ uo~uo w anrrwu.n [.vu M o. , 1~ : i' . . 1* No . : . , . . . . , . .r.ar ~ ~ rt~w~, ~eu~ HOIR ~NOW INRIRY OCCVifED ~ ~Mt~\ MANM d IM~V~• .n ~ n~ r.n nr ~ ! . . . . 7k M ~ 7M ~.~.:iC~~ .t: . . , . . r.1~4fr. tKiMt, " ~ . . , . . . . IOCAt10H , snn. e• . ~ e ..o . cm o~ ~o,..., s..n ~ i ^ ~ C4R11lI( RIKL! . ~ rpNM 01~ , ~t~~ t/p Ylt yti ww:w(! ~tM ON ~ pD/Dp w~pf tM~ MI D!A!M t~rf~f1~1!~ •t rr1 M~, I. ty~ ~.N [ •M<t!(~~N ~ V • 1Q rON~11 J~• ~t1~ ~001 1~T1~ q~M Iwwl~• 1.~•1 •.M. Ft 14 ~ILI :'~t~ ~ 71• C~•~~'.~n•~ . ~ a l ~-1 L ,t n• ,~~hr110r.1.D•/f 171? ~L' iL~ 7i~ ~~l ~ Y ~ jl• tIY : Y ~ .n •.r .~v.s~ i~~•th ~:C1NK_~ttCW u~„r~t fl•.•.una t•c rCK~,.~EV o-. r.! Vs~i M t.~ wOV~ d ol~n~ . rwf otctve.n ~~4 ?~.cs~+_w 01W it~rw .rr. ~u ~'-~c. . . . Wn~O'+. ~ O~r rN1 o~.w ~,ct•:ne~, i.. r.~~ ~r.» -.H ~ rn i . 77~ ~ M~m~ _~L M CfRtii~[~,.~_r uf , - - ---~~-K,+aAi~ / ~~et a~ rm~ ---~'O~TE S~u:t:. . ~ ' ~POrne h. Turnfa i 1, M. D. i„ ~ r~_tc~c- 4?kDe.c t~ , l. ~ 7 3 w~~lleir ~n~~~t :~c a i:rer: y.n~~ o¦ o..o. n c~ q.,. Sun . J~~ 218 East Osceol St 3 3.1~~~___, ~~,eiaL ! R4we~1N ~N •i ~•nt Ir Iu1t1 v~~ ~iA CtfMlAiO~Y-N~'ME lOCA1~ON C~n d M.v a. i ~temoval ,~uri ~l ' t~Thite_ Haven_~emete ~k - Cleveland, _ _ ot~ic~ ~ ~ `Z'~ =i~ : ~ s ir , ' ~ ur~~ v~l ~~OMf -N~Mf AND ~M1RE55 ~ srnn o~ e. ..o . cm w ~or... s~•n. rn ~ ~ - - - - .~1?nc.?.?,1973 R.J.Kraeer 200 No.Fed.H . Po ano Beach F1a.33062 ` f Y• /A 1 i tlan ~ r.i~ -~.u r:wnrl ~ REGI~)A~R-SK.y~,~IME O~TE ~/tCHvlO t1 10C~t ~tr.r.n•+ i N•v. 1'~7~; ;c. ~~.~Ad ~ ~i7A+Y ~ ~ll~/~1~f~ J ?N /~i ~ t+: . l.l ~ e l ~ iif~' J~: ; j=-~///~~~ . i' 1 hsroby tertify fhb to be • tnis and ooned oopr of the l~k-~, ~;j~; Registrar's record on fii~ in ths MeNin County Hoalth C~~~•:,~~• ~ . ~ ~j. = msnt st Stuert, Florida. ~ . r " k • ; (Warning; Not valid unless raised seal of the M~rtin t : r,~• j?~1 L ~ Counfy Health [kpartment is affixed.) . : - ~ y - ~G r: ' ~ ~ - N. D. MIUER, AA. D. _ ~ : . : s' ` ~ : ~ . _ . ~ Go~mty Hsahh Officer ~ Local ftQ_• z p~ ' • . • - . ; ;'t~i~ . ~ : ~ a w' - . ~ ? r''. :3`a. ~ -+'1 ,t~. • '~~,~/~~~it f, ~ ~ p~ O~p~Ay ~ood R~piqtat i B~~K ~22 F~~f~so~ . ~ ~ ~ _ _ _ M a _ ~ ~..~'I . , , ~ - ~