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HomeMy WebLinkAbout1812 ~ : ~ 3~ _ 2'~.~-0$~-:~ _ _ ~ ~ ~ . ~ CERTIFICATE~ OF DEATH ~ on~on or ~.u.~ - , ~ 1~~ ~ F L O 8 I D A RAT[ FIL[ M0. Trrl, W~tlNT IN ~~~'~~O R[GItT11A11•! NO_ 43~] NfMAKMT INK t S M~IM! ~N rrst r+~~ uu ~x aw~ a awn~ 1~OM)w, N~, s~y ~ Elizabeth Jacoby Smith ,Female , August 9, 1573 . RACE .r.w. Meow. w+tutu~ w~r. AGE-uu wee~ ~ n~~ ~w[~ ~ w~ DA1E Of NtIM ~ ro.w~, COIINTf Oi DEAiN ! U1t1~tA M~ oOf. "O1~s :~'rch 28,188 St• L.L1C1@ ' f~ A. k. la . 6602 . TO~MM. l TI rs~w cn ur~a /4 Ot 0111ER NSi - ~w ~a w enie~, aw t~w+ u~ .Mrs i snc.. .es w Mo n Ft. Pierce h Yes Ft. Pierce Memorial liospital ~ StATE Of MM ~r rof w~ r~w OF W1tAi C01At~RY MA~l~ED. WEYE! MAt~IED. SIJRYI?~NLi SKJIISE ~r rre. wn ~rw wur ~ ~ 1MC~n ~ • Connecticut USA „1D~°t~~r ~ None uw~. r N.~M SOC1Al SEGJRII~ MII~iE~ t1iUAl OCCIIIATION f 6~M cM p rOr eO~K ~Mr~O r0 W W KMID Oi M75fJESS O~ lOIlSitr occwa~.~ ~wc+~o uw. e~nw r µ ~ 267-98-1O01T Housewi~ esaencE-srw~ cou+rr cm. ioww. o~ ~ocwnor+ c...... sn~r Florida St. Lucie Ft. Pierce """1V~°'"° 5101 Oleander Ave. 1~ I~. lh. IN. IM iAT1[~-NAME rNU rw~ uu MO~-MADEN N,u~E srl~ a~N~ w~ „ Gustav Jacoby Henrietta :C~cetschmar IN~O~MAlR-NAME MAING M011tSS unen a~.~i. .w., cs. w+o+«. u.w. tr~ . Mrs B. I. Brinson ~n 715 Quincy Ave. Ft. Pierce~ FIa. . ?~T oEwm wws GuSEO ~r' ~E?rr[~ a+ir a+[ uusE r[~ ~r+[ roe hl A? ~uo kA wn...w o u. u..~.m u ~ NI . w ~ i corMOOMS. ~r •~nr, r»/~M o~tf uf~ p A) ~ ~rrlM~1! C~Yi~ ~Y. M ~O. O~ CWf10NMCf W: ~ . ~1~~IM~ tw~ rM~tF F \rNti C~Yf~ U1/ ' . ~AtT ¦ T11Ee IC~NT CQ~+D~TqNS:, co.~wn~p ca.e ~~rr a a M.w w~ .a~ .ww~ w u~na •.rr ~.s~ AUiOKY Y ~ES r.~~e nra~os car ` \ ~ ~~es a..o~ s~w~~ w anur«ro cww Or ~ewta IA. N~ ~y~ OR IM[Ttf~111R0 ~~w~w, rr, rtu ~ npw ~wu~r occun o~ e.ae~ w~ w wwn w?u~ ~ p?~n a. ~er U ~ IA 1M. M. !Y . IN1Ul~ AT WOUC ltACE Of Nl11tr .or. .u., s~nn. ~~c+w.. lOCw1~OM ~ snet~ w a.r.~. w., an w rovw. u•w ~ ' ~ wwn ws a.a ~ owt~ wa., ac. ~ vecr. ~ ~ fM ~A CER~/KA~KJfi- rOMM M~ ffY ~OwM M1 ~W 4ry uf~ fnr~!/rN 4n! Oi+ ~ M•"-r~ M 0lAM OCC11U~~ M~utf. O» M ?»tiKUw: TO ro.~+. nu wN urt~ ww~. ~~ow~ j/~~u~, w. +o ~e Mu ..ne..e.~ r.r _ ~ , _ 73 'a - - 3 . . ~r O~ r7 srO~nl~Of. NM !N NG~f~~ ~~0+ 1H ZN ~ Al ~O M 4YflLL~ 3Y~f~_ ! ' EsAMi1ER OR t: o.. n~ wn a wr wow w a.w een«.n ..s wo~o~w~cw ew i a~..u w~t ww ..~/w w.nnsna.ra.. .n o~~wa.. ..o~+~w w. nu row N~wl OGCYMb O» M Mlt w0 MR b Mt 41IJ11f1 ft~R~. i K j~ K ~ C~RINit~-MMwE mw o~ rwn S~Gt+AiUtE eeca~ w~u_ _ ~.anr, r~, n.u ; Rcassell L. Counts !?:D ~ ~ ~ ; 1209 De~aware Ave. , : ~~A°0~~-OFf~"` Ft. e~"r"ce F1 rida 3450 ClEw?ilOr+, qEMOvn? Eltr Ot UEM~TWrr-NNwE tOCw1~ON cm a~ a.w .un Buxial ,NHillcrest Mem. Gards.,~Ft. Pierce, Florida urD ~ s~an ~.r_~. Mo., ww. a ~ W Aug 14";"''~'~'~' - ~at"e -~unera~"~:ome, °Ync. ~°'~ox "1~"J Ft. Pi.erce, Fla. ~ r. s. ~614 f ~cas -sic~un,eE uce~ ~r ww noan~a ; br.197o / x, tw 4 973 ; fIlEO ~ND RECORO~Eo ; 57. WC~E COUNTY lA. ~ ; 1 hKrby pAify fhls ~o b~ a tn~ ~nd aorncf oopy of tfis Loal ROCfR POItRAS Rpktrara noord on fiN tA th~ St. Lud~ Cou~?~? llNhh O~pr* CIERK C~kCU1T COUaT m~nt at Fort PiKa~, Fiorld~. RECOitO VEa~FIEO ` (Wuni~q: Not valid unt~st ratt~d seal of ths St. Luct~ t... ~ 2 14 PM ~'•t it • ~ 's Counq ~iealth Oepartment is affix~d.) ~R 9 ~ + •s ~ ~ . . ~ f- ~ . r ~ ~ ~ N. D. MIILER, M. ~r~~~Op : : . _ - U . ` ty Health Officer 6 I Rpittrar - £ ` : ~s ~,~'~1' - ; 73 ~ . - ~ a~ Cs~xAY L+ocd Reok++~r ~ ~ 1 ii ~~S _ . ~ , ' ~--~.,,w ~ f ~ € a~~c 222 p~c,f~8~. ~ - ~ - - _ - - - - _ - - - - t x~~ - ~ _ - , ~ -