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HomeMy WebLinkAbout2287 . y - --t_.:._.._......~_~__ ~ _ 2"7~~`7~, CERTIFICATE OF DEATH ~ (arpr~~ew1 ~ Ile~it~ url ReL~bIN1~N~e $n~ite~ fTAT[ FIL! NO. . on~an or rsun~ F L O R I D A ' tr~E, o~ rdnr ~N •'~•••0••••••,""• eca~sTwwn•s No. 6S5 ~ NIMAWNi INt ~A~_?+~ r+s~ .y~u uu SfX OA/E Oi OEA/N ~•oMtw, ~~r, ~t~u ~ SEE N11r100[ iM t' IIi;L~~` FL~S4: ;P ^ r.:'cmale ,^tovember 22 1973 i [ACE ~rw. Mtow. urbcur ww++. AGE-ust wr~~ ~~u~ wet~ ~ Mr OATE Of MliX ~rO~rw. w~. COUN111 Of OfAi11 ~ ~ . "~`~~'~lhite ~4•W~~,~~". ~ Jan.26 1899 Saint Luci.e ~ CT1, iOwN. OR t OEw .•sr~ cn iwws Npi?rtAl OR 0111H1 NS - ~r .o~ w eme~, owe s+~en .+o .wrw~ ~ ~i bfit~2 sncv. ~u a .w , Foxt Pierce .'es H D^ i'ort Pierce ~iemor3.a1 Iios ital STA1E OF N~M ~ r ro~ w~., wr~ Ot1i8~ Of Mnui COIMf~Y MAttlEO, l~vE~ MAtbED, SII~YNlKr S/OUSE ~ r riw, eae r~~w w~e ~ coMw~ ~ wDOM~ED~ 01V'O~CEO ~ fntn ~ , tVest Vir ini US~ w :;~dowed .n.~ .K,.~.. socw ucwm ?~I,M~Et uwAl oca,rwi~oN , u... w nw. .o.. wwo .wa o. ~uw a MlS.+[u o. MDUSmr I~M. • M~f ~OarO uN. e~re.. r ~iws ~ ~M~ „261-7R-7684 ,y. Tc~crer ~s Educ~ ' on ~fMMK! Mqr ' ~ES~DENCE-SIAfE COIINII Qry. iOWM. O! IOCAl10N M~re Cn tv~ SiREff AMO fNlM~ft ~ wcv. .a w w ,y Florida St. Lucie Foxt Pierce Yes ,M50~ So. 15th Street iwiME~-w~wE ~tif+ .~eae uu wOTMER-MY7EN NAMf riw .~ew~ ut~ ~s Glanville 5. rlesher Bessie Pa~me IM~ORMANT-Mi{M~ MAIWG ADO~ESS IfAff~ M~.~!- 110.. M O~ qrr. F~R. irl I'h ~llis C. t~lt~itehesd ~n5005 :~:onet Ave. Orlanda ; 1 32s309 , ?~tr awm wns twsto ar: ~c++rt aar aa[ uvsE rcR ie~ rw N~ ~si ~ro fA) , wnru« aw~ w.~ w.s N. _ ~ ' 1~1 ~ . ` corsmoMS, ~r •rr, ~wKM Owtt ntt ro It~ ~rr~M~if CU11ft M. ~ p. p y~~~~~~ p: . 1/411M0 t~l! •M~lF IHMf C~Yft 4{f ~C~ ~~RT OiMER SI6N~f~CANT COHO~110NS: co.~ows cawar.u~w p wa w~ .w~ nuna w u.we a~n+ w. rur r w If YES rt~e ~INNMOS C01F . „e~ o~ w~ r~~w n. anwrws ~.wu p NNM IA, p H~ pOy Ot 11NDEiEWw~ED A ~.onrw. n~~ ~ MOW IqA1Rt OCCUR~ED ~ ewR~ w~tu~e p nuon n~ ~.n ~ w r~n w. ~e. u ~ ~ }N ~71t. M. 7M. n+lUa~ ~i wdK RKE Of aNtr u.o.+. •.u. i.~en. r.no~r. lOCwtlOw ~ seen o~ v.~. uo.. nn o~ w.~., u.ue i ~ wan ns w uo ~ ow~a rw., ex. ~ wc+* ~ 7M. tM. ~ CElTIf1GT10N- +aaw w• nu .ww w~ •w aw wr s.~ ~w~e une w~~+/as w~r ~r ol~n~ ottuu[p wn n~ct, w iwt - r11~S1uuJ_ TO w.m w• ~e~u w~~ un .r_ ~wo~~r ~.R. ue. w Me ~est n. ~~;:u 6-19-61 :u 9-17 -7 3 ~ 9-17 -7 3 rw. M. ; ~ w..;. ~ CE~IGLIOM-MEDKAI faAMR~a OA CO~ONER: Ow h~[ M3~f O~ Mf wO~M O~ w~ MC;~Hw r~i Y ~ ~ lWM~nOM p M WO~ ~M/W 1A M~11f16~Lpw. IM nt 0~~~~. /~OM~w M? ?!Y MOV~ N~M pOpltll~ OM M M7! ~M M 10 *t 4~01 f~~ryO. tb M. CE[iK1.'R-NAMf mre o~ Nrn eeeM AtE Ol n~. w~.~uu~ tL D 37~ ~ ~ t~ir~~AR~s~r~~ 7th Street s,4/* ~ Ort 1@Y'G6 ~ r da . 33~~J~ iil41tt. CREMAiIOH. lfMOYAi EIIR OR C~E~wAtOR7--NAME IOCAi10M an o~ ~o..~ wn ~ fHC~/ ~ Burial ~lil].cxest i".eM. ~arden Fort Pierce Florida OATE ~ p~~, ry?NElAt MOME-NM~E ANO ~ snter q~.~.~. w to+M, aian ~ . ~ , t;ov.`~"S, ~73 „~Yates Funera~`~~me, Box ~7~, :'t. ~ierce, ~1 33450 v. 5.;612 ftR~+E!/?l e-.yGar~iWE ~ eneo .r iocu ~to~srw p.v.197o ,A • y~1'b'l~t~' ~ rw r ,or,. „ A q7~ fIlEO ANO ~ECOROED . I heneby artify thb to b~ e hw ~~d eornct ST. ZUC~E COUNTtr FIA. yV' ~PY ~ ~ R4GEP POiTRAS Rep(strs~s noord on filt (n tM St. Lud~ County H~ehh D~pwt- CIERK CinCU1T COURT 1„~ mMt et Forf Pierq. FlOtld~. R~C~RC vE°`.r~r~..._...__-~Ur . ~ • , . (YVernirp: Not valid untesc rstted seal of the St. luc(~ f • • County Health Department is affix~d.) ~All 3Z A~ - 2'7~4'79 ~ ~ ~ N. D. MIItER, AA. . - : r`~ ry Health OFficer b Registrar ' ~'...r.., ~ f~ ; . a'~ UsptAY Lot~l Reaian,~r ' ~ ' , sao~2~2 ~u~~8~ ti'V\ Pc~ ~ c c.~~ _ y~c.~ ~ ~ S - _ l ~ - ~ - - _ _ ~ ~ - _ _ r -