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HomeMy WebLinkAbout2298 3 2~z49~; ~ ~ - _ - - - - _ - - - - . _ _ - _ _ ..v CERTIFICATE OF DEATH ~ D~t~eM d Ik.1~L ~w~ R~?11NN1~e Seedon RATt /IL[ N0. rnvwon ov ~sw~ni F L O R I D A' 7~ 5 T1IE. W ?dDR IN M~W~M? INK 1~t61iTI~A11•! HO. ~E YrWOI FN DECEASEO-NAME nn~ ~•u fEi DAiE Of DEwM ~.anr, ue, nu ~ ~ F'L0~^E DOliO~iY I~3.LY r F~ale , Decenber 12 1973 ~ U1C! +~e. .re~~o.••rrc~w wwr, wG[-un wa~ ~ au . wee¦ O~TE W Ntf11 ~ro.r. ~.r. GOYNflI Of OEwTM • nt. ~ wcn ~ w~~~ ~ n.t~ ~ wa ~?n .aws nu ~ . W}~,~ ~ . Jan. 1891 St. I~ucie 6~~2 • OM~M. IOUt~ON rq~n tw. .rn MO6NIM OR OThE~ ~aSirtUi - Ir ra w~ aw, w~e f~ ui wrrn~ . n: Ft. PierCe ,•.•~r• ,Yesw Ft. Pie.i+C@ MeilO~rial itdl . STAi! d MtIM ~ r¦Ot ~r ~.~.a., rur GT~iB+ p wNni COUMrit rWUEO. ~EVER w~RiOED. SYfvNHCs S1dlSE ~rw. un ~?rw~ wrr ~ ~.«..d ~ New Ya~k °°r"..' ~ USA N ~°~`~owe~`° ~..K.. Na~e ~nlM Ncf~~i~ SOCW SECVtl111 IUWE! YSt1Al OCCWwiION .OM aM a rMa ~Ory ~Mw~ rW~ p RiO Oi M/S!1[SS O~ RO11STlY ~ " 099-03-4343 ~ ~ M.: Hane Maker Own Fiar~e ~ ayot?Kt_srwa cOtw+rr Gttr, tOw?~ Ot ioGnp~ ~rn c.. ~w si~EEt Florida St LuCie Ft. Pierce w.~ • No ~w Rt. 4 Boac 395 • ~y fA1MEt~NA/~ ~~qt rM~~ aO MOTMEt-AMbEN NIME ~rM r~Ml Wt aC . A~gt ~Z 1~ CdT'OZ C7 @1' ~ n 1?MO~MIWt-li1W[ MA11NG ADO~ESS ~aMfr M~.I1_ w0., ter O~ ~0~. Y~R, ir/ ; Flarer~o~e I~e11y (Pre-arrangenent) ~n PaizYl Fu~~n3? Ih:r_ *~`t. Pi~rch L'ia. ` ?Aer l ..~.o.... .nn..,. E ~ .~AA1 WAf ~AY~~ n~ ~..r[~ owr or+E uusE rE~ iNt roa ML 1~1 ~?+o k)1 MM1~M O~Nt ~r~ M~AI f ~J•Ij ~ t•~ , ~ ~ ' ^ =OrMMU1. 11 ~w, ~J ' -rG+~ ~~~f I~~! p~ h~ ~ O V' ` • ~M~I~ C~11~~ M~. ` ~ ~t~tlM~ t11t rM~M M ~O. O~ Y• OIIlwtl O~: l~ t~~M YH j ki - t~uT ¦ OME~ il(i?enUwT CQNOrtq?tS~ cw~w.~ cor~+rr..o w w~r ~ wor ~run~ ro u.u etirr r wr . wr wYtOKt ~s ~ES n.H.o~ ca.- IA~ O~ ~01 YO~~f~ M N~tWwep W ~~~1~ IA. ~*!1 If~ ~ ~.o..s. r~, .w. wOw uUYI~ OCCWlEO ~ ~ww~ whr a .uw. ~.as . o~ r.w w. ~ ~ a woluuwo lw 7F M 7M tN~![T A.' M~O~K t.ACf Of N~IA1~ ~1 ~o+~. ~~M. l~n. ~~OO~r. \OCAi/ON ~~ti~I1 tw a~J. ~+0.~ [w~ O~ p~+. P~N ~ ' N ' ' ~NKIn ti~ M MO~ 0A1U M~O.,fK. ~WC~~ 7~1 7M 7~ CErtiKwnpa- .ow~ w .a.s~ w •w .r us. ~.r .~i.n ~.+e w.»/~s .o ~w ~.1 Ot~M OCCYWO sr ...c~. w wr IN~SKI~N: jO ~ ~O~M M~ AY W~1 ~IA I~OW 1 Mq. ~Np, q M MN .m~.a~ r.~ 7 ~f a ~..w~.rew. w~ 71~ MC~~f~o ~~er 9~~f ~ II?~ 71~ 1 6~ 3 t1~ /M M. to.wN Ws~M u.q~. . cE~nKwtio?+-+~[oKwt ta~ e coeor+t~: o-. s r... nw .«w w~.o.w.~ce• ~ WM~uW OI M~W'~ ~y/W ~~~YO~t4~. O~~OM. M~ ~lV /W~ 1f~s OK~sM~ O~ M MA u~ ~M q~1! U~1Y~L ~t~A• m CEti~~iE!-r+iwf mn w.w.n ~ ~w w.;.u w D.~o~ w• .w~ n.Dr. Melvin W ~r,. ~ i ~u~l Cf t 4~ s~rn w~... .~.o. c.~r w~ow. s*•n r ~~`~or~'~? 7th Street W~ul. C~MAi70N, ~fMOYAI FMETE~Y O[ CJErtAiOiY-N~wE ~OU an p~oww p•n - ~wc~~ :a ~t ,.?Hillcrest N.ecmrial Gdns. Ft. Piexoe Fl ' OATE ~.a~w. rr, w~ IVNEe~4 MWaE-~+iuwf uv0 w00+Ei5 ~~nu~ o~ .o.. cwr u ro~., sr~n. tu ~ ,,.Decapber 15 1 73 BAIRD ~ HCt~ 0 7 plerce. Florida 33450 v. f.1612 ~ tEGR7~4-srGra~lu~OE owit nce~va ~t wtw~ ~~gurua +t~~• 1170 :w 0 u~. ~c,°'rthc~±+ 1/ 1973 a ~ . _ _ 2'~249~ ~ - ftlEQ Ayc PECOROEO ST. LUCI; ;:J~NTY FLA. .~f kO~J: ~..J~TRAS' , j/1~ 1 hw~by orAify thi~ to b~ e tnN ~nd cornCt copy of 1Mf~ Lotel CtE'?~. C: ,Ci:i? ;,OURT Q w ` Rpi:trers reoord on file in th~ St. lutie Gou~~y 1i~aith D~peqf C C R'• : E F~=, C 0 D ~P~ ; lr1K~t ~t fOA Pi~.ce. Fb~tds. _ ~ : (yllerning: Not vMid ~nless raised seal of tM St. Luci~ i ~ 20 ~~~t~ - Counry Hes!~ti DepartmeM is affix~d.) ' ' ~ - : * N. D. MIIIER. AA. • tlvtth OFfic~r 3 Loa Rpistr~r ~ - . _ _ ~ ~ ~ 7 Q ' .,/T . . ' . p~~ D~pvty Lot~l R~oist.er ~ , _ , . B: FK. ' C. J~ ~ _ ~ - _ -