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Home My WebLink About0074 14 / 2'~3001, RE; Part of Lot 2, BEN HOGG'S SUBDIVISION in Section 28, Township 34 South, Range 40 East as per plat thereof on file in Plat Book 1 at page 19 of the Public records of St. Lucie County, Florida. CERTIFICATE OF DEATH Dep~Nwew1 Ik ~.i R~~bl~lbtl~e $errk'es RAT[ FILR NO. ~r~~.. . cx ~~ai.ni FLORIDA Ti~t. p! ?tINT IN ~'°~~~w~~° RE616TRAR'f NO. 18 Ilt1~MMT INK OKfASED-NAMt ~~~st r~ea1 t~a~ SEX OATI Of OfAM ~ rowrr, w~, ~~~a ~ '~.s~ R'U'I~i B. I~Wt~1.S : Feaale , Jan 14 1974 tACE .~wn. .eow...~• c~.~ wouw, AGE-uu ~~we~ ~~eu ~..oe~ ~ w~ OATE 01 ~i[iN iroNe~. wt. COIAIir Of DEATN 6CO~ ~tC. 1!?ltw~1 N\7M0~~1~l~~f1 rpy. yn M01M1 rM. RV~ ° ~ ~fiite 67 ~ k ~ Ma 25 CrtY. TO~. OR IOCATION OF DEAiN r.s~w cu. .res MOShiwl Ot OiHER ITUTION-?+M~E ~r uo~ x. nmt~, c1+e srrn ..o ~u.w~ ~ tn(ur ~el oa MO Ft. Pier~ Yes Ft. Pi,erce Merorial Hospital ST~TE Oi W1M ~ r~o~ w Y.l.~., M~r~ G11ZfN Oi w/L~i COtX+TR~ wtASMED. NEVER w~WED. StltviVNG SPOUSE ~ M+nw. ane .uee.. ww ~ uwu n~ee.~ce ~ N~iA1 JP.rSL'"y co~• U.~ q 1r13rr18Q D~ wcr~ ~ 11 r+.. j~jdWjC~IIS .rwu eeu.fee SOCut SECUnT? MNr~ER USUwI OCCWwi~O~+ ~ u.e ...e a wn oone wu.a roar a [wD Of WSNESS O~ wDIISTlY urN. v a.r OCC11~Y0 M rOtr10 uM, M~+ M qMtO ~ y~. ~M „ 142-10-4569 Hame Maker O~ai tlane awewce ~eron r.sw tm ~..ws SitEET M+0 NIW~ER ~~sw.~- RESWENCE-Sf~IE COUN7~I GTY, iOwN. O~ IOCJ?TtOr+ Flo~ida ,q St.Lucie ~ Ft. Pi,erce ~Noe• « ~w 3708 Ridgehaven ILoa~d iAiNEt-HAIMf •~~t ' rwae ul~ MOTMER-MADEH HAME trM ~iept w~ , IS. U~LI V• !1~ LXil1Yi . 1 WOtAUNi-riMeE ?~w5'r~C'i wDGtfSS ~amn w~.r.s. Mo., un a~o.n.. sr.n. t»~ Mexwyi~ E. Iiawkin.s ,n3708 Ridge.haven F~ti~ Ft. P3iex'oe~ Floriic]a 33450 ?AtT 1. p~M wwS CAUSED iY: ;EHiER Orrit/ O?~f UUSE rE~ le~E fOf APD ~ •hwau..n ~»:u+.r (a1. (6L ( N !Mf~'~fM OMf(7 ~MP M~AI . wwn uusa C~9RD/AG ~f~R1-`ST - . . ' =oroneors. u ~ws. ~~cw o.ve n~e ro J 1~1 - ; ..eo..rt c.vsi ~m, sue w. o~ .s ~ co+uoua.~n a: 1t~flw0 ~M! VMO~~- ~ ~ 1~~M6 t~Y3! 1~1t ~ i «~AR r-ilrc> «~kc ~c r r Oi.sEf F { f4 ?~~T ¦ OTME! SIGNi1~AH1 CO~'~O~TIOHS: COMa+00ti1 COMWYTU~G q Ot~tw ~Ut wpt tlut10 10 UYf~ G~ln r.~r ~ w. Y YES ~t.~ r~.o~..cs ca. d O~~fM i ~ C/S~iPGNlG /~Ul MO~t'HR y~-/Lr PH SE.iI ~w * d!) w~•t~ t~ ~te•r~~,~~ ~ f 1 wCCWfaT,-A»f~OE A ~+a+~M. o.~, it.~~ N01M HOW INIUR~ OCC4RRED ~eww wnw or u.wn ~w r~n ~ o~ ran n, ~rtr E i+aMw~: o~ uwErtww+to i ~ ~ M ~ L>/~ /7 L tw J N'/ y-~`/ ~r• ~ M~ n+ Ck R F rD fiVNCtJTE TL' N~.S v~ rr9 L x tOCwT10N ~ anet~ a~.r.o. ..o , an w qr~. u•w ~ INAIRT AT WO[K MACE Of W/UR~ .r wor. .ran. ~.no~~, ~ I fHGn '~!s M MO I pI~(( YOG., fK. ~ VKN~ ~ = n. A'C~ ~ UN~vFrtSAt /~1 ci~a.t-~ ro. vivit''~~3i9~ fl~~Bi~~iq^.~tl~ ~ CErt~iC~i~ON- +a+.w w• nu i ..o..w w. .w ~.•o usi s.w we.i.re .~nt d. ~ 00lDO w01 ~nl~ 1M OI~TM OCGUVlO w~e r,.~e. w a.e 3 rw~s~u~w: i0 I .o.~n. w. nu ww un~ w.w~. ~„o.~~~ wn. .w. w~ ws~ ~ ~~Rl~OtO rwt ~ d r~ cwpR~pGf, Ou! ~ t~~ oecus~o ~¦o. :tn ~tk tu Q/ tb w~. ro na cwse~s~ sr.ns. CERi1fIG110N-MEDICAI EXAMY~ER Ot GOIIONEQ. o.. *~e ~.s~s a n.~ wV~ w x.m rwe oecew.n .+.s .~o.o~w.cro w.s ~ ea...+.na+w ny wor ..e/w n~e rn[srw*~o+. w«w... v ~ .wm wr .e•~ wou~ ~ oe..w occue~w w .~.o~~q ne s.no ' r~. _-1~~Q!_L~~_~~n f//l'~/t fl M~ r~ / /~f 7 41 1`~ i9' ~ CE~T1lIER-N~ME ~n.e o~ .~wn ~SK,N~TURE ww~e o~ nne ~OwTE SIW.+ED ~+o~TM. o~~. •i~~ ~ i~. R ~ Cf;~-J XT(7 I IL' 1!o C.'F L ~•D ':n?~-~• ~c rk - S- 7~ M.?RING ADOQfSS-CFRf1i1F1 srntr u~ r.o ..0. cm io.~r s~•n nr r'1' i~ c i n.: •R c- c s i= Fi~s~ 3~' 1't~ ~ ~ iSi7~Al. C[EMATION. RfMOVAt CfMETERY OR fREMATOR~f-N.wE IOCATIOM e~n w eo+w sr•n Flarida Buri,al I H?Hil].crest Men D~TE a.. fUNFlwI MOwtE-n~uwF wxp ~DOItfSS 9~1~~N.~ ~3th~'St. ,i~F`t. i~~i,eroe, Flarirla 33450 Jan. 16 1974 n. BAIPU ~ Y. S. f612 f - ~ e ;FG+StRl1t-S~~i1ME o~~[ accrvw ~r Wtw? ~coistw ' r,~~' R~v.1970 ~ ~ ~Q ~±w~~~'/~ ~ 1 . - fY. Jc~Jl. ZrJ ~ ~ - - - . . ~ ~ 2'73001 ~ 1 hwwy an~fY mU ro oo a trw and cornct aopy of tM tACei FIIEG ~EC~RDED ~ Rvpi~iro/s reoord on file f~w St• ~ucK C~^h Htelth DoQan- Sj, ~UC~L •::,UNiY fLA. ~ ji fvlYnt ~t FOrt PiNCe. Florida. R~~ ;i.t"~t~S GIF~? ~l{T COl:R1 (yyMniny: Not vAlid unless raised seal uf th~ Sf. Ldci~ a~,.~~,, :F,... E^ , Counry He~Hh Oepartment is affixod.) Yo , • .~AH LZ ~~i 37 ~K'~~ . ~ _ N. D. MILtER. M. D. ' : "?a CouMy Hwith Officsr 6 Lnca~ R~qistrst ~ • _ ~ . ? / ~ ' - . / ~ ` . ; I ` ~ ' '"~j ~ ~ s,~ j , I / ~ ~i . : • . / ~~~~j.1t11+~~'`~; . ~;Ny , Lotei R~oistrer J - ' . . ~cR~ ~z3 FAGE 7~ - - ~;Y _ . .":-.'l . _ . . . . . .