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HomeMy WebLinkAbout0235 / ST-26,894 _ - ~ 2M(~J .:.EAT:~ J _ ,~.r.er~ w » ........~.~.o.~ ~-7G.cF~ - _ ^ ~ . . RAT[ F~~ ~ rt0. ~hhl\ O: ,~,\t.lli ~J . ~ ? w• t ~ - G .:ni Ir. ~~M~Y~~~~ RfG15TRAp~S ~.O iU ew 1 '~a~cwSfO-~~ME ~•~u ~.-~.e ac~ DAtE O~ Ofw7M ~ •o.~?, ~.r, ~ ~ , RO~ERT ° . GRAY , ~:ale January 5 , 1971 ...Cc ri. .ww..•euc.,. ~wwr. ~GE-us~ .a _w.~. ~ OATE W i11iN IwWAr. Mt. COW+tr Oi OE~iM GEJ~ ~rt. eC?'~~ N~ ~ta•p~~r0~.. wq !~.riu ~w. mu ~~:1ite w"~b I,, ~~,Dec.27,1900 St. Lucie •~lit, tOwM. Ot IJCAT1pM Or JEAM .+~a~ c~n .....n ; nOih:~? O~t OieiEi wST1iUi10N-N IM Iq1 M ~~Iw~. 4M 1~M~1 ~r.p ~yy(11 ' 1MC~Ir ~~f J~ 1.0 • ~ Ft. Pierce Yes r^z. Pierce Memorial Hospital _ STATE Of WM ~ r MO~ W Y.{.~.. Ma~1 GTIZ[N Of WKAT COJ•r1~Y ~.++.w¢2.cJ, nivF+ r,~26E0. SYtv~vrap SfpuSE ~r vw. o~~ n.ra. wr ~ . coww~~ v. _~v._D. ~YJ: ~ Wcn~ -M. , New York . uS~ U~:arrie`~ Evelyn Browne ...~..:w. SGCu. SECW4T~ MNYf~ USUw? G:.C~iwT.J..a.. a..a o. ~.o.. a.u.i au.~..o .w~ o~ T[wC Oi t~SwEii Ot w0USM11 ~ n w ~w ~+G ~ 6 ~n' „091-34-2152 ~,y §upery::~e:i3ent Post Office .....o.. ~•~'o"'~ tkS~D[nCE-StAfE GOUwTY SC:TY, fvhN, Oi aQCn7tpN ~w t~n ~..ws STtfEI nNO NIiWFt - Florida St.Lucie ' Ft.?ierc:e 'r~`"blo°~"°'~ 173 Solaz (PSL} ZN Iy 114 IN 11~~ E /wT1~t-NAME rw~ ~.ow~ u~e iMOiNE~-MA,OfNNAJME rrU rMal ..a~ ` ~ ~ • Robert Gray Sarah Si:~psor. ~ ~~Nqf~?+i_+uME iMw..n~ w~76nE55 ~anea o. ..o.. tm w a~... a..w. ir~ ; ; Evelyn Gray f..~ 173 Solaz Ave., Ft.Pierce,F1a.334~0 ~ " rwitr outn wws UusEO ~r. ~fN;Et GvaT ONf C~cISF I[~ 1wE IOt f~~, t~l: ~W (y~ ~m.. w o~... ~ r.~wM 4v» ~ t.~ L~~: ~ i_: ~ ~c~.-.:,.Sr.` + % ~ ~r'w~w.~ ...+amor~. .r ~.n, _ c. o•.~ ~.q ro ~ 1 ~.O..ry C~YfI 1N. M q. W~a ~ COwM~Mw:~ W. _ ~ 1:~~~w4 ~r~ YM~N- I ( ~ .t~MO C~Y3~ {~f~ - 1 . " ...~~ry t~' ~ _ _ € M.: ~ OinEl ~i1CIWi CO~V•TANS, Caw•r.owa c:.+r p~.rw ~.r wor pu*is r0 uuu Cnew ~ rm . pi wUTWS~ .F Y: ~ i~:. • _ t .r: ..rY~ ' f~ ~~nfav+o. ~..._...,.o.:.•.......... . ~ ~ / ' L 1 o~ oa~~w [ ~ i ~:LSf~ ~ /~i ~li~~('.~~"I~'..'"r`/ T" I _ ~ + _-!LL:~. . t, tc . ..~r. ..,•~rl.r ' ~ • . -~.".DfruT. 34 1.~0t IDw~t`~~iA~Wt ..4.u, w., ~e•~ ~ nJ..2 ~ MOW INIU~~ OCNllEO ~ ~wry~ .uN4 M ~wwn ~w-~~n . W un . , ~r y. _ ~t a wce~cwn.~o ~ ~ ~ + S .a~ ~ 10~ ' Y, we ~ 1:r t t ~T wOtK ~.~CE Os wr~r.. ro-.. ~,r.r, ..o..Y., ~.OCw:~Jn ~ 1t~~It p L1.~. ~0.. t'n M W~w, N~ ~ i~:ec.n .u w~.o ~ o...ce reo.. ~u. ~ wu... ~ • 4 . ~ i7:~ - ~ , • ~:~A:AM- .ow.• a.• .t ~.;..:n o.. •a.a '.M us1 f~r w~/w~~ u~ Ow ~ ~ ae/as wo~ .~a~ :..~~,Iwt.. JC~1:•~t0 r.~ ...C~. o~. i.. rn.~~.~N: IY?v TO rO+M M~ ~!J Niit i'~1M ~.w~' iwL q'.. '.~.L.p ~M ~ - - ~ J ^ I 7'~~, 1•~ 1 W•r• ^OV.1JG.. )11 .s~( .s14.~o~ " r~ ' '7~a .J~..1. ~7:~ ~ ~ I ( ( ]7~ ! ~l~ r~M ~O 41 U~S~~S. ft.'.i ~ .~+r- ~r:~{w4 FtwwnEa Oi CO:J.~:; o.. r.e ..~.s e• ..w. m a.u~ ~n~ ~ec~x«r .u r~a.w..cea ~eu ' .i~ O~ wt w:D~ ~r0/W iw~ u~n~l~~:.~»:« r. Mw-0w. -0~M Mrt ~t~1 / ~ ~..OC(r~.!i O+ ~M M4 aM~ OM 4 iwf C~Y3l.H M.tfD. M~ 1'h C?< < J ~ i .'--FfMwE ~nn/~G rerh ~ . ~ ._.w.w:wE/. V f Oe4n~ o. rM~., .OAii S~:.Nf/~l ~-r..+n./..;... r.u _ j ' ?./7 ~;~7 J! ~V.=J _ - '"i . ry~. a~~/~, _ .iti ~7' ~ f ~ / 7,~ . ~ .-Mk/~V ..J7ccSS....fFRr~~i . - f s.:~.: o.~ ~ a .o ~ao a .w. .ui-~ ~ ` t,: i ~ •-~-r ~ y _ ,~L-c . - . = ~ . p !^l ~l_- . "C ~ ...A: latMATAN. ~MO~'At , iiMi:c.~~: v.. C+..r .va~-A.+~ti ' ` lOCA1~OM , c~~~ O~ w.+ s*.~t ; ~NeCM ~ i ; ,.,Burial 1:~, ::~l~cres~ Ye.:.G3ns. Ft. Pierce Floriaa E ..7: ~.o.m w~, ru+~ 'run ,~aG-v.~v: ~-~J~:_S , sw ~ te. w., ~ ~o.~+ aun.~n ~ ' ,,,Jan.7,19~1 ?.-~~~r.: ~-~:~rai .:c.~_~,§bt y. `Y't~. st.,rt.~ierce,.la.-3~5~ • ~ ~ ..i~'~~; 3i~1~R~S/(~rMATUtE • . i _...r..:J.: ^ _ i / OwfE ~iCt~vti ~f ~OCY fEG~STW .~r. iY7J ~ - _ ~,~..1'+,J ~ ~i~~/. _i' ; ! = 1fi ~ • _~I ~N - ~ . •~y~~~ ; . ~ 'r ~ - r ~ "t~uRDEO FILEO ~ S7 LUC~L" {-OUHTY FL~. , . RGCF~ r;t;RAS ~lE:: f COURT ccr: . - 1 n~nby oortify this ro bo e ttw encs tottott Qopy of th~ Locet p ~ itvplstrers reoord on f+le in ti~ St. lvcie County H~slth D~an- 2 Z2 1 H ; mont ~t Fon Pi~rce. Floride. ~,~~ii i a~ yd~o"'~s (VI/ern;rx~: Not velid uniess raised seal of tF?~ St. lucis ti;••' ~ ~Q~ • County Health Department is effixod.) ~.73112 - u-~ ~'c! g~~ y~, ~':t „ ~ 't = ~':,1,~t ~f ~ 1.r " . " r_ - s- . , • . s N. 0. MIItER, M. D. , County Haa{th Officar 6 Locef Rpistrar ~ ~ ~ i y / ; , ~,lil0i,:•~ - „ f ~ _ i ; - / ~j~n1•l~~`.,~ O~pVty LoCeJ R~oisfie?~ ! `?-R: aQL~ ~~..c! f,i~t