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Home My WebLink About0767 / ~ ~ . . N ~ ` , . _ _ _ _ _ _ 27'348~ _ . :FI~~'-. ~ c OF t3cATH larµ~~~.wul u~ ~~.v~i:~ ~ ..~~aL~:Nrlivt ~eni[o r iTATE FILC NO. l i~~'?.:u~ ,:.v.~;~ F L O R I D n iti?E. G,: P:~n1 .r ~'11°'~••.''•`•'r"" REGI6TRAR'S NO. ~2Z ~Fi...w\:1:t 1NR OEC[ASED-Nµ1E iSEY OATE O~ DEhTti SfI 7J,`.`:~ot FO! aut ~•w.~ ~~s~ ~~o..~r, o.~, ~uu ~srn;rw.s , LARS J. ~:TI,l.ER 't ~1ale Jul 26 , 1970 k~CE vrw.ry, r~~w, ue~w~~ ~«w.,., wGf-..s~ ~ t.a ~ ~..c~~ ~ o.• DwiE OF NtTN ~.o..Tw, e~., +COUNiI~ Of Of~TH ~rc. ~ ueG~s ~ . ~~u«~.r ~ re•~~ ~.~U~t~ c~.n wo~.~s ~ ..n.~ ~e`" • ~ White 's. lu ' ~ \ov 21 I 12'..- St. I.ucie CiTY, TOwN. 6l IOCA(10N Of DEATN +~i•a~ c•n .wm nOShTA~ OQ OTHER WS~~T~T~Ot+-N~E ~a wOt ~r ptM~, L~+\ f~Mls ~rp wWVt~ ~ . srtc,~~ ~U o~ w0 n Fort Pierce Yes i,+ I~ or~ Pierce }temorial Hospital _ _ S~wTE OF MtTN ~u wo~ w u.f..., w..~ dT12EN OF .~re~wT C01it+iRY . v.~ttED, nfYER MwRltlEO, SWViVr1G S?OUSE IM rM~. ONl 4-0~M ~YW~ 1 cowm i w~00wf0. U.t/ORCEO ~ srearr ~ ~~~..a,+,~~f , ~±ississippi + U. ~iarried Afildred L. Ladner roe~t o~ce.~eo - ~ uno. ~r ot•~w SOCIA? SECUtlTY NUWER USIiA~ OCCUiwT.Ov ~ a:.e cr.o O~ ~rwi oa:[ ou~uw .ost W [WO OF WSWfSS Ot iND11STiY OCC~.~~to w ! rp4.rfi .~N. ~~1~ .I ~t atD+ _ 42g_05-21?~ `k ~,ec:~anic Automotive nuw«c~ urou ~~~w~ RES:OEN@E-SlAfE itGU~TY ~C 'r, /OtiM/. WI IOCwT1pN c~~ +r.m STREEI wN0 HUWfR ~ ~ ilYlCr~ ~fL W wt :..rlorida ~.?at. Luci~~ ; Fnrt Pierce i~~~ Yes ~..2 O Ci~rus Ave ~ i~iME~-NM+E .us~ rww• - us~ A?QSMEt-M~1DfN NM+F ~rs* Woat . usr ~s Thomas )f; ller Emma Bust ' INfO~w~wh:-?+~wf ~MwLLwi, wDG(~fSS ~st~llt p~ ~.rA. w0.. Un O~ tor.., s~are. l+~~ ~?rs. La: s`diller 2j05 Citrus Ave, Ft. Pierce.Fla .331~j0 ?wk: ~ DEwtr. MAS Cw~~EC Sr ~f.+~7F~7 ONI~ O+YF CwUSf If! lWt fOR;e 'a ~ND (t/' f••••3•••••s[ ...:~a..'~ 1~ ~ 1~ l •en.~i» o~ut ..a ~i.•~ I ,,,~o.~: :y u ' ~ :,r~~~~ jrr~(~~ ; ~ ~ : ~ ~ ~ ~ L ; `W~..'.. - SF f ~o.o,.,o.~. ? V 11C~ ~ . vw~(w G~r! ~.ne rt. Il.. ~ i,.eL_ r rr~D~•f1 c.~fN ~a~, ~ o~.t '.o ~ . )1~f~wG fwf Y Ol• ~ ~~~wo c•uu ~•ir ~ / ~ ~ ~a ' ~ -~~~~-f~ ~C~ ~ L " L`' /~l ~%/-r/ ~l~ /wRT u DiMfR 11Gn~ilClwi COw:•~i.prtS eo..:•: y.a _a.*uwu»e n, oe.r. w~ wr a ED t0 C~rs~ a~.~~ ..n . w~ ~AU:07~ rE5 .,c.~ n..o~+a~ ~ c`- ~ i ws o s.r.~.io a~tur.».wa t~..u CI Dl~~w ~:~~5 ,n ~ E S ~hoSo~ii •_G'vF1.i. YP.~:DE Ot ~OAT~_Jv:+RY ~..w'- .~e•~. ;kGlYi iNOW INIURY OCCUR0.E0 ~er.ru.ur~~e or i..~Wr r.i~ ~ p~ r.n.~, .re. n~ ~ ,np~M~~DF: ~7R tNOiiElv.vEO + ~ ! }D~ i Y+~ r~n ' 23e IN:wi'I AT W04K ?iACf OF WJURY.+..o.r. s:~.:~. ; LOCw21pr: . s*atn o~ o MP.. UM1 O~ ~O~M. STA~1 1 If~~[~~~ ~~f O~ w0~ pwKt MOG.IK. ~Y/UN~ ~ 7G• ! 7W ~ ~S i CEi7+F7U7iON- ..o.aw w~ v~ ! ~:,...w n.. .i.. ..w w~ a.. ~ u a+ oroJO~a ..o~ ~~r u.ti DEw7M OCtue i n, ~ ~ e wce. o~. r.:~ ?NtSfC~.rv: Tp ~ rol+rw : r iu ,~Wr H~ o~ ,.,p,~•. ~ ~ /~.:Y, .,,a, to n.e ~.r rtt..cro t rl V r..-Or.tcti~. i~, o~_~..~~ 5 10 59 7 26 70 n~ 2~s 7U Ini A1o ':,.,~:•~•!~...ot,t~..,~«~:.-,;;' C~Ri1f~C~T D~CAL E AM~NER R COROt.E~ e~ '..e ~.~,.s o• a u a.~+ .~~e yiuu..~ w~S`1~pr~p~rKfD D~~D [~ar.w~.i, p f q0~ ~~.D C~;tw! ~ !3~'~.~ipw. ..r W~tiO-., , +O~iw D~e •1~~ p.• `.~j^'"~ D~~M r Cuul ' TN D~t! O Uf IwS C~Vif~f~ ~t~rt~ C . ~ : Y~ ~ V, { n ~ ~ _ t1i. / V 7 L . CEAT~fiEi- ~•'{YC l// 5.~~~~~~ .a.iyusr~e cv r.~ 'D~Tf S~G~+iO ~~:w-r... e..,.~.a ~ 1 . i). iQ ~ - ._-'al~-~---•~.~• r..~-1.r'~- ~C~n -:o...» • /~T . L,..t .7ll1.~ 27~ 1 ) ~ ~`"~'d~`: ``y'~~i Str t~,',r Pie~c^- Floric:a 3'~4~0 lL~~AI, G7EMlAT10N, IIfMOVAI CEw~ cRY OR Cwiti'AiGAi-tv.t~w; ::OCwT+ t+ ~ a:• o• ro.» s+.n ~ 3?IC~n. i.. Bur~.al (2., }Iiilcrest iie:n Garder},~ Fort Yierae, Florida _-x--._ ~ DwTE JUly~ z~. w~,1~70 ~u~ ~~OI t P1ET'CE'.vE.lsO~,s:'oo~ ~.y4~.a.sct o~ig.~,:t.t~ierce ~ 18 33-'+30 :se ~ tS~ p Y. S. sb12 iIN~:Ei G/9:?KTOi-~ 7UtE i"-G~STR/~.i-S.Gh~T.:Rf ~D~fE ~fCfrvtD^f iOCU ~E4~sia~~ RtY.:N7v :Sa~!'ivf~IC~/ " '~~l t: '7.~~ ~ 17~! 7~2i.~7~I . f ~'r._.,;:.y crci:y this to a~ e true ~r,d c,,,-. w~y ~ t: _ L~~j • ' ~ - I:c;,i_. :.rs re<ord an fil.~ in ti~a Sr. Lu:.N :cu:,y ci_.:.:a . - m;.~t ~t Fort ?ierce. Florri3. . ' - ~ . . ; , . ; (1~larninE: Not vaitd unicss ra~s~d :c.:i cs Lu::;. ~ ~ ~~l~i~/ H~.~i.I~l rA:y:~:.rtment i17i.::i:r.~ ~ . 1. . • , - ' : v:...,.: ~.:..,S::G: e . ,r ; . ~ G , / - 7U ~ , o Iwm uw~ ~ ~ . ~ r1 1 nt~~~ ~ ~ ~r~~ MA~~ 1~4V{S~~{%% , V fILEU e.H~ PtCOR0E0 ST. lUC1E i,~LHTr FtA. Rt~Gf"• ?~'TRAS CCEpK G .;,J~T COURt ~2•J ~s 767 Pfc~:,~• ~~::~~EO.__.._._ ~r~ i~s~ J~ 29 ~ O~ ~Y'