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HomeMy WebLinkAbout1399 - - - - - - ~ v • ' 2'73842 - - . . CERTIFICATE OF DEATH DeMr~~t ~1 11n1t1~ ~wo Re1~6i1+Whe $er.ba RAT[ ~IL[ NO. a~~u+nv ov i~_~~m F L O R I D A it~E. O~ ~r~NT IN ~'~~°'1°'~i° RC61iTRAR•3 NO. 3~g MOtiAt~::ii INK ~~_~+~w[ ~wu .r~u ua+ SEi OwTE W 6Ew1M ~ w~u, r~.~ ~ - 'g CF~?.RLFS I.F7~ Nc~CUIltE ~Male June 17 1973 RwC! .n.n, wa~o. .a~ucu. rwr. wG[-u~~ u+a¦ ~ n.~ ' u.se~ OAiE Of M[1N ~ro.+¦. ~.r. CO{At1~ Of OEnM 6609 ~K. i~ite w'~3~ w.". ;Oct. 31,1899 St. Iucie , tOwN. O! l «a« ca. ~..ws MOS~IfAI Ol OMEI NS IW~- ~u rp w eArb o/w aran .r~ .rr~~ ~ VtCMt M MO D^w~P~ Ft. Pi,eroe ro 4204 Ave. D-~~-~ STATE Of WM ~ r wpt r .w unzca or ww?t taw+nr wu~rto. w[vee wue[o. wtvn~+c srovsE ~ r.w. e~n ...r. ~...e ~ p~.K. , . Canada ~ USA N ~°°I~~`,a°ffY'o~,~io~o Tina Aent:~m } ..~a au.~~ SOG~I SfCUMi11 M!?rEt uSUiu OCCtM~iiON ~un a..~ o~ roec wu M..o .ou o~ RY~D Of WSNESS W r~DUSM~f _ ' ~AIl. 1, N~M - ~ ~~Ow, OM " „ 031-10-8246 „Eleatri,ci.aii „ Electrical a'+N~ ~ES~DENCE-f/ATE CO{IM111 Ccnl. TOwM. OI! IOGTWN "'wM unr ~r~s STtEEt NWr/E ~ I VK~rr t~~ O~ r0 ' ; ,y FlOrl,t3d ,aSt. Illcle F~. PiP.Y'CB , ~N Np ,N 42~ Ave. D t /ATME~-lYMI nO~ rMN Wt MOTIIER-AMDEN NAME I~W r~M/ uft, . ' Jarries Levi Mc~.iire Hathawa ~ ~s • IMIORMAMf-NAAIE MARM'1C ADCiESS ~?Mp O~ ~.il. w0., C~ p~Oifn. Y.M. tr1 I~eo MoQufre ~n 263t'i Iierfozd Iad. Melbo~urne Florida 32901 ~ //1~T 1. DEAA1 WAS CAUS[O ~Y. ~EM[~ OMY OI~ GL6[ IEf tMt IOf ~r• ~ w. a~v.~ hl AL ~ kll ~[Ar~tw O~M1 ~ri M~M ~ .rw i ~ - ' , , ` . { Lp l• ~ 1 ~ ~ :~:~~mo«s. •r ..n. C L\~ \ 9 ~ ~ ~ Vl 1... ` ~ , ( ` c. c.v~ ui~ w ~ !L~ u..ts,•r1 4Yf~ ~N. 1M q. p{1~` ~(O+u01AK~ O~: ~i~t~w :~'I~ Yw~~~ ~vw~ t ~N u~t ~J f .J~u. V.\l ~ ~ ~.c~y, t' " ~ ~ ?wRT Ot~rt~ S~G~+~/KwNT CO~O~f10~~ co~wwo co..~.,~.+o w.~•r w~ .ro~ rua~ w Wfe awx~ r.r . w AIJ10Kr i tE5 r~••~..e~ co.r ~n~ a b~ a ii: i~r~~r~ro cww j ~w. h`D i* ~ ~ww~~~r.+~GunO4 O~~'oe~- ~.o..¦., MOw uUY~Y OCCVffEO ~~rw~ w w~vn w r.n . o~ r.a w. w. i ~ JW ~ • ~t M }Y. ~ INM'~ AT WQlK IIACE ~f MARI ~1 ~0+~. 1r~.~K~W~. ~Q~Ai1Gi 1 M~O W LI.1. w0., 4n M q~. N~ ~ . 1 VK~ A~ p+OI pwK1 N~O.,rC- I VKM~~ ~ s. ~r. ~M ~ ~(~T/1[ATIDI'1~ ~ Mt RY ~A~ y~ fW ~y Mft Y~ Mw/M 4~ OM ~ w wOI~~~ ~M CE~iM OCCVUtp ~t W/~1(/. pr~ M ~ IM'/jK~/u~: jO ~b~lu Mt AY ~ON I~OMI P W r~r ~W'/\tOG, Wl ~ . C . ~j ~t 1)4 k ~l '1 rr o~cuf~s .w. ~7n 7L. 711 71. JOwi. ro r~ c.uva~ s..n~. CEtT~iKwiqN-~tEDKwt E1wwNEt OtOMe: o.+ w.e ~.s.s o. w+ .o`~ w w.r M~ Nceoe.n vu .~o.~owc~~ nu ~ ~¦.......a+ a w wr .w~w iw ~..~snwro». w.. ar..~o... .o..s r~ w wow o~.w. ouwa~ w~r ww ~w w~ p nr c.~n~ s..n~. n. ~ rn rw CEtiwER-ruh~f mn a.r.n 1 .~~w w D~.o- .~.•,.w~ ~ J7~ 13V1•1 R On ~.f , ~ f ~ ~ tk ~ ~r~ ~y~a~ w~.r t o~ w~r t~.s ir ~llrt~t. ~ t~. t~1P_T'C@. : i~. ~~~iJl1 ~ ~ut+M. CtEratq?~ I~O~wI cFI+EtE~Y q CaEw?tOtr_Haw~E ?OG~TWH un o~ ~o.. sr.n # ;~`~urial ,.?Ft. Pierce Ft. Pierce Florida ~ ~ OwiE ~~a+A. wu~ fuu ¦ N N~w. AN, /.O'~IE .un u~..~. wo. cwf a~ eo.n., sr.n,+~r~ w Jwne 20 1973 ~~~9b~ y• 7~ p~ce, Florrida 33450 r. S. ~612 w+' -sie~wn~ . .ecNsn sre...ru~ DAA ~!C(t1/f0 !t tOCY ~tG~li~w~ ~ e...19~0 ' _.rz. - ~ r. June 27, I~73 ~ ' ~ F1~E~ _ r.tG~J~OfO ! = ST.wt~• _r:~rr F~~?. ~ `y q(~~,~ r~} 'd11S ` C: Ert. : CC4Rj ~ „ ,',f. . ! , ~ ~ in~vby a~rt~fY thb M b~ e trw ~nd cotncr aoPY ~ ^ : - ~ . , ~ , ~ Rpistrels record on fils in th~ St. tucie County N~elth ~ ~~j4; i~ i~! _ ~ n,.~,t wr+ F~~a~. FE8 ~ 1 I 39 AH ~ ~~1~ .Y (,'y - t PiKte. (yVarni~g: Not nless raised cea~ of th~ St. Luci~ f:• ~v Br''~.'•~ j. vMid ai ~ ; . } ~ _ ~nry HesNh Depertmer+t is affix~d.) 2~3842 ' tv: ~ , ~ . ,r: ~~r.~ _ ~ N. D. MIIIER, M. D. 4,_~•.'i. ty i~i~atth Offiur i Lots~ Rpistru • ~ ~ 1~ s .ti j ~ ;~/7!f ) R t>~~`?.•?~`. a_ ~_,y - . ~ OM~ p~Y t,ot,~l Rpb~st ' _ • Y'.ry,~..~~ _ _ ~ - ~~~~223 ~~E~399