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HomeMy WebLinkAbout1567 1 / ST-26,803 ~ ~ - - 2 t- i . , ' ~ ' ' - ~ ~ ~ CERTIFICATE OF DEATH ~ # . ' ' ' QeNA~e~! ~ Ile~~1~ u~ ReVIMiMNNe Senla~ 'RATt /Il[ NO. ~ ~ , ' ~vax~n os ~~s~.rn F L O R I D 1l - ~ t~re, oe ?bws a~ wcaisT~~w•s Ho. 643 , _ . MfMA/NNi IMK ~ ~ - p~p~N~ nnr .wu ~?f~ SEt OAfE OF OEAM ~ror^~. nu~ ~ ~~i16~ , Fisnk Y. Orba.ugh NOYenbsr 21 ~ 1973 j t. ~i , ~ ~ ~ACE .~w. we~w. uewtw ~.wr. AOE-ua~ w~. ~+u. wu ~ s~. ow1E a MtM ~~a+~. M.. COI1Ntf a OEAM ' f~[. 1 WCF~ FN~N7 ~7~Y11 ~W. YA ~DMf ~K ~ w ~ ~ Yhite 6 w i~i v 4 1 St I,ucie i 6609 . rowM. o. ~ MOShTAI q OMER NSTIM - ~r ra w ew~. sw~ snl~~ u~ wra ~ { ~ WCw Mf M MO ' * P St. Lucie No 159 ~t~ Pooct St. Lucie, Flc~ida 33~+52 , STATE Of ~1M wM w ~.~.a., ~uM a ww?1 couMar wua~o. ncvu auu~o. su~~+c srousc ~..r~..,a ...e. w~.. ~ + ~ ; ~ ~ I~latt?e? U.3.A. '"'~~~:~1OE°~•K••, ~larie 8ott~etien ' _ , ~nar wn.w uw~. r w•n SOCUt 3EdM~ MMYE~ uSUM OCCU?w7~p+ ~~.w ar a.wa ~ow ~wrw .oa a tNO O? MJS~E3S OR ~+DIISin ~ ~yM~ w~ ~~4 uA. Ntw r pYA ~ . . ~ ~ ~ ~ ~a P+ainter Houae Painti ?±ce-s~~n cour+rr an. Town. ae ~oc.ran ••w. c.. u... sra~r . , ~ L-~-~- ~y Flo~rida ~ St. Luoie ~ Port St Lucie ~~"'~Xd'• ~M 5g retia lsns . ± /~t1lf-f4Mt ~Mft ww~ f,~ MOTiE!-11YbfN NiMf ~rM +~w~ uN - ' ~ ~s John Orbau~ Handona K1s11 ~ ' , It~M~OMU?f1 wLLM+G MWESS ~~n o~ ~~i_ w.. t~ a w... w~. ~ ~aKra l~Cank Oacba ~ -~n l 9 Estia la. Part St. Luaie Fla. 33'452 ~ ?rur oEwa wns cwsE~ ~r. anr a+[ uusE rEa u+[ rw l.l ~ro k~ '.mn.~. aaa ....ew ~ E ~ Q . . ! ~ ~ ~ ~ / J Ifi S/~.~ 'Cd r~nar'r . O~/~+tr•~dh• 3 ~ t S ~ ~ . . . . i ~ . . .r. ~ y ; i ' . cu«.~..0».. ~r .~n, ~w•--~..q . E it~«-.L j«Ky~ r . - ~t j v~tw ~~w uM q 1~) . 4 ~ ~ ~ ~W Wn C~p~ ~w. M~O. O~ U~ OO+YON~G OL ~~~fIM~ t~1~ r~~fF ~ in«~ c.~u uu As~ ~ t t f ~ . r ~ • ~ i aur ont~ s+o~nuwt o0uomo~a~ CO~M~O+f Cd+~MM~M ~O M~r M MD1 ruR~ q~~1rN O~M w~Yt ~ M A{RO~f~ r r[s ~/~~f NMNU~~ COM• ~j y ~ ~w~ a~.e~ amw~ r Nrn.n.r~ wrw I ~ G'i'~~ s:1 L/?-~ w w., ~ I~10 ~w. + i y MOrKJ04 O! 11?a(1lM~MO ~~wR r~, nu ~ qpW IN1Ylt OtC{IttEO e eNe~ w~ M w~Mw w. r.n ~ e~ r.w ~ wr ~ • (p~ I , ; !0~ - ~ fa M. 1Y. ' . • i : f~ i y nT~~.w~ e«~w..t/lu~r ?.~n...non. -~OGnp+ . tw~n o~ u.~. wo., an a w.u. w.w ~ ~ , .•-i ~ A„ 7M ' Z~ t ~ ~ t C[~t/KJ~t~O?~- .awr rr nu .wn r~ nu usr u. w~ u.w w~~ Ma ~~t~n~ otcwno ar wrt n~o. a. ~e . , i ~ ?wtNU~w: t0 .a~~ • ~ur M~* ~wOw~ f7~~.w. ur. ~o w ru ~ or ~w.~tse1. w~ • , ? ' . •n~«~ w~ ' t: tN Mcuw..w. t/o T 7) m// 7 7j fta- 7 73 ~w. tM./•t.d~ K.ow.ew~r~uu.w. ~ CE~1~i~CwiiO?~-~rEOCwI OuWNE~ OR OtONEt: a. wr wn a M rOM p M~r M MCAtw ~Y tiOMOMKN M~~ . M ~ ~~ar~~wb~ p~! ~W~ w/M w~ ~r~~f~O~~OM. r w O~~~P~. 4~ M~ f~Y ~OM ~ S : ~ M~Iw O[C71Yle O» M YO yl~ ~M b 11~ 41M1Y W1r~. ~ . i ' M !1~ IL = ~ - ' CEti1f1ER-MAME ~nr! O~ MMn Mo4~ O~ w tOrr. w~, fW r e + = tk OS ~,~r a ~.r+• O r.. : t e i, r+.~ a. ~ .,s~ r r,~. 7~ ! ~ MARNG ~OO~ESS-Q~1i[1 s.~n o~ ~ r.~. .o. car o~ +o.r auw _ nr ' , ~ f~ 7 . f~i';.~•~.w d,T f~. /v~/• P„r sf - cvc: r ' ~ s f~ L ; i ~ NJ~W, UEMAI~OM. ~MOYAI TEfr Of QfMA10~=W1ME ~OCAl10N On a~ O~+ Wti ) ~MKw~ : Rewoval ~ Ne~ron Crezaatoriuw ~«.Yeat PaL Beach ~ Floari a , ~ O~tE ~.aaw, rn..w~ IW+EULL NW~E-~uME u+0 a00tEiS ~ sraer o~ ra.~. «o., cn a row. pu~. a~r ~ • : j! ~ w N 1 n. R r L P5L F`uneral Haas 8 16 3 Fed. . Fla ; s..blx Nn+ ' a"- _ ~n,. ww rw...,,_~_ : ~ ; ~s.. i'to : ~ lkrvernT~er 23 1973 - . . . y~ R=_COR~f ~ ~ fIIED ~ . ST.I?1Ct. .J SHjr U. r ROt. r ~AS L , ~ CtE" .i;:l;" COUP.Y ; ~ 1,u~sby amty thts ra b.. tn,..na oorrrct oopy o~f tn. ~oc.b~c~•;~'~_ ~ . ~ ~ Repirnals naord a~ fil~ li1 tM St. t~ucit Gounry H~eFth O~p~~ ~ . .t ~ P,~., Fb.~.. F 4 26 PN 1~ ~,~4 ~ : { : : { (Wsminq: Not vaJid unisu ntsed ~eal of ths St. Luci~ f 8 • . CouMy kealth Depa~tment is affix~d.) - ; 2'739'7~. , . - ~ . : s = . . > N. D. MIILER, M. D. ~ ~ ;~7: = ~ ' i Health Offic~r b pktrar ~ ~ '~l~ ~ ~ ~ . ~ lYG~,~ ~ , G-7 3 • ~ - ~,a~;-~~~ ~S ~ . . . , 0~1~ Ds~xAy Lot~i Reakn,~r ' ~ ' ' . ~ - ; a 't i . ~ . 223 ~azE ~56? a~:~z~ ~