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HomeMy WebLinkAbout1758 . ~ Yc - - - • - - - - - - __r,_.~..._...2'74132 - - - _ ~ . ' - _ ~1 ~ CERT1FlCATE OF DEATH ' . Dep.n~t .t ! k.1~L ..1 R.6.Mlwthe Si+.ke. frwTC F~L[ No. ~HV~ootv oF t~rw~.rn F L O A I D A J~?E. Ot ~bNl IN ~'~~~R•~~O REYiI'BTRAR'S NO. ~F1 M~OOI t0l OKEwSfD-r+~ME na~ •rw~ SEa DATE W OEwTH ~ ~OMIM, ~~t. 11~~ 1 ~ ,a~,o,R ~ DO~tSEK IZod2 , Male , Nov~e.r 27 1973 RACE .rw~n. waw. ~•tt~ta» ~ur, AC+E-uat vwn~ ~ ru~ ~..eu ~ N~ OATE W NRiN ~.wr. wr. COUNi1f Of OEATM \K. ~ WtM11 4~~~j Irf~yl rOf. ~ O~t3 M01Mt rM. 2.7 187o V~.• 3.4A.~ ~ f~ 3 A 7. ~ I n f'jFjD? Cff1f. iOMM. O11 IOCATIOH Oi OEATM war~ cm ir.n NpSHiAt Ot Ot~iER NSi1TUT10N-MM~E ~r .q~ a~ ~aru, c~ snttr w nwa~ sncu. •es w ~.o ~ Ft. Pierce Yes Ft. Pi,~soe Menarial ital STATf Oi N~1N ..o. anzE?. a w~u~ eou~+nr ~tARMEO. NEyER MMbEO. Sll~vl~rNG S~OUSE ~ r vue_ oM r?oaM .wr ~ y,~~f~~.7~~~~~ ~ ~~y~~-p- ~ vKn ~ c.1~~~,,,,,.,~,,. ~T' W i'iCLLLiR:761 11. ?7n~.lua~. vtuk aseeKe DIYAJ . ~ V.7[~ q. rnea acuLS SOCUI SECIJe~1Y Ml+wEt USUAI OCCY~~itO~t~ ~ aa ~ro a rou eow awrw rou w RwO Of MlSNESS Ot IMUbTt1f \n'!~. y Ol~M . OCCIIMlO M rO~lMO lW. tYtM N NA~N 1 ~ .~•a... o~. „ 268-22-3018 . Faxmer ' -ewe~.n raa .aee cn .wn SteEET .~r+0 t+~wiEf ~w~~~ eESWEr+CE-Sf~fE COUNin Cttll. iO~Mn. OR tOG~Otr ~ ~YlCM~ ~It M NO ~w Flo~ida St. Lucie Ft. Pierce No 1805 Jtzanita Avenue fAt?1ER-NM~f r~W rwoc! usr MOTNE~-MAbEN NAME rrN w~ ~s Cx'~~'j.~ IZar L411].S3 ZSC}C IwptNt4Ni-rr.uwE w~wawG wDOtESS ~snen w~.~~..w., em w w~n+, sr•a. [r~ ~ Mary Izor ,n 1805 Juanita Av~e. Ft. Pi~eroe Flarida 33450 rwei oEwtH wws uusEO ar: ?[?+r[R ornr or~c uust rte ~Nf rot hL ro/. ~ kN , e•• unr~ew o.sn ..e ~um I ~ ~ q w ys~ k ' . Maa~.i,ue ~~:tical ka.i.an a.tde aKd a~ctiaG •t' a' U . ~ - core~no~s. ~r ~~n. /'OddL~~ ~Q~~QI~GT'W L~' H'.P~Qd.tQ4Ld ~ ~1 ~t~Y.t f~ ~ ' .w~c¦ a.re oa~ ro A) ~r+ia•n c.~se wb ~ p. «.a ~ eowseow.~te a- , - ~~~11NO [M~ YMOIb y ~ ~~iwo c~rsr i~sr GL~ ~ /1 ~~CQI, - kl ~ ~ • ~ART M. OT~! SICsNVICANi CO~qIT1ONS: CO,~MI~d~f COM~yNrwp q k~tN Wt Mpr WuitO (O UVf! G~f,+ w IYf ~ 1s1 M ~ES .~~e r~.o...os eaw i ~vs a••o~ a iiiw an...,.~.o cw~e i • iw ~a ~w I Q NOMKJUE: OR ~11~Et[YAINED A ~ rOr~w. o~r. ~ , MOW INIUR~ OCCURlEO ~~wry~ ruhN! M~wwn ~w r~at ~ G~~t n!r f i ~ t ~ ''i ~ ~ M ~o+ ~ IHIU~~ AT WORR ~lAtf Of ~+lutr ~o++. r•~+, srrn, ..eron. lp~~i~On ~ szner a~.r.~. wo., cm o~ ro.nr, sran i ttlfCln 1~3 M MO~ OwKf MOG.fK 13/KM~1 1 i ~ M ~ ~ ~ CEttlfK~t~O~a- +o-nw w• ~eu .a+TM w. nu ..o usr a.w .r.iwe~ um a. ~ e+iow w~ +~e. ~we otw*M Ottuuto wu ruce. a. sr ' ~MYSICUN: rOrnw O~t ~!Y WO~ /~Rt~ Ot~M. ~wOV~I OaR. ~w0. 10 MN 2l0 ~s. n. ;'.o :`~eG. 969 T:i~? l~~ov. 27 73 M l l 2 t~. ' ~1:1 M o:~. w° 4*;~` CEItTYKntrO?~-MEDKwt E7t~w?~Er Ot CORO?+ER: w*~n ~.s.a o. nr wou~ w a.a. r.~ aaw.n ~.f rw.ou..ces w.e ea...w.na. a ww ~oef u.oio~ n.e .nesnewrw... n. a,.~o.~. ! .wm w~ .e,• ~ov~ _ Ol~~ OCt1I~M0 P+ M O~R ~M YM q~M GYSt~l~ 11~R0 'rn lYou. 27 / M. ~ ! CERilf~fll-NM~E mn o~ tiwt~ SIGt'/AT • - oeAle p nri[ DATE S~G?rfD ~ra+*~. w•.~w~ ~ ~ ~ ~ 7 / ~ YM t `ri ~ ~ ;~r.+c~oq~'~. `~`o~ 3657 /!7 5~•~'.r-L~ ~~t•tee-t ~ s..n t,. t N/R1Al. CRfMAi10N. ~FMOYAI CfMETEtY pR CtFMATO~Y-NAMf ` IOCAT1pH an oe w... u•n ' I'••`"'. Buri,al H.. Ft. Piexoe Ft. Pieroe Flarida i OwT ~ w• ~uu~ FU?+few1 MOn~E-H}~f wrr0 ~DDRESS ~ sneei o~ o. ~o., cm w ro.n., s~~re. :~s ~ ; . 2~1973 F~ME,901 N. th St. Ft. Pi,erce. Floocida 33450 v. S. s412 ~ nNE / -s~Gwwtw[ wn ~ece~vto ?ow no~srw R~r.1910 ` tY "(~V?^,`,a„ 1~7~ 3s? .C~~ _K a.. ~ hwby awtify thb to bo s trw and corr~ct oopy of ttw Locai . ~ lhgittrers reootd on file in tFw St. ~tucie Gounty H~altfi ~part• , i m~nt ~t Fort Pi~rte. Ftoride. '`v ~ 1 s r n i~7~ N o t v M~ d v n l e s s r a~ s e d s e al of ths St. luc.i~ . , ~a~bP ~ ~ "7' • - J' Co~^tY fl9~ith Dapartme~t is affixod.) - - T;•. N. D. MitIER. AA. D. ty ~i~hh Offiur 6 I Rpi~tnt ~,f. , :.t~ i C~- _~~d ~;;0~;.•.. ~ ~~.7r~ 1 1`~~~5 Q• ' ~ . p,rq~ p~p~Ay Loc,~) R~c~strsr ' . , . , ~~aW