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HomeMy WebLinkAbout1821 - c~.,-; iFicH.~~ oF ota~ n- . ' ~k~.w.KN Iti..h~ ..d It~~.~il+au.e Sre.kr. f+rwTC F~LC No. FLORIDA - trrt, Qf IfiMT rN 569 ~[~MANtNi INI[ NE61iTNA11•i HO. ~f( IWWiW! /W OECEwSEO-~+~wE ~wa o~w.~ ~au ~t own a ocnn~ ~ ro~n~, iw ~ ri`"~10"~ , ~Y'~na Fields r Female , Dsa. 1 1 1 • , . !AC! ~~f. M~W, u14[YI 1~N~w. AGE=uH .~we~ ~ r~.a w.w~ ~ s.~ OAT( Or ~IitM ~~OAI. Nr. COIlN1Y O~ DEA7M ~ S~n~ ~ ttt. ~ Wcrr~ r~~wur ~rw~~ ros. ~.rt +wu .u~. rw~ V . h'e~o~~ w+ k , ~ „ st. Iucie .~q ?OGTWH wM ..wi cw. ~~rn MOSMiK OR OfNEt NSiI U ~r rw r~ ewa~, ow~ ~~~n wrre~ ~ {I~(YI ~t! Of Mp ~ Ft. Piero• Yes Ft. Pier • Hemo Hos~ital S?Ai[ O~ t1lM ~ r w0~ w~.~.~., wuY QTIIEN p W1MT CGN~i~Y M~[CED. NEYEt MMf1ED, SIINNNG ~r ~r1, M~ r~~a+ w~M ~ toMwr ~ WDOMrtD. WvOlCtO ~ va~ ~ ~ ~.r.,.,.~,~. ~ Florida • U.S.A. I~iarried J s Fi 2d: ~I+Iq N[~~Y~ .m~. ~ r K.~, SOG~u SECYbtt ?+tM+~E~ uSU~t OCCLN~T~On ~an a.+~ a.wa ww w~ra ra~ o~ a1h0 01 NlSNESS W wWRTN ouw~te r ~O~wO uN, M~ r qmN ~ N~, 227 - 38 - 5976 ~s Doaestic ~x se Work a•~. ~ES~OEr~CE-Sr~tE tOW+Tt ~ 4n, towN. O~ lOGtqn cw~ ~.+w~ sttEEi ~r+0 Nu~~E~ ~antrr r~~ w w0 Florida St. Lucie Ft. Pierce es /Aff1El~/tAly( Iw~ ~Mf Y~s~ ~OTNEI-AM70EN NAME hs~ MM~ YY ~s Adam Czskill IIiza IWOW~Hi-..~aM~E - IMwawG wOGtESi ~?wa o~ ~r-~. w., cn o~ ~o.~.. N•w. ~r~ James Fields !~n 8 ~1, rwar awn~ wws cwsto ~r. ~tNr[~ OHCr daf Caust r[e i~[ rot Al AL ~+o k w•",~ p ~~ti~~r W+tlr aw~ N~r. , y_ ww u•w _ NI l~~y~cn:.~Slb(• J/'t-~C~~r~f` nIIL~Sr` 'il.~'~1~7~~1. ~~7`~r/~~/ 3O~y . ~ . ¢ co.~nor~, n •.n, . b j ni 1 t.... N~. ~ M q, p Y~ tO+N~MK~ M: ~ ~I~IIMO /w~ ~w~~M ~ tnw~ C~~N ~~~t i kl j ~wRt OTnEf S~ar~CwpT GONW?~Oni. CO~wWwf COMMMwq q N~ WI ~p/ yuq~ q W1f~ O~w w/Yt ~ ~y /Wtdi~ Y rES ~ue ..M~~..o~ ca.- ~~1~ M~O~ MM~~a u Nt~~r~ww0 CwM ~ O~ ~~~)M ~w ~0 ~w r~ 1~OtiM, Mt~ nu ~ 1 hOW INX1~~ OCCVLLEO ~ uw~~ w.,w p~uvn u~ rur ~ p r.n ~~OSpr~ttK~~Ot, Ol IIOE1tWMf0 ~ ~ R wu ~ A M ~ ! 7A N~ M ' 1Y ~nlu~r wi wO~c M~CE O~ raiutr .or. ?~~n, .~c.o... ~~OUtWr+ ~ ~~n~~. a~.r.~. .a.. an w we, n.~ ~ ~~na~. n~ o. w~ o..~a wo.~+c. .vu.n~ ' ~M 1 ~ i CEtiYKwtqN- .awr r• n.. ra+w~ ~+r (.w~ w. a.~ w~/w. or .~r/ao .~o~ ~r+ sy w~rw OCtvutO .r w n.c~. w w IM??KI~M: TO t nO~In Mt MY ~0~~ ~1q~ M~IM. /wdN~ ~~q. ~?O. ~O M Y~t ~ ~i~ i~cu~:w l0/19/65 rs~ ~.2~~-J~71 ~~i. ~.2 IJ ~l. »i dl(~ n.~:i~J M,o~~w~rw.~w i:ni . ' Ct~tYKATqN-MFOCAI Eaww,t! q COROhE~: p. s.a~~ a wa ~pM p M~Iw M~ k{!O!M ~I1~ MpwpYw(N MI1~ ~ f~~rM~~~ o~ M~00~ ~M/M M wn~NWror. ~~t Mr~W. ~pnw~l M~ AY YOY~ i Z e1•~M OCCYMH d+ M~ MA Y! NR b M uvNU1 s~~q~. CE~TU~Ef--NAME ~nM W~uw11 M~ IA y~ ~ 1 wtW ~eoar a ww~ w E S~G?+ED ~ro..~w, ~..,+w~ ,H Francis J. Carbonara N..D. ~`~~~ti - i~, 12/20/?1 M~IMG AOWFSS-CE~~i[R srw~. a~.r.o ~.o. c~n p~ q.w - p.p _ t,~ ' 7y D; nr n ! C - ~WI . CRfMAT1DN. MOrA? fMETE~Y W GEMAi0i1-hAMf ~ i10N a~r M/o.~w st.q ' 'r ~ Bt,:rial Pine Grave Ce~ ete Fort Pierce FZorid OwiE r.aw, w•. n. . ?W+Eawt MO~rf-w~MF ~nD A0~[ESS ~ i~.~n w~.r.~. uo.. cwr w w.«, a..n. tr ~ • 4 ~4 ~-9 ~7 ts. c'+i.0?'lv ~'~"!S°. ~^~.7 7a~., St'.'. ~i~v.~p~ y'+~~~~~~ ' . _ S. ~612 E RtG~ -siGwwrwrF ~ o~n aectnreo ~r iow naa~w ' A•~, i9~o • ~ c ,M December 22 1971 ; . f?tEa e~: :EC~xoe~ ; ST.IIiC~E ~G4N`~ flA- ~L - ~~R AE^~~-f};~ CO ~j I) ~ ~ Q~r~c^ V=' ..•f' I h~nby owtify Mia to lo~ a trw and cotron copY of ~a ~ Z 26 1 n~~~ Rvpistrers record on file in tFw St. Lude Counry Htelth A- ~EB ~ rtwnt et fort Piarce, Florlda. . ; (Warning: Niot v~+~d vnfess rais~d seal uf th~ St. l~ci~ A~ ~ _ r, . ; Counry Heahh Departmertt is affized.) ~t ~j ~ r • s . ~ - ; ~ . _ N. D. MIIIER. M. D. ' . ; Covnty •Hwlth Offiur 6 Locef Rpistrer ~ ~ . ~ . f~: 7 r:~~ tl' t Ll . i~ • 0~¢ufy LOCeI R~a~stre~ ; _ r ioo~223 ~E~821 F