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HomeMy WebLinkAbout1849 ° as - . ~ - __S-__.__ __y,_ _ ~,'743~------ . _ ~ ~ _ . CERTfFICATE OF DEATH I~..~.~e.i e( Ik.lel...d R~INI.~Lu~ne Ser.ire~ fTATE Fn.c No. ~N.~«~~r FLORIDA 47 Ir?f. O~ ?MNt ~N ~~~~YR~~ REGISTRAR•S NO. ~tlMANlNt INK ~CEASED-H~M[ nnr ~owe usr OATE Of OEwT~~ ~ ~ow~.. o••, .e•~ ~ uc .u~wo~ ra ~ MatU,ie L. Blant~ rFemale ~ Jan. 29 1 74 tACE ~rf. ~+f6q. ~W1K~N ~wur, ACE-i.s~ ~ R~~ wot~ ~ e.~ owrt or uem ~+oa*~. w~. COUNTY Of DEATH ~K 1 YItrT 1 M~T10~~ ~ rt~~f ~ rpi 1 a~f MOY~1 rM ~ . ~dzite ~ 71 I ~Jur~e 27 1902 St. Iucie cr.r, Tow?+. o~ ~ocw~~a+ a oErrH ws~w cm u.~n MOSMiwI O~ OtHER NSTrtUT10N-?~,u~f ~ a.,o~ ~~*.e~, c~re vK~. •w .~wsu i 6602 ~ Ft. Pi~xce ~.~~Y.es«.p Ft. Pierce Metiari.al 1tal ~3asP__ • STAtE O~ NRM ~ a..o~ w. ~ s.., r•r~ Ot12EN Of WNAT CWNTRr rtAtflEO, NEvfR MlltbfD, Sl1RYrvNG SPOUSF ~ n~..i~, c~n .uef« p~r[ ~ cow~n ~ wi00WED. O)WRCfD ~ sncr. ~ „.o...~~ , Pensaoola, FIa. , U.S.A. rren an~~ee ---~N ~l'~'lEY~ ~L'id B~.dll~a'l i uns. ~ w.w. SOC~~i SECINIiY NUM6ER VSU~t OCCIl?wTOO?+ ~un a.+e d r+'w~ oa+e ow~.w rou a [NO Oi WSNESS OR ~?+DVSit1f otcuws M +.w.++o ~~n. rn.. u ~tr.~eo ~ ' ,~u~^~~. „264-O1-3933-B House Wife „ Own ~iame ' •W!~". tESWENCE-S/ATE CW~Rn C~fY, iOwN. Of IOCwT1pN wvw cm irm STI1E ~WO HU~E~ ' ~ 11~~CN~ a M01 ,w Florida ,y St. I~ucie Ft. Pierce Yes II8 N. ISth St . fwf?KR-ntaMf ~,n~ .~ppu ~.sr MOTelf~._w~nip[H NM~f nn* Woae usT ~ B vi~lJ~.JI..• i{ y~~yV • . INfORMANi-N4Mf 1r+U1lWG ADDRESS ~NUer o~ ~~.s. wo. bn w ro.r.., ir~n. ir~ ! Leonarcl Blanton 118 N. 15th St. Ft. Pierce Fla 33450 ` /A~i l OEAT1 WAS CAUSEO ~Y~ ~E Tft O?~lY OHE C~USE Iff (Nf !OR (e). (6?. ~W fcyj •nwi~... ~.~iw.~ ~ rrs:.n .~u ~~r.uw o«se~ • w•rw ~ f(. te ~ ~l f c ~ . . . o. COMOrt1ONy, / ` ~ V ~~'Y /i- \ ' vMt(M C~~! f Sf 10 ~ ro) ' f ' + ` ~ ~r~fP1~I! C~VS! 10~, ~ ~ lf~llMO iMl VMOl~. OW IO. O~ • CO 1 ~ ~ ~ ! ~ ~ ~f ~G~ L ~ s ~ -l~rYl~~l . ~~i DU - ~ t ?~ti M Ot~#t SK,?~~iCwN( C 1 S to-w.wo..s ca+~r.w~,.w ~o w.n. ~u' wOI ~ei~RO r0 [auH GMM n+ s.n ~~e~ wl/TpS~ YE ~~~e nw wcs co... . F ~~ns oe ~ a~w. ure• .r~.rc uvu p ~IM ` IA ~ 11~ ~ I~~eloWfl ACC~OEM. SUKIOE p A E N ~~Orrw, yr, ft~~ ~ ~~OUt pOW IN1U~• OCNR~ED wryM O~ M/Vti ~M ~~~i ~ O~ r~n n. ne. ~ ~ ~OMK~Otr OR U?bETEWWEO ~ ~~M 7M A. w »r ~ INIU~~ l1i WO[K rIACE q NJURY ~or. •••r. srrn. ~.[~w.. IOCAi1QN ~ snee~ d~ r.~ wo . cm o~ ~or+., sr•n ~ j 1lryC~n r~l O~ ~O/ ORK! ~1OG .IK ~YKM 1 ~ 7M 7M ~ : Cft71iIUT10N- ~a+n. ws n•~ ~ ra+n. o•, .u~ •.o us. s..~ wrirK~ .~~n w~ aeiow w. .~e. olwM OCWnto n.~ r~.ce, o» ne ~d~M O~~ ~1~~ ~OOt ~~tt~ ~NtSK~AN' ~ O~A. ~~-0, W M NSf ! ' ~~n~wo~o rw~ TO W r~ awpr~toGf, oue T~~ oice.s~o r¦o.. Q/1 C, ~ ;7~~ 12 /l (1~ iJ~c ~ t1~ ~ ~i~ M~o .w~ uuse~sr s*.no C(Ri~fKwTrO?~l-ntF~iU~Ex f CORO~+f! w+ u~~~~ rou• o.yt'. e~~ e..+ ..s o oe. ~a.r...no~+a ~w wo. .w/W n~e w.tae~.na+. r. aw.~o... / ~ f rw ~'r?'~''~.-a~?. wv~ Ol~M OC(Y~~fO OM M! O~~f ~i'M DYf W~Mf C~NSl~1~ S~~RO m ' 71~ M CE~TIiiER-~+AME inn o• ^ ~ S~GNwTUt q~e~t w r ne , OAiE o~ eu~ ' ~ 7 ~ ~?~_.MEL~VSZL1A107•KnWGKY M~j~ :r~ `n. ~ W~ING ~DOlESS-CfRi1i[t ~~n~. o. ~ r o w s.•~t nr ~ 17~ ! ~tlllAt. C~fMAT10N. RfMOVAt CEMEtEer OR UfMwiORr-rvnwit L c~n o~ w v.n ~ s?tun ~ ~ ~ty, y. \ . 7N !1~ C l. ~ Pl~e C~~ 1.~~ 1H 3 DATE ro-.~w, w•. ~e•~c iVNERAI HOME-N~Mf ~ND AOtWESS fnen o~ o MO , CRT M LO~M~ S~~T~, III ~ Jan. 31 1974 ~lmeral I~ian~e 901 N. th St. Ft. Pierce Fla. 33450 ~ Y. ~L iL 'v."liC -SY.' i:iRE ~ RfG!S -SfLN.~fUtE ~ OAIE ~KF~vED ~i tOt~l ~lGlSi~n~ Nev. 1910 ~y~ ~ y ,y_ Fe 4 r 1.974 - • ~ ~:tG~t:JEO ~ r f1l_D .l . . ` i this /o b~ e trw ~nd corncY copY of Th~ Locei ~~t %;CU.rTY Ft~?. l T - 1 M~r+~b aKt fy SS. to.. _:,"R ~S t y - - ~ Rpistrars record or+ file in 1M St. lucie County k~alth Oopert- RC.~:~ ~ti. ~OURT ~ ' PiN'te. Flo?ede. CIEkR ~ ~ . ~ , ' 111/flf N FO~t • r...rr~L' ~ ' ' . F;~rc- v: . =1: . ~ ~y1~; r ' ~ , ; (War~ing: Not vblid vnless raised :eal of th~ St. 3 2~ 4M i L~ ~ County HqsNh Department is affixod.) ~ E a ~ . ~G ~r ~ ' , ',r';'- :es N. D. MIIIER, M. O. ~ , = . ~ ; ~ Y ~ Ylwith OHiur 6 1 Rpistr~r 2`74~_9~ ~ . : ' ~ ~ ~ 'r~, " ~ , ~r ~ ~ i f. ~l~~i.•~ . ~ / 7/7 ~ • ~ ~ pM D~pu?y Loui Rra~st~sr 3 ~ . c~Cr ?'~fF ~0~9