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HomeMy WebLinkAbout1959 274~85 _ _ - - - . - - - CERTIFICATE OF DEATH Departw~eat oI I l~allb ~oo Re6al+iZll~tire Jenlces ~7'ATt ~lLf KO. ~x~ iw~.•~ c~ uF_~~.n~ F L O R I D A I~ traE. Ol ?ur+t IN '6'"~~~'~~~~~ REGlSTRAR`S NO. 3~11 ?:CIlAKtNT ItiK DfCEwSEO-NnMf r•u~ .w.t a~~~ ;SEt DwiE Of DEAtN ~•oa~w_ o.~. ~ i~f fIW~~[ fOf 4~~ ~ John Snith j: Male May 26, 1973 R~CE ~~ae. «ecw. ua~K.~ ~»o...., ~ wGE-..~r ~ ^e~ ~ .:.s ~~,.~e. ~ ~ Dw'E.CE NRTH ~..oKrw, s.r. COUNiY Of OEwin ut. ~ a?ec.~~ : i s.ar.a.+ i re.es,~..pa ~ m.s ~.Owas . +w r~ • . White _ i,. 57 s,. Jur.e 11, 1915 St. Lucie b0 ~2 UTY, TOWN. Oi~ LOCASION Of DfATM ~'.twe^ c~n ~+~+s~ NOSI~iA? OR OiME~ 7vSTAU7lpN-/J~M~f .u rot w ~~ny~. one s~Y~t u.o wwNl~ ~ ' i S~IC.r~ ~f3 O~ MO i ~ Ft. Pierce Yes_~r~ F`t. Pieroe Memarial Fiospital STwiF Oi liA1M i a wpr u. u.a.... ...+~;UiuEN pf Vv?uT COJtvIiY ~ wUtUEO. taEVEC ?uiWEO. SUlVIVl1G 5~01/5E 1 V VN~~ LIV~ r?~M t~y(. t co.~..m ~ ~ ~M'~DOWfU. 'JtVORCED ~ snt~r ~ ~ i ~SY~G41~D[rd! ~ Kelt Sootlarr2 • U.S.A. ;H Married Marian Wagner ~ ~.,uo 1'~-- - - - ;,.w. aa.a SOCUI SECLLiIiY NUMIER USUwI OCCU?ATSON , c+v~ a~..o or .ro~c aow~ ow~.w rost w rcw~ or ws~+ESS ot woustir = octyueo w ~~+ouw.G w4 art~ ,r ~e~ato ~ . ~~177-05-8892 ~~k. Sale~nan Plu~nbinq__Stiip~lies ~ .tlflOlKf ?fW~f •~"'s~?'Q"~ RES~DENCE-St~Tf COUNtY 'MS~ ~~as SitEEt iw0 ?aJMiE~ i ~Gir. TOMM. O2lOCAiION Florida f ? i St. Zucie ~~k Ft. Pierce 1Ye~Nos«p~~Jw 326 Sh.ach I~:e fwlnFR-Hw.wf ~,q~ ,,.~o,~ ~.ar i ~?OTMER-wurOEN NAiwF ~ru ..wwt uu . . ~ 7S a7~ru 7`iLL[1 '1~ ~l~n ~'M iwFOiWwNi-rrM+E . . wuSwG AO'vRFSS ~ ~s~au o~ ~.~.o. w.. c~n o~ ro..., s~.~. ir~ - Marian gnith ?in 326 Shad Lane Ft. Pierce FIa. 33450 Pw~Ti 1. OfAM WwS UUSED ;fN?E[ Ox:r OtiE C~~Sf rft tu.f fOR o.•. L Aw0 .•~~oa....e~ ~..~e~+.r i i R t 1~ ~~en.ee« o,.sfT ...a u•r. ~J. ~ntWhil C~Y3~ G/a /2 f~/ fl c P?/i E=j 7`- ; . ~..,.o,,.~:t - ~~.~~.,o~,. i I ' c.v~ •:se ~o ~j 1p1 ~ rrl3~~lt .'~ui[ ~o:, ' ~t r0. J1 ~3 a CO«y~fi~tKf p. ~ ot.r.wa r..e ~»aea ( U~MG C~H~t <<~ fi i~TER~ c~ r~ c ri c/~/EAR T~/-s Ey S~' . PwA7 U. O7r~Y SIGKYKwNT CONMTIW~S: ~~*~a+s coH:wr~+*w ro oe.~w wi ..or •a..no to C.~s~ c~+ir w r.~r ~ w~ ~OKY . Gi vES ~e~r r~wo~~cs co.s- ~ns w ..o~ ~ s~w.~o ~K c~n¦.~»~..c c.us[ t w oc.rw ; - ;i*~d/D ~ iy ' ,~.ow-~'t` ~CCWEn.T. SUi:IGE 04 ~OATE (Sf W~JAY ..o~.tn. wr, rt.~ ~ ~MO~/Y 3MOW INIURY OCCUQYED ~ e«ip .ury~! p~ ~w.un u~ ran r Qr ?ur .rlr H i i »~A?~:.~Af. Ot uMElEiI~?v.ED ~ ; ~,N~ w:~. fI fTE ~A.v ~r~ o~v R t ~ .DAiyG'E INniRT AT WOYK .'?UCf Of WhMtY.r ..~a.t. au.~x, r.ctcar. , lp~,~:y~ , y~~i~r O~ ~.~.o. r~o.. tm O~ roww, anv ~ i .3?fUI. tef Oa w01 ~pr.K( f,u.,l~C ~s.K~n~ ~y~ ~x. i:~ ~r,~ v -~~c~'c<'`'`il ~L7`"~~i.~'" s ; CfATiF~UT10?r- .~c..... w. , r:..n. .e.. ...a :.a, s..v ....~w~ ..M o.. ~ ~ ao/oro w~ .~nr w~ pEwih OCCUaato .T ».e ....ce. ~ nu ~ ?qYi~G,wr~: +otim wt n.~ ?oo. un~ at.u~. u ~,.w~.~~ a.n. ...c. ro -,u ~eir .nt~,~o r~~ tir,fi oicA ~ ; o yllu~.~~ .f ' ? ` o. .~_,.x.. a~. ~ i1• GfCEwllD 1~0? F~cH~/,i~,~ i~~ s iTl~. 'j)~ IZII. M. t0 Twt 4YN~): 1S~'t.^i. , Ci~.T~F~Ui:Gi:-.wfD~Cwl Ekw.whER OQ C02:Jr~E.': w•~e o. u.j.. • r~e wua~r ...s r~o-+w..c~o x.o : faar~w~l.pr~ Js SN lOCf ~rsD/C~ iM wYlST~C tpr~. .w rt p1.w.0e.. 7 ' rOtitM D~~ ~i~¦ wOy~ ~ i r~~G . 1. G!^tw ~CU~1t.~ d+ M[ O~1! ~MD Gv~ i0 Tw~ GySi~l~ S'~tFJ U J ~ M 5 N/~~ ~ ~ s f _7;~ irc c~ ~ /~73 ~i' J`~ . ? GRTlF1FR-N.tMF ,mi o~ n:.n ~ SsGrv~c,;,iF ceo¦u w r~~~ae DwTE S:GnE ~c~~~. o.r, •e.a~ . ; R~_ C- H ~.l xTt3 I?~l ~ G U E 2-- D: -R. Ct.~•~.~-~ ` L~-~ -7t ~ ~k `1~ Z ; MwqtKG~~O4E55 ii, ~t ::ae~T o. o..c ..n o rowN s,.ce ~ 73~~ PS t~ c_ F n,~ c~ N~~ a i- • r i, ia j~- v a:.KiAI. CREIMSION, iEMOVA~ ~LF~+i:EOr Oa CaE~u:Car-v~.v~f ~~.tOCwitprl c~n p oo~.~. snu c vtt ~n , - :y Crenatig r'ecron Cranataritm s.< West Pa~n Beach, FZari.cia Dwif ~.o..rw, w., nu~ iLNESAI i~v+NE-.^.~c.wt wtvD .4~AFF55 ~ s+ue* o• ~.~.a. ~o., an o~ m.r., s~.n, i~r ~ : ~ Ni~x 29 1973 ' Baird eral . ' r;c~a ~450 4 Y. 5. 4.'~.22 FLT!''~ O"' 7{Nf :c:GiS: -SfGNAiLaF DA7I liCEtvlD ?lt :041 [EGtstiwi ' = # R~v.1970 tp~iC~f~ / L. :c-'<'% C ~:ts_ i1? ~tac• 1 Q ~ s 1 f ~ _ i i~t~ncby o¢ctffy tttfs to bQ a trus and corrnct copy at !~e l.ots lLEG a~D '~LO~OE~ Rogts*rar's record on fiia tn th~ St. Lucb Cour~ty ~;,r}t'r~ ~ pL`MtY flA- mertt at fort Pieros, luCtC ~ Fio~tde. Rp,L,. F ~ ~ ~ RAS = CtE~R' ~UiT COURT ~ , ~ . ` - - (Waming: Not valid unless nised s..-+~I ~f tt~ St. 4s~ qfraF.~r =1t~~,~• - County Heahh De~artmont k 8ffi~c:da , ~^-3' 7 8 9 4i AM'~'~ ` . ; . - ~ N. D. MtttER, Ilrl D. _~E8 ~ l : _ ~ Hesltt~ Oi:.c~:t & ~-C,,,:~ra~r y/ - ' ' _ - ~ ~ " S - .~0 - 7 ~ ' ~ ' _ ~ ~ , ; - ~ : - ~ Do~uty Imal 8.,, o, v ~ - ' . I ; r'~„• . ~ ' . ~ • r.,7 '3' ~ ' . ~;t,. ~ ~i , . ~ - - . j E~~~223 ~A~F195~