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HomeMy WebLinkAbout2536 , 2'~458f~ CERTIFICATE OF DEATH . Ory~.«.~.~ .1 Ik.di ~nd Ke~LilitNlre Ser~lres fTAT[ FIL[ Ho. ~~•~*Y F L O R I D A ir~f, O! ~tlWi irl ~"~1°"R"~"" REGIBTRAR•d N0. 73S ?IIMA!{[N? INK OECFASfO-NAME ruft ~wx~ ~~s~ SEll OA~E Oi OEI1M t~Owt~, tt~~ ~ SEE Iitlf0i00t i0f - , , run~a~a , Lyman biead , Male , December 23 ~ 1973 UCE .rn. Meoao. ~Y\K~M MW~M~ AGE-~•tr w.w¦ ~ n.~ w~ot~ ~ o~• OATE Of WIM ~.~wn~. t0lNITr p OEA/M t~6~2 ,rc. ~ vec+r~ ~1tE3 ~~~f'•~~n+~~~ ~••oa w~s wws june 6,1903 J~f'i• I.UCl@ Grtlr, iJwN. O~ tOCATrON Of DE~?iN wsw cm ~r.n MOS?~Twt OR O1NEIt NSirt11110N- ~r .w~ ~ e~ny~, onn swu ww~o ~ . a+ecN~ +es u ..o „ Ft. Pi.erce Yes „ Ft. Pierce Memorial Hospital STAiE Of 4t1M ~r ..pr w ~.s ~~+t UTIZEN Of WMwI COUNiR~ MARR~ED, NEvEt MARbEO, SURYIVNG S~OUSE ~r ~..w, prn r~ipu ~wr i tawm ~ wrOOwEO. OIYO~CEO ~ frecrr ~ - ~ Conn. , USA Married Beatrice Jencks ; urte. r ee~+w SOG~t SECU4T'I NIW~ER USU~I OCCWAT~Ot+ .un ar.e a v.wi oow owra rou w [YO OE ~ltSInESS OR WDIlSItY ' OCCWqO r+ ~O~M uH fvlw u tlmlo ~ ~ ~ „038-O1-0597 „ Salesman ? •0'~'~s'O". JtfS+OE?+CE-STwIf tOUMY C~7Y, iOWN. Ot ?OUT10N +~fw anr ~r,n SitEEt I1lW NYM~E ~ 1YKM~ f~t O~ MO Rlorida ,p St. Lucie ,M Rt. Pierce Yes ,.,2720 Placid Ave. fwfMft-NAME ~~n. .uO~t~ ut~ MOi11ER-MAIDEN NAME hW rwp! us* ,s Frederick Mead Jennie Cocks ~ ~?+IO~M~WT-wwE ruawG wOMESS ~urn w~.r~. w., cw+ w.o.n+. u.R. rr~ ~ Beatrice J. Mead „r2720 Placid Ave., Ft. Pierce, Florida ` ?un oE.tn~ wws Gust~ sv: ~[Nrct orxr or+E ewusE rEt tnE rw pl AL ~u~o <<q ~~~:ieM~o«u...~s w;r. 1~. r.~ww uuf~ , . ' iOI ~li~-n y~yj..., ~ t , . . ~ . • 3 co¦s~f~o..s, •~n, ~ r.~c~ o~~e ~~u ro • (?1 ~r.ea,n c~~s~ wr. ~ ro, a~s . co..uowuu n: ~ furiMa r~i VMO/~• \fIMO C~Yf/ 11~11 ~ ~At~ OTMEf SKrN~KA1'IT CONOITIOI'1S: GWO~TOMS CGM~4W~MG ~O Ol~~11 W1 wOt MInIM M UYl~ Ge1MN w?Yt ~ Ia wUTOK~ IF YES r~q ~~ro~ref ew• 'x ~ns o..w~ LW~~O ~w M/~WM~MO GW1! O~ elatw Iw M Owb~rl wCGOE?~?, StnUOE O! w WIURY ~.a.rw. o.~, ~w ~ MOIfR HOW IH/Y~1 OCCURREO «•m~ wrt~t o~ .rw++ a. iur r u ru~ a, er.. ~a i 1qrK~0E: O[ INOEIE~MINEO ' : ISO~r~h! ~0~ 10t M. IM } - i+r~U+7 A/ wORlt hACE Of rt+IU~Y .r wo.~. sr~en, r.ew~*, IOCwTWN ~ snia w~.r.~. .w., em w~o.rn, w~w ~ ' 11Mbn RS O~ rOr ONK! MOO..t1C. ~YKNrI ~ !M Mf 7~1 CEtTiKATqN- raarw w. •eu .o.r we •eu ~ 41~ Yw ww/wN ~1M pr ~ pn/ae w~ v~n. M p[~rN pteuu[o •i b, n,~ rN~f~tuw: t~ .a+a w? nu wr .nn M•M. e•a. ...e. w iw ru ~.ne..oeo rwe Q C7 a.~ ~.or+uou. ow 7~. wtt.un ~w. ~ I pt~ Z Z t~~ j. ~ fu t~. ro oq c.vs+~s~ sr.qe CftTY1CJ1T10N-MFO1CAl El[AMWfR OR ER~ w~.~~ ~.us p~.e p~, rwe eece .n r.s s~ e~..r.no~+ a ae wo* ...e/w n~ ~nu. .o... n. aw.a... U~. ..w~w n.i wou~ oe~.n xare~m o.. w wn ..w we w TMe uuH~s~ s~ino. G t~. G . G _ M. CEi7U~. t-ruME ~mt o~ rw.r, S~G/~AiuRf • wene a rwt .OATE SIGNED ~+owTM, o~ . A. D. Orr M. D. ~ ~ _ MwMr:G ADORESS-CfRiYrEf ?~ae+ o~ ~ r.o. ..o. e o~ soa,. •a r~r 7;~ ' ~ ~URIAI. CREMIITION. ~EMpVAI CEMETf~r QR CiEMATO~Y-NwMf IOCAT1pN cm p tp.rw san ~ SMC V~ ~ Burial ,..Hillcrest Mem. Gards.,., Ft. Pierce Florida D~TE r.rpr~iM, • R~~~ FUlfEtAl HOME-f+AMF AHD A FSS ~ H~eft M~J.O. w0. Cm W~O~M, srn~ tN 1 ! Dec 26, 1973 ,~Cates Funera~Hone Inc. ~O Box 77'7 Ft. Pierce, Fla. Y. S• {612 fIR~EW OM - lFGiSf R-SIfiNA(Wf OAIE IEt~~vf0 n~pt~u f uSt~.~ ~ A~r. 1970 rs~ F ~~a %'~y , tY Jcltl. 3~ /4 ~ r fttt ti^ ~4 " iCJitDE~ Si'.L~1.,., ..~~k~YFl/~. 4s~jL. 1 h~nbY oon fY af th~ i,oce ~ R i: t~,_~ A S i V i M?u to 0o e rrw and corroct coPY CiE. s. : i,GilRT 1 V RrQi~t?e/s r e c o r d o n f N e i n t F w S t. l u[ i e C o url h/ H~eith D o p sA ~ y. - . rtNnt ~t FoA Pia?ce. Florida. ~ , (yyernin9: Not vb~~d 1~ntess ra~sed seal Of tf~ St. luci~ ~'E8't 3 2~ PM ~~'~,•`~j~~i1~~~ ~~'••~s-". County Hosith Depa~rment is affixod.) , ~ :~~;ror,,~ J N. D. MIUER, M. D. ~ ` :~~ir•, ~ ' Cou~ty "Haaith ONiur 6 Lasl Rpistr~r _ L h- '~F % = . T-t a t s~} ~ /~/~%"l` 1•l Vl i i"t ' r~ ~f I~ : z= -'y~i . ~f~4~=%' `p ' s 4 ~ " pd?~ po¢uty Loul Rwistrer = J. u0 3,.•~ - ; ~ ~ ~1~ ~ _ ~ IIjZ,,. Z , _ ~ r:~[ PAGE~~~~