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HomeMy WebLinkAbout0107 ~':'>>(}t)~ ~ ~ _ . - _ . ~ - . G .':Ii-IC.;:=: JF D~A~ ~ Qe~.rrlment u~ t ~erlt~a .~.d R~h..6Au~~i.e Je~vlte~ 4:/lTE FILC NO. ~,r F L O ii i D A iY?E. 01 ?AIHT IN u.a.~eHrun.r~s - AF6:STAAR'S P:O. ?iRMANtNT INK OECEwSED-ti~Mf ~•a~ ..SEx .DwiE OF GiwTn ,.o..r., SE[ IWGt00t F0~ ~rsnucrw~s , Lester Lee l•1:^.iCdon `~::..le :~:ay 1, 1973 ~wCE .•.n. ..~a~o. •••uK•~ .wo~.~. wGE- ~.s~ ~ ~ •u, ~ e. _ . Dw2E Of ~dTn ,+a.~., o•.. , COUtaTY C~ OEwTti ~IC. IVICYf~ ~~~'wp~~ tIU\S. -rJl ~ W~~ KJ:~S ~~w.~ 1l~t. - . t~hite ~w 83 ~s~ T . Se~t .16 ,1890,. Saint Lucie G~~Z GIiY, iOWN. O! IOCATION Of OfwiN ~ u~ .~..~~s nO~o:Tw. i,: O:nER WSTtTUT~P1-nwMF ~n w* ~~~w~•, e,re uuu .w w,,..~t~ ~ ~ a~~:.n .e~ o~ »0 1 n Fort Pierce ;,,ycs „~G7 ~outh Ninth Street STATE OF i:RiM ~ w wo~ u?•.~••~ UTQEN Of WHAf COUNT4Y xwi.:~cD, riEVER wuRCl[D, ~jSUiY~VWG SPOUSE ~ ~~~t. a~<i r~y.n ~ . cowu~~i ~ ~~n'~JGwf?. U~~O::£~.v~.rr~ ~ , Georgia i~ U .S .A. ~o ido:ved '~i .~~.~o.~~.uo - - - - - ..,~o. a•~M SOCIAI SECUQ~T1f NUwJER ' USU~*1 OCCUOwi~Oev ..:..e •~..o o~ r~.. ow.~ u...~~e r+s~ o~ cuw~ pf WSr.ESS OR INOJSTRY OCiY~~ID ~w ~'Ma~~a. ~~I~w ilt.~IJ ~ I 267-42-4632 ~tedicine µro.~ ~ledic al Docto~ •~?s•~"'~ RESiDEKCE-Si~iE COUr+TY ~G`Y, TOWN, JR IOCw7ipn '~~~~o~ oo .~~n ;STQiEi wr~D NUw~iE1 ; ~ ar~o.. .u w .a ~uRlorida ~~St.. Lucie Fort Pierce yes ';~~507 S. 9th St, twTr~Et-N.tw+E ~us~ ~.oo.~ ~.ar ~MOini4-nMiJlIVNAh~F ~~as~ ~•oa~ v~~T ~ Dempsey ~dhiddon . Avy J e Vickers 1l1fOiMANT-NAAef •~.ULL1iri. ~DDRFSS ~si~u* o~ ~.~.D. ..G.4~r o~ eo~.., a•.n. t.~~ 33450 ;~:rs. Audine Albert 505 vortn Sixth St. Ft. Pierce, Fla, PMi 1 •r.~w~.ur~ DfAM Ww1 GUSfD ~Y~. ~fti;f: Or.'.~ OvE C+~uSf ~f: iwE iO+i (ay. ;o;. ~rvD ic;': ;.~r,.u„ o.,ier ...o u.r» ~..ru.:n c.~u i~ , / ' ~ ~tc_ ~ t_/.y"CC~-, ,a~ I ~~~:~?l~' ~ ~ s~ , •s • .orsr.~i ~ o~ , ~ ' ~ ~ g ~ n ~ yo«o~~. .wr. ? -7 1 % ° .,s~ .o J fsl l l ~ ~/~ili~/%. r `~1 1 .1 rr~D~~II C~UfI ~J~, I ~f f0. O~ ~ CO~NVUIM~ W •t~n~~G Iw1 u~Dl~• / G C~VM \~St ~ ~ (t) ?wYT u OTnE~ S~Gl~1fICwHT CONAITIONS co..uua.s :o..u:w~,~.:, ro ~..r,. w: tiu~ u..r~a ~o ..~i~ ar.a. ru~ ~;u~~ AUtOiSY ~ tc ~ES .ut .~~o...cs :c~ti~ pi w0. : i.~F~/^+ +ti Dlll~+.n~w~. C~~ft ' ~ ~ G• ~l~Iw jlti ~ ly ~r.oert7l w:GJEr:T. SUIC~OE Ol OwTE ai W1URV ~ rO.tw. p.~. ~t.i . M'vUi HOW iNlUR1 OCCURREO c ~«q~ ...W~~ Or ~«.r~s r.u ~ o~ r~u ,n~ ti, ~w`wiC:~F: Ot ~:nDFiFiMU~EA ~ . Ik~~tii 270 j(~y M ~ I~tl INWIY Ai W~RK ?iA~f ~~1WY .t w~W. ~~~r. ~~~t/'. ~~:iJ\~, ~..•IVIASIGlV fi~lft p~ ~ i O ~+u.. C~n O~ tO~w, si~~e ~ ~f~lUi~ r~f O~M01 IW~K~ KO4.lK .Y~C.I~. ~ CERTIf1Ui~ON- ~T~ w• ~ u•+ .e•• ~u sw.~ ....i..u .urt O.~ o,c/o:e «o: v.~~ r..~;OE•.TH OCG~:aFD :ac •,.a. o~ •MtSK1~N: - ' rG~•n D~• ~t~~ :~OJt ~~tl~~!D~~~n L~tl..~ti._'G'1.t ~l:' ~ .rte..:eD r..e . 9 1 J I ~ iO S 1 / 3 ~L~ / L- ~ / ~2ii ~r a~ ~l• GtC~~ND ~~Oy ~21~ / ~ilt Z~ I1~ / M, i0 twl C~rS~~i; S•~'!~. 1_ L__~ T~r ~ CER:Y:G~iiO~v-MEDK~I EXUwwEi OQ C080tvEY o« ~.rs c» :~.a ..o~~ c~ ~we otc t..r ~.•s r.a+o~:~:eo o.•o w+. •tauw~i.pw O~ iw( qD~ ~MO/O~ iw1 w~[Stw~~~J~, ~ r~ W.w.G«, ~++iw D~1 ri~~ ~ ~ Dt~~~ OCCU~~fO O~+ 01F D~~! .~o ou~ w u.e c•uu•si s*•+eo 2:0 / M ' 1:e / . M CEtitFtEQ-ti.tMF mri o+ r~...u S~C.++A~„v ~i ee e• r.t .~ATE S:~ ='J/ ..t.a. - T~. Melvin Wolkowsky VI. D. r, ~-~`C:-~~1~.`'-f.-`-; '''~-D• ~ 2 73~ hU11:tvG A~5QES5-CfQTiftER T 1'~.t' G~ a. ~..:i~t~~-u ro.r C ~r•y~~a ~~YSV d2 ~orth Szventh Str~et Fort/P~er e, r l,iw:Al. CR[MATiOlJ. RFhk7VA: tCEME~ QT Ui C~livATOwY-N.:n+c 'lOCRTICNI C~r Gi iJ~~. s*.*~ 2,,F~~Entombment Iz~~ HiZlcrest ~iausolet:m ',:.~Fort Pierce St. Lucie Co,Fla, DATE ~ro»!., D••, u~~ ; WtifRAi NOM'-'•=•uc %.^.D zL.^•:ESS ~:r+tc G• D. wo o~• O~ forti, s+•*~, r~r ~ ~Iay 4, 1973 ;;,~Fort Pierce Funeral Home 106 S o 4th St . i't .°ierce, r? a. ~ D?7E ~EC::~EU 'OCnl 7~" ~S~7w4 Y.5.s622 iur. D~aECTOrt-$rGrujiyTF aEG.s z-S~:.v~:,;.e ~ ~ ~,,y u. ~l / :r R~v. 1970 ~ i l/.~:L ~l.Fl y.,i;~v cvvt-U°o ! iu - '~j ~F , _ .S tu __,~'r J' J; t h::~y ccrtify this to bo a mio and axr~ct ac~~ Zt h=?~ L^wl - ~c~.,;irt~s rocord on fila in ths St. Lucio Courrty F:~~:::t D:.;.:.-~ o-w,nt at Fort Pier+oe, Florida. - - - (Waming: Not vaiid uniess rz:s~d s:.~{ o~ t`a L:::.:~ , . ~ County lieafsh DeQarnn;s~t ~ a'h'txa~ , ' ' " ~ ~ . . . ~ N. D. MtltE~t, l,.t D. ` ~ tienl~f~ Q::i:.:,r : ~ - :..-+r..r ~ -y/-~3 ` ' Q, ttr~l ~~J~08 . -~y G:3;:rr:.r + . - = ft~i.i. "•.~~nJE~ : ST..u: _ ;~'~'MTY F~A. ' _ ` . =~i Et ; . . ? S . ' . . M;; J C' _ r~ „ ~C'JR; ' N ~ 47a" ~ ' ~ : . - 7" }~.3 Ff 8 ZU iti 04 AK ' 14 . : FEE, PliRKER & FEE, P. A. ATTORNEYS AT LAW ~ ~ t C]~~ `C d`~ POST OFFICE BOX 1000 I~ ^ ~ _ . ~.t ~ ~ = FORT PIERCE. FLORIDA 33450 TELEVHONE: (3051 461-8020 ~r..' '.-'~a2~.°~-c ~ _~....i;~ ~,K . _ _ y- ~~:z a 1 ' _ _ . ~r A:~. . _ _ . ~ _ _ . . 7 ..,.y ~ ~