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HomeMy WebLinkAbout1061 . _ ~ _ F-_ ~ _ „r 2 i 56~~ - CERTIFICATE OF DEATH Dep~Hwed ~1 IIc~I~L ~wa ReLabf111a1Fe ~ices STA7[ FILt NO. DI~'l4(x'1 OF fiA1.7T1 F L O R I D x T1f?E. Ot ~tINT IN °~~~~`~m~° REGI6TRAR•S NO. S9 IttMANiNT INK ~~EASEO-NMIE ms~ rrx~ ~~sr DAiE Oi OEwTN ~•o..rw, e~~, ~~u ~ SEE MY~i~00i f0l Charles Gerald Escue, Sr. ,Male ,February 19, 1974 RACE .wn. wow. uancu~ wur. wGE-ut~ w.o~~ ~.eu ww~ ~ w. OATf Of WM ~no.ww. wr. COINn11 Oi OfAtM ~~c. ~ vun. ~ N~40~~ 1 tl~~11 ws. e.n «ow? ~u~ ~ c . White 55 „ Oct .26 1918 Gp~2 Cttt. TOwN. W lOGT10N O/ DEATN rs~e cm irm MOSMTA~ O~ OTHEf NS11TUilON-NAMf ~u ww na enwe~. cm aret~ wo ~wwu ~ 1hCY~ ~!1 W MO „ Fort Pierce Yes 1109 South Seventh Str~et (ReGidencel_ Sf~tE Of ~M1M ~ v Mor « r~.~.. r~re CITI2EN Oi wMAI COUNT~Y wJtR~fO. ~+EVF~ ?WtiEO. SYRVNNG SKx?SE ~ y ww~. OM r~wM wre ~ coww~ ~ wWOwEO. ONOtCEO ~ vecn ~ VW~t~lfpNC~' ~ Teru~essee . U.S.A. Married At~ .nru wu~s~• ~I~l SECURIT! MMNfR USUAI OCCU~ATION ~a.e ar.o o+ ~wa ea.~ awu.o .os~ w [WD OF WSwE55 O! 1rOUST~Y llvl~. M p(1M - OCCWMO w ~d~M6 ~~l, Mw Y ~tMt01 , ~~+~b».~~ „411-12-9463 „ Accountant Minton E ui tment Com~~v ~w~~ tES~DENCE-31~if COUNf~ GT?. 70wN. O~ IOCwT10N '¦+w c~n ires STtEf wM0 t~Wr~E¦ L-~? 1109 So . 7th . St . . ,4 Florida St . Lucie Fort Pierce fAfll[R-NMitf i~qi raa~ us~ MOIYIER-11ulOEH MAME ~rsr rwele t~st „ Frank Escue Ella ~ INfORM~eIT-t~M~E MAMwG wDGfESS ~snn~ q~.r.s. .a.. em p ror.., i~.tt. tr~ Mrs . Alma H. Escue ~n 1109 So . 7th . t. ?A~T 1. pfwnl WAS CAUSfO ~Y: (fNiEf ONIY plE CAUSF IE! t!rt fOf ~eL (Sj, A?Q (~H a~~~ p o~.a~r •.a et.rw 1~ weO~ Cwit t~l ~p ' K ~ C~/1~~ , ~ ~-~L u~7 ~ • M7~ ' ~ ~ N• CON01f1OM3. ' rw~(w a~~f ~~ff ~O " IrrlOl~~~ C~VS\ Il1, pN p. a~1 ~ COM3l01MMC! M: ~1~tIM0 IM~ VNO~~- ?nM0 C~Yf! l~!* ~Q /~~i M. OTNfR SIG?l1FIC~Wf COH01T10NS: ~~^a+s co-nn~~n1.e q w•m ws r.o~ nuns ro c.~u oaew rui i ~a~ ~ ~fS ~+~~e r~ro~wes ca.- ~n~ pe W~ LO{~fD ~M MI~Wr~i~+0 4YS! ! d OI~tM ; No I,* ~ {?..p~W~ i/K WEnT. ~DE A ~ uo-.rw. w~, •t•~ ~ HOlit MOW IH1VR~ OCCURlEO ~ t.m~ wrw~ q o.~n ~w r•~r ~ o~ r•n u. ot. ~ NpuK.rOE: O! {pOE1E~Yt?iD I ; tSo~c.ti) ~ ]0~ ~ 7A. M. MI INIURY Ai wO~C RwCE Of r+x~r.r ~.wr. amn, ..c*o... ~OCwnO~+ ~ sn~n w~.r.e. ..o.. c~n o~ ~o.~.., u.w ~ ~ i ItMt~n ttf W MOI OAKI M06..~K If?KM~1 i ' 7h 7M Hi i CERTMKwTqN- +a++w w• •w ~ rou~w o~• •iu t wo ~.s~ s~~ wriw~ uwe or ~ ao/o~o w, .~e. se o[~*M oee~uto me r,Ke. w ny - ~ ~NISK111N: TO ~ ~OMM a~ ~!Y ~0~~ Uft~ Ot~M I~OV~1 O~~f. ~MO. q M[ ~lSt ~ 6 19 73 2 19 74 2 12 74 did 4: 35& tt~ Oece•ue no. 71~ tic ~t~ 71~ ro m~ uwsns~ s*.no. CERi1i1GhOH-MEOKAI E7I~~M~E~ OR CO~ONEt: a. n.e ~.s~s w na ww~ w oe.n. ~tcraw~ r.s .~o.~w..cee suo 3 l~Y~M~10~ W ~M! MO~ ~M/W 1Mf Mvfl~~fi~~O~~. w r~ O~M~W. ` rOMA O?t ~1~~ MOY~ ; - ee•m occwno a. wu w+e u+o oue w ewe uost~v suno Ih .7b 2 19 74 4:35 p M. ~ CERi1RE~-?UME ~n?e O~ rw.n S~GNAT1{RE ae~te w nne DATE SIGHED ~+OMM. D~t, ~W 1 ~ i 2 -21-74 ~ Hooshan Kadivar MD +r,. ~ ,k ~ ~`~~D°~u_`~rT~`f 706 No. 7th~.~~Street Fort Pierce Florida 1~33450 j~~ ~ ~UdAI. CREMAiqN. REMpYAt fMETftY OR CfEMATOAY-N~wE lOGiION an d to,n+ fut! . ~ ~fIlCVr~ - o iE Crem~at ~onu~ ~ Ne „~nNAMf ANOmADDRFiSrluim~[7 p~ ~,r ~ N;ae~st ~ Palm =Beach Flor ~ ,,,~/EFeb. 21, 1974 ~ Eort Pierce Funeral Home,l06 So.4th.St.Fort Pierc~e,Fla ~ Y. ~612 fl~~jlRl?C EROt~ ~ REG15i ~-SK'.NAfU1E OAfE tEC[W!D lOCwl ~fG~SiUt ~t A A~v.19T0 tri ~.l/~~' n. .~1. ~ tw r ~ ;~~iCED - ~ . F1L:' _ENT'iflA• 1, ~ ~ thb ro b~ s hw and oorr~ct copy of fhs l~ocei ST.I~C _ ~ h~t~br w~t•fY - ~ ZS T . - ~ ~ _ ~ i•~ th~ St. Lutie County H*alth DansA- c~ ~ a - Rpiitrels reoord on file - . . _ : ~~t at Fort Pi~rte. Florida. ~ , ~ ' - • ~ ~~tii : ~ ~ ; , ; (yyarn?ng: Not vilid unles~aise~i ~I °ffihs St. l~ 2~ I~~ _ '~y ~ ~ ~a;;; Gounry Hesith De rtment is a x~d.) FE8 Z~ ~ , ~ ~ _ ~ . ~ = . N. D. MIIIER, M. D. ~y ; ~ . ~ : _ 4iosiih Offiur 6 trxs~ Rpistt~r ~5~~9 . . 7; _ J ~s , ~ , . . '~~J t ~o ~,\3ay:. .2 • , ~ ~~jn~~~i~~ . r:~= ~ p~p~ity 1,oc~l Rwistrar . . , . ~ E-f:~ 224 F~tit1060 % - - ~ ~ ^ _ ~ _ ~~W- ~ ~ - z~' y-~ ~ ~ ~ a ~ a+ - r` -~.-~T~:`~y~r. ~e~~~a~~~-~r~" _t:~'~ _ . '~~-„5,-`'-..k'~s`n~Y~:~s~: