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HomeMy WebLinkAbout0163 ,r - , . ~ ~ ' _ ~-i~~ - 2'7'~'~~'G . . CERTlFICATE OF DEATH QPwt~ewl ~1 IItrI1L w1 Re~6iIHa11~c $rrri[ay fTATt FILt NO. IMY6101V (1F IIFAI.711 F L O R I D A . T~?E, O~ ~tlNi IN RCGIiTRAR•f NO. ZOZ ~EtMA1NNi INK ~_HAME aat rrat ~~s~ ~Il OATE Of OEAiN ~ ror~+, w~, •a•~ ~ s~~ ~ " : , F 26 1974 ¦snrcuMS , ~D ~1• ` uCE ~rrn. reaw. urNCU~ rw•w. AGE-u~~ ~~wt. ~ n.. ww. oAif Oi ~1N ~.ow~. w.. tdMT~ Of OFATM ' N • Itl~~fl ~pf. Y» ~Mt ~M. RVI ""`•,~y,~~ . F'eb. 26 1896 St. Iucie ~ ~ CII1f. TOvVN. OR LOCATIOH DEAM r.fw cm u.wt NOS~IUI O! O1ME! HSTRIiT - ~ r rw w~nM~, 6M s~ret w wr~t~ ~ 6GO~f fMC~rr r!s W MO Ft. Pf,eroe Yes N Ft. Pi,e~roe Met~arial flospital ~ wevnNG sroust ~..r~. one .uow wr ~ STwTE Of Yl1N ~ r¦o~ « •••re QiREN OF wNwi GOU~+n~ ~ C NEVE~ ~EO. , ~ D ~ tncrr ~ ~,r., ~ New Y~k . USA » Marr~ Mari .~aa Mcwee ~ql SECtMrtr MM+~Kt IlSUAI OCC\MATION ~ u+e a~n p wou eow ewwa r4W p [~q Of M15~+ES5 O~ wDUSitv lM~. r N~M ~~~~p p(M Y t(Mf0 1 ~ 082-07-8970A ller Nl~nici le Goverrment ..~....a ..wn crtr. TowW. oR ~ocwr~a+ ..f~.. a.. :TREEi ~.w Mw~Ea ~ Pclrk •arfuow. ~ESqEtKE-SIATE CWN~1I ,~v •ef w w ,w Flarida St. I~ucie 14 Ft. Piesae No ~w 6607 Lak~el,and Blvd. uu MUTIIER-~W110fN N~Mf ~rs~ .uoae v~' fAT11E!-NAMf ~~~st ~y,~,~,~ ~y~,y CL~Cii~A C• r7N~Jill~ q YJI~J~J~.~ " IS I~MORMAM-MAME W.4NC, wOGRESi ~sneo o~ ~.r.s. .a.. cwv a w~.. s+~n. . gpb~t Hppt]1 ,n lll P811~c1~ N.D.V. W~l1ir7[?LS AFB AY'izOtkl 85225 ~h • ql1Y W YY ?~Rt 1. OE/?M WAS GUSEG ~Y: IEM[~ dur ONE GYSE IfR l~liE f0[ MA AL ~ kll wr~rxM oMSn w.~w N ~..r nYae ~ CO/NP~c~T~ A~E~'h~P~TiqT/ U I~/ SE~cyv~S ~I COMMf10Mf. 1~ ~M. /I f . ~ ~Y'l~ ~ ~ C~rS~'N~. 1 "I s~.nMO ~u ~»~t~- ~ ro. a.s ~ co~+uaw..n a~ ~ ,.,MO ~.r~ ~vro ~ < <~o~:vr <<~ 3 wuto?Sr If 1fES ran nr.e~ros ca.- ~~RT OiNEt S~G+~~FICwwi COM0~110NS: cwawa.s cawwvn.~c w w.n. w~ no~ nuno ro c.uu cna.. w+ ~ a~ ~ ns w.w~ YOl~~O tM O~if~Wf~W6 4Vf~ ~ j~ p N?tM IA /Y D 1N f ~ l.~rt~ w~wt Or ~«iu~r n~ rur ~ M r~~i w, et. ~ ~ ~ ,..o~..~, o.., .e.. ~ ~ Mow u+rrer OCCUttEO ~ a u«,~ ~~-/~i7 ~ ~ M. A~J TO i9c c i D.~i,~T ~"M C'c.lOFNI ~w -t~ 1lW~~ wi WORIf ~lwtE Of NAJrf no+e. ••u, s~ee~, r.oon. IOC~iWnj,~ ~ fnM M~.~ w~0t~.. Cm O~ t0~. l~~t! ~ / ,,..a.. .n a .b, aw~a .n~...K. ~ ~ ~T ~,D ~ i~2'~zf~c ~s'S T G~.e_ ( °csv,. ~I'_Q~ N RDAD ~ ,..e w~ s.. «..i.a. ..~e o« ~ eriw w..r..e oe•rN oecue~eo wn n.a. w r CEIIT~f~CwT~ON- ~a^~ w~ nu rww r• ~w ~,,M w~ nu ~ow uw a.w. ~wan~ uw, ue. ~o Me rs+ ~wtSK~u1: i0 d r~ ~w~n~oGt, su~ •m..~eo o~e f~? tA tN !A. ~ M. ~o we ur+e~a~ u~ao. T~ wce•sts no+ Twf OlCfOtM ~~f MOMOY~KfO MY - CERTIiKJ~110N-r~EOKwI ExAWNE! Olt CORO?rEl: o.. nn uHS a~w wN a a.e. w~ n.~ wow ~~YM~~~~ M 1~ ~00~ ~IO/M ~1! MVfSt~Wt4~. M~f O~M~'~. a.~.~~'°i..~. `~Ir•X'~ /NF~ • rn ' ~ ~ SK,NATURE auu a nn DAiE SIG?~EO ~.o~n~, wr. nu~ cemr~e-wu~ o...N.o • ~Cuc~ 7 ~M Z » , rk lAAR CEfii[R srun ~.r.o ..o. un w ~ s*•n a 3 J~ ~ z L , A l G . WM~I. CfEMAi~ON. ~FMOvwI ` ftT OR CREMATORr-N~A~E lOCA110N c~n u w.. s~.n N~. Ft. Pieroe ~ ,N Crematian H. Ft.Pi,eroe CYena i ~ OATE ~w.nw.w~ wu~ fUNE ~ o.r.e c ww.,. s~an. ~r,~ March 2, 19`74 ~,§~Y . t~'h' ~St., 1~"t. ~iesae, Flariaa 33450 v. S. ~612 -SrGr+~ ~ owa ae[~veo n~oeu ua~uu~ ~ ,y. March 1 1974 N~v.1410 ~ ,y i' h~ artify thV ro b~ s tn~ and canc~ ooPY aF 1M fILE~y'''- jUMTY flA. ~ I•.~~••,•,;:,~ . f 1 Y file in th~ 5~: tucie County H~sith Dops ST. t~~ t., ,~RAS ~ ` r~lil `%'.J Rpiitrers reoord a+ R ~ i.: RT ~~l . f ~ trfM~t ~t foA Pi~rce. Florida. LE: ,G T G~~ c C~t ' J' . . . `Y -r TQIyO) ~,~J S. (Wsmi~g:~ Not v~id vnless ra~sed ~eal of ths St. lucis f , _ is affixod.) t f7 v ~ ~ coimty Hq~~~h oepenrtwnt r ~ A ~ _ : ~ _ , : M~ ~ i K ' . . ~ - N. 0. MIIIER. AA. D. ` J~' j'~`~' ~ 'Firfth Offiur 6 I Rpistr~r 9p' - ~ij 1 ' : . X~ ~ u - 2'7~ ~.~!~a ~ ~ .~~+5..: c~ ~ ~'7~1 ~ - 3_i_ ~y , - ~Y (qp~ R~OiSMK . ~ ~ go~r 225 ~~cE ib~ . _ ~ ~ z ~ a , ~ , . . _ - _ ~ ~w _ . . ~ _ ~ s ~ . , ~ . . _ . . . W . . _ ~r~ _~;~~~g ~~i.~~ . _r. ~ _