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HomeMy WebLinkAbout2559 " 2'78839 ~C ~ - ` - _ _ r ~ _ - : , . . ~ ~ - - - • . CERTIFtCATE OF DEATH pa}~r~.~e.~ .t ik.tt6 ..i Reli.WpWbe Ce..ice. srwtc F~LS do. ~ ~„F~ FLORIDA pE61fTI~AII•• NO. 171 , 1~rE. O~ /MM IN ~ ~r~u SEn OAiE Of OE1?M ~ roMr~. wt, ~w ~ : HlMANtNi INK rra u ~ OECEASEO-N~ SEE IWr1001 !M .s~wcras Charles Milton Wilson ~~Male ~.March uCE ••w, wao. ~+.encu~ ~rwM. AOt-ui~ ~ww~ ~ n.~ wa~ ~~.s D~tE Oi MIIM ~ ro.e.. wr. COtMiT Of OEwM ~ylly~7 1~U~! 1 ~M. Mh M01M~ rM- 7U~ ~ • ""`~Ulhite 69 ~ June 4 1904 Saint Luc ~r Ma r xw~, w~ s~wn .uo rw~o ~ 6602 . towr+. t ~n~ c.....~, ~wsnu?t Ot on+ut as - s.ecM. n. o. Mo ,~Fort Pierce Yes u Rort Pierce Memorial Hos i a SfATE Oi WM ~ r ro~ w~ ruu Of w~Mi OOUNtR~ w~RtlEO. NEVE~ r~~R~lEO. SUWN~X3 SI'OUSE ~r .nw. o~.e .ura« wur ~ • ~ W~ppw~. OIV~O~CED ~ wec~ ~ ~ West Vir inia U S A a n. Helen Warne .rr ..w~e. uw~t octu?~rq~+ ~ a.. .w o. ow. .ow .wno .ws~ w Reo oi wsNEU at R~USnr lM~. M N~M ~u ~~n • rp~rp ~Yl, MM Y tlMl~ 1 ' °""~M „719-03-7635 Retired Official „j!Iorfork & Western Railwa . ` arKUn ~ewa CTf. iOWN. OR IOC~TIOH ~aw an ?rw~ StlEET ~r+0 MW~Et I.Ot #17S ~w~aw. ~ESIDENCE-StATE COIM11t ~wcw Mf o~ w ,~lorida ~~St . Lucie Fort Pierce ~a No „2251 No . Federal Hwy . ~ y~p Mpi11Et-A41DfN NYNE ~ ~'"u . IAMER-NAME ~W~ . , „ Clovis Wilson Louvica ui ~~ao~wMn-nAME w?..+c woo~ESS ~.m.• o...~,. ~.o.. cA. o..o..~..~•R. i•~ Florida ~ Mrs . Helen W. Wilson ~n2251 No . Federal H t 17 i~ ~ART 1. OEA1N WAS UUSED ~Yi ~ ~ENiEf Of~11/ OrE UUif !Et l!E iQt NL NL /~NO (c~ wnretM orsn ~~r w~m N. ~ K ~'C~ (~1 COMN~IOM3. ~M~. rM~Cr O~W ~~3~ ~D A~ ~~rlN~t! t~1111 IM. Mt 10. W~3 ~ COMffYa~K~ Or: . s~.nwo r¦~ ~w~e~ k~ Pulmnnarq fibrosis &Etnph sema. ~ l ~yyrrp p pun ~01 rOt MuR~ ~O t~uM ~ r.n a~ if rE5 ~l~l IIMOIN61 COM" . ~ARI 11. ~ ~`!'/L G`~ ~ns w w~ ra~ee ~ Nnu~r.~o urse U/? a H~tM No ~ra.*w , s~~~~ 1 lUl~ OCCURlED ~e~ne~ wiwe p rwNrn a~ ~~n ~ o~ rut M, ~u i p4 MOETttl~wEp ~ ~ ~ 7k. . M. 1M. ~ ` ~NAIt~f AT wORR KACE Of Nlt1llf wr. r.w, snen. r.cwn, IOC~t~O~+ ~ swn o~ ~.~.w ..o.. cm w w.w. sr~w ~ ~uw~. ni w wo~ owrc~ wo..ac. ~wc~+~ ` !N ~ ~ - GERtiflCwT~ON- rwn~ rr ~e.~ .ww w •w .w uv s.~. w.i~ uwe w~~~.a .~e. we otwm Octwaeo ~r w~e n~n, w~r • ?Mf3KUw: TO ~o.~s • iw ~uw. I.w~~ wt...~. io y[ ~ep ~ ~ ~mww nw Q 'L8 'j ~ w ~w.nee~e. oue . OZ - ~9 ~3 tn 3 ~ n.. t~~. ~~l O: 45A J~ wn.u~ s,.a.. tN. wce~sr~ rq. CERTIfKAt~ON-MEO~UN ExAwiER O~ COeONER: w.w ~.sn w w .oM a ~e•a r+i Mceoi rn r~a.ou.ce~ w.~ ~a.r~unw a we ww w/o~ n~ ~.esnwna.. « r, a~~w. M7 ~t / Y1f M. ee.~w ottww a. r~ rw ~w wt a sr uwfm wns. tA ~ - tI~ A D . ~ ~ CERtIf1ER-NAME mhe w ?s.n _ ~ / ~ Joseph H. Batsche ~ wuu+a ~owEis-cc~nrr n o...~.y. 906 Dela re Ave e~ Fort~ ierce Flori a 33450 W~L?l. CREMATION. ~EMOtlAI ERV O~ CJfMAT NAMf IOCATIOM cm o~ w.w w~e . ~frear?~ ~ , ! :..Removal-Cremati D hl H•. Postsmouth h' , DATE ~ra~w. wr, .w~ fUNEtAI 110r+~E-ru~wE u~O ~OOAESS i~ne~ w u.~_ ~.o., cm p~oa.~, u•n, u~ ~ 33450 March 29 ,1974 „F rt Pierce Fun ral ~~ry~ ~T ~ ~ .e~~ , r. s. ~612 r o~- / c~s e~a-s~+nna~ . h 2~ l~ 4 R~r.1970 ~ GC~// i ~Y ~ ~ ~ i F~~Eo ~?~r KEC~ROE~ ~ 2'788~9 - ST.IUCi[ Ct~UNtY fl ~ ~~by o~rtify Mb ro b~ e trw and oornct ooPY o~f th~ Loca~ RBGE~ FOITR~S ( istr~rs ~ecord o~ file in tM St. Lucie Gounry Fl~elfh D~aA• CIERK C~=~cwT couRT ~;W l~ r ~ } ~ORD Y tt?f tE4 : ti , . ,/~0 Ih0 RE t . , ~ mM~t ~t faf PiNte. Fbrida. _ , y ~T~ ~ r ~d ~ ,(yVerni n g: Not velid u~less ra~sed ~eal of th~ St. luci~ ~ 5 i ZI~ eM . ~ ~~.~Js ~ CountY He~ith Depe~tms~t is effix~d.) , r. , _ . ~ . ~ x : v~ ~ ~ : ~fi;i"'-~ i ~ N. D. MIItER, AA. D. : 2- ` . ~Ho+lth Offio~? 6 Locsl RrDwtrar • vJ [ ro; ;:~4•.Fx. • ~ • . I . ~ ~ ~ ' ~ '•~t''n~ 1~~~5.`•~•- ~ . :'.Y:.:~~~~``~~ ; ~ pp Loul R~aisnK - ~ ~ g~~ 2~5 2553 - - ~ . ; ~ - ~ ~ ~ ~W ,.,Q;:< ~ a~ ~i~- ~ ~ . - - y. _ F _ ,m _ _a