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HomeMy WebLinkAbout0736 i sT-27,375 ~ . . . _ . . . E.._.....~ _ - ~ , ~ . , v..~ ---,;.j • _i_ - - _ _ 2'79636 ~ CERTIFICATE OF DEATH ~wTC F~~~ No. - - o~..~.,~.~ .t ~k.u? K~a~"'"" s"'*" F L O R I D A pEGIGTRAP•f wo. 588 ~w wrr~r•wre~wo pAIE O~ OEwM ~+ow~w, n.u TrrE. O~ ~uNi IM naww~x~n ~MK ~u~_wwe • ~ December 4 1972 1 s~c rw~ooa ~ FLARA MAY WHITE ' ; ~ISiMKIM~ 1. ~ n.~ wi~ ~ u~ OwTE OF WtM ~.a.w. COtMt1 Or DE~tN , .w ~ • ~ ..w, .e~w. w.w .w.. wGE-..?~ • i i ~w~ ~.w~~ .os. un .o~~ 2$ 189 ~ nc. ~ wc~.+ $@ 't . " { ~lte w 7 A k ~ ~r .o~ r~ww~. cwa fnu~ ur aMr~~ ~ i wa+~ cn i~ NOSMIY W OT~E~ NSi~ ' ~ 6602 ,,ow~+. ~ , oc• .h~., w ..o * ~ ~ _ . a , ~ Yes 1~1e~ori.aar ~ Fort Pierce Fort Pi ~~~,,,,,,N."~...,.,....~ ~ w~ut cou~ar wue~a. ?tvte wurto. . ~ , . ' Siw1E p WTM wt w~.~.~' d~EN d ytppWEO. ONOKE,D ~ wt~ ~ w [.M ~ t R ~ • USA N. Married SeoX~els ~ YWY MWIM New York .b.~ a w.o a ws..~u o~ ~+ovsn. ~ ~ rMM NtfVt~ s«W SECIM~TM ~E~ VS1JA? OCCWATiON ~trH lM O~ ~~M MMN ~,.n. r N~r ~~'4 " ~ Public .SCt~100 ~ S ~ - Teacher ~...e~.. ,i345-30-1445 i~. sntE~ .,a ~wuu , : n Nro~ an. TOwK O:IOGt~G~ ~v~cr• w~o ' ea Ki~DE?Kt-SGt! CO~NrtY I ~u~ ~ ~k Fort i e Florida St Lncie Np MOiNEI-/~M~DEN MaM~E ~ Mi~E~-?'4~E _ ~ ` Frank L. Van Horn ~ ~f rwrwG ~oGafit .unn w~.~i. w. cw. e~ •o.... ~~•w. e~~ . ~ wOw~uA-awrt . Geor e A. White ~n143 Gu o .».o.,..~.._ 4 11~ ~~ti~~w OMSlt ~r~ M~rr • rwn oum w~s cwsto ~r~ ~tNrt~ awr a+[ uust rE~ ~r+[ ~ NL wl ~ kN ~ ~ ~ ~ 3~ ~ ~ , ~ MI 1~,~ i\ ' . ow ~ . ~ =owMnOrt. q ~~n. ~ ~ r.[~ 0~~~ ~~f~ q ~ ~ ' 1~r~M~N (~vf~ IM. M q. p?1 ~ CO+HO+~K/ W' . , ~1~~~M~ tA~ rM~M~ ~ ~m.~ c~~w w* - Ic) w ..N --~TAYiO~S1 M rEi ~w~~ww 4cY ~ ~ ~mp ~ MM~f~w~M~ ~ ~µT ~Q?~fTi~~l. C 'Wf CO~ .M.+G q N~~ N1~ rOt aM~N q 4~ 4wlw W N~tr ~ rwn rHte s~G?ar - S ~w f ~N G~ t a'.Y~" S C'~ e ~~eii~[OS 'e.~'C ~~rw ~.r,~~ ~ 1MOW IN1Wt OCCUR~FD ~t.w~ r.wiw w n.wrr w'ru~ ~q r.N 4 w~~ ' ~ ~OE bi { - wr"~~e, oa vd~ o ' M( w ~ ~ s~,.d~n ~ ~r . . t • - I1wCE ~L~M~•••or•••r. s.ra. r.a~w~. IOC~t~da ~~»llt W~.~.~. w0.. C~n p qw. a•w. ~ ~~11 A1 WO~ > , ~fllf/~ t~~ q MOI OAKI YO.,~K. 1MRMI~ . ~ . 7~1. ~ ~ ~N uf/ Y~1 r/q~ N~ OM ~ M/M~~ M~ Ff Ol~M OCCY~N~ ~t M~ .M[~. O~ M ' ~ . . f .o,n„ n.. ~.w. a ~r ro ~ ~p.~w M~ Au ~Ow uM~ M~a ~.W~~ W r~ arOi+N~Ol. M . / M,t ri ~ . CfftIflUT~ON- "'v1b1 ' ' ~ ; ~M~3KUw: i0 Z IU i. 1M. ~TI-K ~O til WYn~ sL~~. ~ , .M~... s , L GL- ~ Z ~ ~z , ' ~1l N(f~M~ IW~ 1N MCIMM ~n1 /~OMOY~tl~ M~1 py~ ~ ' - ~ p OWµ(L- O'+ /M ~~4f M tA wOV~ Oe N~f~ ~A -7 ~ . CEtiOIUTiON-r~EpW.,yi~.n~tnc.+o.. r w...a+. / Z- ! Z ~ ir. • . ~a...~ ww a wr ww Kl~ ~ ~A SKiNE ~Wn N~.AYI ~l~lw OOCIMM W IMl M4 Yy NM q ty 4115101 f~~1~~. M4M~ M/(~ . ~ //y~ rj M. 11 ~w_ ~~3 Z CE[twft-wwE mn w?~r.n _ ~in ~9/1~'~-~ ~1 Y9. . n / 1r ,.N~~ « L.... .b. ' t~ ~r~ ~I ~ p Florida ~ M,t,~ AOD~ESS- f1M1(j u c i p Un M q~+ f*~N )M ~OY~t S~• IJ ~OC~tIOn ' _ NJRIAI. CtEMM11W~. ~EMOr~•l SC~Y W GEMAiOt7-N~f ri 0 ~ ~ Fort Pier ~ Cremation r.Ft. P~.erce Crematoriu u 33450 ~ tN ~ WraF w? rWNE-r.u~E uD SS ~ s..~n o~ ~a.s. .o cm p ar••, s~.n. w. ~*~Q~~ ~1~ates Funera~Home, Box y77 Ft. Pierce Fla. ¦_s+c?u.,wr `~~~eoe~ssiber 133t1~ ~ s..s~Z ~ . 2"79635 ; ~ ~w.1970 ~ i~~iuc E cSuN~Y ~i~. ~ R4CER POItRAs CLERK C~~CJIT COURT ~d~~~ , 1 h~nbY o~rt'fY tt?Is to bs a trw ~?d cornct ooPY P r0 RO v E A t~ 1 E~~....~.~..• - _ d on file in th~ St. lucie Counry Hsal~h D~ort~ u ~ a~ a~ , , flvp tstrers tetot ~~Y 1 3Z 1 n~~~~ Florida. ° R1~f1t at fOA PiMCe. _ - ' i ~yy~rning: Not vslid unless r~~ ~s~ affix~d ) ~ ~ -~P°"" ~ = ~ C,ounty Heslth DePs _ ' o N. 0. MIIIER. M. D. :~o~. - Hwltfi Officsr 3 1 R~9istr~t _ , ~ ~;~~a` ` . 1:~ t 3-~3-~~ ~ • . _ ~ ~y Q~o~strK - g~RK 226 736 #.v ,'y`, . ~ . ' - ~,5.~ ~ .d y. r..""~. . ~ , . : . _ ~~.,.~v