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HomeMy WebLinkAbout2296 t , . ; u j . - 2~0'~O~l ~ - - - ~ - _ _ ; _ i~~~ 1~- ~TAT[ ~oweo or Nu~n~ CERTIFICATE OF DEATH ~AT~ ?ILt NO. ~e•~+ • ¦uwuu w v~Tw~ ~rwT~~rnc~ F L O A I D A ~ ~crosrew~•s No. 520 t •rd •A~w e~p7N NO. . pr~p~?Ir 1. KAtt O/ ~[ATN GOD[ HO. Z. V~YA? A[NKMt[IIYnlwra~irl pww.w' Rw/w~M/wJ~wiw) ea~e~t~~ ~w~ • ST~tE ODIIMit Saint I,ucie 66-025 - Florida Saint Lucie ~I~c~~ t. K ~[Sro~~tt fw ~~f~ UTt. iO1MM.0A?OC~f~011 YrIW~ S CITr.TOr11.OA IOC~iDII ~wyOt CIT?,U,~r~iif~ Fort Pierce ~ESL~ ~O I~ort Fiarce n _"`~.Sd- fll~. I. M~wF O~ (I/ W b W~hi. Irt MrtM NlrfN/ I. STAtLT 1ppR(Sf Fort I'ierce '~ter~orial B06 North 24tti Street ~ M1M[ OI ~'MK n1~wr Lw ~ wrt 1NMra D.~ Yra °;~;;Mr~w, :Jillle ismtnet liolmes o*N December 16 1968 S(I ~ C01d1 OA ~1C( 7 y~11~1[O M(Y[A M1~~R0 ~ Ni( Of M~TM 1~i[ 11~ NMI I~MO[~ ~ tW 1N0[~ N~S. r r t a• t"~31@ Negro rnooncot7 avatto 3"1.2~13 ~~~Ml wrr o... w..w xa_ ~~~f.l~ 10~.1KUnlOCtu~~iiO~+iQw~Iw/NrM~M~t ronK~~oawsurtuo~r~anr~r n N~rw~uc(•9~re~M~M+ewrrt/ una+o~.~rims~n •!t• ~~r- /¦.4 nwrN M1N nr+i rnud~ Con~rac~or=~'roc~uce Sclf-::m lo ed G~or ia U.S.A ll~~t f~t r~rM[w s M~rt 11. MOrwE11-s ra~p[11 ~urt Leon ~Iolmes Mand Unobtainable K soeuu s[ew~ir ~o It u~~w • f1~IMTY~[ wq.er 'Ij~. 51+-07-b906 ~,L~~-Gt~ I . ~h~C~ d ' 1• t~Y~t ~I K~TM~ n w1I Mf twM /P Ii (Sl. It).) INT[RYK ~[Tilf[tN hw ~ I~ 1 / t OwStT Mb OUTM •~f~tt~• ~1Atl O~~TMifisuuscow. u1 ~ ~,~y~ _ . • ~ ~ a t ~ ) • • ~rr[e~tt t~Yft IN _ ~ - v - I 1 ~-1~(y---~` ~ ~n~ ~,J c ' uri~.a. c...ri.... q••.. wc .o n~ /l~~ L ' •l~~ tA• r~rl ~n ~ q " ~ ~ . ~ . , ~ Ci ~c.?~i~~. ~•~/S.. ~~~c ~ F,Jc~ ~ r~~1~ar~r = frlM a~~ar lut. OIK ~O (H----- - . waS~UT •1tM~~ 1~ ~ 11~r~• O M11T 11 OtK~ SKJJJ~~~ IWt CO~tO4 CO~~~NU~M /OOt~fM ~11~ ~M U/Utq M lGNM~Y 00[~S[ OO~M/0~ wlYT 1(~1 /[AfO~ ! r / ~ t~t ~~~t\ S . ~V'f~~ f ~(Lt= -t~f-/V RS n0? i •r •~f~r• ~~ryw. p~ aX~,g ~ow wlu~ratcu~~[o (E'M~ ~w•~ N~~Jr•~ b M!r IW yY~~ I~~) , •~t~~~ •w7 ~ ~CCM[wr SUKM( ~K . . • ~ - ~ o o ~ Shotby~+rifesiLUr~~v~~ - - k ~r t ZO[ TIY[ O~ JIOYL A/~M\. /7+~. )~tM 5 ~ ~wlu~r ;)r~iG S ~ , 1• 1Z~ZrJ-6a 1 wlu~t OCCW~[O IQr tuCt W wu~r (r. I.. i~ r rwt Mv. m1 Crtt. M~w. O~ tOUiDM OOY~T~ Si~T[ § wh~tc ~r ~Or rN M+. lkrrl. M.~d. ~ke Olq.. tl~.l ? ~ w~R ~ ~T wo~ i . • ~ @ $t . UlCl@ ~O 1 ~ • C • _ 21 I~t~~ndN /M f ~s~d i~ . fe ~ •nI bN N A:w~ d:~~ en ~ W~~h occvri~d -t en M~ d~t~ ~~.t~d ~40.~: ~n ~ ~M N~~ o/ eq lno~NA /ro~n eA~ eauNS ~~~t~I. ~ •11 lte~• jj~ tlYlilAiYwt / (1 /rR !Y 1 ll1e?`OMt[SS h?1t.MT[SWMEO ~ •r• t• 1• -r.~~ L1 ~i--C~ lC ~ ~ • y c~~~l~t• • •ee~r~t~. 2b w.~K.u[ra~iow 2ls wtC t]r ¦~rEOr [t[~tO~C11[Y~TOA• t11. ~ot~l~owtCl~.twr*.Mnr~tl/ (St~rei ~ BuT~"a~~'"~~ 12-22-68 Pine rove Cemeter Fort Pierce Florida ~ r. ~.Ieta i~ ~ ~ ouu o~ s s~.w~wa ~oo.css y~~~( 2S wt~ acto ~r toc~ ec~. 2f. cnr~~~ s s~w Tua('~/4/~(.[~r °i~ ~ =t ~ose 20 1968 ~ • ~ , ~ ~ ~ f ILE~ AtiD RECORDEO st. wc~E couwnr fu?- L~ 2~~'748 ~y RocEa ~o~ta~s ~'r. r:' C~EaK G+Kcu~T Cotiat AFCORO YERif1ED trw and corna aopY af th~ Loca~ ~ Zi _ 1 r?~n.by an~fY d?b ro b. e n H~aith D~aA- ~ . ~ ko(~istrers reco~d on file in tha St. 'lucie Cou ry ~ ' • : t11w?t ~t FoA Pi~rce. Floride. , YQ~ ~ ~ '-~.3 . ,y = (Warning: Not vblid vinless raised seal uf th~ St. luci~ b~~ r' ~ f: ~ . ~ _ Cpunry Hqahh Depanme~t is affixod.) _ _ t :s ~ ~ .r , j.~;' ~ = . = N. 0. MIIIER, M. D. - . T s` - y°Fl~tth Off~oar 6 1 R~qistt~r ia ~ lnci~ . . . ~'i ~n ~ ' iE11~S` - /d - 7'~ ~ . . / Lotei R~ois~rer ~ . ~ : D~A~ ~Y ~=s ~-:1 . ~ 22S ~ a~t 2295 E~.~~ ~j S@'/:i ~ - . ~ _ . . ' ~ . . . . . ' ~