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HomeMy WebLinkAbout0273 ~ CERTIFtCATE OF DEA't n-- ~I4 L~ ~~M ~ $M~ RAn FILt NO. nnea~ cr ~w~rn F L O A I D!l ~~~t. o~ ir.n w. ~ca~ar~~~•• No. 533 N~wuwMt aMt .,a. , sE„ wre oc~tn ~.o»,.....,....~ , Rrank NNIN DiMetro zMal 1 1973 • uot .~w. M..o..r.~c....wK .ae-..N ~ . o.iE a wn~ ~.oM.~. touNtr awtM 6602 ' 'rM.~ ~'w~~ .o`' "a"' Jul 18 1 , White 66 ~ ~ Y , 907 Sa~tnt Lucie ~ ~ rw~ un u.n Al Oa OMp NS ~ r wa r~ ar~L on~ swu ww~ ~ ~ wc~nr nf o~ wo Fort Pierce H Fort PieYCe Mem^sial Hos ital • • fGt! O~ MtM ~ r we~ w w~N W1MT COINnRY w~RMEO. liEVEt MAROEO. S1'OYSE ~r ww. an r?ea~ ww ? :,...«,«.K. ~ Ytaly ~ U.S. . w~~arr~ie~`r'~ Jose hine F wn.w~ ~ MIWE~ YSwI OCdN~tlp+ ~om aw a w~a ~o.w ow.a .ae a ~t!!D Of MiS~1ESS O~ wD11Snn ~~~vM. M N~M p~[M UM~ Mw Y tl1oM 1 ~ ~.M~^» „ 099-10-8410 ti ~s o r ~~M~ ~tfIDENCt-SGtE COINAII dlt. TOM~N. Oi lOGT10N rw~ c~? ~r~n S ANO ~ ~ warr n~ w w ,,,Florida ,~,.St. Lucie Fort Pierce ,u Yes ,will Hialeah Avenue, fA1MER-NAMf ~W~ rM~ uu M?OMEl-~?M1DEH NAME wM r~M~ aw . „ James DiMetro Unobtainable ~w~O~wuwt w?a~+G woatEU ~wan o~ w.. an a a..~. a.n, an 3345 MXs. Josephine DiMetro ill Hialeah Avenue, Ft-. Pierce,Fla. r~uf awn~ wns cwsEn n~ ([Hrc~ or+ir at cwusE rte i ror hl AL ~ kA ..me. o u.... N. N1 ~ ! ' ~ ~w Ci ~O~i% i s q A~ ~f~~' ~C ~~if7 ~ GY ~WM~t~ C~~N IM. ~ M q. p ? OO~+fWMwG . ~~1tIMO ~A~ rM~~F ' pura C~YN I~N kl ?~i r Oi~ sIGNrIGwT COnD~TqNt= tar~wo~~ caswwwa q wiw w~ wor uun~ ro c.vie a«er w~u~ ~ r~ MROKr ~f ~ES ~rue nr~~was ca+- '~,I ~as w wo~ s~K~ee ~r Nnarwwa cwse w No a .wM iw ~ p~1~ ~ rowm. w~, rw ~ MOW INJYtT OCGYlRED ~~ww~ w+w o~ w.wn w rur ~ oa ru~ u. ~e+ ~ Ipq~M~~GD4 OR I~OITNI~I~RO ~ ~ Ji~ - fN ~k r. 1M ! ~ INJUt1 AT M~pK NAJtIf .w. ~ur. u~en. ~.c~o~.. IOC~TION ~ swe~ a(.r.~. w., an o~ ~o.r. u.w ~ ' ~~nw? n~ o~ wo~ owu~ ww..at. ~vtr~~ s1. . CE~TMKATICN- WMM M~ tW ~1~ O+s tW ~M Wf Lr wr/MH ~u~R OM 1 M/M MW ~ Mf OUM OCCYMEO ~i M! ?M[!. O~+ M IIITNC141: ~OM/M Mt 11Y ~Or~ YIN OUM. 1uOV~1 MR. ~MO p 1K YLi 2 28/72 TO,~~ present S/18/73 did :wS:25 p o:~~ ° L:`. CEtiM1GTqN-MEOKAI EJU?MNEt ~ a. ny ~.s~t a w wow a a.w rwi Mcearw .ru nonoxwa~ M.s a•.www. a w~ aw w/o~ ~r nnfnwnw. .w w.«o... r~ nu C w Cww " N~M OUY~M~ O~ M MR M M/0 IM C~YltQl N~R~. 5~ n?. 21 7 3 J~'2 J p• k. flllE~-NAME m?e o~ rwm e o~ mu O~~w. w~. nu~ , John N. Sims, M.D. A1.D. 9 25 73 ~ ~ t, Fort Pierce, Florida '~'3450 ; A0°"~~-"R""~ 601 Nor th 6th t°' WfIAt. GtEru?ii0M,11EMOvnt Etr QE~+u?r _ IOGtWN on w a~+~. wn ~ ~nnnr ~ Burial ,w Hillcre, t em. Garde Fort Pierce, Florida s E ~.w~w, ~+?r, nv? ?t1NEt~LL MOMf-nAME AND ADOItfSf i srna o~ u.w .a., cws w w.M, tt•n, tv ~ w Se t.24, 1973 ,s.Fo t Pierce Funeral Home 106 So.4th.St.,Ft.Pierce Fla. v. 5.1612 i CR- ie~~--,LG+v~ru~E n n ow r R~~.1970 tw ~ ~fi~a sye ~en~err~er`~~;"1973 ~ fllE01?Na RECOitQEO ~ ~ Mnb'!~ a~tifY thit to b~ • trw and aonrct oopy of ths tocat 3T.111CtE COUM7Y flA. Rpith~r: t~oord on fil~ fA 1h~ 51. Lucl~ County H~ehh D~p~e~ ROLf ~ Pa1tIlA8 : m~nt ~t fort Piera, florld~. CIE~R Ct;;3tl~t COUI1t RECAR~ YER•fIE4 . - (Wemin~• Not valid unl~u ralsed ssal of ths St. Luci~ ~ :~j,.:;,"~uw,:,;,.: 7 Cou ~iealth ~hment i: ~ffixed. ` • i ~ ~ M~Y 6 8 2s aK ~~1 ~~3~, ~,~r~,~~ ; o . . r Ta = y±. N. D. AAILLER, M. D. ' ~ • ; ~ ~°o~' . ~ ; COUnty li~alth Officer b loul Registr~r 28~.315 r~c', .-t s.% ~ ~ ~ ~ r~ ~ ~t3 „`_1- '~J ~ s Y' . ~o ~ ~ } L . ' - :s • rt.Y'> . : ` ; ~ ~ `~,~,:}t;; G- f 0~1~ O~ptAy Loul Reoi~•+~r 'J 1 y~ . ~ ~ - ' - . ~'~•~~~//)~ir~'lS~;.~' ~ , , . . go~~27 ~ 27~ ~ f;; - ~ y ~ l.{ - _ . -