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Home My WebLink About1446 I ~7 - - ~--~'~".J! ~ ' • ~ ~ ~ `r~ J CERTIFICA7E OF DEA7H Rwn au No , i` . ~'~'iw~ ri a~i Hrw~~ F L O R I D A ~co~sTRnw•s Mo. 674 ~ tY~l. W HrNt W w'~+ ~rwww~ p~l! Of OEA1M ~~"ti w, nu ~ . . w~ 3Et ~ ~ ~ ocws~o'«~ ~ ~ ~ ~cqbe~c 29, 1973 I ~ ~ ~ A. . ~AG! w~. w~Me. ~rww ~+M. AOt-uw wa~ ~ wu we. O~tt~O~ MtM ~~a~. M~. OOIM~Y Or Ofw1N i . 6602 ~June 14 1898 St. Lu~cie I i~ite k 75 : k b.........M. r..,.«. ~ , wsM ~N ~ ~ - . Ft. Pi~~oe 1~ano~ial ital I ~ ' w. p3~~08 Y@8 x. ~~q ~r ~w. ~w ~r~ ~wr ~ ww?T GO~Mar ~wdEO. wEVe~ w~uE0. suae ~ ~••e•• v,oov+co. ono.uo~wn.~ ~ ASA M3]~Y3~d n. ...w...~.s. .o. a. oo a N!SlESS Oa.+ousm uSU~I OCGI?wtqN ~«w uw a~or ~or~ ~wM ' ~w~i~ 30G~t f4W~R~ MMrE~ ~ ~ ~ r Mru~ ^=~8 ' ~tCwu~M N. ZV~~O~.7oVf 1~ ~ C~e Ia- \..L ~4,Ot ~Ef10~?KE-f/AR COMIn CIR. ~OMl~ Ol 1OG110N m M M ~ FLoadcla St.Lucis Ft. P3stve ~uYes N.: 1503 Bostton Ave~oue ,,,o~,d,-,~.,..~ r~ueu_wwc .+s At~18 8. W~1S0[1 u. ~f. ~ M~~NIr AOO~SS ~MM~ M ~.I,. MO.• 01? M~L M~1y t~l '"w~•~+°-+«"~ 1503 Boston Av~e•. F't• Pj,eroe• FLaric7a 33450 ~ ~ w~ ?~ar ou~ wws twsto n. i~~ aar as t~ust ~a u+t ~ iK 1~L ~ k7{ m+~~ ew++.w w.r N ~ ~ ~ ~ M t' !.'e~ a w ti ~ - ~ /a ~ : ~ » . , ~ . ..K. ...r ,a M u.aw~n c•~a ~ w, ooa~u o~. q~aw~tN ~r~e? O i ~ ~ ?~wN WM YN ~ ~ : w ~~j,~6C/ . . 7 ~Yl~~ N~ MROKt • rES n MMrN COi? I N~t OMt t~0~M100MORql4' c°w°'~ ~OUw~r.~ a wu. ~w ~~w~ w ww ~w~. ?.r ~.u a~ re~ ~~~r rwr~ uw~ ~K. i ~ ~ MU wM~l Or rM~ w~~n ~ O~ ~r r4 M~ m ~ ' r ~~RYf,1M~1 lIOM IN11Nr OCC11~~ ~ ~ O~ 1~~ ~41 ~ M. UL ' ~~c~w?. 40Cw110i+ ~ swM e~ a~.~. Me.. aR e~ ~sw~. ww ~ ~ q~{~!~ ~t wer. ~W. Mre4 i ~in n w~ a.K+~ w-.ta. ~~wcw~ ~ ' 7M. ~ ~ . 7~1. Ilrr NM M~ 1~/~M YM d~ ~ M~M /q M~1M OCCW~~ Y~ RK~. O+ MI . ~MRfKYM~- •b-1 Yt ~M~ TO ~OMr Mt ~W ~b~111 M~ ~W ~O/~ Y1M M~~L 1~0~1 M!. ~rr. ~O ~ MN resent ~ 11-20-73 not 9:50~ e:~ . ~_1 967° n? 1ta «a.~~ rw. r~ w~w w wa~c» w+ .oM ( CE~T1fKAt~ON- e.~ w~.~n a r .aw or N.r M~ ~w I~ a¦~w•~ or w ww w/a~ w~wOr. r~ w M~wOr. 9: J~ K f1L ~ G9~ / J ~ 1~ : V 0 p. M~~ 0001~ Ow r W~ ~ Nt 10 M 4NNM W~~. ~~pwr, M~, NYI ~ ~ UY ~~H1WI ~I~ O~ r~~ ~ ~1 DL ~ n. o n"1 S' m a• ~ p.. ~ N..., a.,... ~ a A.~. , ~ - ~ "~~~:"`~t~ St reet ' ~ ,~„a. a, a,o.~. ~ ~ ~ a~ru?rqM. ~E..w~? c.. oa a~w?~oir_,+~.~E F1o~ic3a B~3,a1 Ft. PLerce - Ft. Piero~ ' w '~,90~ N. ~3ih~'St , t.4P ~aeroe. Fla. 33450 ar `l;~'1~3'l~" "B~`~~ti~~ ~j~~¢~~ • ~ ~ ~nu~-swn?rwE ~ C 4 ~ 1:~ / 3 1bi~k12 , - u.. •~t.1170 ~ - - - . - - - - ' ' _ . ~8~1~'9 FILEO AM~ RECOROEO ST.IUC~E COUNTY FLb• ~ ROG~r FOITRAS ~ ~ CLERK C13CUIT COURT ~~by o~rtify Mb ro b~ a t~w ~Y P,FC~R;, VfRtr~EO....~.,~ ' ~ ~ Qpi~t~~rs reoord on fil~ in th~ St. tutie Counh/ Fl~sith Dop+R• ~ PiNU, Florids. ~ ~S 'O 2? ~ ~ ~~ililc(;Q/~ ~t ~t Fort . p ~yy Not vsl+d un~ess ra~sed ~sa~ of tM St. Luci~ ' . v,t~; -y. ~~~C~ounty Heslth Depsn~ ~ effixd.) , ~ ' L ' 1~ ` ? y _ N. D. MlllHt. M. D. ~ - 4i~+hh Offio~t d~ I RpistrK - : 'p~ d~,~~~~i ' ~S 8•~ y -~~,~T~l~~~ ti,,~ ~,pt~l R~o~str~t • OM~ ~ ~ 8001(~~ PAGE~Q~~ - - - - - y~e ~s~-'' ; ~`'q- - .