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HomeMy WebLinkAbout1629 ~R2~.~16 ~ ~ . P~ ' i.r+-~ ~ _ - ~ . ~ ~ t_ ' . CERTlF1CATE OE DEA7H ~wT~ riu M ~ tnt. nwTa .owR~ o? Ntwtm+ gLOAIbA 421 c~.~a • ~Y11GY O~ YITAb fTAYt~TIG 11tG1iT1lAR•t HO. • 1•~•1 ~•s- L Ysuwt wcslOtMt[11~wM'.~~ ll~ t~r•wMM~""~ . •r• ¦A~s B~RTM NO_ Gpp[ NO. ~ ST~TE Saint Lucie ~ ?••a•rl> ??wec or w?*w 56-025 Flo7cida ~ ...e.a.a r. a ~cs~auu ..a .~11 a oowT? Shctlt L11C16 e. ar.TOM~40R IOC~TIW~ ,.s~oc aTr u~~rs+ 1~ ~l~eN • ~s r~~t[ o~ oc~TM Ky ~•r-. aTV.m~.a?wu~a. ~yoc an ~win~ Fort Pierce j •~w~~s For~ pi Y 6 res~ sT~tcT ~oo~tss • ~ ' . . . f ~ l~. MqiW. I+~ ~usei ~ii.+~) ; ~..,~~c os cv*~ 2304 ~lorttl 1~th 5~~~~ r~.. ,as.~..~ o~ s. u,ac xw• .aT~riTw~F Pierce Memorial Hosoita oa,TMOctober 13, 1968 ` fi?N «uo - • S~ Piechowski Stanley t.•cccr..w. sjiOL"w '~0"a~•s ~ M~ C0~011 OII YC[ wrW~EO B~[K~ M~~[OO WTt OI WTM ~1 ~'rfWtl M~r~. pw Mwn ~t:+.- . ~~y .noowcoD avwcco :M3. 8 1854 84 ~ ~„p~~,~.nn •11l l3.ti B pA MDYSTAY 11. WTM/~AC[ lBTW M~~~ ~1 rl~~~ly • ~p~.uwuotM~r~lOiK~i~N~~N~r 100.au.ooswswcss United S'C8t@S ~ ...~w n~..••* y•~~~ Wi sconsi n ~ t. r- ~vW ..t ~l c~ p • ¦•'•w• IL rOT~'f MuDtM ~urt •~..r •.t ~ /ATN[~-11W~~ :~L3.gddline Lip3.nsk~: . Mathew Piechowslci ,,~,.,.2304 I~ToYth 17th Streat ~~~~~f~t~~ • NOIMTYw[ ic. soa.~ sccu.~Tr ¦o. n. w F p' Frances Piecho~vski , µT(IIYAI~(M[CN ~ ~ Unavailable 1iO s,ra..4.,~~~~ v„+ t.~. a~...~ ~~•1` ~ n .~..t Q „t,p 1 1~. tw~u N w?s r le ~~us[e ~r~ ~ ~ e. ~ M w - Gnw::' _ - t~ .r~ - - - • •~f~~t~• ~ WY[01~T[ CMIS~ (~1 ~~a~~ . ~~~t fl1• t\• ut- a/t1~~t• ~ ~ 1~u~t~ ~ ~ ouc To 1~1 _ . ~ltl ~Dwe r~sK `~l• 1 d~fy~ I~t ~~b• p1iC TO ~~l plf4Y Gp~df~ iNp M/Mi N~I _ M~S AUTOtSr . ~~S}~ar~r I/i~I fu~e t~+f• wfOwRD'?oM1~YM~? K~iOwM[D1 / t Ul ~'7f MIlKM~~CO~O~T10~6 Mi f0 04 ~1R rCS Z ~ T K~ ~ ~ i 1~rr• •f- S ~J b PW! ~r /~M11/11~~1~-~ ; ~q. r[ a0M W W1Y OCCWI~[O. I6ti1t? ~dr?t ~IMIw~ I •~~M 1~l~r• _ ~ ~a ~K~OE ~ ' ¦~Y1ws ~~7 r KCWt~T SY~C s ~ at~~~~~- ~ ? ~ ~ ~ • ~ 20[. T~rt o~ 16rr Dl~af~. Oq. Y~r , V yyyA11 A. ppyhTr S~ATE ~ arr.ro~ ~iw I ~ ~ ]Or. ~UCE o~ wu~r (e. I..:. M J+rl 4nr. 70l_ M. 0~ WG { ~ i 2W. aUY11~ OCCUM[O O ~M~. N~td. ~t/I.. dc.) _ ' ~ : wr ~rM~c • 4 w~ac ~T ~ ~T rwt • ~ yp~K r r Q ~ ~ ~nr l~~t w~ A:~ir~ ~n i i . fe rI~N. /rom tM uuNS ~t~t~d. ~ tt. !~fnnd~I IM I~e~~sr1 /rem i ~ tA~ d.t~ ~t~ud ~?o+~: ~n/ te tM Mst e! N 1~ O~V ~ D~~rA c~rr~d~f ~u, ~V~ ~ ~ . ~ ?11 it~~s ~ Yw~ ID+/~F~ . ! , (St~td ~ •r• t• ~ MET[11t WI C1lCY~T011Y 13l- IOCATON ~ I> f~• M t»y1) ...•1.~. . ~,r~o~ Ft. Pierce, Florida •stre~t~. ~y.qnw~riot 27o a~t Cersetery t ..~s~~ ~ fiite City ~ I "~°'ur a~' 10~16I68 ~tc ~ta ~r ~ M GKTIWY SKK~T~~~~A~%t~ ~~C i ' ; r.s.+•~a : "~p11~ °"~""`Yat~'5°"`~neral Hox ' ~.14 1968 - ~ . t...ioss - - - fILEO 4~~ P.fCOBDE~ ~ . . _ ST. R~CIE,CO~U'NR~Su CLERfc L:~tCUIT COURT RiCC~'~ VE^~~IE9~.._-- ~ . N~r I~ il os PMi'7~1 / . ~~~~16 , ~ . ~ ~ ~ nd corr~ct coPY of tM Locel 3H ~ n~t~bY ~'fY thb to bo a ttu° ~ ie Gou~tY H~elth ~aR• 1' ~ fFepiitrars reoord o^ Eile in tFw St. luc ~ f . . M C ~~li~ ~nt et FOrt Pie~Ce, Florida. , r,;>; • ~ nless ra~s~i feal of ths St. luci~ - ~a~n~~g: Not va1~d u ~tment is effized.) ' ~ ` ` - ~~1y Heahh Oepa : ~ _ . i~ . ~ . ~ , J . . ; ' . _ N. D. MIIIER. ~ fl• '•~~111~i ~ * ` . ~~ty Hwlth Off+ur b ince~ Rh`sttsr , ~j J' • • : : nca '~3 T i ~,\~S . ' ~ ~ ~ Rpistrsr QIIl~ F r~ i~2 1 PAGE~~~IG? ~1 ~ , -~,,n . '~~r~.~.~,°_..~- = _ y~ ' i ~ ~ r. _