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HomeMy WebLinkAbout1916 i . . _ . . . ~ _ ~~32513 ~ - G _ ~ ~ti..-~ . vt~ u.:.-~ . ° ~ _ ` (~ep~rtverl ~ I1c+t1~. ~wd ~2c6.?I.ililalire lrnicta STATE FiLIE t`O. o:~•;.cx~ <~e ~~r:+nu . F L O R Z D A TYr. :i ?4NT IN ~w~~Y°•1°~' REGISTR~IR•3 KO. 192 ?[:~...:.NtNf INK ~~p_N~ r.~~~ ...ao.~ ~~s~ SEX Ow1E W Oi~in ~ ~OMib. ~w~. .t.~ ~ SF( au.Dt00[ f0! usreuaa~s HERBERT J0.SLPH EDW??RDS : Male ~ A ril 2 1973 66~2 wwn. .~tu0. utKu. r.our. AGE-us~ uwe~ ~ r[.~ ' u:c~t~ i o•~ OniE OF WiM ~.aan., e.r. COtJt~Ttt Of OEwTM ~•n~~•, 60•.•~~ ~ ~5~•~ J ~1 17 1912 Saint Lucie . White u , iOMM. Ot tOGT10N Of OfATH ws~o~ cM .ras MOSPiTAI OR OMf~ NSIIiui~O+r-IVAA+f ~r ww t:r.ca. a:rt st+cu ~a r.~sta ~ snca, iu w ..o Fort Pierce Yes DOA - Fort Pierce Memo,rial Hospital STATE Of WM ~ r rot w ~.s .wu GiliB~ Of WMAi COIit+TtY µwRilED. NEVER ~.uRbEO. SYtrIV~G StOUSE ~ u rut. Oir! MilN ww ~ , towm ~ ( w100wE0. DIYOlCEO ~ vtcr~ ~ ~~wu usoew NAW York U9A n ~tarried N~a~~' Wi l 7 i ams ~~a o.wuo sfann wwca uwu occwwnav ~GV! aw0 W~Mt Op.1 oWV.6 ~Of~ O~ Kwu a wsr+ESS oe u+ouuRr un~. r a~w ~q~a,.Q ur~. p!M Y alU~tO 1 OCCW~~~ M ' o^~ 715-03-3872 ~y. on ac o ~~s~ance uwa wsw un ~r.n StREE1 M~W YWE~ .o.rswu. ~(SfpENCE-Si~TE GOYNTT Gtt. TO'I~T. O~ LOCwTiON ~ 1 Y~CYt ll1 a M~ ~ ,u Fort Pierce No ;~~.Rt #2 Box b800 fwTMER-NM~E • rus~ • .~oa~ ..u ~MOi~+E~-~wt10fN NurE ~+n~ ~"s~ , ~s So hie A;u ller ~ I WOtMA1iT-NM~f ~dUkwG wOGQFSS ~uun u~.~.~. ••o.. cm w ro+n.. s~•n. tr~ Natalie W Edwards ~,n.Rt #2 Eox 6800 Rt. Pierce Flae 33450 r JI\Ol~i! .p.It~Y ~ ~wRi OEw1M ww5 Gu5E0 ~t: ifN7ft O~+~r O.vE CwuSE ?fe iwE ~Ot (o~, taF. ~ k!7 u~rtw o«sef ..o w.rw ~ rra.a uru r J - ~ ~,'r7• :i,_ . _ j • Cl 1 ' } , . . ~..xaw i o~: ~ ; toKe~r~ors. :r ..n. ! `.rK+ c.rt ns~ to (d) + IrW C1~T! C~Yl! 101. ~ rp, W~S ~ CO«upr~+K! 0~- ~ ~ i1~tIM0 iM~ YN~IM , ~~IrO C~YfI uft _ ~ ` . _ " t ' Iq .`.'~~iL,-':~":' i'' / _ / :~/r•JJ f'IJl_' 1 ~'i " AI/TO?SY tf rE5 re~e ~~..a+es co«~ ?A~T P. OTHEt SIG~NYKANT CON01TWN5: ewaro.s eaawu*wG w a.m wr .w~ etureo ro e.~s~ one. u. ru* ~ w~ ~ r~s a,,,o, YD~~tD ql/lr:MUaG 4u31 O~ Ot~fM ~i1~ / ~ ~ ~ 11? p,rboyl~~ KCWEMT. SUKWE Ol-~DA WlUR7 ~.o~rr, w~, ~e•~ ~ MOUi I MOW IIVIUtY OCNttED ~~••rt~ w~~uu o~ ~w~n ?•~t . w~.it u, ~:w ~ . ~ OE, Ot 1MOEfEWWED ~ ~ N~ Tk. ~t 1~! ~ INJlM~ At WOt~C rUCE Of WIU~Y.~ .ow. r.w. s~ru, ~.ao~•, . wnu o~ ~~.o. ..o.. an o~ ror~, si•n ~ IOCATION ~ 1 t~l4n tlf M MOI 01/K! MOG., ~K. ~ 11~K~R 1 10~ ~ ~ u~p y.it faw wr.'w!~ iun! O~ 1 O10/D10 ~+Ot Y~EV fw! DE~TN OCCYVED ~t Twt ruKt, p. ttie a CE[t1f1CwT10N- .w+~ w~ ~w .+o.~r. u.. •w +a.u~ w. ~w wo. .m~ u.n~. ~„a.¦~ wn....o. w a.~ ~es~ rw~sKuw: -7! ~ ) TO , 7 _ y ~ p r• ewruxe. aw ~•ner.o~o Twt l•• " ~fl' Ik ~ tl• - io n.e c..~xui s..ne. tia wa.uo ~ro. ~ ''I . ! • . r~e acew~+..s ~w..ou..eao oa.a CERTYKAT~ON-MEDKJ~I EIIM~WER OR CORONE~: o.. rw~ w.s w ne rou~ w a..~ .a„a. wT •i.¦ .ou~ e:....~•*~a. a w wx ..w/w fwe r..ur.wrw.+. w~. wwa.., ee.a. occw~a a. w ws .w we w rw[ c.wn~ s*.no. _rf D f~im /~C ~,,j ~~c~id . M 77a SK,NwTURE DwTE SIGt3fD ~+o~n~ o.• r[.u~ CERTiftE!-NAMF f oEUtt o~ nru ' . ~maany.n ~ ~ "i :t? Ti r t 1 J~ ~ • ~ T ~i ` ' ~ 1i, i' ~ - • • . ` ` S ti..f. ( ~?k ` ~ srua a....a .a un a wa.~ ~ ~ s. n t• MA1lNii w00fESS-CFfi1F1FR . , . . ~ , a•'- i7.!. ; ~•.r - _ 7L ' i G- l~.! : - . . , . . . . - NWW~I. CRfMAT~Ol~. ~EMOVAt CfMEiEA1/ OII GufMATOR1f-NUrE lOCwtlOr~ ~ un o~ w.r.. ~ sun Prosnect, ~Tecv York Removal-Burial Pros ect Ateri. Cemete~~ OwTE nwTw. Yt w.a~ WwESwt NOME-HU+E ~wD ~DJRFSS ~ stu~r o~ ~.~.o. ..o.. cm w~o~.~, s~.n.:~? ~ 33450 ,w Apxi~ 4, 1973 ,~Yates Runeral Home Box 777 Ft. Pierce Fla. i S. l612 f~~ i~ ~ REG1STtAR~~Gtr~fUtf ~y', Ow1E tE~CEiYED ~t ~OCY IEG~STW ~ R~r. 1970 tH /f% f ~1! Li~ ~a 'r '7S • 1. : ~rr rw. . r.'.~?"' 1 3 197 ~ 1 ~25~3 , ~ I ha~+eby c~rtify thb to be s trw ar~d eorrect copy of ft~ L~al ~~3~tZ':~~ r Regtatrars reoord on file tn fh~ St. Lude County tfwhi~~ D•.,~,;.* FILEO ANO EtECOR0E0 eQ~ .~y, + meM et Fort Pieroe. Fbrida. ST.IUCIE COUtt?Y fLA. :~~~.~;°-R`~:~4 y0~•.,r t. ~ ROCER PO1IRAS ' - . : . ~ ({Neming: Not valid unless nised seol af tfio St Lutt~ CIERK CiRCU1T COURT y' = CountY Hboltl~ DoPartrrwM Is. affl~J,) RECOR~ VERIFIEO_.~.. '+~.~s °:''~S'j• - s %J~~,. = r~. D. ~ue~, ~a. D. M~ut tO I2 P ~~1- Cocs~y Hs.lth O~iiacs & Lc::S ~~:srar o~~/~ 1 J~., ~yS 3 3 ~-P n1.i"' ~s ~+n? ~ p{~i ~7 PAGE~~~ . - y. ,,,...~~,"~.,~y.o,.^-.?5. ' r:J,,, - - . ' . r u ~ . ' ~ ..~"~a~a"~~-;~'=, - ~ - _ 3'~.ts: