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HomeMy WebLinkAbout0108 - ' _ _ ~ '~."""'t~i~ . --1~~' Y - w 283286 . CERTIFICATE OF ~EATH Dep..ewrw~ .1 Ik.h6 .wa Rei~.bdx.u.e Se..~ce. fTAT[ FILt NO. - av~nn c~ ~~.u.n~ F L O R I D A ~Y?E. Ot ~tlNi IN ~N~~~'~O REGI~TRAR•! NO. H9 ? HlMAl1lNT INK ~E~p_N~ n~u rrae wt SE]f OATE Of OEAM ~ rOwtw, ~~r, ~u~ ~ f SEE IuN100[ I0~ ~ ¦smc?a.s , Charles Gerald Escue, Sr. ,.Male ,February 19, 1974 ~ U?CE .~w~ti. NfOq..wnc.n wuw, wGE-uu ww~ ~ nu wea ~ w. CwTE Of WM i.aww. Mr. COIMn Oi OfwTn ac. ~ wcrr ~ M„M~T 1 R~~f 1 roa. rn wou~f .w. nu ~ . White 55 s~ u . ~ct . 26 1918 - 6602 . TOWN. W t TION ATH rsw c~r ~r.n NOSMTM Ot OTMEt NSMUT -NAME ~ w..w w eme~. c~ ~~r~~ .w .wre~ ~ wcr,r m o~ .w Fort Pierce Yes r, 1109 South Seventh Street (Residence~ F SIATE Of M~M ~ r ro~ w ~.s.~.. ~ur~ QTIZ@J Of VYf1AT C01MilY MARRffO. NEwER MAlLEO. SU~VIVNG 51011SE ~ r~nw. a~re M~ew .Mr! ~ cawwi~ . MIIDOwEO. WMOlCEO ~ wc++~ yfy,tyqyO~rp~ ~ Tennessee U.S.A. M. Married rMeu ~ec[.st~ ~ULL SECUMi11 MJ~YER USUAt OCCI!?wTqr~ ~onre c.+~ o+.w~ oorK awwe +o~t a ICND Of WSR~ESS OR w01JSTRtf lnt~. 1~ Ol~IM ~OrMO Wt. Mr~ Y 4MN 1 ~MS,~~. ~ „ Accountant Minton E~uidptment Com~v °"~w 411-12-9463 uri~o~+. RES~OENCE-St~tf CW?A~I CfiY. tOVVN. OR lOG?TWN ~+sw t~ ~~.w> SiRt: ~N HIW~E~ t_Y ~ 1109 So . 7th . St . ,y Florida St . Lucie ~4 Fort Pierce /AT1~!-NAlME n~s~ rieeu us~ MOif1ER-MADEN N~A1f rrf~ r~ea~ u.st ~ Frank Escue E1Za , iWORMANT-N4ME ~ MAIIWG ADGtESS ~sme~ w~...~. ~.o., cw. w wr... s~.w. tr~ Mrs . Alma H. Sscue ~n 1109 So . 7th . t. ~YT 1. OEA1M WAS CAYSEO ~Y: (fNTFf OMY OME UUSE IE~ IMIE fOt h1, (sl ~D (~M ~n .~ew o«r~ ~w a t. ~ 1~. ~ t ~ . n~ f°N' ~o~.t~-n t~•~ CA/l.G~.,L.~~ .2-, u'w~ ' • ~ G/.`„ T~t coMSn~o~s, n •r., ~ ~rw~tw O~~! ulf q h) ~ ~~r~M~t! t~Yt~ W. M q. O~ ~S ~ COMffOYfK~ M: ft~bMO twt vr~e~- u~wo c~~se a.sr (cl ~ ~A11T r. OTME~ S~~f~C/wT CO?+OttqnS: coraaa.s caw~rwwo p w~w w~ ..o~ ~eun~ ro c.us~ a~nr w~ ~u~ ~ a~ ~~Y R 11E5 .~~~e nM~~..as co«- en a.a~ rwee n. an~.~+n.c uvu w ~e~iw - ~w l~ O ~w ~ p.~~ KYWErR A ~~ortw. Mr, rtu ~ MOUR qpW INIURI OCCURRED 1[MR~ IYN~ O~ MNl~ IM ~Yl I a/Yf M, If(r 1 ~ j I~OY~QOEa Ol UW~1[fMWEp ; !M 7A- M. 7M } ~ ~ , ' ~ INIINY At WOltl( rIACE Of NIU~n u~o+e. ~•u. sren. ~~c+w~. lOCwiION ~ sn~n a~.r.~. wo.. an w ro..~, s+~n ~ ' ~ trenn n~ w..o~ ow~a ww..nc. ~srenn~ ~ 1b. IM ~ - F . CE~Tif1GT~O~'~- tl~7M Mt ~fV rO~M N~ T!V ~M~ USt LM Mr/M~ 4n! ON ~ M/OO MOt M OEAM OCCYtl[O Wt ?YU. OM M S ~NtSK1~N: rd+~M Mt 1(Y ~Op Utt~ M~1M. '~~p~~~ O~R. wO. ~O N3~ 6 19 73 TO 2 19 74 2 12 74 did 4: 35&. o~~ 1ta wce~ue rw.. 7iL 1~~ tN ~ CEI1tIfKJ?tqN-wEO~GU Et~wNER OR CORONER: o.. rwe us.s d me .ow a a.n. .«e eafew~ r.s ~w~cn se.o ~urwnpr~ O~ ny ~os~ ~re/ot nN w?tsnWrpM, w r~ Or~ao.+. ~Orws wt nu roy~ ~ e ~ ~.M a.. aw w. p~ 2 19 74 4•35 ~ . M- • CElT~FiER-Nµ~E rtm p~ n,,,n . SK,MwTURE eec~ee a r~ni OATE SIGNEO ~.o~*w, w~, •eu ~ ~ Hooshan Kadivar MD ~ rn 2-21-74 ? MAIIwG ADORESS-CFRiREf snet~ o~ ~.r.o. m w io... u•n io 706 No. 7th. Street Fort Pierce Florida 33450 ~ ~Ultl~?L. ClEMAiION. /FM1dvAl E~ OR UEM~?TORY-rbu~E lOGt10~H u~ a w.n sr.n ~ ~ f~ttvr ~ ~ Cremation ,.~Necron Crematorium ,w. West Palm Beach Flor' - DAtE ~..ow+w, ~rr, au~ WNElAI MOME-PUAtf wND AOORESf ~ snt~r O~ ~.r.e. .q., tm w eo.+n, i~~rt, tr ~ eb. 21,-1974 „~Eort Pierce Funeral Home,l06 So.4th.St.Fort Pierce,Fla v. S. f612 ~ ECrO~e,~ ~ ~sr -s~G++~twE own aceneo n~ow acasnu " 11~v.1970 ~ ~ .ll. ~ t L ~ ~ ~rG 4t~C0R0E0 ~ - ~T LV~~ _ C'JUptY 5~~• ~ ~ wAify th b~ e trw ~r?d cotnct copy of ifi~ Loca a~,~'~. p!~~; RA URt n H~alth OMs a 1 hwbY reoord on file in th~ St. iuci~ Gou tY R'C1.E K ~ Ep v~ ,,,..t„~~~,... _ ; ~ Rpiftr~rs . vF.s ~ . ~ ; - tr»nt ~t FoR Pi~rte. Fbrida. o~! o, ~ Y~Ib~ ~ (yyerning: Not vMid unless raix,d stal af th~ St. luci* ~O ,L 43 e~ . - ,c - ~ Counry Hsslth Depe~tm~m is affi,csd.) MA~ ~-;f~; ' ~ - ` . _ - s~r' ? ~ . N. D. MIIIER, M. D. jl~~~'a71~+~~s , ~ R~qistrir - 1i~lth Offiur b • r ~ - ~ .js . a . '•r _ ~ _U s,~S ~ ~/~~jnO,' . . ~~;i~ll ~ ~ - s~ • ~ y • r p~p~A~ Loul Rroisrnr ' ' - 0~ ~ ~ ~ ~ n ~ ~ E : : i ~;GO PAGE r ~•~y n" J I uy y,~ L. a F`" °~~Fy ~ ` ~ ~.s~i °2 q-~ ..a. .v~ ~ t..... ~ . ~y . _