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HomeMy WebLinkAbout1564 ~?v'~ca~ ~ Re: Lot 26 and the N~ of Lot 27~ B1ocY 2. ANIY ANNA PARK SUBDIVISION, according to the plat thereof on file in Plat Book 4, page 72 of the public records of St. Lucie County, Florida. Said property being situate in St. Lucie County, Florida. : . . ; DEATH CERTIFICATE OF ANNA SISCO ~ , r.. ~ . . ~ - ~1' OH10 OF_PARTMENT OF HEALTH ~ x~R. rnu. ro. _ ~ - ; --~-;'r?~~: D1VI5~ON 4F VITAL STATISTtCS ~ P~iaury ReR. U~u. \o._ ReRu~~a~'s No. JIr ~ - CERTIFICnTE OF DEATH ~ / OECEASEQ-NAME ~t SEX DATE OF DCATH ~-s~+~t. •~sr. Y~~+?~ ! ~ ~ _ f` r ; • d - i z~_____ ' , ~ RACE R'b:r~, ¦•s•o, r.+:e.:c.c¦ A~E- t.~~+ ur+ce~ ~ sc~r ~~NoEe 1 DA'/ ot t~eiM ~.~to.rh, D.>, COUNTY OF D£ATH 3 i~dw~.t~s.IS ~u o,i:byl~ l~c~.sl :ilai.`Uni ll~rri .Ni~. 1 ~f 1 `la vuva"Ll~~a. 'N~I~~E sa. t~ Se S~ A.1 C~1 ~5 + 1 T CIiY. YILIAGE, Ot IOCI'.i}pN Oi OEAih fSDOE C~ o wol ~Gi?~TAI Ot O1MEt iliST~iUT10N-NAA~c (Jl rst ii [ir~[r. t~It Ih~tt r~d aMA~t/1 ~ ~ ~s. CLEYELAAD _ ~~S _ ~aCLEVFLAI`D CLINIC SpI"'A~ - . ) - '~I v SiAIE OF ~IliH 1/~ ~ot ir !.'.S.A.. w~re C~ii2EN O~ waAT CWt~lt~ I'~ZR~EC, NEV~R MAlRtEO, SURVIVING S~OUSE !If ~+I~. l~rt ~u1ew w..x~l • OHI O o. USA ~~~~'~~ceo ~s?•~~»? ~~.JOSEPH SI SCO ; E, . SOCIAI SECUt1iT NUMlE! WAS DECr~5z0 EY'! IN J. S. ARNED fOtCES~ 2 12-5229 ~l ~o• ~~'~twoue~ fl/ )n. Lir~ ~r ~r J~tti ~l rerrittl . ~so~~ ~IESIDEwCE t~e. ` 93 ~ZS- vrHE tE DECEASED uSUAi OCCUlAt10H /Girt li~J oJ u o?k d~rt drnwa ~o~t o/ KIHD Of WSIHESS Ot ~HDYSit1f 3 lrvED- If DEATM ~~,4i+j ~~~y ~j ~~r;...~ p SELF OLNRREO IN HOUS~ ~AEE~EK ~~a- ih5t~ii:7'ON, GIVE 1?u. _ . . _ . ~ iE5 DEr:C'_ lEfOtE ~FS~p~NCE-STAi: COUwf'f :ITT, Y~iIAGE Oe ~~T~~,y INSi~E CIiY IIMItS SIREET ANO NIW~Et ~aM~si:Crt IS1sn a p _ • ~.FLORDIA •.sST LUCI~: ~~.~:~ORT PIER~E +•e ~~S 12 m fAtMER-NAN1E Fnit ~ •1li/!ft L.u! MOtME!-JiM10fN NAMf F~~j~ •~w~t~ ~'+il ~ ANDRFW WARN~R 1~ARY tf.ACHCWICZ ~ i s. _ ~ IiVFCiRMf?NT-NAME ?~a~~~~+G w0'uF55 fSu~st ur R.F.D. ao., td~ or ail~stt. ~t.rtt. :+/'I ; ' JQSEPH ST_ SCO I;,, 312 N. 18th COURT FORT PI~RC:: NLD. ~ 17e. A?FROAiMwik ~^~IERVI~I z rwer i. DEATH WAS CAUSED BY: :EjvlEt ONI~ ONE UUSf /fR tINE fOt td, Ib). RND fcJ1 EEN ONSfi wND OE~iM W r , . g 'IhUMED1ATE CAUSE _ ~o ~C'-~ f R f~ ~1 ~ VIQ f~ ' ; DV~ TO..Qr[~SEQUE GE OF- ^ eP~X ~~a.~ ~ C `x Cerlitio~s. iJ is~. ~y• +~ir t J ~v~ir6 jert riie to ~sI ~1~ 1'~r ~"~l~ ~e r,vQ-~MQ~1 d ~ issilirte t~rit /~1. - tt~ti~s tbt rrJtr- WE if~ AS.J? CONSEOUENC`E$ i. I h;.s c.,iu t.ur r~ 1~t1~C~e~%C)~/•tr';- CJ~ `~-~Q pv~} 2t~ ~ Vt E'.~r~ ^ MRT IL O1NER SIGNIfICANT COK~!i70N5:(.~~.li:ie~: co~uribrtiRj to J~+e6 i~t ~ot ? l fs r.wtr si~n in ?nt /(~I AUtOtS~ IF ~ES r~t pw.Grs: ~:~,rftiea ~ lYri er ~ ia Sderwiwiws rr~ie oJ :.'uta z ,ao ~ ;qb ~ ~ ~ ~1. ACU~EN(. SUICIDE, HOM~CIDE DATE O? iN1URT HWR HOW INIUR~ OCCURiED eE~lrr srrrrr ~f iqbrt is j.at 1 or pot ll. ut~ !S~ Ot UNOEiElM1NED fSpt~iJ)1 (.No~Jb, Di~. 1~a+~I ~ [v ~ ~ tOc. 20d. ~ ~ ~HJUt~ AT WORK •I~CE A• ~NfUei .4t bow~. 1~~. ~treet. !rsto». LOCATiON (Shret ~r R.F.D. ~o.. ~i~l ~r rilf~~e. ~t.rtt, u~1 _ y /Sleril7 fei or ~eJ o~ke ills., etr. fS~eci17~ ~ 2W. CEtTIFiUiION- .~1~~/u D~~ Yta?1 .Noatb D~~ Y'elr ANC t/~ST SAW NIMlMER 1 Gt TME 60DY OH7tJt~«C~lREO ~ r~fs. I+~, ~o ~ fM7SICIAN~ ~ AUVE OM . I 1 ATTENIIED TME~~~ .No~tb D~) Ytti AiTER DEAiN. t6t De,• o! ~ , ~9,~rr~~ /g ~ y~ 4ieoutird6~. r.r ro ~ I!o. OECEASED fROM 11b. ~1 ~ L ~ 4id. ~1 M. tbt carf~frl if~Jtd. ~ CfRTIfIUiIO~t-COlONEt. O~ tbt b~~ii ol !br tsr~i~.+tina Hour o1 drr Tbr dtce twI No~Dbro~o~octd Y"i~ Hor: E ol :bt bod~ ~sd/o? tbt inteiti~~tiow, i~ at) oyi~i~w, dt.+~b - ~ °.i • - • ` ' ~tcrntd oa tbt lttt ~wd dre fo ~bt trne( i1 slattl. ~i L / / ' ~ ~ / ~ . ~ ~f i~o. M. ~m. S~G~ D~r~~ DATE SIG D CERfIf1EI ~AME 7?s or O~irf! ~j ~ t~ 7~4.~/Lf . / . JS C H HI~v ? /t'1 - t' ?;b. • ~ 23c. ~ ~ ~ MUUNG ADDRESS-tERilf1ER SiRfET Of .G. NO• UTY Ot VIIU STAiE ZIF ~,v' ~~L• 1 a•3"r,I"r• 7)d. ~~(r ' 1 ~ L/le~ii.-/~A J i i) 1_ Ci O~ C a. . C? % t t~t ' H n R t Ci- ~t ' ' r.. t: WRIAL. CREIaAiION DA:E `_-rNAME Of CEMEi 1f OR UIEMATGl11 I tOCA::ON ICit~, ritt.asr, or cor+~i~l ~St.uel ~~;`~RIAL Iz.b.4-15-197I~4.~. ELi~?Y00D ~ NAME OF E/d~AIMEt (:1._ NOJ fUNElAI D~~~ OR'S SIGNAiilRE ~ ~ I, (IIC. NO.i DONALD ZIL~H ~59 A ,6. . C < - 1' -t1 ~ Z 57 ~ ~s. : fUNEtAI fiRM AND ADDlESS tSiREEi NO.) (UT7 (S TE) iZ~~) . ° ~tTtEICHLIN COOI,LY FUfiERAL HOME INC- 2• 2 BROA '~YAY _I,ORA~1~ HIO 4~'~U~S ' , OATE REC'D~'I REG~Si~w!'S 1?IUR" ' 4ME E ~T, _ S' SIG:iA~ ?E OF ?EtSON ISSUING /EW.~t QfST. `.'O. } ~ ~ ~ ~~"1~ Q ' ` ~ . s i ~'v: ' - " / ~ :ti = .a--- ~ " J ~ P ~t ~ .~:-~i~ ~ ~ i~ 1a~T - ' 1 ~a . .:~.4:~ ~,:~1m • ->L. ~ ~ . ` . - : , ' • ~ _ . : ~•ytf+.`Yy T... . ~ r t,~ • - . ~ ~ . ~ C~ ~j.a;' ~.a.' ~ ^ ~ t~ ' . . O . i ~p I~M~ RE~~`( Fl~?• ~ ~ ' -'r t.`~~'~ ~ ' ~ 2~" . ~ f« ,~cov u?pA -:s ~ SS•L~~FR ?r•ti:Ra U~1 : . ;1~ ~ Ctp~~ ~.~.~,Fti~ ' i; ¢-,~;i~~~.: : ; . : ~ P~~,~: V~' . : r , ~ •+s'.... ~ H'1~1 ~ ~ ~ tt~ ~ 2 ~6~ e:~ 2?~ ~~i~! ti~ , - . - _ ~ . .~-~:~:^.ft::,:..,nI~JS:~I'r:: . ~ - ' :CA2 kEG~iTk?R C~= ~_G:AI SiAT-SI'~5 . t ~ ~nW IRSIHU'~~i'i~ . :Y: Z " • :J ~ , SPENCER B. Gil:':.~;T. _::,~i -t L.:,y ~ ' ~E~OiiD STR_~+ : . , SYE'.~ER H. GI{,6[RT. ATTORNEY AT LAYY, 220 fOUTN f[COND fTR[[T. rORT PIiRCt. RLORIDA - - - - - I - ~:_a.-Y ~ ~e-a r- . z. r ~ ~ ~ a„ y~s' 9.,F _ _ " , , d _ ~ .WS bc~ ~ :.dse._+a~.~