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HomeMy WebLinkAbout0197 ~ , . . _ . _ _ 28$s~~_~ CERTIFtCATE OF DEATH (~epaA~ew! ~ Iltrlt~. ead Ke~al.illuli•t \e~~icn fTAT[ FiLC NO. ix~•~;~,~ ~n.~~ n~ F L O R I D A pEGIGTRAR'S Ko 7 ~ rrM v .nr wn.wo Tt?F. Ot 1~1NT 1r1 .ortr, ~l•~~ ?[~MAlF~~:T ~N+c ...s~ ..a. ••s~ ~s[r ow~E or awrn ~ SF[ W,aiWO[ i0l OECfwSEG-~+~ , ? . '~Ia lb 1974 Wscwa~aa ~I.SIE ::.yTHi:PI\B r L~ G ~ Female , • Y lwCE .r.u~. .uaw. ~M~Kw ~wWM. AGE-i~t~ u.~~~ ~.e.~ Twa ,e ~ o.~ Ow~ Of 4tM ~.a.4.. ~•r. ~COYNTf Oi OEwt~f ~ ~ ~ w~°•, ' 31 1902~ Saint I:acie !~J'nite 72 u ~ ~ . i~iar. ~ w na r UM~. G~7 1/Y!~ ~WU ~ ~ITY. TOWN. O~ IOCATIO?i Of DEAiH ws.w ~~+'n MOSMTII~ Ot OTME! liSlliUTlOw- Os~2 ' sncr. .~a O~ w ~ ;~orfi Pierce Yes i ozt Pierce 1?:e:~orial Hospital SuaVnWG Sr011SE ~r ••w. am n?~w....w ~ SiwTE Oi L~RM ~ u.ot w o.~ w~.~ CITIZEN Of wNAT COl/~II ~~~p _ ~r~ ~ • ~ u~ ~ :•;a=ri'•~'~' liu~~o W. Feye ,,,.....~«K. ~ ~:ecv Yor~ . USr ..~n w<~.uo ~W SKUbTf Mw~Ei USYwt OCN?~i~p+ . un a..~ w.wa oo~.a a.a..o •os~ a cro w ws~rtis oa wousnr ~~.li J Ol~iw ~O~~Ki 4M. ~t~r~ J NMH 1 ' • :;ousei~ri~e !~A ,.,*~*~.~M „OG2-OS-56G~~-:1 ~y . ~11~71K1 N~OY qri, TOvYw. OR IOC~T~O?+ wu« t~s ~.aat ST~EEi wN0 MtW~Et •o..~~s.o.. RES+OEnCE-Si~iE COUnTV ~sncrr .u w w L_~ ~ ; l~o 2000 I~ . Slst Court - loxid~ St . Lucie I~.: ~ or1: Pierce MtME -~v~wf -nu+ ~~oe.~ uar rWtnt!-~ur0in ~l~w~f ~rs~ r~wu „ U QC ~~r' L Q~t'~°b' L ne~y .~l.~ ~euOtmwNT-iavrf ~Mw~tWG wOGaESS ~uau w~. e. ..o. [w a w..., v.n. ir~ ;Iuqo L•!. r^e e !:n 2~00 Z• 51st Ct. Ft. °ierce :'1 jj~~0 ~wiT 1. OEAM WAS U1~Sf0 ~t: ~fs~t5t W+:y ONf GuSE ?ft tr~ ~O+ NL is1 ~+'~O fc11 ~~e..u~ o..~~~ .w ee_.w , j c.i l~`! . k.,~. ti., ~i~-~::~.!.-c-~ . .s . co..~o...... o.: - f :.:.w..o..:. e :.~.zT.wt ~f. ,~.'L~::.:i..~ r1.. 1 . ~e» ~..e ~,u ~o ~ i . r~/O~~tf C~J/1 ~OL ~ ~Y~ R. p~f ~ CO~+]fOVIK~ M. ~ ~1~1~tiG YwO~~• ~1u+0 Cwf~ ~~1t i (~1 ~,I ~~UtO?Sr IF YES r~~~ ...+a~..cs co~- ?w~i u 07MFe SiG+~~Cw?+i COaGi+O?+S~ co.o.ua.s ca.*.~..r~••c w M•~.. ~.n .a. ~iu.~a .o u.u cm» • w~ ,.~a w•.o~ a iii. °f~~••~••»a u~:~ ~ - ~i! I~N ' ~s.a:oe:ii wCG~?fuT. i/IKW( Ot~w3E 1Sf it+Il/~ .ro..r.. iu~. '~!OJl ~MGW INlUl4 OCCU\fE0 ~«re~ wrw o~ wn ~w r.~~ . o~ ~•~r u~~ i h?+riGOt Jt YrqftU+~FD i F ~ ( . ~~a~c•M ;2w M '7y It~NiY AT WOt[ !?1ACf Oi WNJR~ •o~. srrn. ~.ct~r. ~~OCwi~ON ~ srau~ o~ a.~.a. ..o.. t.n w to..., f~.r~ ~ ~ll~[.n r~i W ~+0~ ~O~K~ ~.K.,IK. .fsK.n: ~ ~ ~m ~ ~ ~?~1 CERTR~UT~O?~- .w+~ w~ •~•s- • ..o~~. n.. •e.a t.w usr s.r ..,../.re uM o+ !~«o!oes .+o. w~ D~~rM OCCUaHO uy •ucr. a+ o.e ..o..r.. w~ •iu I~pa..rn~ a•a.. ~.a~.~ D~ff. ~+1. TO D4 YS! • sMriK~.ra: ~ 70 ! c ~/`~,j or aw..tw~. r-i nIwO~O Tw! / ~S 7 ~ /J ~~t v ~}l~ ~111 y, 7J M ~O tr! Cwlt~li Si~tf. ~ SI• DlCI~SID r~M ~ ~ ? + r.~ ~ecex ~ ?~o.~w.~c~o a • .a~~ CEfiYK~i~O?~-HE~~C.?l ExwMwEt OR COCO~+E~. o« r.i w~s a nr .w. c. u..~ ~p,.n. M~ ~auw...~.+ u:tie b0. wY/o~ rM un:sT.uro,.. o.r..o+. p~~M OC[W~10 d+ M N~! ~w0 OM q 11M 4u5l~f1 fs~qp. ~ m M CEaT~~i: ¦ ,,µ~~~fff m~ o.. n ^ ~ ~ S:G~wi~tc . . • ~euee w •.ni ' DwTE S~W+E .e-~~ •e.,~ ~~:~`r~ i ~0 ~ ~ , !l~ . ~1~ ~7b '~i'-t?i(', ./~V~ ?i`~~J'~ '77~ J,~~/ i t.~ :le 1~ r isu~s o~ c v e~-~ sv~.. i'~ M.w~:sr.G w~0 Ci~tJtft• _ 7:s ~C l'_c..c~-[c-i,;_ L~~-= rf - /~L~',~i(' ~~Lt~t-Lk~ ~CUK:f~lY G~ CeEnM70i'f-fvw+ME iIOC~T~ON un w ro.••. s*.re ~ux:Ai. C2iMAT1ON. RE1rOYA? ! ror~ ?ierce, Florida ,4 Crenation ~ Pierce Crer.:atorit~:~. : sntet o~ ~.r.a. o o~ 10~rw sr t~ , ~ OwtE ~rO~tw. ~.r. ~e.~+ WNFiA: l1OME-NA.V~: Rx~ ~J7~iSS y • Ya~2s : unexa3 :fo:~ie, Eo~:~ 7~!'7, F~. ~ierce, Fl j:3~'S ~ :u ~ . ' - _ ~ i i j:,. , ii1NElA~ piE(Tq-Sl~l~Ailii7E 4EG~5~+~•4-SC.r+~~.itf O~~F PKf.vED ~7 iOU~ ~EG.Staw~ ..S..G~z - , ~ r - IH. ,~74 dev. i97G tu - - ' . ' . - :e- / 7„ I: ! fILEO ~NL RECORDEO , .,;,i:. S~.IUCiE :.a'3NTY FIA. l of ihs WCn~ ;;i c' J h" ~ n~~y oxt;'ry this to 0o a rrw ana zor~s~ ~PY ROGE; ~i•tiTRAS ` _ , Rc~:s~rers record on ftle in tho St. lucie Counry Fic~lth ~c,nan• Ct~:~; C'::r,U?1 COURT ,..y i;: _ i. : pc~nAR ~1~;,.,-tit•'~ . ) . ~~tt at Fort Pie?ce. F!or~de. - J_ ~ (War~ir.y: tvot va+~d ~nless ~f m ~s1 affiKed L•x1~ ~ Z~ ~7 S~ nR " ~ ; Gounty Hcalth Depa ' ~ ~ ~ _ . ? : r,, ' : ~ . ~ 2$551U . - N. p. MIIIER, M D. i~ ~<i~; Hcrlth Off~csr ~ 1 ~or}~stter Y - ~ ` s ~ , . L~xity Locel Re~~strar ~ a~~ 229 ~ i~? : . _ . _ . . Y ~ .,1~~. ' - . ' . _ SK g.T'"= x ~ _ •c_ 'Z".. e + - . _ . . ~ . ~ ~ x