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HomeMy WebLinkAbout1179 ~ / - „ . _ s: r.~r~~___1=c_' . . . • • ~ ~ _.s•-_'_"""'. r s.._~~' ' • ~ 7-~~~+..~~---~'... _"^~'r.^"~' ~ • ~ ~ . _ ' ~sr . CERTIFtCATE OF DEATH . . py.w.ed .t ~kJJ~ ..J tt.1.Wr.r.. 5...~ea. srwTC nlt ~w • ~ ' FLO8ID1~ e~o~aTw~•s wo_ 72 . itR. O~ ?tlM N NtMAMINT INR ~w~~NAM[ wq~ ~w~ M~ fEi M1E d OEA1M ~~ow~'• Mt. t~u ~ 5 w• ~ J. (~.AY ~ Mals . Feb~v~axY 11. 1974 j . ~ ~ ~ ~ • ~.w. wMO. ~•ncar wnM. i?Ot-~.w ww~ ~ • w ~~Oi ~Mn~ ~~o~ w. COYMY d OEAM ~ ' _ wc. ~ wcn ~ ~ wyu .os. ~.n .aw~ ~ 30 1911 ra ~ZC~+@ ~1~t@ y~ "Z w s' ~ ~ ~r ~ ~ ~r~. Mn u~ w wrn ~ 4 ' 660Z • r~w an ~+w NOStrtM Ot OME~ ; ~wco a~ a w ~ipgPitdl P't. P3~ex~oe ~ h Yes N Ft. P3,etroc:l~snooCi,81 ; r. _ • 1? SY~yry~Ip flpySE ~r.w. Mrt rw+.w~ ~ ~ ` • swe a~~••a a wwu cou~aY wurEO..~~ r•ueo. ~ • ~°'wu • MooYvl~i.l"r~ ~ r.c.n .wr r~«.~c~ • ~ - ~ ~"1a n. I~S~~i1 ~IQ'.L' .rr ~ea.~n • iOC~M ilCllrtY W WN Itsu~t OCQR~nda ~rw a..~ a wr ww ~w.n .or r oO p MRNfSS O~ WIKm ; . ~ww. r ww ~~w, ~wn r r+rN ~ _ _ - ~ e•~+w~r ro.,~.ira~i If QIdL~R.l BUtUYtS ~L ~ q 2 R \avc~.asv~1s . .e ~ ~Ef~DE~Kl-fu?R COIMn art'~. t0~ O~ IOG~WN ~ w'~~ M b s . ~.Fl.o~ir7a N St.Iuc3,e Ft Pi ~..1921 ~p~+ess Ave~u:e ' ~ ~„~,i ox ro.~E._«woe+n.r~ r.n ..w. ~ IAGE!-NI1M! ~+w Jdst All,an Cla N V inia in~ll n. • ~MOw~1w-~M~E a~a.~f. ~oo~ESS ~wn «ui..o.. c.. o..s.~,. w. a+~ ~h ~ ~n 1921 Ave Ft P F1 ida 33450 • YMp1~Y I~~Y ~ - - • r~lT 1. ofwM arAS wRCO n. ~E+at~ or4r o.~[ uus[ r[a ut ro~ I.i wt ~ k~ .n.a.. o.s~.... . t ~ - K . ~ ~'~RD~~~ ~ f,~R~1,EST i • CWMNr1 M ~Iw~ ' ~ . ~.~c. ~..i ~.w a M ~ • s ei~ e:i ~ww ww ~o. w u. ea.~o+~n e~. t w~R rER~asc.~ F.co fdfARr Oi.~:~~9SE 1WIO?S~ ~ ~ES ~t~~ MwMw~\ (O~• ~ ?A~? OM~ ~~1~~ tM~OA COAA111ry q MM~ M MW ~ q WN ~wb~ ~~M ~ M~ ~wf,,. ~ YN~~~ w MNt~r+~ ~~~M t y0 • d MYt ~ . ~ ~ w~. r~, w.~ ~ IIOM M/AMY OCCIM~EO ~ pwl~ wM W rwMr r~ue ~ p r~n wr ~ ~ . ; . ~ ~i9~Tt~l~~ F~ ~.3-y ~ i~t<.c to rsr~ ~Rouyo w~r.cE wc,er,.a.~ ~ ~ xUUtt ~i wdR N11Rt u.o.~. ~~a ~•cm. lOUNO~~ ~~+w~ M~ r.~. .s.. m w M.r. ww ~ . i ~ rKr. ns « w~ w..~~c ,swc.. ~ ~ ~ ~r1 !t ~ ~ PR~.S !/F_ -SIY~T ~E/~fi/ ~Afe! ! • s. OM ~ - C[lfrKwnON- ao~ r~ w ra.~ w rw ..r uw w~../.ae .uw er ~~/M r0~ wff N~M OCCYW~ M NKI.O+ M I r MITYWM+ TO . ~O~+r Mt wY ~OM Y~U M~r. ~~011~~ W. ~N. ~D M MY / ~J O~ N ~rOw~OC~. ~U! ' ~~~MMN~ 11q ~ rn / ~ ZN. ~ ll t0 tf CYYO~ 1YM~. y Tl NC~~N~ I~O~ ~M MC~M~ W~01~K1~ M~1 ~ ~ ~E~Ti T~M~MEOKAI d~ FM MY1 O~ ~01A 0/ M~ ~ Mt wM ~ ~OM " . ~u~r~~P O~ r~~ w/O~ w wALtiO+Ai+. r r 0~~4~. r ~ : ' w~w Ott~~w O~ 4 M L~ ~K M TA. ~ , ` Nfy~ O~ MIt ~~O~R Mf.1W~ CE~/~fiEt-N4ME ~ww e~ rrw 7L ~ 2` . ~ G T • U _ i- " o..~ w~a a~~s[+ ..n.. w .o. , ; ' ~ - - ~ l_ D t_ ~ _ ~ wv~~+!, ~a~~~u~unoK ~trw~t icn o~ tatwuon-ruMe wuuor~ w. o..o.~. ~ ~_i~IDV~.-{~t~0[1 ~s.NeC:1~0[1 CYQl03t~~1t „•.West Pd11ll BE'~C21 F ~ ' ~y~Pb• 1~ 1J/4 , ~uNt ai+o .~oot(ss ~Trn w v.~. .o., er. a w.n. ww. e+~ ; _ 901 N. 7 St. Ft. Piesoe Fl,a• 33450 r. s..~ ~Z .ew -sre~+.ru~t . ~ , ~ ~ e. ww i5~ 1974 ~ R~~.11T0 ~ - - - - - - - ~ z . ~ FIIEO z'~~? ~ECOROEO ; ; ' ST.IUCtE ~OUxAAS`A. F.O:,E;'n ~?lIT COURT . z.~ . ~ ~ ~Eot L ; C - . ; AfCn-;~.:, ~'F:EO ,';,~~..n.~~.n~,,r}~-:~' : b ~ m. y H'7?1 ,.~;.~~3ti11yrd3 , . ! h~nbY a!A'fy e tn~ H~alfh OapaR- J~L 8 ~ t Z8 ~ . fik in tM St. lucie Cou~tY 0;~ Rpistr~rs reoord a+ . : .:~~'4 )'•fj`:'.-; P'~?ce. Flaida. ~ ` ! ~ ` 1 f I M? t N fOA vAlit~ Uf11ASi fliSfld itA~ Of f~ $i. ING~ r~ .:s~~#`,:i~,. '~r_~•~ i t~,,, Nw 286 ~ ' - ~ ~nry He~hh Dspa~tme~+t is affix~d.) 1G.~ Yt - ' ::=+y - - . , - < n i- : ~ . . N. MIIIER, M. D. ~'~r v° 179 t~ - Cax~ty ?~yHh Off~r 3 loul Rp~str~ . .~j3~ I~~~S;;~,~•`r ~ . , ~ •,.,_...~,s... _ ~ IiOC~~ R~OiSfrK ~ . ~ - ~ - aaox~ ~ ~r ~ : _ _ _ - - ~ ~a ~ _ ~ ~ ~ . . _