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HomeMy WebLinkAbout2439 1 ~ _ - 28920`?' - - - ; ; CERTIFICATE OF DEATH .~wn n~e ~w. ~ i' O.wr..~.t ~,,a;,fw,,~"'S""'°" FLOAIDA ' ~ ~soisrnw~•~ No. ~ wrr ~ wt~t waw~ ~ rr?E. O~ ?rNT 1M w pAtE M~ • ~ H~MAINi1T NIK _M~ ~w~ ~ ~"¦~sr~ s~ , WILLIA~! DAVID 0'NSILL Sr. maZQ , dune 23, 2974 ~ we. ~+w oAfE Of MRlll ~.ww. M4 COUMIII Of OEA1M i ~K. 1 iNC WIIINI In~l~l rOt. Mt~ wO~M~ u~ ,Ma 25,1895 Indian River ~ > ~ t~~'L t 6 9 ..sri crr ~w~n M05lRAl OR 0111E! MS - Na w e~we~, aae ~en ur wwn ~ t ptt, TOWN. OR l fNCin ns o~ wo Vero Beaoh es ~ H Indian River Mem~riaZ Aos ital ' • * a ww?r oouHm wiau~o. ?~vEa ,r~t~o. suevN.+cs swusE ~ ~•w. s~. r....~ ~ STATE Of ~It1N ~ r wot ~ v.t.~.. wre 'N°O ma~'~""' Luella Jones u...~. . Vtir inia U. S. . ~ ~ ~.r oecuw ~u SECU~~tV NIwrE~ UftW OCGMAt101+ ~aw u+~ or wn ww eawo .ou a t!q d MJSNESS a woustRt? .~.to u N~M MIO~MO Wf~l~ItM Y YIMM~ a4tLl~'.6 O f Virginia ' °~~~~'°w Retzred Game Narden- ~s ~ +~~~~~~~.aM u224-42-8339 A. ~s. ~ i .es.o~MC~ wrae Crtr. TOwN. pt tOtwnON r~tw c~ ~w~s steEtT .o~~~,p~ ~s~oe~-s~.r~ cowm rio pMO1 Rt. 1k1, Box 345 1 ,y FZorida ,wSt. Luaie ~k.Ft. Pierce ~N- ~ ust MOiMEe-AW~o[N MMME ~rs~ '~01~ ~ . fAT11ER-NAMf ~Mft 0'Neitt N. Renrietta Niakete ~ „ Witliam Jose h + ~MIO~MANt-NAME MuRM1G w00RES3 ~u~ea a~.~~. w.. cw+ o~ ~w~.. ~uie. :r~ Mrs. LueZZa 0'NeiZZ „~.Rt.#1, Box 345, Ft.Pierce, FZorida w!T 1. DEwTM ww3 CAUSED ar~ (ENtEt ONIr O?~E uusE IEt IINE io! NL A~ ~ kp a?.eeM o«sr~ •.r w~ i'! A{'..C 1 ~ M~~ ^ t- ' l.. L= F T 1 bN l'r ~/'n d~ ' c.~ C. ~ ~ ~ ! •i cowMnowt u ~1MICM 6~~ !IN 1O I~~ ' ~ IrrlNAt~ CAWI N~. ~ p. p~ ~y • Oh u~nNO rw~ vM~e~- ~tIMO 4Yi! W{1 + i ' IM1~dS1? ~ 1fEi ~r~u nM~~we~ cow C MtT M. Oi/~! 51GNMKAM~ GOl~T10~'~s` OO~MNOMf COK~11`MO q WM NA M01 ~lu~M ~O t~M! ONW w ~NI ~ NI Ihf O~ MOI M M4W~~0 WIN ~ w. ri0 1w. i na~n~. w~ Mow i~uuar ocnm[c ~ ww~ w~e a~Mwrr x~ r.n ~ w?w r, wr ~ ~ Oa Y1O~iWUN[O ' ~M lw ~c. M. !Y. INIURY Ai VMOlK HJ1J~Y ~t rOr~. ~v+. st~et. rKqe*, IOCAl10N ~ MM~ p a~.~. MO.. M~ W tOV~. N~t! ~ ' ~ wun nt w.a ~ ow~a wo.. ts. ~ sMtr* ~ r, ~ ~ ~ i .~o~.~ w. .~u ..e wr ~..r ~r./~e. .a~e a. ~ w/w w~ .r~. w~e oewTM occurieo w~ w K.a, oM j ~ f~~(A~la~~ rO~HM Ml tUt ~p~M Y~ ~fY WO~ YR~ NAM. IwOY~1 ~Nf. ~M. rD M/ Mp E INrSKUN: ~ ~ ~ TO ~ ( ! ~"~y h Q~ W r~ aMO~M~Ot. ~M ~ i •m..o~e iwe ~ ~ tN. ~ ~ ~ !1~ ( L ~ ~N. 5 : ~o ~w uws~o~ wwe. ~ tH aCf~flO 1~0~ fN l! • : a+ a~e w~s a n~ w011~ p K~M rM~ ateoe.n ~w CE~t1iKAT10H-MEDICAI E71AMI~~ER O~ ra+u~ MT ~W ~ o~.~ w~~oc~wri o~.. ~ w~w+i~wt w w~ c~.w~s~ ii a~w~~~ _ ~ ~l ZA A ~ Kcan o~ A i..ornr. wi. ~w~ : - _ 2 ~ ~ CERtM1ER-r~~ME mri w nwa ~ ~ ~j. ~ y~- ~ ~ c~. ~ Ph ' D Mor n M. D. ~ " ~"~ADO~u-"'""~` 1849-'~~5~~~. ~Street, • Vero eaoh, Ftor~.ga 329~'0 , r~ tOU,rK~N • aa o. w..~ •u~n ~ wrou. ac~u?ra~+. ~~ww?t c+~uuo~r-?u~ . ~ ~ ~,n Cardsne B ' Stone ~i86 Coun Vz 'rria tw RQ1A~- ~ srno o~ u.~. Mo., cwr o~ u~n, ir ~ D~1E ~..o~.•••.•w~ ?ue+~w no~-wu~ ~ooR[ss ,w_ ~ 28 197 n. Flo d S ~ ~e Ar~a~Z Rane-2405-14t~ 'Ave.D,~Ver~v Beaah,FZorida v. s. ~61z ~ ~ ~f 2 ~ / ~ R~v. 1970 ? ~ ' K' , "I hereby certify the above to be a true and correct copy ~ ~ of the local registrar~s~record on file in the Indian River ~ Gbunty Hea?lth Depa?rtment at Vero Beach, R1QZicia?." ~ ~ This is not valid unless the raised seal of the Indian ~ River= Connty- Health Department is affixed. ' . :.-.v, ~i.;; j Y , - _ . Y. ~ ,,~.i . ~ ~ p - f•~~' '~:ti~`;`;~:~~`:~~"~; f~iEU,aL~i.~LyiY FL~• ~ ST P.U;~ -0~'R~CUii1 . ~ c~« ~ '~j unty Health Dir. , Local Reg. . ,fii~~~ k s ,~rr^ . . ~ ~EO 'ti;, ~ ~~-~':I . ~ ~ . -t. _ r,. ~T;J ~ oi PH I~?W~ 1- 'C~ . ' ~ i'} ; 's•`j t~l, ~•AtIP ~ . ~ niW r ~ - i-3~i~Y~^` s.=' . ~ - s~~~~`~ ~ 28920'7 Deputy Registrar 0R ~ ~vt7V PAGE~~c3U t~ ` 800K _ _ - - ,ir-,~{ n " L ~ ; , z _ .a'~`z~~_.?~,~ k_ . _