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HomeMy WebLinkAbout1147 ~ # 3 _ 29+~403 ~ ...~_v._ _ - - ~ - : v _ _ . 1 -r_~'-- _ . ' . . . ~ ~ • ' ! ~ CERTIFtCATE OF DEATH • nwT~ r~u Na ~ • O~ .114.I~L R`L'~.e 4.'~ee' F L O B I D A a~a~st~w~•s No. 97 ~ . . , T~rE` d~ ?nllt w+ y~a w~e oi oewn~ ~•o•~~. w., ~ . IqMAN[NT IMt ~~~~MIM~E wM ~w~ ~ nc un~ re~ C (~Ot~1 : Fenale x Fp.ba.van? ' 0~4 : ~ ~.a~s . • A6!-uM w+~~ ~ n~~ ~i0e~ OATE OI MM ~~a+ti GOIMIY Or OUIM ~ ~ • wr~, w~MO, u.trar rw~. w+r ~ ~7,.• ~ ~ ' . ac. ~wc~r~ w~~~~ws~ .x rn ~ x ~ ~y.~yw ~ ~ , 66~2 ~ . RLL{~G fa 4 rw tn ?rw M06MG? Ol 01NE1 ~ON-NM1[ ~p r w~• ~'w wM~ w~rw yKI~ ti/ M ~M j ~ Yes N Ft. Pi~xoe ~iao ae ~ ~ ~ F't. P~~~c~oe k ' i - , ar Mnua tou~m* ruuco. eav~ wuito. ' s An a~~ ~r~ ~M~ ono~ao~~wc.n i rV~~K O. ~ ! [IItl1+~.iA.7~ ~ ~wr rf+~w OCM~t~ON ~aw uw «.a. ww wr ~ r ~u+O p MIS~+EU a oO1b1~T : sr fppK 3lQ1~7~ MMrE! ~.y~, ~a. r wrM ~ ~ 1 : ; 045-03-6795 w. ~r ' ..r... a..... ~ ` .....,.~....o.~ . . ~~x ~tS~DE~10E-fr~R CdIMY 01Y.1'OWM.Ot ~OGt~W~ ~yK~. n~ M w ' • ~~FLo~irla? St.I~u~r3.e Ft. Pieroe N~o ~ 1007 N. 39th . ; . , ~ ~ ~ ~ /A114t-IY~ ~rM p ~1~ K ~~a~asv ~ ~ • If ~ MI~<NI'r w00KSf ~MMf~ M~.~1. w0. tw M~ti M~1~. t~~ • ~ t ' . ' . 11~11~lMI1~ a ,h ~ G~~ 1007 N. 39th St. F't. Pi,e~c'oe Flaricla 33450 Y Krat~ aar o~ tMa[ wa ut w~ M N~ kA .nw.. o.w i MB L OfAD11MAS WIStO h~ - ~ ~ ~ ' • ' ~ - G~~r.uy~ ~ cn ~ i . y ; ; O - ~ • ~ • :°.:c: : ti e~i.: e wl ~l.GOS u-~ / ? d ~ a'Q'!/J h - ~wM~l/ t~~N ML ~ M p. M 4~ C0~1~~~ a' S M ~ N~tIM~ ~q ~N~! _ i • \1~M uM . (l w A~as~ ~ 7~S I~rMr~1`~ i . Mui O ¦ S~.?~,~Gw~ CbM~~a OP~AIIA~ ~O Mu~ M rp~+ wM ~O~f~)M ~Mr r~Yt ~ 1r ~ ws e~ a N ~ J /Y' /t/ 4~ Iq i 1 ~i • ~ L~ . liGG' L•s„`.Gj ~ ' rww~ r~rw~ ~ r~w ~ a~.r ti wn ~ . ..a..+. ~..,.w. ~qr+ v+Jwr OCCYMlO ~ . ~ . Oa M~~t~d ' ~ . ; - ~7~y~ ~ y_ Iit fY. _ f 76~ ~ YMA M a~1. wO.. ON M 10~R. Mw! ~ ~ % ' ' NJI/?J wOr. hr. M~O. NL~O~~~ lOCA1W~~ ; ~ ~ ' w~wM~wO~ ~IN.f~L IM~[s~~ ~ ~ . ~F ~ f Y~ YN tM ~iJ~ ~aM OI~ ~~/M b~!~ ! MA~ OC~M~~~ W. ~ M MP f . . ' ~p~y Mt ~Y~ ~PA W NY M~ 1~Y ~OM M~- i oO~~M ~t t~NOl. M , .o -~resent 2/26/74 did .e..~..~.... i w Mc~w~ w r~ewow'a~ MN _ n. June 195c . • . ' ~ " d"°" `~°`a "~..o.. ~ : d M M Nu~ 6 ~.~•4 2 • I'~" p. t 2: 0~ P.. i ~ N~ OCC~M ON 1y MA M~~O WN~Y WA~. ~ ~q O. W Mt. ~W ~ 1 _ , ~ r ~ ~ , - ct~nNER-uwE a.n e~ w+* ~ ~ . ! . ' ~ . " ohn h. Sims PA ~„~,.,a.,. ~ , : • - rw~ ~oo~tSS-~rsiN ~ u.a o~ u.•. A F d ' ~ ,n 60 A? 6th StrA~ _ ouno.. ono..o•• ; ' ~t. ~E~~l 1En oa Caur~ton w~rE ! ` ~~G~t'dl~uC~Al ~w. St. I,a~nC r.. IJ2w A3i?ez1 _ j ~nt wY~ I\MrE~M ~~OM[-MAME /l?O ADO~[Sf t N~Nt M U.~. ~O_. C~ M~. MM. lr ~ ~ : ` ,,~~`March 1~9~4 HQ~: 901 N 7 ..,..~~....p...«...~~.... ' i gz 28 197~: ; ~ A~r.1170 •-_____~.5./~12~ ~ • - , J ~ F~~c ~~c ~~~~RaEO ~ ST.IUCtE COUNTY FLA. 1 M+~r+~by ~'4Y thb ro b~ e ma s!?d oornct ooPY a?f the l~oce! aOGER ~OtTRAS _ f~putnrs ?eoord a+ fi~e i^ th~ S~• ~^K ~alth D~art• CiERK C3RCUIT COUR ~ Platda. REGORt~ Vf~~~sEO~~%~,~. ~ t~nt ~t FoA Pi~~. ~nless ~~ised-seal of ths St. Luci~ ~~t] Q 13 ~ ~ a 1~:~ j~` • _ ~ (yytrni~: t v~~ ~~t is effix~d.) 'i v Gounty HesHh Dsps r:~,: ~ •Y ~ ~ . 2~~?4~:3 ~ " ~ ~ N. 0. MItIER. M. D. - " • - . - - : : Fi~alth OfficK d~ ( Rpiatrar - • , ~ ' ~ _ Lt.w~ • +S~ , „ . , ~ ~ 'j /J ~ - . ~ p~puty t,oc~l R~oistr~t . , ; . - z soo~~!31 ~1147 ~ n~ L~ ~~~~..~.W , . - ~ ~ ~ _ ~ ^ - ~ ~ ~ ~ ..~.z`~'4r f _