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Home My WebLink About1892 2so88s ~ CE~ i IFICATt. OF DEATH ' fiTATE FILi WO. - Drp.A.ww~ Ik.l~4 •wd R:L.I.ilia~i.e G..rK-e• ~y~~~}~ ~y ~q,~~ F L O R I D A pEG16TRAR'S NO- ~Qg . ~YYM ~ ~RY ~1~twfO IY?t. OR ?!1lil IN ~~f~ iSEi ,AiE O~ OEATN .~Ow~., 0~~. ~ ?llMANlNT INK ~~~~_N~ r~u~ ~'~Oi~ ut ,u.owo. w. : I~,ale st 11 1 74 ~.s~waars , FLCI~YYD • ~wCE ~+a. M~6p. ~W~KUI YMVM. AGI-MSl wc~. + n•~ ~~we~ ~ w. O~E OF WiH ~.o~~. iCOUNTtr OI OE~iM ~K. ~fNCr~~ M~w•~~quf~ .Of.~~ Mq wW~f ~ L/C~+• 6/ 1904 i)• ~7 • 1 t ~ ; ~11.~ s. 6 w . ~ 6602 IT1. fOM~N. O~ IOCATIO~~ Of OfAM ~.fW t.n ~raf MOS~iTwl Ot Oiel[l N521iUTIW~-NAMf ~r ~.W w ~~tw~. crq vr~~ u~ ~wr~~u ~ ~es.'° Ft. Pierce Memarial Hospital ~ Ft. Pieroe w,ur cou.+nr ..~enco. rrtvice,.•eaco. survn~c srousc ~M ~IM~. G111~ WMM M~M ~ SiAlf O~ MRM ~ r wo~ w o s•-. .uu OT2Ha Of ~ ~ wf0. 'J+YC EO ~ vKr• ~ ~M,~ ~y,r~ New Yaack , USA N~axrie~ y' L1.41[1 a~+y _ -~rH qiblK~ ~ .ra ~en.xs ~uu SECU~ MJWEt USNwI OCCtlrwTq~ ~u+~ ..w a..w• w~w e.~~w •ov a~cw0 W MiS~+ESS O~ wDUSriY u.~s r N•w. .warc a.e nc~..~~..~...~ ~:-*wis•/i~C~J~.~~ OCCY„~~ M ~t ~o-28-8465 raLLa~c.i ~ ~ snwna... ~~+e ~..ree an u.as STtEEi ~u+G ?+uw4E~ -esw~rn nwr (aT1l, iOwH. Of lQCwilOr. s«iuo~.. lES~E?+CE-S~~tE COW+IY ~v~c+i~es a w 1808 Caral Avet~ue 14Florida ,q St. I~ucie ,M Ft. Pie.rce ~vo ~.M~f u'~t y~ ~MOiME~-MADfNN4ME ~•~N fAiMfR-NIWI ~~~N ~~~a.L.~ t T ~ ~ p ~ ~Z ! DCi ~110~ s~~ 1{ L~JYi ~WWM~t+t-?uwiE ~~uawG w6:.aESS ~s~„~~ w~~.~. ..o. c.n w w~.., u.n. ar~ I,,~ty ' 1808 Coral, Avenue, Ft. Pierce, Flo~~ 33450 i~h .rrM~..uq u.:~~.u ~ IJ~ _ ?w~r ~ ocwm wws u~s[o ~r: ;fNtEf O++:r ArE CauSf ?E~ turE W~ (el Wi ~eti~t. o~s~• •~o w..~ 1~ uww _ , L% ~L^J.c: {r. ^ (si " ~_L ~ " , ~ L v [ ~ t. _ i` `L~ L - !~-'~i.:{,~Y. ~ . . i~ ~w. ~ co„ano.~. ~r .w.. t .w~c» a..~ uu ro [N ~ ~ ~rr~M~~f (~~f~ ~N. M q. q~f ~ CoMUOMK! M 1 sr.nro u~ v~~~~- ~ ..~+o t.+u ~.s~ 1 MltOKr ~ rES ~~~a~..cn ca+- ~w1T OTME~ SIC,n~fICANi Cp~Wi10N5: to~~a.s tor¦w~.~w q a•r wt ..o¦ uun~ q c.+si wnw w•u~ . w. i~.~a w..o~ s:wus wn...~..w uws~ . t ~ o' u..-~:.- ~w ~ • IN ..o.rw. w~, n.~ ~ Ndk ~ NOw uaKie~ OCCtet~lEO ~~•~t~ •••rwi w%rwn ~.~r . o~~u~ at. ~ ~qr~KrOE.~-AO~ Y~+Dtt[Ww[O~ ~ i ~ ~ i Ac ~t : M1 INJUR~ AT MrO~[ nwCE Of ww~~•~ ~or. ••~r, s~rrt. ..tFwr. IOCwT10N . snu~ o~ t~.e. .ro.. an o~ w.w, u.w ~ ' .frl4n qf W ~+OI ~OMKI ~~6-.l1C. ~SMCM~1 ' ~ ~ 1~ ~ flu ! +Y~~• M~ ~ u0 us~ f~r wr/rf~ w~! d+ ~ sO/MO aW ~V Ot~M OCCY~![D M r.K~. 6+ i.! CERtYKJ~iiON- o"" r : rp.,~. r• a.~ w~. .nu w.w. ..ow. o.n. .••o. w ew ~esr p! r~ a'+O~/1fOGl. Out rw~aK~wu: TO i ~ ~~7 ~ ~ L. ~ . Jte f/ l a+o oe c.vx~s. u.no. t ~~tl1Nf~ t+~, . , ~ , ~ ; ~ - i~~. ~ , T~ WCt~ilO ~p~4 O ' tM~ ~lCfOf t Vr t~WMWKH Ol~i •~?t MY~ CEeT~Kwiq~-r+fWU~ E~t~w?~ER OR CORW+E~ o+ r..i ~.s.s d~w ..ow o~ oa... +wm a~ G : n - ~.u.w.e.M~ a ~M p0~ .wold ni w~nsM..row. w. O~ww+. - _ _ / ; _ / / - ~ lj- ~ % 1 : J' M . s~.w occwte o~ ~e ww we ~o n.e c.w.si s+.no. y~ tia ! " ~ . ~ ~tue~ u ~•n~ ~f ',UATE 51GNE0 ~•w•TM. oi ..w~ CF~T~frf~-H~ m.~ w rw.n ~ ! : % ' ! SK.~wTJiE i ~ • ~ ~ . / : n, ~ ~ ~ ~ ~1 v-'~- . j~ ' ~ ~ ~ ; ~ /uuo a .7~0 ~ ~ - c,~ii '-o~ w..w~-7''_"'"_ ' ` p.a r~ ~ . .ua.+o wooeE~s-carrrte~ . ~ ; - - ' / % t 7 ~ )t~ - / ' • • ~ ~.n w ~o.» v.r~ . ' i l0~'.J~ WtW. CREMAilO~~_ ~EMOrAI EMETEtt 0a CREMA7W7-N~~f t ~yCln W~+a~ty I~ew York ' ;,~"~C'rr~val-&31 ial ~ Callioooaz Ce.nter Ce[~et~c:ry . O~i ~ n., e.•. .e.n I Ww[ewt HOME-~ ~•i wr~0 wD~tFSS ~ s,¦~n o. ~...o. ..o., c.n o~ ~o.., s+.*~. r.r ~ Floric?a 33450 ~ 13, 1974 + HCt~ 901 N. 7 St. Ft. Pierce ~y ~ ~ D~II ~tClntO ~T ~OUi ~fG~11~w~ Y. 5. iE 12 ~f - j ~tG~S~ w-S;Gr+wtu~+f ~ ' y O • ~N A~ • i 8er.19T0 ~ .29~~86 u.rri tnb ro bo a rn,. u?d car.cy oopy of m. tocei ~ , h.~y ~ ~ ~ ftvpis~rers reoord a+ file in tFw St. tucie C~ountY He~tth ~aA- ~t ~t fort Piarte. Florids. C~ T (yy~ning: Not va~id unless rais~.i seal ~f ths St. L:ru~ `l~~K C1~C1tt. a County Heal~h DePartment is affized.) RtC0R0 Y[~~FiED MIIIER, M. O. ~ ~ ~1~~l~ . r~~ N. D, R~istrer ~ ' ~ _ r+~i~ off~. a t,o~` _ ~ = + ~ ~ J ' ~ ~ ~ ' Lpe~l R~o~stnr , "i ~ ' • a 1 Od'~ ~y ' i; f • ~ aoaK 23~. pacE 1$~ : ~ _ ~ ~ - y-,~ - - ~ ~ .1, - " ~ _ .