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HomeMy WebLinkAbout0983 ; . .s- 3~~~ y- ~ ~ . _ ~ _ . ' . - ` E.~.._..-~ _ ~p~.~C ._`~~r-. --rt _ 1~.- /fia71~Wi7~ r_ . :e~. ~rwT~ ~o o~ M~?~.t++ CERTIFICATE OF DEATH ~ ; ee~~• a ~VR~I?Y OI YITIIL fTATt/t1p fTATt llLt It0 ~ ,.s.l.~.- - . FLOSIDA f .ra RtG STII •s . i *r.~.ri~ ~~~anei o. w?rn coo~ no. z ~sw~ wsWwiesc••«w..rw.R,~ • R.:r....~w~.w.:~.w •:~~~t~l a STAii awa •111 ~n ' (1 St. • ~Ci.C 1• ~I•s.~ c. ~s rIACE o~ Du?TM t. Mt?.101rM.oU 1AGT~ON a IIES~otMCE • ' 1w 1~r- 1~. GTr. TOM1.011 tlIS~Ot GT1/ lw i'St ~~N~t ~ e ~i ~ ~ ` tll~. IurE Oi (Uf~ ~M/IW.I~ ~lrat MbW) I. STIIEFT ADOKt3 r"a~nrt~ ~ Ave R 3. NAMt 0? I'wt /I/Yi~ Lrt , ~ ~fwY D~I _ Ye~ rn,•~« s~r~ • MnRGARET V. VanDOxEN ~?TMdanu z, 196b sqc s. cao~ o~ iucc 7. ~,~p wuu~co ~ wn cs wTw s. ~c c~.n ~ uow ~ rw uraa a~s. 1rt 1rYW) ~r.w. n.w ~.w xr.. s. g W .noo.rco ocwRCCO June 25 1888 77 , l• i• i~ ~a. us~ ooan~no~ tor~ ~w,?•••~ iae. xwoar wswcu o~ wousr~r ~t. .M,Nw~cc ca.n.. /w~. «..a.) a~aa a..w~r aa.a..~ . i e~ t.+w ••«e M r«ti~a e•• yryw.A USA .....s Housexife O~rn Home Conn. ll~~k !~k 1 tATM[~3 M~r~ 1~. rOTME113 wAIOLM IM~1E ~ . ts~..ris.~ lhlobt. Utlobt. ' - ~ ~fAS 0(CUSEO EKII IM 41 ARM[O /O~CCS/ K. son+?~ SccuR~Tr ra. 17. w s s~a~?*v~c g' ai1 reri ~ r.. .......l..wl ul n.. w..... ~ w...?...:.+ ~ tdone P't. Pierce, o a w. snv.s .urn I~a••4 w e.w re N.e /r? cu. c~f..~ ea.) urturvK ~cn.ea+ ~.w~r.l ~T ~ euTM rns uwco ~n o~ wo ou?rn as...a.. w~~,~ Cerebral ocardial Anoxia. ¦r•s tl1• . t~~ s~~- s1e1•~~~~ ~ q.:,, o„~.o M.assive GI 1~act Hemorrha e- site i . . . i .e... . . r.~~.e..r ~.el.~ w..~e.- oue ro ee) . •lt~1w 7f s ~ t~. O ?AAT M. ORIB 9i~Ka1R OOI~It1011i 0011~I~wG ~O OG/M ~1R Ipf wEtAiED TO M~WI~ML OQfAt[ OOIi~I1bM GNO~ M?11~~ K~1 .~~S N~fs •h /E~iOwMEW ' S Recent ~acture t~ Senilit ' resO ~ol] ~ •r ~•t~r• ~DI. ocse~ac Now ww~r oav~~co. (btira,at~ve ytyv~ t~ P..t ~a Art II ywn p~ , .•ti¦s ~ eotioc~r wrciot Morit~at ; •..,•.s- O O •r ~ aoa ?uu as !!w. x..u. nq. r... ` uu ; •~as• auwr w. ( . a ~ ~ tD~. wwr ooanuco mr. n~cc os wwr i•. i. «.e..i b.r. 20l• crtr.1GMM. OA IAC~T1011 _ OOINIir STAT[ ~ ~ KMiL( AT 0 wr wN~.c ~ l~?w.I.a«r. r.ser. y~a e?4..u.) wORK ATI~OAK 21. I~tNnM/ tM I~eww~l~ro~ ~ . te . ~nd /Nt w~ A~m ~/i'~ en i Ora~A ooo~rti/ ~f • m on tM d~a ~t~ad ~bo~+: ~nd to fM 6nt o! W kno~J~ih. lrom tM oauwa ~t~ad. •11 it~~• lta. MOINTYw[ (Dr,R~tMtYlt) m. A0011E~ . . ~7[. WTES~GMEO • Fort Pierce, Fla. 4 Jan. bb e•¦~i.e. a biaz't3ri G. Gou1d~M.B. •s~re•s•. Zi.. ~un.~.a~r.nor. 2'~. o~n t~c. ruwcoseewcTUro~e~~u~r itt. wuno~(~ri.aw..raa~ep (8.a) "~Sr"i~' 1_5~ Hillcrest 2ZCm. Gdns. Ft.Fierce, Florida : s. /sis t~. s s~uu? l~ g~ ts. wrc ~cca ~r w~x ~cwsrw~~s sKrunMC t a... ~sss I~3ilton Ml. Baird*~Ft.~erce, Fla. 1-20-fib Anna Lee Denison, d.r. ~ • . , ~ ~ . . ~ t'`_; , ~ ~ . ; FlLEO AND kEC0fi0E~ { ~ ~ ' " ~ ` ~ . t7. UTCIE CGilNTY flA. ~ ~ ROCER P~tTRAS N :2: l ~ 1 h~1? ~ify 1hb .to b~ a ttw snd cornct eopY of tt?~ Loce~ CLERi~ CI~CUIT CCilRt ~ ; l.. d O,R.,~. RvAistr~rs reoord on file in th~ St. l~cia Counry Htsith O~sart• REC0=0 YEP.!FIED~.. '-`•~~~'':•j;~,r = ~ n~nt at FoA PiNte. Fb?ida. , `?}j°~~ - ~ : ~ ~ (yyerning: Not valid unless rais~,d seal of th~ St. Luci~ ~ 16 3 0o PN ~ 1~ y-- : ~~~~F ,r ~ x County Heshh Oepartrt~^t K affix~d.) ~ ~ ' ~t. , ~ s; ' ``t ~ c~- ~ ~c t ~°J~•'! 1 ra~;~'.~ ~ I N. D. MIIIER, M. D. 'A ~ ~?S ~ . . , . y'Fi~ith Officsr i L~ot~l R~qistrar ~ tia7~~s - '~/j~'i~j~' _ ~ 1 _ 7 - / ~I - 7`.~ - 'I ~1 R~oistru ,~,...,.v~ /k..~ ~1 ~ ~ p~ ~Y ~ . eoox 2~ P~ ~ _ - . , ~ ~ ~ ~ ~ e ? ; a4 _ ~ . _ s~e . _ ~,s~-~~~ ~