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Home My WebLink About1635 . - i - ~ i ~~10 - ~ CERTIFICATE OF DEATH Drpr~.ew~ .f i k.i~R .~.d K.~+I.:1i41ire 1r+~kts *TATE FILC NO. ~~~~x~c ~x ~r~?~ w F L O A I D A tYIE, b! ~tlNT ~IN ~"~~'~~~0 REGItTRAR'• NO. SOO ~tlMA~Ht INK ~~~_N~ .w~ .ww~ •~u SE]I OI?iE Of OEwiM ~¦ow~r, N~, n~~ ~ uc .+,wo~ r« . Ia C~~PE~.TE Male Sep~tenber 27, 1974 ¦smc~ae , (7~70~E : ~ fACE.rw. waw..r~c.~a r.w... wGf-w~ w.oe. ~,eu wa~ ~ w• OwTE W~1N..a.~~. ~•r. COtltaTll p OEwi?~ w ; «n .a.~ ' . , 1, 1990 St. Iuaie 6602 . s. ~ , k , TOMM. IOCAi OEwM ~.a~e c.n ~r.n MOSlllwl Ot OiMES NSf1i1/110M- .r uW w euwu. cne srru ue nw.u+ ~ Ft. Piex+oe ~'es N Ft. Pi,e~c+Ce Menori.al ~bspital w. StATE O~ 4lfn . r»o. « v.s N..~ i~iW O? ww?i CO~Mit~ ~uRt~ED. rEVEe ~ulrEO. SUtvlvwG S~OUSE ~ r•re. orn ...ar ww ~ • ~ ~a.... ~ • ~ `"'°°~'~aP~`'4~ ~ 1' J~is~e Bpt~den NNM~ MSOlMq .nt~e Mc.e.sie ~uLL SKYd11f M1WE~ u5U~1 OCdNATid+ ~ u.a ar+~ w.w~ wr w~..s .os~ a IWD O~ MKwESS q wWRiRV o5i io-3osi OCtlIMI~ M ~ ~wi1NM~W.OM - Ib. 1~. . . \!fNlMC~ ~{~G~f M/W ~/F \~A! ST~EE~ ANG NUWE ~wns~w. tES1OE~+CE-ST~iE COUMY Ctt1f. TO~+. Ot IOCATION ~y F1o~ida ~p St. i~cie Ft. Pierce ~~u `.~d• ~M 2102 N. 45th St. ~ fwiMEt-NAME ~~'Lr_it__. rw~ ~ f~ ~/YWTMER-MA~DfNNAME ~rsr w~a~ us~ If hiiJGi La e Maxy Fex IWORMANt-~uME - w~tr:G wOGtESS ~s~a~~ o~ wo., cw. o~ w~... s~.r. tr~ ~ ~h Joseptu,n,e La Cha~pelle 2~02 N. 45~h St. , Ft. Pi,eroe, Flo~ri,da 33450 p.+ ~Nq~~ w ltvu r~ut otwm wws uusEO ~r: ;carEr o.tt~ o++t uus[ rt~ iwr rot h1. t~l ~(~r a+.~e ;o«...... a.r~ M ~.rww cwa t / Y ! p 7 C~ Nl ~ tiiY ~ ° . . : C h co«~~uo.s. N ~ ~r~tw aavt ua~ W ~1..'Y~.,l~'~ ~ , - ~..~a•w c•us~ r.. ~ ww w. w.s ~ CS+YOYtK~ O' 1t~~~M6 tM~ •N~~4 .n»o c.+s~ ..i~ ~cl ~ . ?~[t ~AT Sp~pT10?+ . co~swa+s caa~sa~.c ~o w.w. w~ 1 Me~M~ W CNL .nr w?u~ ~.w wYiO?SY Ii rf5 ~~u r~.~~wcs coa- ~ns 1 LOIH~ M Mit~~IMWO 4V3~ ~ri • t 7 q N~tw n . ~ ~ ~Z k. Yr~L~~ ~t1. .~A i0 - ~'~i i V M~- p~~-~-- • rw_ ~e~~ ~ F101M • MOW INllltY OCC ' ~ ewa ~ t~ w~ rut ~ p ruj/ . at~ ~ U~0[t ~ - ~p,~~ ~ ' 71~ M 7Y . i • ~WIUtY AT 1NOf[ RACE Of I~+lutV nur. suae~, ..cwr., `tOUT~ON ~ fnen o~ ~.r.i. ~.o.. c.n o~ w.n~. s~.w ~ t IfIKN? Nf p~O~ OMKI ~~G..~K ~f/~Crf 1 CEtTi1G?iqN- .aww wrw ~w• .w .+e usr s~r uwe or ~ w/ao.o~ we~ we oc~rN OCCUSao Me n~ce. a+ ~e f ~ ~ ~MrsKuw. T~ .o».. wr .w ~ow ua~ ee.«. ~wow~ ~1 w N4. ~MO. q M MS1 ~.m.re~ ~.w t/ ~ • JK~ W rt [~Ow~loG. Oul n. ~u•x..w~ T ~G, 2 %tn ~ ~ 7 7ea / 7 ~t~. Iw 0 u. ~o we c.Yx~s~ ~uns. ~fiTiiUTlOn-irEDKnt Ei~r~iE~ Ot COeOe~E~: a. ~•sn a we «ow a~e.~+ fiM MCfOlM .s •~au ~ tLrwwb~ O~ wN p~ u0/M M rwlN~W~Ow. w w O~~+O~. ~M M~ ~tV wM~ ~e~w~ OCCMM Ow M MA u+~ N! ~O u~! 41M~ H~4~. K~ µ ?1~tiu~ _ 7b. Ht ~~a o~ ~.n N S~GN~TtltE ~ aw .me DA SIGNED ~•ws, wr, nui i~ ~tk ~ ` •ul ~DORESS-CEeqfEt • urn a~ r~ w. ~ si.~e w Tl1 ~ • ~ NNW. Ctfw?110~+. tE1lr Ot UEw~u~iOtY-warE tOGnON a~r a w... - sun ~ Bur3,a1 Hillcrest Msnoocial Gdns. r~. Ft. Pi,erCe Flo~'i,da ' H. ' DwtE _~.¢uw. RYI iUt~ElUU MO+~E- ' u~ ~OO~fSS ~ snin o~ s r ..o.. cm o~ w.r«, sr•~ i•~ ~ Flarida 33450 t ~ ~ ~Q't~lClbP.r ~0,197 ~~,901 N. '~th St. , F't. ~~.rce. ; Y. S~ f61j ~ O~ REG1SitA flNf Owt! l[CE/vED ~OC4 ~lG~STtw! ? p.~. i9~o ~ ,w October 1 1974 x . ' : 1 hK~Y o~ify Mis ro o~ s ttu~ and totncx ooPY of 1!w Loca .t'--~ , R~ptstrsr: record a? f~le in tfi~ St. tucie County Hs~l~h Dq~e~' FILfO sKD KECONDfO ^ •'~1~ 7/~ ` rt~nt at FoA Pi~rce. Flaida. ~T. LUCIE COUNTY FIA. _O,fi ~ ROCER r3~jRAS . ; ~ (yy~ning: Not va~id unless ra~se~i ~e~l ~f rhs St. l~ci~ CLERI~ Cf~~:uiT COURT r0r~o~r i~,, } ~ . CountY HeaNh Oepartme~t is affixe~.) RECJRC YEz~~lEO ; i . ' ~ ~ ~ N, nnaiEa. r~. o. . OCT 3 I~ 38 A~'~~ . y- { - } ~ • Cpunty ~H~Ith Officar b lACat R.gistrer , ~,6 . ; :;•r~ . ''-~i~ ty~;,.--~ -x,~~,y~``: C~+( - ' ~j ' ~ : . . • • 5~;=. ~ .,s"~ / / 7 ~ 292810 f- " ; :,~~~~~i ~ ~ ~ p~p~,h, Locsr R.o~st... ~ ~~j.;;;~z~«"`~~ ~ _ ~ ± - - 600K~~ PIIGEI~ • ~ - , _ - ~ - ~ $ _ - - - - - - - - _ _ _ - { s~ r,gs,.''' ...7' 1,,,,.. : a . ~ '~~~~~'fi~~-~..~~.€ ~ . ~ ~ -°`_.'J'"~tr_~a:il~~..~.,~~~ = . ~ .