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Home My WebLink About2303 ! ~ t ~ / 293.~i3 cERTIFtCATE OF DEATH Uep~A~ew~ ~i Ika1~1 ~wd RrLalNluaNre Srr~ite~ /TA7i FIL[ NO. FLORIDA iY/f. O~ ~aM* ~N ~~~~~R~~~ RCGIiTRAR'f l30. 5 4 ~ ?ltMAit~M INK ~_N~ rrw~ usr ~Y pwTE Of OEw1M ~~ow~r, u~, ~~u ~ ~ uc .+.awo. ~a ~ N. DII~IS , Male , SepGanber 27, 1974 .sraina~s t~CE .••n. ••ww. w..c.....w¦, wGE-w~ w.oe. ~ n.. woe. ~ w. D~TE Of s~m+ ~.aw¦. w.. CdMi1 Of OEATM ~ . ~ t~ite ~ '^g~ ~•~u•' ~~an. 11, 1892 St. 7~ucie y M 6602 . TO~MM. O! l TWN Ol~iN a.swa cw+ u.~n qOSttTM Ot OiME! NSiRUi - ~r .~a w. imr~, a+a srru ue .~.re~ ~ sncy. .rs w ..o * gt. Pierce Yes „ 1901 Ave. B SiAiE Of MRiN ~ r.ro~ w v.s .••rt UTIZEN O~ Mr?uT COIN~iR~ w~RRiED. NEYER w?AWE0. SU~IVING SrOUSE ~r .rw. o~n .u~w.~ wyw ~ • coww. ~ ~ ~ncr. ~ ~sw. us«..ca ~ ML4`~11qc1Y1 u~~~ n. M311@ &3S.~EtY~ ~+.rr ~aca.see SECtl~ntt MlWE~ USU~I OCN~~T~On ~a.~ aw~ a w~c owe weww .ou a K~NC Oi ~1/SrESS OR w0ilSttY u~ra~. ¦ Ol~r ~O~c+'6 dtw u n~ ~ ~py n,~~ j~,,.,,~ ~ ~ „ 231-10-3076 A t7i ~yr~ IX. \.QBJJiIGb R ~nfh7Nqw. OA! ¦eswe~K~ ~e~oM w~x tn ~rw~ ST~fET ~wts~. lESbfNCE-S?AfE COIINi1f CTI. TOw~a.O~ lOGt10N .~fnan r~s o~ ~.o ~ Fl,o~it7a St. I~cie 14 F`t. Pi,e~+ce Yes ~;.1901 Av~e. B tAIME!-NAME nnt r~eat usr MOTMER-MAJDfN N~ME ~+s~ ~ , N „ Charles F. Deacuiis MatilBa y~ . ~ - ~lM~RMANT-NAME MA~N~G wD6RESS ~sna~ O~ ~.~i. •q., an O~ wr~. f~~n. (r~ ~ 1901 Ave. B, Ft. P3+eroe. F1a~ida? 33450 3 r~tt oEwm w~s uwsEO ~r: (tivrtR oacr o~ aust a~ i~rt ror p~, (sl ua c~~i ...~te« w sa. ce.,. ...tw u~x~ ~ ~ , w 1~ ~ . ~ core~+ro..s, ~r •r.r, ~ rw~tw o~~~ ~.s~ ro l (01 ~ ~rrlN~q (~vfl /s1. ~ ~ p. « ~f ~ CO+SfOVl~U d: . . sf~t1N0 iw! Y»~IM {~~MO C~V1~ U1~ ~t) wutpsr r rts ~~NNMGS COM• IART / OTME~ SK~IMI~KN'~i CO~'~TWP~S: COMO~OWf CO~~Yf W+MG q M~M ~Yt MOt NYnY 10 UYl! 411Rr1 w ru~ ~~a ~ ns o~ ..o~ LOl~FO M OtTI~r~N~w6 Cn~Yi~ , O~ ~l~iM . iw fVb iw ~ wCqDENi. qE A ~ ra.rw, w~, ~u~ ~ MOiA MOW INl4\r OCCURlEO ~ ~~M~ w~t W~wn ~w ~~O ~ W rut a, wr u ~ ~ 'E ~qw~K~64 O[ I~OEtE~M1wFD ' . ~ ~ M ~ 7k M. 701 i ! ~?ilUt~ wT WO~N[ nACE Oi w11MY row. ••s. s~air, ~.ow•. lOCwnON ~ aniu w~.~.~. no., c.n o~ ~o~. s~.w ~ t ~ ~ snc~n ns o~ »o ~ o»rce wsc.. ac ~ recr+ ~ ' , CEtr~Uno~+- •a... wI•7 (.]u. 1 .a.« w. .a., .~e~"..~.~ w:re. u~o.. w~e oE~~occuneo e.w ...s~o w ws~ ~ ~ ~ n~ ; 1 ?11~~~CuN: ~ ( 7 ~~i' ? tl~ 1 1 M rt c«O~+ueu. oN ~.mr.oes TMe i@b 1 1 6 ii~l'11 G2 A'~Tll. 22 ( tu. ~ tte .i~ ~ t0 Wt11~31 Siw~fO. ' Da ~~ce.ue ~w+ CEtitrKwi~d+-MED~C~t EYwwHEt OAd+Ee: w.~ uH~ a*K .ow w u.w ewe Mt ~••.s no~.owcn ~w n.. .ow . lt~w~nOi+ M~1 ~W~ +WOIM M MISnW~q~. M~t 0~~+. ~ N~~w OCCrWO OM M Yp ~+O Mw ~O U4 VYSl~f1 fLRO. M m M. t7. _ S T E eeuti a~ wne ~A ~~W7~l, w~, nu~ CERTIf1E~-NAMf mn o~ ~+n ~'rLF . ~;.F. °atkins, ~4. D. 1~. • rt~4~+G w00tfSS-CfRrY~~ srre+ ..o. ~ « s~ ° 7~(} 0 tV . r 26 ~'ort ~it~rce ~lori~~?:~ Wtul. CREMAi~ON. ~Al f/rEiEtY Ot C.itEMni61tY-nn~wf IOCAt10N u~ a p~r.. . wn . ""`"•$urial ,H Hillc~est Men. Gat~dens P`t. Pi~erae Flori.da H. - W?TE ~ro..ew. r~, au~ WNEfAI MOMF i+wMF wttD ~OQ+ESS 1li~~lT O\ a.~.o. .w., Gt1 W 10MN, SI~N.:w~ . 30, 1974 " ~~Ci~?,901 N. 7th St. F`t. Pieroe. Fla• 33450 v. S. ~612 u+ 3~++~i REG~ t -siGrv~iWE _ wtt uce~vca a~ ~ocu ~ca~srua . ae~. iv~o 7 a. 4 974 ' - - - . ~E D AN~ REC_Q,R r~A. . . - iY.tIlC1E C00~~~ = . : ~ - aocf~ vo;r~?s ~ . • - 1 h~nbY awtify thb ro bo a trw and c~orroct oopy of tt?~ Loce~ CLEf~K C~::CUIT COORT ~ :~1~~~~ f t e p i s t r~ r s r o o ord on file in th~ S~. Lucit County~Hselth D~e~CORO'~ER1EtE0 ~-y >ty ~ . ~1~3K1 ~ ~~l m~nt ~t foA Pi~ru, F!o?ida. u t~~ ~ . ~ p~t tp 1 4o P~~ ~ . r, • ,o,.f- : (yVarning: Not va~~d unless ra~s~xi seat of ths St. l~ci~ ,~y~ y ~ C p u n t y H e a N h O e p a nt is affixed.) i ~-'-k~ Q , ~ fifl16 ~aI~.VJ~ r ,~.~~t~'..- . - ~ ' 's°`+°t _ = r ~ ~ . - N. . MIIIER, M. ~ .,:~Y t~Hi.alth Officar b tncs~ istrer , a ~J t80~' . ~ ~~~n~.~ts~~~~. - / o- ~ - - ~ . . (,pp~ Qloistrst - i ~ ~ ~ OR q q~j ~ ~ 600K~~r PAGE~.JQ~. - ' _ ~ R ' ' ~ . . w+.Y.F ~y?. ^ ~~:~.t~w.3r ~ ~,....:,.,=c~*. x #~"'.i~ ' . ~s~'g..v'~..~`"'~..r,"~'`~ 4:e-~~x„~,''~~.,W a r 4 t _ _ _ _ . ~ ~ .4~~ _ . : ~ _ a.