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~ i.'~ . ~v..~~ . . ; . ~t ' • t . . 'r-~ . 5~~~ ~ . . ~ . - ' ; ' ` ' ' . ~ t..y . ' ~ . . - . ~ ' . . ~ . :t i • _ t. f_ . • . ' f , . _ ' ~i~f. . . ` . . . . ` ~ . ~ "`,r_~~M ' ' . DAD~ ~ICOTJNfiY ~ } .3515 . : ~ DEPARTD~ENT OP` PUBLIC~ $~Alll'H ; . 1350 N. W. FOUR7'EBN S1`RBBT~ ~ adIAMI~ FLO~tIDA SH196 _ ` , DppARTMENT OF HEAL'IH dt REHABILITATIVB SBRVICES • . ~ ' DtVISION OF HBALTH ,.i~.~'- MI~.TON f. swsu?w. MO. MNf. o~w~eTO~ : - . _ • ' I~~ ~,~l~~! ~S TO~ BS 7? THIJS COPY QF '14I8 IiOCAL 1iSGISTR~R' S It'~OORD OF DBA ~~N e!i ~ . S J _ + : • . . P[TPY It~GIS ~(liot v~ilid~.upi~ss the raieea seal t; q~, ~e ~.~~u of oital Statistics VIT9~L RSCOltD5 tJNIT ° ~ ~ ~~t~ j . ~i, Fno~? ;':~i~• ~ls. ` . i Y• ~i.S1i ~ . ..,~y~• . -1, •r ~ - ' ~ I ~ ' ~y-~~ CERTiF[~ATE OF a~T~ % ~ ` (aep~elseM ~1 1~e+~1i ~M • . RA7t RILt N0. t ~ ~ ~ v o,~,~~~~ F L O S I D A R[OI~TRAR•s Ho. - : " - . , ~ a?1E oewTM ~ •owrN. ~ ALLEN . JSAN MORRIS : MAI'E ~ MAY 18~ 1974 - - R~t[ .n+w. •~w. ..rnc.r .wM. • wcs[-wr ww ~ ~ . a?te o~ w~11 ~.w.w tow+il~ a oEAiH ,T~. ~~d ~wr~~~.usu .oL w.. ~ DBC~ER 6 ~ L9 DADE . - ~ tm. TOMM. t TM ~.w c~r uras N O b H U t O R o 1 M~ . ~ w Ma w~ taMx, ar~ s~rn .,e wra ~ , YK~n ~q o~ MO " ! . MIAMI YES M• VEfERANS ADKINISTRATION . STATE O~ 1 O MOt M Y.N-. ~ wHAt OOIR1inY ~EC. NEVE! MA~MEO. SIOIISE ir ~rr~. owe wra+ wr+ ~ ~ u.s.n. ~~"~Di~`~"~ FRANCS3 BRQ~IIt FLOAIDA _ , . socuu sccwnY ~ usu~ aoa~~ria+ ~ory. w.~o.~ eo.. «~.w •~oa o. n~o a~sr+ESS a wousnr - 266-14-6857 ,s." Furniture repair/upholstery . , it. ~wo. c....... ' - tEStOENCE-iLtlE . b01M1~ Gt1?. TO'w11. OR IOCJ?t10N qnc~n n~ w w ,w_FLORIDA ST. LUCIE FORT PIERCE ,w. YES N,.1401 N. 22 ST fAiNEt-NAME xQAAiS ~~_MADEN ~ ~e ~i/~iAAL~7 . ± M. I. ~ i IS. ^ ' ~ wo1wM1~ MALNG ADOUESS ~s~ w ui. an a wwn. u~~e, v~ . i ~ ,k VA NOSPITAL RBCORDS 1201 N.ii. 16TH ST. KIAMI FLA 33125 s~r i otw~ wnt c.w6ED a= ~ a+ir a+r c~ rer ~r~ ro~ MI. I~L kll ~ «,.n~« owe~ ,n. n.u~ ~ : ~ chronic renal failure due to chronic glomerulo nephritis ~E ' f ' ~ . _ - ~ - : , ~ ~ ~ ` . , . ~ :.~c°"'»:.'rt Nu"'•d M , , • ; ~.wwn c.va w: M q. 0~ tl~ COrMWFK~ Or, . i ~nM°i~iM~t u~ • ~ ~ ` ~ . ~ ~ `g' . ?,ut r. OIIB i10N/IG1M~ 001~1110N~ ao.u~oMt ca...wra w w.r wr na ww..~ urw ows~ ..u ~M1~OKr • rEi au nw~~s ca« /wf wo~ M~M~ ~ Mn~rw~N tr~N ~ , • left ventricular hypertrophy and cardianegaly . ~ES , ~°"'tES ~ . ~ ranN. ~rr. n.~ ~ NOw M~JYt1? OtC11MtD wr~ a w~. a. u? ~ o ~ ti w ~ ~ w u~ - . - s . ~ f~. M. fl. ~ , . s , NJIAY W~. r~c~. 1~OCAl10N ~ wee~ w a?.~. Mo.. an o~ w~+M. N,u~ ~ wi a ~~i0~ dw~0 Wo..nc. ~~wdr~~ . - S . ~ ~ ~ . ~ ' ~ t _ ~ ~M1 Mt All~ ~~M Mf - ~!Y Y~ 1Ap M1Y M1~1/Md /LLIr! OM 1 M/M 1101 ~Ih? M! OlAM OCC11ME0 1~1 }y ~yp. P~ M . ~ /~OM1~1 M1 1H~ ~OA YO WM. IIIOr~ 0~1~. ~M. ~ M~ ~LY ' ~ .o w cwww w~w_ ~ ~"~~~,*~MAY 14~ 1974 rO„~AY 18~1974 ~MAY 18~1974 ~ DID NOT ~~i:15 a¦*~°"bO'."'~, : OM 1M W~! p wy wOM p 04M t11! OKNM~ wA~ ~WMK~ 0l~Y . ' ~tAYM~11011 p~M~ M e O~MOI~. rONM - MI 1l/H ¦(tf ~ OUM OOOr~ Ou 1! O~R M» ~M ~O ~t GIMW W~• _ ~ ~l t~ k, ~ (E/TI~-MAA~ l1fR p~D A I~M. MI,~WI i` - . ~s. a f7a ~ ~ ftAl! ~ t. , ~ s . MARR'IG ADO~S-~~ 9~t O~ a/.~. NO. - _4. ~NA1ME 'Wllnl, dfAMT10N. lA~10~?A1 cm o~ ~o+n. s~ ~ ~ I'~`••~ BSKOYAL PIMS680YB CS~irlBTSx? FOAT PISR+CB FLORIDA ' : ~;'EAp ";~i;''~ ab~"a ~eaor~al"'~a•.•.•.l 0 Ave ~ D' Ft. Pierce 0„ r~ ~ F~ - ~ V ~["~5,... ~ _ _ : r ~`i ~I':~l~"~`^' 293518 fILEO Al14 RECORDED ~ :T. WCIE GOUNTY FLA. ~ - ROCER =O~TRAS ClERX ~tZCU1T COURt RfCGRp VE4!FIED . ~cR~ 23Z 2~~~. Oc~ 16 IZ is Pi~'~~i - y`~ ~ ~ 1 / / . ,2 "a/,is'~ . ~ ~ _ ~ - _ ~ ~ ~ x : _ y~ ~ ~~n-~'c: . ...r* . E,..- _ . . , . . . , - .