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Home My WebLink About2918 r - ~ r k ' / . . . : - . _ 293698 - _ . CERT1FtCATE OF DEATH ~cprrl~ed ~f 1lr~~t6 eao RtbaF+i~ilativt $e~rkcs ~'fAT[ FIL[ NO. ,N.~rxx~ c~ ~~r n~ F L O R I D A iTtE. Ot ?~tlNi IN ~'~'~^"'~m~o RE615TRAR'8 NO. Gt~ ~IAJ:a:2S.~T IHK pKEASEa-?~MyE ~•~st ..uo~e uf~ ~X CATE OF OEAM ~•O.1tr, w?, rt~a ~ stt r.s~::ccc roe Ma 25 1974 .srwcrau , F.VE~t_TTTE E. FR~41N r. Male Y . lwCE •w~u, .ecw. ..a~Ku wo.n~, wGE-uu o.c~. ~.t., . ~..are ~ o.. ' DATE Of WM ~ ra+m, a?r, ~CONNIY Of DfwTN ~TG. i f1lGM1 ~ ~ waay~~a.s:~ wa. I o.n ~.w.• n.a ~ ~ White ~w o ~f, ~ ~ ~Sept. 13, 1907 i,. St.' Ll2cie GTY, 70WN. O~ IOCAT~ON C1 OEwT?1 ~..s~a cm w~:s HOSP~TAL OR OTNER liSlITU110N- ~r ~Ot w ~~nK~. ctrt s*~eu ...o ~+~w~~~ ~ 66~2 Ft. Pieroe ~ ~,Y~~~.~es Ft. Pieroe M~ctiaz'ial Hospital n ~ STAiE O~ W~ ~ N~o~ r~.i~.c.~., .+.w C1TtZW Of wnAi COU.vitr } w~RR!f0. NEVEi wut~tED. SIM~:r~+ SPOUSE cnt wrw ww ~ 1 ~Q~1 ~..caiV~ ¦~7Llm~ ~ jJ.7ca ~t~ 1 -3dZr1~.1 D~lNtr~~ t1. ~1$le ?7•_• 1a~aa uwu us~ou+a i - - ~r..~u o~a•sio Sp~~AI S:CYR.TY NWKER USVwI OCCUtAilON ~:r+~ awo or wO~c c0«t aw..+G rOlt O? I(Y~O Of WSWESS OR IwDUSTIY L/~ItO. Y D~AM yq{{WG l~l. ~.1'~ ` I~T.U t ~ 262-03-2007 District `Plant M~rager Scxrthern Bell 2iele~e Co. ihi~2~Or., ~,~r! ~t a~HU..c. uwu u.sw ca+:run SitfET wr:0 w1tN~E~ +ausa~w+• REStDENtE-Siwif CO++~ GTf, TOwrr. OR LOUnO.i - I : :j. Flarida ,u St. I~ucie Ft. Pieroe 921 Jacks~on j~'a ,,w t«~ Y fwitiER-~ME ~.n* . .w.xi ~ ua~ MOTHfR-MAl.~EN NwrE wwe . usr CZd1Y1@ B. FY'eET!idIl BZ~ FdXX•~E'Il is _ _ INFORM.~Ni-HAME I~~IL'tiG ADGlESS ~stN17 0~ ~.r.~- ~.O-. c.n O~ M~++, sr.a. tr~ S~sie FYec3nan 92i Jackson ~ay, N. Beach, Ft. Pierce, Fla. 33~50 v~w~r otwn~ wwS CwusEO ~r ...w..~,~. ,..~~...x 'EnifR OnrlY Wv'E UUSf Ift t~t'~ fOi (eL Rl. kl: 1u~ruw o.s~e ..a r~.-w .wa.a c.~u ; c•, Artorioaclerotic ~:oart Disauso i•~ 1~1`~~ ; t , w COe.alGV!'+C~ O~: ~ ~ ~G~J~tsOFi. +I ~M. . c+ c.n ou w~ tb1 - ...ao~.rt uus~ ro~, ow w. o~ .s . co«utw.~.ti a. ' yhUMG •M( u.oa~• : - I ~ <<~ I ?wRT 4. OTNEi StG?+~fKAt+T COKWTtONS: eo~ano..~ caw~.~ur..w w w.~w wr ..o* aurto ro ewx emw u..u~ . w: - IWfOrSY _?f Y~S ~~e~ ~,..o~..os ta~- ~ _ ni a~o~ ' oi ~oii:~ a~"e.~...~e ewu ~ _ ~IM ~C ' Icq ~a.~~:.e:.: w,-C.6[tiL. SiitC~OE~t~~w~f~WN2Y ~..o.+sw. a.r, rt•u ~MO:I< ~MOW Iti/LtY OCCURREO / lMf~ WIV~i M+...un .w r.n ~ w r.~c u, u~.. u~ r.G~:U~t: Ct tW~[i[Ur~.ED ~ ~ . 'w t,t, ,w 'rx ~ ~ I~.1:iYY AT WOkK ~?IACF Of•MrJIiQY.~ .w.~. ~~~t~~, rK*cn, j IOCA:20N ~ uat~! o~ ~.r.o. ..o-. 4n o~ W~n+, st..n ~ ~ sreun ~n o~ ..o: lu.~ee we., ~x- ~ sne~ ~ 6 `H i~ - 'r'9 CERTiF::.ATiON- +C~tw C~~ ~W ~ ~nA. D~r ~tu !~G .^St yn~ ww/M~ u~rl Ow I~ oU/O+D ~Oi nav bt Of~M OCCYtlEO ~i r.! r~wCt. Cr. ~M! II~f31Llw»: ~TO ' ~Owlw W~ tlY ~~00~ ~~tl~ W~TI. ~M'~~a A J~fF. IJW. sJ'ME ~:N ~.ntnJ:o rw1 u r. c~.O.r.~fi4r. ow 6~_~- 5 25 'j~ ,~,_26 71~ l~,. ~~o~ ,~,.10:~^~ =o...:.j~~,~,~=..fo. - ~ CF37YMTh:.N-MFDiCnt ExwiwfvfR Oi COQO~+E2. o.. r,.e ~.w a*~.a ..o~~ o• u.r. t tw~ Ot.~Otr~' ~3 IUwO~.KtD OU~O tl~waw~lpM Jt hy q~~ ~I~O.'O~ Lw( MA[S~iG~l~pp. 1~ r~ pIM~O~+. . ~~TM ~t ~!M .7Y1 ~"~i~m''r Dl~tw GCC~uW Oti 04 O~R YiO D1A 10 TN U.ViI~l1 1:~SI4 M~~h 5 ~I~ ly_f ~O LJ ~e : .11 ::e CET.:f1EC-:aqMf ~nn o~ n~..n ~ 5=:.+`w;{iRE ~ ~ woat! O+ ui~f '.OATE SILh_6 tro.tn. O.r, ~W: F~r~o.rd t~. Ross, ~d.D, `zr f~uwL..,,~: :..D. .~s/3.~3/~lr---- M,e0. 'E C'•:tiE iruir c. ¦.r.a wo. Un O~ ro.w s:.rt x,. ~r~.:.a Viat~ Pl~c Par~: St ^ ~ ~K ~:.~t'wl. :RfMAiION. ~MOVAI CFMFTE[Y OR t3FweJ~TOR7-rr.w•E ' LOU ~ON ^ tm oa rw ~.an ~ S~K V~ ~ Burial I r., F`t. Pi.erce ~~+,¢+-Arv i:~. Ft Pierce Flori~a 'l~.'~. . aA7f ~..or.m, o~*, ie.a~ ~ FUkEtµ NOwt_'-n~.vF wuD u?Di:SS . snaet ~~.r.o. .w., em w~o.r.., srwre. t~r i ,N r~, 29~ lg~q I:at~~,901 N. t-h St. F`t. Pierce Floric~ 33450 Y. 5. ~612 fU~eutwt D:~ OR-f'~'~TUii ;:uG:i ~-5+:.?~ufvcf~ own +[G[.v~o sr ~oC+u uosiYwa R~v.1970 ;ss L-Lci'C.G CG~~t-~ ~~f. '~3 3~ ~ 47=~ F 1.E~~?E~OtIN?`Rt~~*~ . a~. aoCER Pa~tllAf R~ C~kCU?f O6~RT j, ~,~.,.,,~u~~,~,,-~-~~ ~ FiEO r~<s.. ~ i i?r.caY xs:~fy t1ls ro ao a true ~r.d corrc~ copy cf tho wcn~ ~lE ~ER! ~~~`r~s~ '•.,'~=~~s _ Cu;isva(s r:cord on (~Ic; in the St. luc~e C+ounry Hcslth 4~ur~a~f.CORD 3~~~~ ~~a~r ~,.~v 0 0 ~t or Fort P~o•ce. FI ride. - ~1 ~e 1 ~w~~;.`~ ~vyr3 ~ ,.s=:~a. ~ ~ _ (1Nar~;ny: trot voi~d untess ra~s~i seal vf rha St. l.ujo s._~~ ~ ~~nty HeaNh Dep~rtment is affized.) ~,'.~~r~%" =c:^ _ ,~Zx,..~rf ; ,~%:r 293698 : N. O. Mllt ER. M. D. % 0 ~3+I r nty 'M6a~th Off~csr b ~~;~strar ,,,.~N~ : ~t . , ~ '1 k<~,.. ~ -'I ~ ~ _ ~ ~ : ; ~ ~ .~Q _ . poouty Loeal Ren~strer Yo~232 ~2915 . _ ~ _ ; s _ ~ ~ . ~ .