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HomeMy WebLinkAbout0060 ~ ~ ~ . ~ 4 ~ ~ E 2~3812 ~ ` i . ~ • 4 ` . ~ . . . "'w ~ a . - ~ " . _~«i~" ' - ' ..~.r "~~~I"-'~~."-~ -...~.J~..-~~ ~ . CERTIFICA7E OF DEATH • ~ ' • Depr~wew~ {Ie~I~L ~ RelrLiliWtoe Jae~ires iTAT! FIL[ NO ~~~x F L O R I D]l . ' ~ Trse, o~ rd~n w llca~sTawA•s No. ' 2~ g . ; ~ItYANiNi INK ~A~~~W~ ~wa~ .rr~ ut Y OAi! Of DE/?TN ~•owtti. M~, ~tu1 • ' ' ~W1YfTMK ~ ~ B• ~ f.~8 1 rY"r~a Q~ ~73 ~ uCE rMO. ~wruw w~we. AGE-usr waa u • ~ OwtE OI MlM ~.a~h, ~•6 COYniT O? OEAtN • ~ lK. ~YK~1 ~~W~1 ~M. M1~ wOM~ .~w. Ilu~ • . . ~ _t~ite ~ ,~bv. 23, 1903 St. I~ucis 660Z • ? A~ W GTNfI MS - ~r ~01 w a,t~e6 iw~ s4eat ur wMW~~ . ~ Ft. Pi~r~oe ,~~es F`t. Pirex~ce Maicr~ial Aospital iTw E Oi YtM ~ v.w w T~tEN Oi wNAi OOIM+TSY MAtnEO. t+fvEt MAR~E0. ~~•w. NN ..MM w.r ~ ~ rw.~.u«w • p~YlV~~~~~ • • v$~ ~on~o~v.w.~ C181a 1~dtylE.'WiGZ - , ; vwr wa.r~ SO ul iiECWilt fAMY[! . YSYAI OCCIMAT~ON ~a.~ a.+~ p.wa sau ~w.~ .p~ p R!O Oi MiS~iS O~ WOVSttY ~ rOrwO~w.nlwn~wl~1 ~Yi~~ ~wys~ _ . iso-io-ossa BVaLiLI~ ~'~~'o'~ ~ESIDENCE-S/Alt G01MAt CrtI. i0~+1'1. Ol LOCwTWN ~tr~ t~nr w~ Si~Eti ~ v~c+. •u w wo : ,wFl,o~frla ~q. St. I~ucie Ft. Pieroe No 399 -M3,dw~y Roa~d fwtw[a-wrt ~aw` wwe 'w rotNEe_~ueotN ww'E'_' .=wy~w .rw~ w* ..j . - ~f. ~ YCX~W F~iP~ - l~7~131~ ~ ~ . ~ I1i~WMN'~f~7~MME ~ MARYK+ ~fSS f Wl~t O~ L/~. NO. C+~ p~. Wr. irl ~rt ~h Cyara Hy3,arid „~399 M3dway Road, Ft. Pj,ezce, F1o~3da 33450 Ri ~ rw~r a otwix w.s uusco a. (ti+re~ d+tr ont c~use na ir+t fOt F~ Al uO kA ~m.~.. o«~~ :.o ..:n~ . ~ µ ~ ' i~ , w •,/.~'~i,• C' GI, -iti-r~ K - - _ < rs ' • ' - . ~ CO+Nti0~1. M ~MI. ~ ~ ~ f ' ~ ~ v~Kw ~~r~ ~~N q ~ A~ G r.' ~ ~6~ t~YM~t~ ~~V~! NI. M q. O~ Y~~It ~G O~a : tt~br~ t~~ rrp~. ~~IM~ t~YM YN . . . t k~ - ~ . . ' ~A~1 O~ME~ f1~i~~K~fT ~,~I~1 • W"~J~~ t~yyW ~O ~t~ ~M ~Wt ruW~ q CwY OM~ w~W ~ b1 AYTQISt V rES ru~ ~.wNrGf (Orc- ~ '~~nl M 1 YM~111w KNWNW~ WM ' ' ~ ~i i~i~~ ff r:i ~G~CVif ~i\.- ~ ~v IM 11~. MN~ ~ . . • ~.s M ~tJ~`~ I ~P~fti Mt~ t~Y 1 NQW IN1{1~r «~YUE~ ~ ~NM p wI~R M /YT 1 O~ ~MI ~ ~ ~pr~ppy /f~M11ME0 . ~ . . . l6~M ~ 7M. M 7Y. ' INl{i~T AT ~MQlK Of M1Uf1 wOrl. ~W. N~4t, IK~W~. ?Q~AT~OM 1~WO M LI.~. ~0.~ CM~ M/OM~. W1~ ~ - ~Mfow w~ p w0~ owK~ MM..~K. ~w[M~~ ~ 7b 7/. ' CftTitIW~OM- rO~w. ~.r nu .ow~. .w ~•u s.v w~/r~ ..wr~ or w w~ wti w Ol~M OCtW~EO •t ~.a rud, o. r~ . . . Iq~i M~ M.Y Y~ M~k 1~p~1 Mw. I~wP. q i! YY ~ ~ . ' 71~ NC ~uo ~~M~~ ? Nt~( ~ Zk. ~ C ~ ~ 11~. ~N/~`~Q~ O~ ~t a.O~+YOG. wR M ~o w cwu~s~ u.a~. • CE~TYIC~T~ON~MIaCAI EYAMMQL O~~O~'~El: O~+ tM YL~ M t+1 ' ~OM M M~ar ~ Nuwn wu ~www.a~ wa - . - Iu~w~nP+ O~ W/M ~M ww~~Mr~~~O~.. ~ r Mw~Or.. rO~1 ~i1 AY wW~ ~ ~ M~ OOCMM O~ ~ M~ r~ MIl ~O M~~YMOI 1W1~. , ~ ~ K 17~ K ~ ~ O twa SIGtrED trwr~ e,~w~ II ,k~~ J H Batsabe M.D. t - / _ /1 - - - ~ . ruiNfi ~OO~IESS QIWiEf W~n w~... w. a~. o~ w.~. s~.M m ' ~ - 06 Delawar A ~ ~ Wa~l. CtfwMilW'~. ~EM01IK E!Y O! UtMwTO[I~-N~E ~OCAl10N an O~ ~D~w s~.et ~ . , Burial ~fi2lcrest. I?.em. Gardens F't. Pi~erce Florida ~ , ~ a.r il ~l,'~7~~? . w~..~„o~. _H.,~ ~~9~.u`~: `;1'tfi.~:~•~:"'~_`°Lexce; Fla. 33450 ' r. S. ~6 ~Z ~ -SK'i+~tw[ wn utaveo ~r we.~ ua~sTUa A~r.1910 ~y n.. .i4.~ - tw. ? 1973 w . . ~ . t ~ hee~sby o~rtify thM b b~ • t~w and cotrod aopy af ths loosl _ ~ it,egistrars rooord on fit~ In th~ St. Ltxis Gounty Fte~hh D~psr~ _ _ nient ~t foR Pieros. Horid~. _ . - _ - ' . r " - - ~ ~ ~~11111~: PIO~ V~ U~I~O~S fiI#Od l~0~ df 1~fA ~iRji ~ Cour~/ -Health Dspartn+er~t it afftx+~d,~ - . . .-1 ~ r ` ~ i rr. a Nuuet, ai. a ~93812. ~ . . T ` •~N. ~ ~ ~ ~ . ' . ~ . . ' . . ~ • . . . 4~, • r. ~ , . . ; - . . L/-/Y - 73 w ' . : t : ~ ' ' . ~ a~ p~p1~tY Loo~l R~Qlslrer F LED AND ~ECOROEp • ~ _ ~ ~ =~.IUCIE COU1iTY fLA. ~ ' '~.l ~ ` ~ e ROCER POITRAS " $ ~ CLERK CtRCUIT COUNt / RECORO VERIFIEQ~...~.~ f ~ . Oc~ FI 12 ~i PM T~I ~ b00K PACE SQ .s . _ _ ~ ~~_a ~ ~ ~ ~ ~s~ ~ ~ _ 4~ '~z~~~~~