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HomeMy WebLinkAbout1168 t ~ r _ ~ 294652 CERTIFICATE OF DEATH ~wTi Fi~~ „o• : pep.n.e.t I le.l~~ .wd ReL.6:lila~ire Ce..+ce. , ' ~,~,,,~,~,,,,~,.n, FLORIDA R[GIiTNAR•f No. 418 - , tr?E. oa ?aMt u+ o~tE or awn~ ~~w•», w., nu ~ .~.,r?~??~~n INK - 16 1974 s~c wi+r~ac w ~y ~ DOE ~t ~ . nsiwn~rs , ~ACE ~F~• u•~nc.M ww~. ~GE-?.s~ uw~~ ~.w wae ~ e.r nw.TE Of NR1M ~.o+M. ~•r. COIA+ir Oi OEwTM oc. ~ v~un Ril~t@ w~yydl ~~uu~ .os. «n wM~ W»- 24 ~ 18~ i~ St. ~LCle f~. 8V A ~ ~ ..rw cm w.~s MOSMiAI O! OTNE1 !lSiRVT10N- ~r w0~ w tnM~, c~n s~~~~ w awu ~ 6602 . raMn+. ? ria+ oE~ne wc.~•~ ~ Ft. P3.erc.~ M~110~id1 H06Pitd1 F`~. P3~e~C~ ~ ~r~Ir. SrpUSE ~ r.~n. ow~ ...et« ...r ~ SUTE Of W1H ~ r ro/ w. ~.i ••u~ ~ OF Mhu11 C01M~Tt~ ~~~~„~~~i vec+~ ~ A' _ 1 J W~I,~ . New Yaxk ~ ~ H~arriec'~ v~_ Jy~s usuu as~..a ~ ..aa at ItlO Of KJSMESS Oi MOVSitY rMU! NC43~~ ~W ~~~ry ~Et USYA? OCCIMATION~~t~ ~ i~~i f~,.,y,~~. j+~,y~~~,~~.r. y~=~,,,~ .rvt~. r M~A ~ at YG• " a~ 17[i~WLia4LaLlui ~ .J7 \7~t• . o,~ „ 265-82-8930 . • - n~a«a rror Uill. TOwN. O~ tOCwiW~+ waw~ c~ ?wn SttEEt ~rW ~sr~Ww. ~ESIDENCE~S/AiE . ~0~11r y~ ,IH I~ IM 7506 Belleair Ave. ~ IM. ~iR~.~ IM. J{.• iM~.liG Iv. C p~ . rMMI ~ iAi1~R-NAME f~' ~L~O,t . wMe uf~ MOi11E!-MADEN NM1E ~ . ~iuca. ~ p ~ ~ ~ ~s w?~wG w06~ESS ~s.nu w~..~..w.. cn o~ wM+. s*•w. t~~ . ~H?p~MMIT-lMME ! G1ady8 Dpg ~n7506 Belleti.Y' Ave. ~ F't. P3~rOBi Fl~ida 33450 : ~H . ~ElITER OtdlY O?t UUSE 1ER l!rt IOf kI. AL RN ?t~n~M G+1n ~w ~t~v ! N ~ tA~T L DEAM WAS GUSED ~Y, - ~ N. ~w i ~'A/~D/~9G ~R~~s ~ ~ , ~ cor~n~o+i. N wMICM O•n ~~ft W ' V 1~~1 MO 1Mf Y~M~ M F1! ~O. p N~ COMS~OYIMtl O~: • . U•" ~Q R_ TER I DSC~ EA07'l C %/~A/?T ~U~S.~/9S~ 1~) - wUtOKlf ~f rE5 vtu n.+s~MCS ca.- y G ?Atf OfHEa SlGraf~CJWT COMpT~S' co.r~*o..s co.wwawa w M.r ~M ..o~ nun~ ro cwu cwe« ru. ~ w~ ~.es w«o~ o~ieiw ~u••~~r.o uwe ~ d i ~rw.rw. wi, nOtK ~ MOW IMlYt1f OCCYttEO ~~w~ •••~a a.wwn w. ru~ ~ oa rur i.. iwr ~ t ~ . `R L ~ M ~ fou.vo ~EA~ ,~y wiFi~ ~ ,o ~ - / "7 Y ~ xr Piis,e c~ ~ wt wORR RACE Of srluttt wor. s~n. i.nw~. IOGnON ~ snin o~ u.~. no.. cm w w~n.. s..ee ~ ~~..,.e _ R.o~ ~ 7 S ~4 ISE.ctA~ie o,~~vr,/,N~t'e.•-s~ ~i~.e/~ ~ ~ ~w M~ nv nO.~w w~ ~w usr s~r wr/w~~ u~rt Or . w/w rW .~a~ w OE~M OCWteEO w~ w~e..+ pas~e~iei~ . ~R~I~AT~~ /d+0~ M~ 1!Y ~Ow Y/t~ N~IR IwOY~I O Mq, /N73KMM: TQ W r~ oO~nlOG. OVt lt~.~~~i~ 7~. M ro w t~vsus~ s*.v~. • . . amMe~ nM 1~11 tl~ 1N O~CtiSt~ ~Wr tW NttOlw~ W MO~KN ~t~O , CE~i1F1GTqN-rED~G?t E=~MRrEa Ot Onp+Ee: w~we s.sa o~ w~t wow a w.w. M~ .t.~ wow s... orraou, ~ ~0 ~ a .~.....,a M ....s~G•n0.., „ _ ~ M _ ~ J~ ? K. , «aA OCCIIM~ ON ~ MR " K Z~. ~ • Mt. tlJl ~ ~ A MG/f M ~ ~ . fR-NAME o~'r'^ . tk . ~j L iLl ~ ~ I71~ ~ uw wr~ • WuI~,K', Cf~ Ef ~ a~nU_ ~~.o. w. f r~ ~ ~n 3 3 f ; ~ - _ 1 L ' aun E~ O~ C~EMATOh-?~~ IOCAi10M an w~a.. ~ ~UMM~I. CREMATIDM. ~ErOVnt «T ~ ;w~`~no~'al-{~enation ,..Necr'~n Cxenatorium Tn~est Pa]m Beach Flori~da Ft. Pi,erae~ ~ °ATEAt~g. ~~1~`l~~ ~,~F~ M '901 N. ~ 7~2i~St.;•V'~' r••, Florida 33450 ,~,s _s+c++~n~ _ ~p~ `o t ~i6 , 1974 ~ r. s. .612 . f - aw.1970 ~f ~ ri'' ~ S .luCli "vOUNTY FIA. , ~ " ~ ROCL~ rdiTRAS 1 ~y ~b ~ ~ s ~ ~ ~ ~ ~ CLERK Ce::i.UIT COURT p~ Rf.COR~ YE~'FIEO.~---- `,~f'' ~ Rpi:tr~rs reoord on file in. th~ St. lucie Gounty H~slth ~r i ~ trnnt d FoA PiKU. Flo?ida. ~ I~ 1, 1~~~`~f ~~u 1~ ra;';'•• Not vs1id unfess raised ieal of th~ ~ ` L (Wlsrni~nry Heshh Depan~+t is affixad.~ 294s52 ~ r ~ y r= ~ ~ . ` ;x = ' , N. 0. MIIIER. M. - : - ' ° : _ . . 'Hoalth Offiotr 3 Rpistret Y ~ . ` . : ; : . - y : ~c = l ~r~~ ~ . - j 1 YO ~ :•S•: _ ~ ~~f_ ~ , c~ ~~;~~i~~~~~ . ~ p~puty Loc.~ R.oi:nK ~ . . ; } , ~ : Bp~IC ~+JJ PAGE ~1~ ~ i ~ ~ - , ~--~.F, ~ ~ ~ ; 'i~c'?`^'~"'~ ~~''~d"n=~~a~~T~ Y _ .