Loading...
HomeMy WebLinkAbout2087 T IN RE: ESTATE OF EMELIA M. BROWN re: Lots 10, 11, 12, 13, 14, and 15, RUSSOS RE-SUBOIVISION of Block ~ 3, M. R. MOORS'S SUBDIVISION, accordinq to the~plat thereof re- ' corded in Plat Book 4, paqe 47, public records of St. Lucie ~ounty, Florida. ST LUCi~E COUNTY F~~l. qOCEfl POITRAS ~ CI~RK CI~CUIT COURt ~ , RECONO YER,FtEO.,.~..~dL ~EC !9 f~ 37 ~'1a This instrument rr4s ~-~~~•ed by Chester B. Griitin ,12G-A t~~. 2nd St . ~9`~'S4 2 ~ Fort Pierce~ Fla. ~ ~ ~ ; : ~ t CERTIFiECD COPY ' Wt N<REdY CERTIRY THH COrY 1lErRO0UGE0 •ELOW TO BR A TItUE AN~ CORR[CT ~ CprY O~ TNE: ORIC~INAL RECORD ON FILE IN THt BUREAU OF VITAL iTATISTIGS OF .THE •TATE OR •'`~;O¢ID~,~ DEPARTMENT OF Nt/?LTN AND RENASt1.JTAT1Vt SEItVICE8. DIVISION OF MEALTfi A; ~ACKSONVILLE. FLORIDA. Y. •._,~wJ•~ti., (MOT V*l.lii'LN fL1L OI TN[ RAT! OF FW11~OA, D[rARTM[NT O~ NtALTN AND R[MA~IUTATIV[ sntv~cd' ~rlr~~~h0?}TM nrsuccc. ~ . - - • • • ~ ~ ` c . ~ _!b 1 ~1_ 1~i~ e ~ ~r 3_~' ~~~k~~~`~ iy~~ ` c v~e~wc' ~ ~ . • ~ • ~ . ~ cH~v. wawu r v~Tw~ ~nsnu ~ ~ ; ~ ~ y ~ ~,1 ; i;:,~ y ~aa~u~il y1~1b ~ - ~ .7 : t ` ; ; ~ . . ~ _ :'-k-{ r _ - ~ r-+ ~ f-- ~ wca~sniws'• o~eseTO~. o~wuat br " • J • ~ ~ ~ pqLTM ~ D[N1~TY[MT O~ NtALTN AMO ' ~ Y + y V tr ~ ~ ~ ~ = ••,•ri,~. RCNy1L,ITATIY[ fE11Y1C[f - . ~ J ` . • . , 3 v ' • ' i - ~ • ~ . ~ t - • A••• • ~ ' ~ _ ELORIDJ? StAT6 80A1tD OP HEALTH - ` ~ ~ , , _ _ ' ' e ~ i~ ' BUREAU OF VITAL STATISTICS c~T~ccwr~ of qp,~,p}~~ . . i. ru+c~ v~ ~?~u - !~J Yf' . ~ c~w~.~~J~~~_ _ n:~~e No a---~----------------- Stat~ E~1~ Na !t~`,~ I Pr~cj.e~ _ _ _ p.,dKe x0. , ~ f~ - Lo. Twi~~-~~~ ab ~r Twr~ Na..------~ ~_i~~~ Ae~ister~d Na : f~ ~ y I~aL:~ -L-- --~-p'~- - ~-~tia~~'``~c~C.:u~n ::a :~eei Ward i ' Il[ ~M~! ~e~and f~ • OoWtil K y Iwastl? o! realdeae~ Ia eit~ er to~e ~1ert ieatti ~oemrre+l_~•7~-._~•~taos.w«ds. Iios bsS ia V. S U d totettn birt6t~ S. FIILL NAME _ _ - - _ ? y, f~~ f (a) 8esidence: Na- ---J~l 2'1~ ~~--------W~ ---~ii ~aie~w. isn dD i~n .aa auui ; ~ ~ R ~ PERSONAL AND STATISTiCAL PAitl'ICIILARS MEDICAI- CERTIFICATE OF DEATH ~ ~ ~ i. SSR 1. COLOH OB $ACE S. 82ns1e~ _martied. wtdo~sed 41. AA?B OF DEATII (moatl4 d?T. a~ reat) ~ ~~'i ~ t~ ~ ee di~aeeea (writ~ t~e rd) Ys. I EBY CF.ItTIFY. ?hat I s ded f ~y~t ~ ~ - ~ s.. tr m.rriea .~oeed or df.or«a ~ . ~-•-----~3 ~ -~n- ~ ` cor~ w1FS .S . t hst. u. w~c..u.~ oo---- ~s_~.3ae~ c. .ata 31 ~ ~~-c.~~ c~d ~ . ~ ~ ~ ~ tq }iace occarred on tLe d=te etated abote. at_I_'3 6-~-m• rT ~ 6. DATE Olr SIRTS f mont6, 1a~ ar.d Tar) 7. AGS Yeus 1[oaths Ds7s If 1.6S.S tiaa ~Q ~"'u ot deat4 .and :rlated esnea of imDOrtsaee in ordez g ~ ~ ~ -~TM Ot !t r!'ic tf fOUO~fsi 4; °r____m1s - ' - ----t• - S ~ ~o ' ~.t. . ! 1 ~C~ D[Q~!lij~ OT Dti~N~ ~ / • ~ i~M1[~-`~4~ - ~ ~~7DJ~j y. -1y i ~ ~ tlOd O= ~Ofk dOIIls if _ . ~ _ -~Z7.`~ 7 t 8. TA~tt7 O!~• ~~~b~~~Y • ' ~"Y~""' ~ S . IS~ ~YOr~ ~1f dOIIl, t3 s~t ~'t~ . ~ ~Y ~ a ai~~ ~a~t~ !~C• . ~ ~ ~ 10. Date deetssed last ~orked at Il. ?otsl hme (s~~1 ~t~~+~ ~~es of ~m rtaace aot nlatcd to yriat+Dal ~ t3ia oeeaD~d (moath ~nd s~eat in tbia ause: Tear> °ea~tfou , O[ LO~~O~~ ' " ' ~~'~"""""~"~"~"""".~__"""".r~ « \ IS. BLItTHPLACS (elq ~ tState oe eonntnl - ~ h,,`,p . ~ -r -----,----~---}-1e'-- ~l - ~ la. NAYE - ~ ~ ~ ~A'ame of oycration r ~`N~~i - - - - ' c~ ~47~5 " ~~~J~N~ti~y~'R II'! t~ l~. BIRTHP CE (aty or torn)."'--'-------- ~~~t tett cv.n4rm~ti1 dia0t sis a~ lLere an aatop~7t i~ ` 'Y. (State or eonutrT) ,_p,~/w - j2s. If desth w~s duo to e:tereu~l ean~e. (~iokncel !lU in also t~e toI• : , • ; ' y 1+. ~AIilED7 ;iA![F CL.. IEAeeidcnt •euiciJa•, or humici.2e'___`______ Datr o[ [niYrp_._`_..__, 19_.._ 'i _ i '~p 16. BIFtTIiPLACF. (eit7 oe tuasnl._-'.-----'------------'-------'--'Rhere did in~urs uecur?-- I:ipr~ilc citt or WarL twMT: aa! Ytatel j!~ (State or eountAr) lSpeei(r whether iniur~ oeeurred in iodastry, in 6ame, or in pu61k pl~ee. ~ - ~ li. I.SFORHAICT - - - (Addresel ~~}Innnrr cf inju~ ~ ' ~1 . BLSRIAI.. C ^ i;~iaturc of iniurY ~ i` Yscc_ --r- 29 '~-fi'- --~"'~'i~-'- - A as di~caee or inJury in a~ r?~T n~latn! to oecsspatfon ot deeea+ted~~Y ~ ~~f9. LJ:IDERTAI:ER~• tI[ se, spetits ~ ~ - (Addressl • i ' ~ ~ ? •~Si[natl-^----------- - . -i . 'H.D. 4,~20. FIL£D _ _i-~--- • ~ - .i `~uv` - . 1 ~:1 R . ~~aAddreasl-'-"--"-'• p N[ILL ORIFrIN JCFrRI[S i LL07D ~ORK Z~4 ~~A~. = ,~H~ ; . S CMARTEFiEO ' ~ P. O. 60% I270. fORT W ERCE, iLORIDA D3460 - TCIEPMONE (305) 461-0200 ~ ~ - ~ ~ - - ,r~•_ _ .a _ p ~ ~a - ~.~.a---~-~ ~3 . . n, _ . . - - . .