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HomeMy WebLinkAbout0490 , . • • • CERTIFfCATE OF DEATH • 2~849f ~ ..~...:~t FkaHl ~wd Rel~6ilu~~lre ~ice~ fTAT[ /ILt NO. ~~~cww ~rt N+~~ui F L O 8 I D Jt irl:. G: ?nNi ~n ~~~~~r~•~O 1~CGIST11A11•1 NO ?::MwA.7.~ ~Ni ::~kASfO-NAME nq~ roM~ ~~N Sii 1W':.'v: f0~ SEi 0/1iE OI DE41M ~•outw. hu~ t1ILLIA; .i(:~.'::~: GII,~3:tT r ~ ~~E , December 3, ~ 1974 ~ U1CE r+rw. MeGw. u.1NCw rww. wGE-ua ww~ ~ na~ ~r.w~ r wr OATE OI W7N ~.o~~+. w~, .C01MT1f Of OEAiM tlhite • G9'••••, ~ ~ ~ Au~ • 23 190.~'i,. Ataxtin CIIY, iOWW. O~ IOCATIOM 01 OEAtM wfM tw~ ~rwf - MOSMIAI Ot O:NE~ KLiRUT - .r ~p w~ ~Nw~~. 6~+f MH~ ~Y~M~ ~ . yry(v~ r~s W «O . ; ~ . r Stuart Yes ::artin ~;enorial 1(ospital STwiE Of Wm ~M wo~ •.a GTIIEN O~ wMwt C01iNTllt wV~1E0. MEvER MMaED. ~SlMVfvNG SrOUSE ~r ~w ~iw .~+a. ~r. :ow~.. ~ w~00wE0. DnO~EO ~ wc.. ~ ' ~w.. ~ Penns lvania US?1 ~ :•:arried Pearl I-lirst ~HN MC~~f~~ . .~.~o r w~w. SOCuu SECtNf1r MM~E~ ~ USUwt OCCW~i~p+ .c..a a+a a~on eo.n aw~.o •w~ p RNO OI MlSNESS d RrOUSTtr OCCWM~ M ~WIrD lM. Mw M NMM ~ ,~..,~.~..a~ „ Unavailable Ir.spec~or „ ~etro3.t Transportation Dept. .~vMrct awM w.w~ cwo ?res Sf~EEi ~?+O ?wM~R wnwr. ~ESIDENCE-Si~rE COUNi1f CIi11. TOMIN. W lOCwiWn ~wc~• n~ a .o ~ ~lorida St. Lucie „ cort Pierce }~..:'o ~,M lOG Oni.o Street fAi11f!-ILME ~yfl rop~ ust MOiNfI-MI~IOEN NAM[ ~~M ~M~f 4p „ Georc~e Gilbert ~ ~~~argaret Sullivan ~ WOW~wT-ruME rulwG w06tESS ~sna. a~.. •.o. c•. a w.+, a•~. rr~ ! Pearl T1. Gilbert ,n 10G On3.o St., 'r't. Piexce, F1 33450 ~ ~~RT 1. OEwM WwS CAYSEO ~1f: ~FaTEt d+lt O?+E UVSE ?Ef ~~+E ~d hL 1?1 ,t0 kM a'.eo.~a.a+ •r~ «•u~ ` p w..ew c.rs~ ' : ~ i w Q . ~1 ~ ~ ~ ~ ~ ~o.«,.o.... j • - ~ry~cw O~~! ~~s~ W ~ ~~WM~1! UYf~ ~M. M q. O~ ~f ~ CO~MOM~C~ M- ~ 1/ti1M0 tA~ rM~l~• . tt~M{ C~YN l~f~ ~ ' 1C) ~ ~ ~Att II. OT?1f! S~lSN1iKANi CONdT~ONS~ touMwa.s cawww~n.o a N.s M~M nu~N q 4vN GMr w~ ~~n ~YtOryn ~ M ~ES .~u ?~Ma.os cor~ ~ ns w(+o ) ' ~«n~ «n~r...ws t~w r e~.~¦ 'iw `w ~ MDM 10E: {IIOfTEW D~ OA~-N11M~-~ ~Orn~. M~, tu~ ~ ~~O1M i MOW 1N/Y~I OCCV~~EO ••~M! O~ w'M~ ~~~r • M~~w w, wM q 1 ~,M ~7~ I71. rr 4 7Y {N1W~ AT WOfK ~hwCE Of ~+JU~1r.r .w. vr~~. •.cron, lOCwt~p+ • ~me. o~ ~ r • ..o . a.. o~ roF.. u•w ~ . wc~.r m w .a r .w~ee «v. . ~t ~ +nc... • ~ ~ ~A s Cf[I/KATION- O~rw Yt M~~ ~iw~ M~ ~1~~ ~M V/t y~ wr/N~ O~ MfM ~+0~ M~ M'Ol~1N OCCYN~O M hK1. d~ ~ ~ ~N~SKII!1~ ~O ~ ~P~A M• hM - ~00~ q~w• 1 ~r Hq. ~~A. ~O M Mf~ ~~~IrM~ M ~f ~ ~ ~ a '1_ ~ 7 r. ~~~~01. CM IN N[~~N4 /Wr jl~ ~ '~1~ ~ ` ZI~ jh T. ~M ~O 4Ytl~t~ fqn~. CE~tfYKJ~Tq?~-?~EOK~I Ea~wnatR O~ CO~Or+Et o•. ~ ~.~n o. ..r ..o» a w.w ~M~• ~o.w+n~ w.~ ~~u...*w p w. •w w ~r ...~s~w•o.. ~ o~..w~+. . ~r+r. , •r•~ ~o.n w.n~ ocewne v+ M~.w .w e~w ro+r c.vH,s. i,.ne ~ _ - - - - - ^ y rn /j- . ~ __7,~ . /'t '~f-S P' ~ CE~lNif~-?aNrf ~..n o~ n.... ~ S • K ~ ` M..a~ . -b.TE s~cr+[o • w. w~ ~H J~,.;e~ .r. Gros~r.ickle,:..i~.rn l~ ~ /7,-~~ . ~ .....+c s- c e~v. c e a r~ : v u.,, ~ 4 u~ a~~... ~y ~ Wb~l. CtEM+?i~0a. ~ErOvwl ~CFI+Erf~r Oi1 C~EMATO~~-r~u+t 10Cwn0~+ ~ w o~. s..n : ?r~cr~ ~ ~ - = n..,. ~ A l ` ~c v , n..-...1~ rl y A UYllC.l3 r~r..~2 ~a n Cer:.ster~ 3~r,~c;. ~.:W.,,., . ~o i.,a O~tE ~ .~o~w.. w• ti.. - -~~u?N~~?i MWwE-w~wf ~?iD ~DMESS smn o~ ~ . • »o . ce. a .o~.. s~.n . ~ De 5 1974 ~,wYates runcr~l i;one L'ox 777 ;•t. I'ierce, F1 334S0 ~ v. S. ~612 ~ - - - - ~af~~o ar ~oc•~ k.'v~u " ~~v.1970 ~ RE tw~-frGti.r~~t ' ` ~ • . - + • ~ 1 Iwreoy cenify fhis to be a true and correcr copy of rne ~u~. " FILEiI t.4C FE~;;RDEOR ist~ars record on fi~e ~n tho Martin Counry H~alth t,e^a•~- j 1 t. r•.; _ . - - ST lU...E-~+~+tr FIA. ~ ' s ~ ' , ROi;i • ; ~45 ~t at Stuart, Florida. ~ , , . ~ CIE~K :''~r C"'URT (yyaminq: t~ot valid un:~ss ra..Aci ;sai of tnr, Martin ~ , . • _ ~~~~t ~ ~ Counry Healri~ Ge,~ar~n~_n: ~fi;xcd.) ~ f- ;~AH 5 I i. 4~ AM~'7~1,ac.e.~ . _ . . , . ; _ h. D. htt:t"R. 1.1. D. z - ~ w~ - ` ~ r; ~ Couniy H3alin OfF~cer 6 local Re~~stra~ •_7 ~ ~•r~ , i - ~ i , . • . ; _ af. a~? ~ ~~W ~ '°~R~.235 ~ ,~g . ~ . - ~~~G -