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HomeMy WebLinkAbout2358 / , ~ Ib~7.7~70~ + , ; CERTIF(CATE OF DEATH ~ Dep~rt~~ ef ik~lt6 and RclwlNl~wt~e 4rr~ce~ srwze FILE Ko. ~~~~~T~~ F L O R I D A TviE, O~ ItINi IN ~~°~iL°~~° . ~ REGI6TRAR'S NO. 77 ~[eMANtNT INK ~CEASEO-NM~i ~~~s~ - w~ SEx DwiE Of OfwM ~+o.u~, o.., ~ ' i ! SFE M,uiO~;A[ FOt 1 ~1i~'o'~ ~ JAI~S CADOW DE i~IITT :~lale Februar 6 1973 tACf ~wn. ~cw. ~wucu~ wouu, AGE-.nsr ~wotr~ n.e .uw~p~~ ~~.i 1 DATE Of ~IRM ~rO..rM. 0~~. 'CpyN1Y Of OEATN ~ lK. 1 LlCY~ ~ ~Ne.Oa~ ~ flui~ ~03. W~f MW~1 ~ e~. j ~l~~ ~ ~ 6602 ~ White s. ~ 72 ! I,, ,~tiar.l3 1900 Saint Lucie { CRY. iOWN. (;R IOCAtIpN Oi pEAM ~uo~ cm urin MOSPITA: OR O1MEi NSTISUiION-NAMF ~ r..o~ +M urw~. Gnt ineer ruwu ~ : , s?ean .es o~ »o n F~ort Pierce Yes i~~ Fozt Pierce biemorial Hospital ~ SiATE Of ~ItM ~ u wo~ w ~r.f w~r~ CI7IZEN Of WHAT COIiNTAY~iwAYiifD. Nf VER MARtlEO, SURViVlK S/'pUSE ~ r rr~, Gwe W~WN IaY~( 1 ~ ccww.~ fwWpWED. DtvOiCEO ~ sntr" ~1U.,•~~«~~ ~ Georgia + USA biarried Naomi Whetstone ~..u~ acuxo .~~FD. Y q~1M ~~~h~ W~ER' USUwI OCCUt~T~OrI ~u+e awo a.~w. oo.~ ow~..e .os~ a~[Wp pi WSINESS OR WWlSTRY oceu~~te w ~+o~are aw. a~.+ ur..eo ~ ~-•1~~~^~•~^~ „ 267-48-0060 I,,. erator i~» • Power Plant 1tYO~MC! N~OM " 3~ .D.uli~or. ~y~pV~_SiA~E COLNTY dT~', TONN. OR IOCATtON w~~ ~m ~~+~~s STREfT IWO NUM~ER • ~ sreen. na o~ .w ~ i ,y Florida ,W St. Lucie Fort Pierce Yes 1207 South lOth St. : lAiME~-NAME .,~s~ r~oo.e ~•sT MO114ER-M/~WEN NAME ~uu ...oo.e usr f „ William R. De Witt I~~ Minerva Wallin INfOW~r~1-?~,u~E ~MwqWG AOGfE55 unu~ oa ~.r.o. ..o. un p~ ro.~r, st•te. w~ f Naomi W. De k'itt ~~,t 1207 S. lOth St. Ft. Pierce Rl 33450 ~ ?w~T 1. pfAiH WAS CAUSfO !P: Er~7E~ ONtP G`f UUSE ifi lY:f iOt o A AHD ~ ~rno~.~.n ~ - i i 1. f 4 ( 1] un+u.. o..se. ...o w.r. ~t r.ras~,c.~H ~ . ~ i ~ ~ ~ J ` ~~~i Jr'1U~~!Ll~~ ~~w ~~~~~C~`'Z~ `~r~"~ -t`ll i ' ,1",?~ : ; . - . ..xo„~ ~ ~ ? : tono~t~ows. n ~w~, ~ L/~ (a.~7~• _ ~ ^G N C s~~ ~.G:- ~ f vw~u ea.e ~~s~ ¦o .Ibl ...ea.n c. ~se ~e.. ~ . lf~T.MG ~wf Of~- ~ 10. p.~) ~(W'~1F0 [K~ O~ 1~~M4 C~VH \~3T l % ~ % / _ r ' i~t ~l/ L: Z r~Y~'/C%S J ~ ?AiT Y O~iEN SiGNii~C~ Wr~p~T~p?~S: cwwnw:. ca~aan~ f.«. *o u.z. wt ..or qaLteo ro c.us am~ ru. ~ w• • AUTO?SV ~f ~ES ~+~~e .~..o~..es cow~ ~.n w !~Dlf(O o~n ..~.,.rc c.vu J~/n ~ j`Y i.-~~~. ~ ~ o~ ae•*w j v::~ .l ~~~'l~" r!-;.^ ~~-L sL•~~~ t~ .i ~f - h.•- G l,l~~ G - _ ~ ' r'-~ .1 3 ~ . q.eo 1 ACGOE~:T. SIiKH1f Ot - OAT~ W• R? i rp.r«. p~~, reu ~ ~ H03R ~ '„O INiUtY OCCUflE ~~w~u wf,~@ o.wwn ~w r.ny6~ a, ~n. N ~ , ' Oi b~ETEtuWED ' . ~ M ~ ~ I ~7N ~ iTX M;7fA ! INJUn AT WORK ' IIACE Of INAIRY •r .~o..e. sntn. ~•erw., , tOCAt10N ~ aviu o~ ~.~.e. r.o . an o~ ro~..., st•n ~ ~ I Sl~c~n i~S W~+OI pNK! MCG.. fK. 111KM~ 1 ' ` 71. 2M ~ ~s ~ ~ CEti~f~CwT00N- .u.rw p~_ • .w .~n. /o~ .uu !.•~o u~~. s..~ .~./..u u~~n o.. wo/_a~a .o~ .ar Me DFAtr~ OCCUa~ED .r .»t r:.c~. o-~ n.~ i ?M~SK~,.r~: y/ TO : ^r ~ ..o..n. o•• ~ ~ar.n¦ oe.n~ ~.a..~~ o.n.•w. ro ea Ni~ b ~ •rtlMOto ~n~ '7 ) j /7 • / ~ ~ W r• ~rori~oG1. c~: E tl• DIU~SfO nOr ` ¦ f~ •}II ('j Gi 7 tU 7~• i We. to w e.rsus~ s*.ao. y CERTRICwT~p+-MFD~CAI EX.i?wr+f~ Oit C(MG+Et p. i.e s.s~s o~ r.K - „o,,. o. M.n. ~*~e oecroe..T .~.s nwa...cm w.s E ~~~rw~rUr. q tw qp~ ~Hp/~ ~II! I(YI)T~T~QM. ~w .n pw.O+.. ' i rou*w o~r wp~~ ~ ot•~w oUUVeO O.~ o•n wO oyt ~O M 4v31~1~ S~~r1D. ~ ~ 6 11s _ _ M :11? M fE CEIITiF1E a uw+-~~' ) ) : S'.!'.,f/~~~111,T/t,Q / ~ ` cn~ w m.e ~DwTE S~Gt+FD ~ro^*~~,.• ~r•~~ t 2~~ ~ ~F~ !77sf .C /i~~6i~~~7L{ `7k G~' ~ ~ ~UN ADO~ tlrf~fo • y qv~: oa . r o ` c~ aa ra+.. _`T7 sr.a rr ~ 7 ~L2-LL~..L•~'~' I/ ~'-2. .Cl'?( Ct_ ~t~`- ~ ~Ui1At, GEMAT1pN, pEMpV/LL iCEMETERY OR CRE~u704Y~r:~ur, ~OCwhON , an o~ q.... s*•n ~ ,w ~~'~Burial i,.,Hillcxest hiem. Garden~r., Fort Pierce, Florida ~ _ DATE ~..o...r, mr, vn ~NKE1Gl MOµE-NAME wDD4f55 ~ suen o~ ~...o. no., u~* a~Ow.., yr•t~, t~r ~ " ~ ~N Febo 9, 1973 ~Yates Funeral Home Box 777 Ft. Pierce F1 33450 ' ~ 5. s612 fu?+ - r r~E Sti~ r-s1c;NwrUtf own rue~e~reo s~ iocwa a[a~sru~ £ ~ R~v. 1970 ~ • ~ ~~i(~j1CZct,,~ ~ G( ~?/e~ tw t ~ ~ ~ 3 ~ ~ hemk~'Y asrttfY thfs to bt e hw end aorroct a~{sy cf fhe Locsl 3 RegtsNars rooord on file tn th~ St. Lude CouMy N.~tifi ~r1. ; _ r+neM at Fwt Pierae, Flor(de. s~`,uql?1~~C ` ; ~ ~ ~ M~arr?ing: Not valid unisss nised ssal of the St ltids #04c ~fyl~ - - . : ; ~ ' ~ ; CouM? HeahF~ Deparirnanf b affixed,) • p~,EA~ . - . ~ NEG011~ ~itffl 0.~'~ ~ ~ . : - ; t 1 y N. MIILHS, M. D. 2~~~'~~ _,r:t~''~`~el~ ,~~`f' ' 4~ ~ ~ ~ Va~~~ ~ ~/Yi1 ~ • _ ' . .F~„ . ' g7 ~ ~~Y~V ` • - _ . ~ ~ , ' ~ l~ ~ ~p: . ~ 't.•• ? • ~{~-/1~/- ~ A i y• -R~'/ ~ ? ~ ~Y ~f :,~1' y ? R ~a•~-- t J i t ` s s " - ~ . y , i ~isiiYtas' `l~ ` ~ ~ , r ` o R ~'~'a'~''~ . ~ ~ ~oac235 ~2~~1 ~ rv ~ ~ y # ~ . ~ _ ~ ~ ~ - :Q~F . _ _ _ - _ - _