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HomeMy WebLinkAbout2748 _ k' ~~n~~5 CERTIFICATE OF DEATH ~ Dc~r~~ewt ~ 11e~11~ ~w~ ReVLillNli+e $e~ices fTATt /ILt NO. a~~~~~n~ FLOAIDA ~rre. o~ wwt u~ •"•••••Oa••••••°' eco~srAAA•s No. 9 RtYANlNr INK rwt ua SIT Yr~1oM iIt sE11 owtt Of ocwtM ~ ro»~+. ,eu ~ ~S1MK11MS ~ .S. ~ l.Mr3~' 7 J 1 1 U?CE v.w. .w~o. urreu..ww. ~GE-uw ww. ~+e.. wa. ~ r o~TE a MtM ~.o~r. C01R~i1r a OEwM tK. ~ wcrr ~ ww~u~ ~ niui ~ roa rn woN~ .w. wu ~ . Tnfiite ,.69 A ~ Dec. 29 St. Lucie 6 6 ~ 2 . tOWN. l c~r ~~n NOShU?l O~ O1ME! MST - ~r w+ r~wr~, o«~ sa~~ ~r ww~ ~ anc++ ns a w Ft. PiercB Yes H Ft. Pieroe Menbrial. 'tal S1wiE Oi W1M ~ w wo~ r~.s.~.. w.r d wM11i C011Nt~~ MAtR1E0. l~vE! ru~R~lEO. 511~1rMG SrOUSE ~ r.nw. ~w~ r~r~w w~ ~ 7,~~ can..~ ~7~ wo ~~Q ~wc.., T~,,,,,~ ~yy~~{ YN/Y ~tf~NK~ ~ ~JRLii • U~7[1 ~ ~N~{'~.1 11. ~l~J~Olu~ ~~war^wa+ ~ SOCIAI SKIItl1Y ~1{IM~f~ 11St1Al OCC{MAiION ~OM aM p~O~t ~Or ~Mr~ ro~t p K111D O~ MISf~ESS O~ l1011Si~Y ~ ~ ~ 306-03-7014 ,~°°»I~`'i~wrig~it Steel Mills - = yrsMw. ~E310ENCE-SGfE COIlMI11 Gi11. iOwl~, O~ lOGt10H cn ~rn Si~fEt ; Florida St. Iucie p ~ ~k Ft. Pierce ~N No ~w. 5606 Caun /ATI~!-NAME M~N rMY uM !W?MER-MADfN N~ME r~ft aMU Wt ~s .706ep~1 Jel u. EdthP.r1I1~ ~NPO~MAi~~T-NAME w?aNG ADOnEit ~wra a~.r.w Mo.. un w a~. ww. e+~ ~h Jo~w? Jelesky „~5606 Cauitzy C1ub Parkway, Ft. Pieroe, Fla. 33450 rNt outN wns cwsE~ sr. EMEt d#~ ONE GYSE IE~ IMIE IOf ~ 1 b1. A1 ~?+p kM w~~u. o«w w eum ~ M ~ Coronary thrombosis with myocardial infarction One Hour - ~ ~a..m,».,,..,~. Arteriosclerotic heart disease with previous coronary Two Years .~~tw ~~ti Ns~ p l PI • uw«•n c~~u ~ ~M p. O~ Y~ CbNO11M[~ O~: s~~nM~ ~N rMH? G~ ~nw c~~w uu k) ~A~f OM! SIOw1~Cw/f CONDrt10N5. ~a~MUOw~ CO~~MM q M~~ M ~M ~lW~ ~O 4WN OM~ w~rt ~ ~M ~~r r ~ES r~a IIMMMO~ CO»- ~a~ a..o~ PNtl~ a1 MriWrM~ tMN or ~a~rw N6 NO~r~Ot~ Ot YMOliHY1MEY ~•a+rw. rr, nu~ NOW IN1Vl~ OCCIM~ED ~ t.we~ .r~ o~ rw~n w~ r.n ~ w rur q, w. ~ ~ !w. 7k. M. 7Y. Y~ ~wURr wT wORR d t+lUlr .or. ~~w. ~~r. r.na.•. lOGT10N ~ sw~n a u.~. .w., car w~o.n, a.w ~ 1 ~NO~~ A~ O~ MOI MK! ~IN., ~1[. I iM[1A ~ ' ~ ~ I CERMICAT~~- ~OMA Mt qY rp~ M~ ~~u ~M 4tf Y~ wr/~M un7 OM ~ M/M ~ ~ 0I/~1N OCCYMlY ~t 1M hAtl. OM ~t ?MTNCIAM: lw M~ Y ~ON ~(R~ M~1M. Iw011~~ ~~Il. ~M. ~O M! Mft ` 2 4 72 iO 1 1 75 ~2 3 7~ Di d Not ~ ~ ZN. ~tu~u~ rqr tti fta- IN. JM. S3~ K~O M C~Wf~~fl iLR~. CE~tIfKw~10N-rEWGI f~t~rr+E~ COtOr+Et: a. nr w.a s w .ow w M~~ n.~ ~acwe.n .~s ~w.or..ce~ ~tu ~ ~WW~~O~ M M W~~ ~MIO~ M M~fl~~iON. M M WM~O~~. ~O~ M? ~fY w0`~ - ~ N~~M OCCYr~ OM M Mw r~ ~11~ b~M 41qfO1 4~~U~. ~ M. ~ M. - t ~R~i~win""~'.°"Cin'~'sey M.D. ~e« ~E 1 07 75~•.~~ s . .~?l!,l-' rn ~ ,~""°ADO1EU_c"""~' . 23017"F~f~1~"9~venue Ve`ro each Florida ~2960 S j W4µ. qEMAiION. ~EMOVAI FMETEw OR GEwu?tOtY-?+1u~E tOU?lON an oe w~+ w~e ~ ~.~Fenaval-(Yc~:?ation „~lvecron Cranatoriian West Palm Beach Flarida ; ~ CAiEJ ~ r~ u~ fUMEtAt MOMf-HAMF urp ~Op11FSS ~ sra~er o~ ~a.~. .q.. em w q.+., sun. tw ~ j ~ 1~75 BAIItD FUI~L EiOi~, 901 N. 7th St. , Ft. Pierce, Florida 33450 Y. S. ~61i ~uME~ oy~ SK.+~u _ tEG~~ -SrG++~rurE o~rt ~tunco n ~ow nc~srw ~ F R~~.1970 ~ L(~lt,!!%t . -,~-l iM (%u,n cco p~• January 8 197 5 ' € ~ ~ _ ~ . ~ ~ 1 hK~Y aAify thb to b~ e trw ~nd eorr~et eopy of 1MO l~R AML~ £ECOROEY Rp1~tr~Is reoord on file ln fh~ St. lucit Gou~tY Hae1~F? aOCER PaM~A~ _ ~ n~nt ~t fort P~ru. Fbrtda. \ • CIfRK CInCU~~ COUAT \ ~ ~ , , i a „1 ~ ' (1Ne~ninq: Not vMid unless ra~str~ real ~f tM St. luct~PEC4R0'l~g•-lf0 - ~ . ~ c .:YOr . 4 rr County HsaNh Oepertrr~~t is sffix~d.) ~ 1p f' Di A7 7J - r, ~ . ' -e • 1~ ,J/~ f ~~~r~• ~ 5 , t ,~~.3' ~~.~~I,-. ~ ~ N. MIIIER. M. D. : : ~ ~ ~ c~ ' , ~ x ~ HoilM OffK~r d~ Qplitf~t ~~0~ ~ ,"',~S 't j : i 4 5 _ ' s 6 ? ~ ~ . ~ 1 ~lV 3 _ ~ ; / - - • . ~ ~ ' . ~ J ,~~0 . ~ ' ~.y !?~~:1'' - ..t-. - pw~ p~puly lot~! R~oistr~r - ~~s. - -y_. ~ , ~ . • eS~v,.,, . ¢ ~ ~ i: ~ . ~ • : -t • • - aooK ~35 ~ : . - ~ . ~ ~ ~ _ , _ . ~ s . ~ , _ ~ ;