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HomeMy WebLinkAbout0059 ~ ~ . ~~7 ~ • ~ CERTlFlCAT~ OF DEATi-i • ~ ,Ik~.n.~e.~.I lk.t~l.d R.I.L~b~.~~..5e..ke. frwTC nlc No. ~wv?c~o?~p:~~~u FLORIDA ~ Tr~l. O~ f~••~• • ~~~~~~~0 NE61CT11AR'• NO. O 57 IiIYAMiM OKlnSfO-WMI ~wN nMa y(t OAIE W OEAIN ~•or~w. N~, ~~u~ . , fu rurwo~ +a , ,w,~.c~„s , ~C ' PAtTL S~:O~T ~ N.ale ~ Docenber 31 1974 4CE ~+w. wN~O. ~r~Kw r.wr. AGE-~~w ~+w~ ~ re.~ • rru OwiE OI MiM ~.a~r. Mr. C01N~TY d OEnM ~ . C!1 K. tnfii.te 28,•y~,..~•. ~ ; . 'Seot. 2 1946 St. Lucie ~ 6 V V 2 . t . \ t O~wM r~w c.n MOSNiw? O~ Op+[~ NSINYi ~ ~r .a r~ww~~, ~w~ ~~u u~ wrw~ ~ . . wcr• •u o. ..e . ~ Ft. Pierce Yes Ft. Pieroe Nr-m. i'.os~_tal SiATE OI WIN .N w~.~.•., .u~ G11IEN p WeMi COW~i~Y M/u2iF~. HtrLt Mw~rEO. S1M~INK. S~OGISE ~r ~w. ~w~ .ur~r wr ~ ' • toM.r~ ~ i~~' ! WUC~~y~Q~ d~ O~ wcr~ ~ • I~Ol11SE P~1'S Y~w~M\NK~ .1~ Cwi.. 1 11 ~ ~ ~MN Mtl~M~ s«W u 1r WWE~ YSU~I OCCWAi1Q1~ ~Onl aM M~Ma ~OM hMN ~W~ O~ [I~~ WSMffS Ql M'~{ISf~Y ~ \~~M. ~ M~ - r'O~t~O ~W. M~ M~~M~! 1 eCCW~~~ ~ „ 142-36-8767 Insura^.ce Aceat N'.odern AmQxican Ins. Co, s~.c. «.o.. cw. .M. :,ua ~no nwuc. ~Ef~DE?K.E-ffAtt ~OW~IY GTY, TOwM. Oi IOCwTWN . . ~MKMS N~ p~ w0 ' ~y ,w Flarida St. Iucie ,4 Ft • P:erc~ ro Co C~~bell Raad ~ IAfME~~1YMI IaN r~M~ uN ~MOiME~-AMrD[MN~rF nW ~~M~ uW ` I.e.nore R ers ,s LY'~.e S~a-"t iurOMawi-KwE w~ur.G wD:~~ElS ~ww~~ w~.r~. «o_. cn o~ w•+. w~w. ar~ 1v.axy Louise ~:o~rt 800 C~.. Cair,o:~ll R+oad, Ft. Pierce Fla. 33450 ~ ...w..... . ~ ofwm wws Cwusco ~r. ([nrc~ aur avt auu n+ir+t ro~ hi Ai (•1! o«u~ a.~~ ~ ~.rw~ w w Massive hlaod loss 4 hours te..M.o,,.....,~. multiple ir.:ra- bdominal ir.juries incl ir~* disru tion of liver, ~ p w, leen mualti le mescnteric vesse~s ssib~ aorta. 5 hours. tj Irr~M~I~ t~V\~ N~. ~ M N. O~ Y~(O~MYMK~ O~~ ~t~t~~~ ~w~N ~~W t~~w uN i~l Iw~i r. Oir1E~ Slfiwl~GwT CO~~WT~Or+S. cawwn co?ww.~ a M... w~ w~ w.a w u~w Mt. w.rr .~r wYTO~fY V r[ S~~.~ ca. ~i ~IA~ p M~ MM~~~ M Mt~~rwr~ WrM , d Iw 0 if~ i ~ ~ V.•MM~1~I ~~Otw , M/W ~.a•M. M~, t~u ~ MOW INNNt OCCYl~IO ~~wM~ ~rw~ O~ wiwlw w r.n ~ M r~r w, M~~ ~ k ~OrKa~. a w«~c.rwo . . ~hato accident ,a 12/31/74 yy~ auto accident ~ Iq1Ua~ ~T wOfR ?uCE Or r.wNr wr. ...a, ~.oo.~. i aOCAA07v ~ uan p a~.~. wo.. an w q~w. N~w ~ F a .b~ e..K..,.....K. Fi. ° No street Oleander Ave.. Fort Pierce, ~ ~ CfRiYKwT'p~- ror~~ Mt t~Y . ~O~w M~ ~u uft Yr ~lw~ y~ py •»/W /D~ M W11M C(C11~~~0 ~t M IuK~. O+ ti IAYtKYN• ~'•I~ V~ AY ~0~~ ~A~ M~IY. ~~OM~ NN. ~r~. 10 M N~ ~ , n. ~;~^~~,w :,0 12/31/74 iO,~ 12/31/74 E~~, 12/32/74 n~ did t~.8:35 Pr o:•:~ ~ CE~iYKA1~ON-M[O[J1? Ea~ru?~Ei O~ O~O~+Et. w r.~ ~.w s r~ .e.~ w w.w. I+~ M(~Mb wrY tiO~W~(N MY _ . ~tur~~O~ M~~M~ ~r~/M M~w~1wG~rpr, r~ MMO~. R ~ . a.. b 12 ~31 74 ~ CE~~M~E~-MAM( m~ o~ ~ n Ai Noa~ p ~w~ i• S.G~.E~ ~~»r. •w~ ~ n~ ~ - ~ Hooshang Kadivar. ~I[. D. ~o~ ~~k ~'2'75 Fo . i ~ ~"•+c'~~~Q`or~i~7 St• NN„ p• r• ~~`er ~'r: 33~'~0 ~ w~~wc. C~tw~*qM, ~trov~u cv+Ett~r O+ t~t.Nroar-~vwn.F ~otwrron c... w.v... . ~ Burial H:'~i.te City Ces:etery Ft. Pieroe Florida ~ ~ . pwtE ~.o+~ r•, n.•~ fY?~E~nl NO+~E-~+~vf ~HJ ~J~+FSS ~ s• r o. +o cR w r•n. ~ Jar.uazy 3, 1975 , ~J F.,'~.."'~:~ EGti.^, 5b1 7th S:'~. , r`~. ~ierce, Flarida 33450 ~ S. ~b lj ~wU~ Ki~ LG~?W ` ~ aiG.s:~..~-SK.~.4r~ME .1 _ n w4 aun~o ~ow uoau.~ 11~r.1970 ry~ ~./!CZ'~`Zf Y..E/~F' n.~i'u.n.tra :G ~»?~Fl ::1~3:'`ar 6 1975 ~ - - KECOR~EO ~ , f1~EDC1E GOUMYY L ~ st. a~~E~ ?~~iT CpURt . ~ ' CLE4x C?;CU a~ ~~a~ftE~ V 1 n~nby oortify thU to ba s trw and cor~act copy of tM P~ DLL t75 ` d f~le in tFw St. lucie County HQelth 0~ 4 rt• 1 55 ~ ~1 ~ ~N~~`M 1'. Rapi~tro/s retot _uV 31 :a trwnt ~t fOA, Pia~Ce. Floride. r ~ 1``, j~' 4ry ( y y ' N o t v a i~ d u n l e s s r a~sa.i ieal uf rh~ Sr. L~uo ~ : ~ ~n~~~~y He~Uh Department is affizwi.) a~4 - . , .r ~ _-''~'.~,f 's ~ N. D. MItIER, M. D. . ~ 1 : ~ ~ty Hw{th Off~car b Rc,~stter ~i~ ~ f':.: ~ : ' / ' ~ . , ~ , ~ _ _ ^ ; ~ . / ' • ; . . ; y f~`~ - / / J! TS^'~t( : ~ ~ ~ ~ t;~~ " ~ r ~ ~ ~ Q~OiStrK ~e i ~ T~ t . 0 R ~~t)l) PA6E ~J7 - b00K , - ~ ~ . . _ _ _