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1914
i~ ' ' / 5-366~. ~ T.~, n~T~ w~?wo a M~u,TM CcRT1FICATE OF DEATH • e~~~s • . ~YIItAU OR YiTAL ~TATIf~1C~ *TA7[ IIL[ N0. 1i~•~ FLOBIDA 2G1 ~ ' era ~ei T N. R a . ~••~••ts nwu K wn~ coot No. t ww< wcs~~MC[th.••~.~•r~:r. nww~....: a.i..~..rd.d..1 _ •a~ert~l • ~ .~u ~ sT~.c ~ O01"~~t. Lucie j1iQ~~ St ucie 66-XXX Florida i w *~r- arr. ro~. os wu1cN t. K?tACE OI 0[AT11 e. t~n. ~o+m. o~ wcwno~ e. a ~cswcMu .u~~s aawc cm uri Msioc tmr ~x~m+ r.,.. Fort Pierce ~up .o~ Fort Pierce ~rESp ~o~ ' f. t1AYE OF (If Mf h~M/i6d. /i~ ~6N! N!?tNl lE1KTN Oi ~ 3711[ET A0011f8 ON A?~IIM1 "~n"1T10N North th Street ~ u 2108 North 1~4th Street ~ra0 No~ wwc ~I iYnt IJ1qk L.M wTE X..d Dq Yw In?; «`r+.n Geor None) Schneider ~TN July 10 1962 , . scx s. oao~ o~ ~uct 7. wui~~co 0~c~ wweKO wT[ os w~ s. ~cc (I~ w•?• r mou ~ rw ubu ~~ws. u-3ai889 w.... a.. ' t~• 1S81e Ylihite ~noo+rco? ww~~co 1~ 1~ 10~. usw~ oCtil?ATqM IObr t4/ N~•rt M~e IM. Rra os M~SNI[uo~ MOUSf11r 11. N11T~wa~WE (8tdr w Me1 p cw~f.~l 1 cQYEw ar wMr aoYRl~rr t~ r- Isrbv ~wt M~?t!~ bF. a~ N~atYNl USA ! •~w~~t $t,@8D1 1'itl neer Po~rer ~o. New York ?i.•t i.t r~TNC¦ s w~c ron~u~s .woc~ w?wc a~..•.~~•. No Information No Information IS. MAS OECE115E0 EYt11 0l Y. i IUYED NRC[S? ~c. socw sccw~r w. •«.w?*Y"~ Florence Schneider ~Irr.~~r.d ~l/~w.r+~r~r/rw~/rrw~1 ~ no 05?-09-2275 .u.?~.. or erce a. r.w. r.l u. e~wi « w~rM ~~.n...tr we p. u.r /r t.l. N1...~ k1.1 urtu~vu ~crnca ~ f r• e s~ r r~lli ~ oE~n~ w~s uus[o t~?, o~6ET Iu0 oE.11TM , . r~~. w,Kpnn uw,E Ca. of Stomach , f tN c~r- . ~ ~ tiffs~t• CM~~~.i/o?. pyE Tp (y ~ . . ~1~~ t11• ~liA pre ?1~ b ' 1 • • • 1 ~Owe c~wt (i). , : r~~l~tr~r +~~MM rlt rafer- ouE To (c) _ t~i.~ a¦.e tw. •~tAfD 7~ _ .MASA ~ ~I ?~rr f- O fMT M. 07R~1 M~sKan Oppt~06 QIMI~MRK To OurM Mrt 110'r IIpAR010 n1E 1i~r~wll OetAft COOt~Ow iwO~ ~1 fMt 1(q /EIV01eM[OI i ~ ` t i Nf ~~~t\ V YESD MO~ ~ ; •r ?•s•r•' ~ tp.. ~ocac~t wic~oc Mou~c~o[ 2oe. asuNC wow r~w~r occwuo. (a~...r.w NMM~~ A.n I r Art lI y W. i~.) ~ . ' •~kf¦ ~w ~ ; ~ ? O U ~ , ~ ?w •t J~ 7w[ Os //wr XwN. D~I. Y~r z E . 3 ~MIVAr A. ` p A. i ~ ~ MU1111Y OCtY11R[O mt. ~LACE Oi IN1U111I (t. I•. f~ ~r ~wl ~wa mJ. CIr. TOrR 011 ICCAT1011 OOIINTY STATE ~ t ~ r.Ma~ ~T ~ roT wM~ ~ lr~. f•cur/..n.w. Nkr e?N..•rc.) f ~ r1011K ~T rO11K ( t 1'~ tf E 21. /~t~~n/~d fA~ /~eMa~I /rom D6C 19 1 , fe u~7 1¦ 7 ~nr 1Nt Nv Ai~iw ~fi~~ en ~ t D~~tA oeevrrN ~f 2: 30 A• m en tM d~N ~t~t~d ~Aw~: ...r ro eA. ewr e/ a+~ ~.a~/.~N. /roan fA~ auaw st~t~d. ; i ~ a 11 f t~ s• ~ p~*~ - ( p,Mn r rYk) ?Z~. ~oo~ESS ~ ?1c. w?TE sK.MFO I 3 t• ~ e..,~.s. a John D. Broxnin 1t.L. Fort Pierce, Fla. ?/11/62 , Q NlIIf ~t~. ~K. ~~f~ ~~tt jj~. NAME Oi CEYfTt11r Ow CREYAT0111 ~I. LACATIOM (CIfI. fM/t. M psAf/I ~g~) - ~ . ~'e"moya`~'' 7 0 962 Crestlaxn ~ec?etery Indian River Co. Fla. ~ ~.Ieis su~cu~ o~c s s~uuru~c ~ooRCSS 2S. DATE 11ECQ ~ tOCAL REO. ~ECKT~AII'S SKIf~TY11E ~ `•••"0• John Charles Gifford Vero Beach Fla 7 1/b2 Virginia N. Borland s.r. ~ ~ ~ , . • } ~ • } . S ? f~~~ ~~+D RE~OROEO ~ ~ ~ ~ ~ a . ~uci~ couNrr fu. ~ ~ ~ • RGCci P,~IT~AS ' ~ ~ . CIERK ~;:;CUIT Ca~RT ~ ~ ~ hM~t~y o~Aify Mb io b~ ~ tn~ ~nd totr~ topy of fMw t~ocsl REf.f~n~ ` RpiNr~rs r~emrd on file ie? th~ St. Lucie Gou~ty Fi~elth Oop~n• vEN~Fic"4 y ~ PIN~. Fla~ds. f~8 1 ~ 3 PH ~ ~ ;1 ~ r ' , . ~ (1Nwning: Not vs1id unless ra~sed ~ea~ of th~ St. LucJ~ 40 ~~S a~ , = Gpunty Heafth Depa~tm~nt is effix~d.) ' ~ . ~ - . ~ N. D. MItIER, M. D. • _ County ~Hwlth Offic~t ~ lots) Rpi~tru . + . . i ' ~ ~-/3 _ 7,5~ D~l..e~ ' ' ~1 , ~t,ocsl R~on~. ~ ~ . ~ ~ - € Y . ~ 80~t~ ~~~2 . . ~ . . . - - . T. J i • . ' • a ~ , ~ ~ • i ~ ~ ~ + . ~ . . '.Y'9~..,. . . . . ~ . . - . . ' . - 4 .