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HomeMy WebLinkAbout2008 fIlEO AND NECOROE~ st. wciE couNTr fl ROCER ~OITRAS O'•99U - C~ERK C~RCutT COURT REC4R0 VEh~i~EO~ t~e 2~ 9 so AN'Z5 ; a0'!_990 RE: JOHN LEFFERS ~ ' • ~ rn~. s.- RwT~ ~owRO or Mu~TM CERT[FtCATE 4F D~AT}i ~oees • ~U11CAU OR YIrAL,,,fTATIfTIG~ STATE FiLG NO. «R•~ FLORIDA . ord •A~n. BIRTH NO. nr~~fTRaw~3 NQ. ( prop~rl~ Z. YfUAt 11(f1OtNCl~p"~~.I.~.r.~h•~/ .~.~.~.1.~.r~ /~~IwrMnMwwW) ~ 1. KAC~ ~I ~[A~N ~ • CODi NO. •a!lYtN ST~7E ~ ~.rWwTY . •nd •~ll 1 < ri ~~art3n ~-02 P_ ; e.~1~e•e • L~i7~_.::_ ..OO`_OT ~ R aTr. Torn~.o~ wu?ioM a.}s n~cc ar o[~TM t. GTY. TUwM.On ~oc•r.,• . t. K ~tAO(~C( 1~ •~w~~t•i . wSWE CRY Ur~TSf t~S~O( C~T11 UMItS1 tll~. .Sf118rti YES~ MO? a',ine::~ ~[S MD~~ ~urc os If/~MbMqIW.Iit Watd/r~w) r. ST~~n ~onar>: NpSMT11l OII ~ WSTITIRION ~tin Memorial Hosoital P..~. i'. '=3 , ~ w?M~ o~ ikd Miirf~ ta: 1 i t•T~ --Alrr1 I?q ~ Yer KCtALt~ ot rnr•r.•++•n JOHN - LEc'~'=~T ~ ~ ~t.,N .Tun? 6 196T S. 3!X - CO1011 O~ ~ACE MA11111E0 ~ NfKll MA1111K0 ~ OAT( O~ ~~~~ii ~ 9 ~ i~ *ru~ K u~ua~ ~ r V~ V~o[a t~ w1f. , Jye M•:1~~/1 Jv..eM Mw I~~w M1~. t o• P~le Whi.te vnoorco ~7 avo~cm ~'~Y 7~ ~ 7S ~ p l~Iwl j la. USUAI OCCW~TqillObt llnJ ~/wt M~e la. KIMOOi WSNIESS011 MOYSTwt 11. {tRTMh~CE IS/N~ M Jepy~ t~rwfr~l 1 C~r~t[~ 0~ wWi ~ .~t~ ~~r- Iwi*I~wtNva~Mhh.arwynnrNl ¦•~•p~ Grain DP er A~riculLure Illin~is Jnited States . ll~et lwk 1~. fA111[~'S II~Y( I{. YOTMCA'S M~1~(!1 A~M( •r ~ . ~~•••~l~•~ Herman Le*fers ?laria Rur,~er it socuu sccvaTr ~o. w~ ~ NQIMTYR[ wta...119~4 South ndian R1Ver Dl'~t?e ~ h2-0 -!~9 Marielle La£fers 3~nsen Beach ~'lorida r~n.r.t u. ewwe w~twn~ (6+re «~?r.,e a+~.w ~a nwe h t•). N)...~ t.).) uart~c~~v~~ ~ttwcc~ a~~•°~•• wrcp~~ ~~t~~~ Cerebral Thronbosis O a8 Sr~_ .~.a ri~• - - 1 tA• . cti.l~r~....~i..,. 1 o„E,o~~~'Cerebral ~'rteriosc2eros;s Years • . t e r e?• r~~ra wr ~a~.1 1 1 • e • 1 ~er t~we ~ - - - ~ reslst~~? K~[iy Ut ~~/M- p{iE TO (r) ~ • 1 t \ ~ s 97 Z lft~I due f~af. - . - - - O ~A11T N. Of~O SR~~~ OOeTi04OprtMU1wC 1p pl~Tw ~11t MOa R[tI~II~ t0 M R~rwl Mtl~St Cp~c+~r~ Wrt~ w I~~~ K~) . Mr~S AUTOKr ~ Aout• •f- ~ K~iO~y(6~ . a•"• ( Diabetes Mellitus (2) ASii~ (3) Diabetic ~ili1~I'~'.T1P. or D~f~r• ~i? ~Q 20~. l OESdIME IIOM YUIMYOCCWRfO tF.~In wr~.~ Nuj~r~ i~ Pw1 !~r /'y~f /f ~/Yt~ (1.) •~t~ws ~w~ ~ ACC~OFMT SYK~O~ NOr~C~Ot dl~)~~l- r~ ? O ? t 10~ •f ~ 20c TwE Of /!wr XwN. D~I. Yer ?•a~. Muu~r - o • Y . = 20I. Mt1U~YOCCY~~EO ~f. /IACf Of UUlill~ I[. i~ M~NI ~~t. ~J CIT~. TOwN 011 lfX_~ilpu tfH?MT~ ST~TE xNU ~T ~'~or rNrc ~ JM..l~d«r..e.eM../ke ~ry...u.) MOIIK 11T ~IIOIIK - i =1. I ~ff~~d~d fb~ r~ewwl /w~/i1n n8C • s . fe 1171@ •nd /uf ~~~/:r~ en ~e ~ - . i DwfA oceurr~d ~t 1~ i~v P- ~ w~ ow~fM~tl~f~ ~f~f~d ~Ao.e: ~nd fo fA~ b~~f o/ rn~ kno..hd/~. liom fA~ e~uN~ rl~t~I. ~ All ft~~• ~ ~ HOiMTVAt (Orpet ~r Ibkl 2?D ~OWtt55 i2t, OATE W.IrtO . •r• te 1• g ~••vl•~• a i~a 1 H. Marsteller ~M. D. J~n~Qn Roa~h~ Flori~a June 8, 196T ~ •ee~r~N. ~ ~~.~~r~ ~ jy ~~yEO~CEMET(II~q1CR[r~tOer 231 ~x~Tr~wlfr~.hrw.wnaN/l (Adtl : 11trOtl (5/~c~//~ Auria~ 6/8 6~ All Saints Cemetery Jpnsen Aeach Florida ~ V.~.~Eli 2~. fYMEIIAL SSICU~ 11C OWtESS ?S. O~TE 1{(W. /~IOC~I ~EG M. RE61jTM~ SS~GM~iVRE ` R•..,.se Jack,.J;,~ore ~ates ~uneral Home s` _ Ft. Pierce Florida June 8 19b7 Blanche Martin Deput . _ - ~ i hvteb ce~tif fi~la to be a tr~e and co.~ec~ l~I~1•,i; !~~i~~,~ Y Y ~PY or rne tcn.. i'~ n•~• ' - ~ Registrar's record on file in ~he Mirtin County H~alth he^.a•~• e t'~~ ~ • ; ~,.Jj; ~ rn~nt it Stuart, Florida. ~ - ~ !i - y ' ~~(Warninq: A;oi valc-; u+,:-~;~ n' :~ri ~ai ~f th~ M,utin ~ , ~ti _~~t~ ~ CAUnty Heai~ii C~c~~:irt.:,~n~ i; •~ff~xn_dJ ~ ' ~ S i A~R tti ~ . ~ ~ - :i ;i:e r'~~~D±;~;~;~-;<;~,-, , ~ , r~,. U. !!,:~.-a., r.t. D. ~ . • . `"'~~~r <<~~'~ • Couniy ii~~:~h Off~ce~ 6 local Re;;ist.a~ , ^ E ~ ` , k t' • 4 : ~ rJ .1~ .t l a " Oat~ ' DsputY Latd Rpi+tr~r 4 ~ . ~ ; - - ~ . r s ~ ~ ~ . ~ ~ ~ ~ ~ ~ ~ ' ~ 800~~?VV PAt~2?VUV ~ ~ - NlIIL ORIFi1N JEFFRIE'.i i lLOYO ~ ~ CNARFERED ~ P O BOx 1270. ~OAT PIERCE. ~lOR1DA 33450 ~ TELEPHONE (3051464-8200 ~a ' - % ~ . . . . . . . _ _ . _