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HomeMy WebLinkAbout2298 . . 30~21~ ; 1~~ ~ ~ _ . CERT1FlCATE OF DEATH ` ~ Oq.A~eN ~f ik.l~ Re~44bu.r Sa~..rw ~rTATt /lu MQ f nr~ tx ~~.u.n~ F L O R I D A /~.'Oa .YN, W w.~~.wr~a~wa 11[61LT11AN'• NO. C~SI . K\~MwNi W1l ~p~N,M( ?a~~ .yw~ u~~ SEi WIE W OtAM ~•O.n, n~e~ - PAULII~ M. LeVAN :.Fenale , Nwemt~s 23 1973 ~~CE wwo. wwc.n ~.wu. wGE-u.. ~•~w. ..a. ww.. w. ~ o~te d WM ~.o..w. M•. C01MTR a OE~M • ~~c. ~~ret~r~ ~'LitB ~y~~~w~~ ~+w. ( ~.n •o~~ ` ".~iarch 29,1905 IILCl+@ oa . O~172 . fOwN. l ~ DEw ..w~ cn ..~n MOShTw~ Ot OMfI NST~ ~r ~p w~wti ow~ ?n~p w rrr~~ ~ . wu.. .n w .o ~ Ft. Picroe Yes Ft. Pierae N'.emrial Ho~pital ~ ~ sr.re a wm ..o.......... ru1 T1iW d Ww1i COIJNiIY ~utMO. ?~EVEe aWMfD. NRVf11NG SrOYS! ~r ~w. ~M ~Mw rrr ~ Inlfana U.SA 'MiOf~"'e~`o•'"`••, W~s~dell D. LeVan ~ ~ rw~ rv~n~n ~ t~. ' ~rr ~w.n~ fOCW SFCIW~r wwE~ YSV~I OCCWwi~Ow ~a..~ aw w~ w.~ w..r~ .w~ a [w~ Or MlS~+ESS W wOUSi~+1 ~ ~r~ r~ur ,N~ ~o,a v.e. . ~W71 ~~CI~ .o.. 127-28-4328-8 '~ane"~',ake~ „ ' ; ,n,.~. . . :..r.e.. ~s~ou+cc-sr•re cou..rr un. Tow?~ oe ?ourw.. c...,... s..cn ~u.o .«w~c. , j"-'~ ~N Flaacida St. Iuci,e ~y F`t. Pieroe ~~~""Y`vo• ,w105 Bo~ita Ct. PSL ; x IATME~~?WiME rNM wM/ uN MOt11EA "'^`N NAME 1~W ww~ , YM FY~ j~1Oe UIlO~~ • Iu ~wow~u+i-i+wr[ MwrwG woGtEis .w~. w..•.~. re. c.n a•o.r. N.w. ~r~ : W~del.l D. LeVan ,n 105 Bo~ita Ct., Part St. Iucie, Ft.Pireroa,Fl,a. ~YT 1. ~~~q~~4t~ w ~~y . 1 - OEwM WAS GuSEO ~r. :ENru Owr oN[ Uust rt~ i~+[ ~W h/. (?1 ~++o hM u..u.. o..~n .r «.n. ! i°~ K - CAR~~fJ~ fi RRfST i ~ ~ / D/? TE~1M/N/~1 ~RCN~'yp PNEliMO/V/N + :a.~o... pEyyO9H7r C~ ~~h ~~N q . . ~ 1 ~ ~~VN~I~ C~Wf N~. M p. O~ ~(O+MOMK~ O~~ . ~ L P~nr~ ~w~ ~r~!? x~~~.l~~y . ' ~~MN t~~M Y~~ ~ ~ ~.~/9/1~'~E/y/OSC~CG/?tT~G I7~Eh~RT ~1E~ STl/D n• ir?~ ~ 1 IYT OTME~ SK,~~CAMt CO~W~~S. «"af ~MWM+y q NY~ M w0~ 4uM W C~YM O~w 1r .Y~ ~ M ~«SY ~I ES ~e.~ co+ t ~ rHRa?ic EM oN}~.SFMi9 f" 8~0 R ~ OD~N - 1~ ii «n. ~ t..r ~ ~ ~ p t?O(1tWMR0 ~~0~~. M~, wu~ E~ ,:yq,f~/ UUY~11 OCGYUEO ~~wM~ wwY rwn w~~~r r p• w. wa ~~1 ~ ~ ~ M/`„`~ ~DuND DE~`IO Dy BED ~`"1~/NGL~7fRN/JVE ~w . - IN1W/ wi MO~R ?lKE q NIU~~ •r .e.~.••u. ~~rn. ~.tW~•. ?OC~TWN ~ snUr w~.r.~. .w., 4~ M q~. Nq ~ ~ 'r ~ ~~~o.. n~ w rr ow~o r».. ~~c. ~ ~ . ~ ~O.s . BCN/'lf} ~ ~RT . (/0/?~T G / i U. 7M ~ ~r~ ut~ M~/ ~/M~ y~+t O~ ~ M/M r0~ ~M~ M Of~*M ~CCV~t~O t M~f, W M ~ r , CERr1UM~~ M~ ~w M~ tW ~ ~ /I~tfIC~U1: TO ' Y~ AM ~0~~ ~II~~ N1R I~~~y~p ~L~A!IwV ~O ti NN ` l7u~ I•~ 7/ t a..owfoGl. 1M ~ ..~nu«~.r +tn {1~. (fU (la. 7tM~l'" ~o..~c.~an~s..ns- ' n. ..c..w• ..o. _ . S - C(~illK/~t~OH-M(OKA? [I/u~v~f~ d CWd~E~. O+ M uY~ O~ M ~0+~ M M~~ M IK~Mw~ ~U I~O~WKI~ NN j ~ ta~~~~wb~ M M q~~ ~~/M M~wtlUO~'4~. w~ ~t M~O~. F ~ N~I~ O((AM b+ M MA ~N M ~O ~ 411ftD~ lt~A~. / F Vh /~ETFR~t~~v~~P tiioY- ~3 %y ~3 ~ CE~A ~-wM~E ...n w•w.n f S~ , ~ec.~e a. ~ D~ E-T SK EO .aw.. w•. •w~ E r:ove~*`rr 28 1~73 ~ CA~-f X~t"O 1 N ~ G V E Z ti~ - ~ MAR ~OWE -CEIIYI[I s~..U w..~- «o. c. • w~. s•.q rr : ~ JM c~u~R ~ n ~ L . ~ ~ ~1 3 e NMt~I. f~EMAT~O?a. ~EMOVA? 'CE~+EfE~1 O~ C~Ew~iO~T-N,wE ~IOUiWra an w qr+ s••q _ i } . Hi7lcrest N.emorial Gdn.s. Ft. Pieroe Florida E ~ . : ~ Ow1E ~ .o~~ WNE~wI HO~+F-ti~r~E •?M ~DWFSS ~uui e~ o.. ur• o~ ro.rw, ~un. nr ~ . z M~v. 2'~,~19~I3 BAI~D FL't~RAI. HCl+~,9U1 N. 7th St., F`t.. Piesce, Fla. 33450 ~ ~ w ~.w uu~ri~ ~ow tt u~u~ ' ; r.s.K12 ~ sww? stWS -s~uurwt . ~`tnvc!~ ~'x~:' 2~, I973 t~~.1110 fA Lr~ ~ ~ . t : t n~bY o~r~~fy rt~ia to 0o a ttw and corroct copy of st?~ t pRp~O ~ i~pislre/s reco~d on f~le in tlw St. Lucie Gou~t1? Ho~lth n- ET It~IC1E COUMZY y r~r~r?t Fort P~ace. Flo?~da. Ap~E~ Pd~t~g RT ~ EAK CIRGUIT COti ' . ..t ; (yy~n;ny: Not va~~d unless ra~s~..i ieal uf th~ St. L.ici~ CL ~ERtF1ED..~~'~ .~klY i~~ ~ = Cpunry HeaHh Departme~t is affixwi.) AECORO ~.r. i { 2 ZpN,~~,,;~ , j,.: , ~ N. M~«ER. o. fEe 25 ~ _ ~ f;= ~ ~ ~l`' _ _ ~ . _ ~ nt H~.riM Off~u? 6 I Raqistr~r - ~ ~ _ `'y- ji,~~r_ . I _a ~ 3fj~~ ~o ~ ,;`i:a; T-'-`:` . ^ Qip~ (ACa1 R~oistrs~ ~ f. .•1 ' ~4 s-. ~y~,,,~ Ap : ~•y ~J~I~i?~~` ~ ~:r.. . " _ il~ i ~ ay ~ ~ _ ~ 3 ' = ~ ~ aoac ~ o~c~~~J ~ - ; . ~ ~ ~ ~ . ~ . - - - - ~ - _ ~ ~ . . _ - _._.u