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HomeMy WebLinkAbout0509 ~iU~~~i~, ~ . CE~TlFICATE OF DEATH ~ ~ • , a~M ~ I~~1~ ~ Rr~rL1~11Nbe ~laN fTAT[ /Ilt NO. ~r~rww~ ~ww~n~ FLOAIDA ~ • ! tr~e. o~ ~N.n ~ e~a~sr~~e•• ao. 66 N~MA~NMI INM ~uA~~N~ Iff MuNNi /M fEl OA1t O~ OIAM ~~t~. N~. wr ~ "'""K"~'~ ~ a'17 tA r: i;t ~ Ir1 ~lI K~. ~AC! ~~v. rNw. wKw ~r~. ~6E-~.u wa ~ n•~ w+~~ . ~ WTt p WM ~e~.•Mr. COIMIif Of 0lAtN ' . ~K. ~ MKr~ ~ M~~~ ~ ~u~ ~ ~ Mh ~ow~ .K ~ ~ ~ . . ; . lJl~ita 6G ' w .Sc t . I2 1 3 ' 6 6 ~ 2 1 W» • cn u..w Npywiw? Oa O:ME~ trtV1 - ~r .a r~ww. Ww !r rrM ~ ' ~ ~ wc.n n~ e~ r ! w rort PiorcQ Yes ti ForL PiercQ Aiemorial ~tosnital . ; • itwit p WM ~ r+h w~.~ ~.+~~w ~hIN+ d MnuU CONMiI~ ~WMtO. M[v[~ M1V~I0. f11~tl1~IN6 f~OYS! ~r ow. Nw r~M ~r ~ ow~~' wOOwEO. O ~ ~wcn~ 1 ...r~.«.~. ~Tennasseo I. USA N~•LiYri~Ce Cva itearndon ' ~ o.~w Mn.u~ u+w. r N.~ fOCW 3tW~rt~ MMYE~ VSW4 OCCW~~~On ~~m ~.q a~ ~ow M.r ~ow « R~10 p MlfNtt3 0~1 UO11iR~ - ~ ~"..-a."•~+ 264-01-0343 •o........ N»»~ ~ . ,,,,a. n „ Diesel ~~iechanic Automotive • rs~ocNCe-s~.a eown em. iowa. o~ ?oarwr+ r•+. ~••.~.~w • ~n • ~v,cp....«.o ~NY~ZOTICjd '~NSt. T.UC1@ iai~OY'~ Picrce ~a ri0 ~W 1 O t' ' /~hR~~q4Y( ~yM wY YM rO~NE~~M~b[N M~MI ' MM \11M . ~ C. 11. 1 ~ardcricl: U . • ~~OW~M-NM~f ~?rKr ~DO~fSS ~ww~ w~.r.~. rs., cw. a w~+. r•~. n~ • ; ttrs. Eva 1t. iiardwiclc ~n 1~304':~ So. 41st St. ror e r.133~5 rur i pEwn. wws uwsio ~r. ~tNrt~ w+?r d+t uust ~t~ u+t ~Or N? Al u+o kl{ • r:...« wn K ~ ~ ~~+~ss,,/F rNTPAC~ra~vEA~ ~ N~n~o,; ~ ' ~OMM~O~~. w ~rs. . I ~r~~(r aN ~O ' ~r~~M~n ~M. ~M ~O. O~ ~ (MNMK~ O~~ ' ~~~nw~ ~~t ~r~N• ,l _ ~.i~ S~// c/ Df1 L IG/K~ /~~',ct WD!!/Y/~ OF /~E'fI p , ~ui OTNt~ 3rtNMK~wi COnOit~O~+S~ tsiwwor~ [o-ww~Yw+~ ro w•~ «n .a ouw~ ~s uow ?w~ ~w ~rwVTOIf1l ~ • tE1 .~•e n.aw~~ ee+ ~ I~n~ o~ ~e~ Y«~~~ r NH~r+~r~ t~~M ~ N~I~ . _r~A r ~aoTwi-Su+ndfd~~iui ~.a.... ~....~u. NOV+ u+wr~r OCGw~EO •~w~...wr e. r.w. ~ n~ m..« .o..K'w~, o. wa~~u.+we . ~'"''sv~c~vE~w ~ -3 t~ ~ „ ~-3 Z„ I sv~c~oA ~ F~~E ARM ~vov.?•~ : w~an wp+[e. ~~e1NMMr ~.e.~. •.w. ~~wn. •.na.~. ~OC~nOr+ . ~ ~we~. e. ~ r ro . ew. w ro... v.w. ~t r ~ ~ ~ ~'11a • . l~ ~ i,. O/yl F E, R, ~7' ~ V/ Eit ~E ~tt ErNaR /n- 1~65~i r/~ L,~ . Ct~rrK~nO~+- ~sw. M~ wY ~ Mt IW ~A Y~/ M~ w~/~ MM O~ . M/M ~.w ~w ~ N~A OCCYMf~ M hK~. O~ M , ~M/1~C~~M~ ~O ~ ~r M~ ~ AM ~0~~ ~~~M Mw ~~OM• ~~R. ~rr_ q ti MM • ~n~we~ w~ w ~~pu~M. ~M th Na.w~ ~.o. ~ tq i~4 p~ Iw r.e ti~..rn. ww~. CE~tTKnhp+-rldCwi [iin~+(~ O~ CO~d+[~ M M~~)~f O A ~ow e~ M.w. ~ ww wuw.w wa.ou~Kq ~w ~ ~......ro. d .r .ow o. r ~~....b.. ~ o...w~.. ~ I .w. • a~..,. o.... ~"~~%G't~~:°'°~~~11~1 'I~. G _Q _7_Jf ~ 30 . r~. ' c~.,K ._..M.~ , ` _T_QTN I _G U ~Z ~ •GL_ , ~~I C~. ~ ~ ~r~3 ~.a....-~--~ . M _ ir1 ~n Z ~vw~•w~. ' ' iwGb~.o... = ~ . - ~ ~ ~wcr'.CtlM~hpa. MrOvµ . fMttt~r W C~EMwiW1_N~n+E ~OC~~~ON ~+p o.+ ~•~w 't ' ,•.Cremation rt. °ie::ce Cre:.ia~ory,~ rort Pierc~_ rlozida • i OitE+~ .o.+. -~.i: -~-l~UNt~u NOrE-w~w~f ~wD aDW[SS ~ s~~~n Or ~.r +o . cn. w t.~n. ~ s ~ w~~~~ ! 4 7 ~~.Yatcs.~unerzZt1ono Inc. P.O,Eox~ly7 Ft.Pierco, ;~1~.33~50 - r. S? ~6 ~j ~ 1 E~A SiGM~~ ~FG ~~-yGN~fU~[ Nh pC~~v~~ ~t /Olr~ NG~f?W ~ ¢ ~•'.".l~~o• ' ~ ~:M nu r~ 3I 1975 i ~ ~ ' . . y ~ # f k i ~ . ~ ~ ~ - 1 h~y o~rtify thu ro b~ e trw ~n~ cor~~ct oopy of tM t~otai ~ Rpi~~r~rs rooord on file 1n th~ S~. luci~ Goun?y H~el?h Dop~ert• , ~ ~ e'1N~t ~t foA PiNU. Flo?ida. fILE4 ~K: RECOROED ~~`h~"~. ~J;' ' ST. LUC:~ y~~y1Y FIA. - ' ~ (We~~i~q: Not velid unle:s ra~swi wal ui th~ St. luci~ ~.l;r.+", ? _~iT~AS -.''ti' ` - . ~ ; ~ ,Gpunty HesHh OepanmeM i~ effi,cod.) CIERic C.r:CU~T COURT ~ ,,y,'~ ; ~ t!F^t~k^ VE'.'=1EI~ , ¢ N. 0. M1llER. M. D. ~ ~Y 9 01 Mfl ~1~ ' r Count Hwlth Off~ur 6 tiocal R~qistr~r = ~ °j y ~f~J~~~~ t~s~.l , S. Y 3-?.s' ~Gt~.~ c ~ ~ y a 30~111 ~ , - . ; - ~ pM~ D~puty LOUI R~v~stnr j _ . . I : . . ':i ~ .j ~ . ~ ~ ~ 'hS ~ F: ~ ~ w : ~ - ~ -as~ _ e ~z'r y, ~~~`y~r I~s.~~ ~ ~-V~~ C ~ y +t? p §~q ~~~{'K '~'-~~i~3~5 '3-~a~~ ~.,~r._.Y+~ ~r. , ~ ..a