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HomeMy WebLinkAbout1675 " • ~~vi r CL.~7IFIG c' OF DEA?~H _ ~ ~ / " Dep~e~ew~ ~1 IIe~IJ~ ~wd R •~dhe S~..ke. rrwTC f~~c No. ~w•~~+~~ FL~~IDA •?E. ~~HT IN ~~~~~0~ REG'C.TRAR'S HO. 37O • Y~M .NT INII DECEASEG-MAM[ ra~q ~•tt SEII DME Of DEAiM ~+O~tw, ~.q qu ~ ui .awoc ~a Hark_ns ,...ale wti~ercr~s , Jar es J. i ^ , July 19 ~ 1974 ~ R~CE ~.w~n. wfOp. u~~K~M ~w~.~. wGE-~.ar ~.-r.ei ~.e.• u..~~~ r a.. OwtE Of ~uM i.a.TM. M•. CdINTr Oi OE~iM 6602 .b~. o..,. ,.o,,.. R.., ~ '~Ihite ~0 N ~ is, : .Jul 8 1894 St. Lucie Cffr. TOWN. O! IOCAiION Of OEATM wsw cm ~ru+a NOS?ITAI Ot OTMf~ MSTITUiION-NAMF ~u .a ~r e~+w~, q~n s~r~. .w ruw~~ ~ wcN. ~~i o~ ~.o Ft. Pierce Yes „ Ft. Pierce Memorial Hos ital S/AiE Of WTN ~ r ro~ r. r.~.•.. r...i Ui11EN pI wnAT COUMttY MAYRiE~. NEVE~ MAtfIED. SIMVNHC SbUSE 1 M~Ml. OM ~uMN rYY 1 coM.n~ ~ WtOOwED. DMOKfG ~ ancn ~ uw.~~esa»ce , Kex York ~ U.S.A. i~arried „ Kat n Mc~Ially r.r~e ace•s~o SOCULL SfCutltv M1WER USUwI OCQ!?~Tqa ~o.ve ~..o w.ro~a oa+e ewu.o .os? p K1HC Of ~t/SNESS OR ~HDUSTR~ uree ~ a•m OCCU~~e r~ ~p~~O u,/. Mu r[lu~lO ~ K NqM ~r 103'32-~+91 „ l~;*ineer ,A Boaxd Of Education h.Y.C. •OiY~"~"~ ~ESeOE?~CE-Si~tE COUNTY CIT11, TpwN, OR IOCATiOH Mset tm ~ru~ S1~EEi AMO NUWEt « 108 Elrtrada Ave. ,N Florida ,ySt. Lucie Port St. Lucie No fAiNf~-NAA~E ~~eir r~oat ust MOTMER-MAIDEN HAMf ~MS~ rwp~ ut~ ~s Michael Harkins u Ellen Dt~nan INI011A~uM-t+M~E w?lwG wDDRFSS ~smt~ o~ .w.. tm w w.r, sr.n. tr~ Mrs. Kathryn fi. Harkins ~n 108 ~trada Ave Port St Luc e~' ~'~4K~ ~wti 1. OEA7N wA5 Uu5E0 ~r: jENrEt ONtr ONf~UUSE IEt lNE IOt (ol. (0). ~l~D (~li . ••••o•~••• ~~••rt.+.- ~~~~e. o.u~ .w a rw 1~ o uw ~ - t N~ i~ ~~.?1 ~ ~ S ~ .l W~ ~ ~ ~7v.\~ , • M ! . COMOIt1OM~. II ~IM, ~ MMICM O~r~ ~Il~ IO I 1~1rlDl~t! C~Yf~ 101. i ~ p. «.s. co.n~ow..n w: ft~11M0 ~M! YMOl~• ~tIMO C~Y3t l~N . ~t~ j ?AtT M OiME~ SiG?a~f~Cw?~i GOnD~iq?+S: co»aew~ co.w~rurwo w~.n. wr »o~ nun~ ro uvu em. w r.~~ ~ a~ ~T~~ ~ YES r~~~ r~..o~..as ca.- ~m ~dT..o~ 4M~lO ~r~ Olt~~r~w~NO 4Y1~ i IA 1~0 M o~~~w i~ ' {t..laM~) ACUDE WE A ~ rpwiw, p~~, re~u NpW IN1U~~ OCCURRED ~ e.ee~ wrwe d iwwn ntt ~ o~ nn u, m. u ~ ~ nOM~C~O[. OR ~MDEtEWwED s~wM { ~ 7w 1'Ga M. 701 ~NIW~ AT wptK ?utE Of Ml~M1Y .or. r.~.., s~~en. r~eron. LOCwi~ON ~ m~~ a~.~.s. .w., em o~ ro~+./, a~~n ~ ~ ~rec~n n~ w.ro~ o~.ce ww.. e¢ i wev. ~ ~ 7M 7M ~f ' ! a CEiiMKwtiOr~- ..w~w ~.r nu ..o.~m o.. .e.~ u.e ~.sr s.. .riw~ uM o.. ~ swioa w+ .~.r n.e DlATM OCCY\\ep •r me ?u~. o.. we } /N13KIAM: TO ~Y/ ~00~ M~M. tWU~~ _fS ~~I~. ~w0. q M M31 ~ : ' ~ •m.oee r.~ ~ ` ~ ~f ~ r a r. ew.n~ou. w,e _ ~ t1~ oece.s~o rw.. ~ ~ 1N ~ 7 74 ~ 71 ~ )1~' ? M. ~o Ma uwsen~ s~•no. i CE~tYKJ~T1pN-MEO t EtwµN+ER Ot COROwER: a+ n.e s~s p.~r ~q„~ o. a.s rwe Ncea.n ~.~s ~w.w..cro ~e•~ ea....+.nw d we ws..w/o~ iw »ms.w.no.+. ww~o.+. ~ .o-.n w• reu .~w~~ 4 Wa~M OCCW~lOOM M Mry ~MO ~M b w1f UilflHl iUtfO. ~ rn M.~r ? M ; CE 1 ~ • wn r/,~ ~ ~ S::,t~wT i ` m~ A S~GttED TM. ri j \`V~~~- L~ i1 ~ ? IJk ~ ~ . MA0.W CEffMEt u c..o. rw. n ~a+.. •n t ~ ~ ~ - .1'~ ~ J ~ ~ ~Wn~t. T~Oro. REaOVwI F~+ETEm' O[ f~E+w~TOtY-H~u+f lOCwnO?~ u~ w~o.r.~ sun } ~'~""'Removal t~~All Saints Cer..etery ~k Jensen Beach~ :~.artin Cty., Fla. ~ ~ ~ DATE ~.ynw, w. nu~ fUNERA? MOMf-NAMf ANO ApOffSS i sutu o~ ~...e. r.o., cm o~ row~, s~ur, tv~ L~ L.i~ # ;yJuly 22. 297~+ ,,.Ro~er L. Bv~ PST, T'~r.eY-al u T 8 16 S. Fec:. H~+v ~~a• 3'~%51 Y. S. i612 ~1JNEtwI .s OR-SK'.ru REG~SiWtzS~:~tut[ DAR lEClIVED ~t IOCAI ~EG11i~w~ ~ R~v.1970 tA C' ~ ~f ~ ta. ~l ~ 7y ' a fiLtL~ ~4; it~UR~ED 1 h~nby attify thb to bo a trw and corr~ct copy of tM Locei ST. U.C? - ~~~JNTY Fl~• . Rvpistrars ntord on fil~ in tha St. Lucie Gounty H~elth D~aA- F,;CE~ <i~~TRAS ~ Clt%,K -~L1ii COURT ~n~~Kll~ m~nt N Fort Piace. Floride. - :r ^ . . . . ~ ~ ' At~~~~ ~a~=rj••f,y~ ` a~nin Not va~id unless raiwd ~eal of th~ 51. luci~ c~ 9= Zp g 4a AK'?5 Counry Heshh OepertmeM is effix~d.) Y.o ~ ~wiN ~ . ~ . . N. D. MIIIER. M. O. ?-y ~ , r_ ~ • County HoaHh Off~ur 6 Loca! RsQistr~r ~Q~s ` • - ~~.~j ~ -1''~~?,~,~5'~ - > 5/ / -Y . ~ , ; i, h~ ~i .:t~, - - _ "z p~pMy Loul R~oistrer . ~ '~i 60QK ~~7 PAGF1~ ~4 :i ' _ . F ~ ~ . - _ FY_'..-._ _.~ajt ~ xk ~ ~ ~"e'-t~-~..~~~_ ,a.. . . . a. . . _ . r_.~_