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HomeMy WebLinkAbout0964 f • CERTIFICATE OF DEATH ~ ; • [k~..aK.~ ~~.~.I~~ ..d R~.6~ie.u.. s~..~. F L O H I D 1l rrwt~ F~~c No. 13 3 + , IMYl4llfi (1F fIFA1.1M Ir?t. Ot ~tlNt IN . 11[OIRI~A11•a NO NlMAtNM INI[ OKEASfO-NAMt ~xn ~~u SE1I OATE p OEAM ~•o+tr, qu. . SEl YMIOOI IM ~ PLNNINGTON TAGUC t MAIE , March 1 1975 RACE Ah. WOq. ~~IMC~M WM~M~ wGE-us+ ~w~w~ ~+u~ w~su ~~w~ O~TE Of MtM ~.awr. w~. COIlMY 01 Of~TM nc ~ wcn ~ a~w~~ ~ nu~~ ro~ ww~s .M n~u ~ • ~~ite 65 A ~ Ma 19 190 Saint Lucie 6 6 0 7 m. To~+. a? T~ON OEwM wnw cw. ~rw~ MOSMTAI OR O:NE~ NSTRUT - ~r r.w w ~xw~. o.n s~r~. a.~ w.w~ ~ a. ..o w ' es Fort Pierce Memor3.al Hos~ital ST111E p MRM ~ M MOt M Y{~.. w~~~ iUEN Of W1M1 CO{lHTt11 MAldED. NEwEf MAR~IfD. SIRwIrMCi S~OIKE ~ r ~A. oM r~~e~+ w~w ~ tan~w. ~ WIDOWEO. ~ retn ~ . p~«~«~ ~ Iocva + iISA Marra.e Wanda Snyder__ _ ~~.~o r a~w SOCu~I SECINItv WWf~ USUAI OCCWwT1pN ~an a~n o~ .wa wne wn.a roH p RlID Oi MlSNESS OR WDIISi~t OC[ VM~~ M ~OKrO lM. MN 1/ ~~MN ~ ~~509-03-9995 „ Doalershi Automobile :n~wnC~ MqN w~~'o". ~ESqEnCE-St~tE COUNi~ CTI. TOMTI. M LOCATION ~+s~N cw~ ~w~n STltEI ANO NUWEt ~ / fMC.n tH p MO ` ~h FloYida St . Lucie Fort Pierce ,.,Yes ,w 4054 Greenwood Drive ~ t~tME~-tru~E .~n* woa~ i.a MOTMEt-~ulOfN wnME ~+s~ .~eae w~ ~s Unavai lab le Unavai lable _ ~?MOW~Ni-NAMf MA~u~G ~O~DlfSS ~s~at~ w~.r.~_ w., cm w q~+. s~.v. tr• Wanda S. Ta ue ~n4054 Gxeenwood Dr. Ft. pierce, F1a.33450 ?yr 1 pEwM WwS CAI/SED ~EHiEf OM~ ONE UlaE /E! lNElp (!A 11ND k~ w..~er~ous~+ M M~M ~ ~ N [~Yf! - 9e ticemia . . . COMe~~~Orf, ~~n. ~.....,..o j~•~ Acute Renal failure ~rr~M•~~ C~vf~ ~~r. ~ Wf M. M~f ~ CO~HOY~+C~ M~ ft~t.r0 rq~' Ilr~~~~ ' ' n~.o c.~u i.fr Severe Rheumatoid Arthritis ?~tl ~ OTMf~ SICs?~iKAMl COlAITIQNSr CO~+Mnpr~ COMM1pMG q M~M ~v~ rOt NI~A~ M C~YL OMM m 1u~ ~ N~ wU?OKr / rES ~Hf IIMNMO~ CON- p.pr YN~H M+ M?l~rrr0 WM . p~ ~~~rw ~ ~w. I10 ~ ~w ' ~ qwloM.l ~fC1GEr~ L7K~E ~i ~€~1 M~-~ rO~r~. o+~. ~ ~MOW INN~I OCCUR~EO ~ twn~ ~u~ p~.rvn r•t~ ~ M r~n w. wr ~ ~ /4MKWl: Ot I?O~flU1~~NlO - ~'M - 7~ M ~ . i , ~wAl~r ~i wpi T'nw~c ~ w~xr .o... ..~ro... ?ot~tw~+ ~ snee~ o~ .ro . em w rov.~, sr.n ~ . 5 ' ~~nc~....to~..o~ ~w~~aMO.:.nc ~wc+.~ ~ ~ . 7M ~ 701 rf ~ . ~ k CE~iKK~tqN- ..o.n. N~ ~1~~ ; O~~ ~1~~ ~M u!~ M~ wr:+N ~~M OM ~ MO/MO MM Mw iwll ~tM OCCYMlO Mf ~IK/. b+ M ~ i $ 7M~tK~•n _ TO ~ rO~tw e~• nu Wd~ ~nN M~wi. NN~ e~h. ~M. q M Mfr , ~ ~«ew w ¦w~.v~ea. wt . n. o~.....~ 2 24 3~ 1 1 did __~:8 i 40P M ro ~w e.ofen~ t~•n~ CE~ir1Ui~0r1--rEOKAI Etw~+M+E~ OR CO~ONE~~ o.~ ~w ~.s~s w~w .ow o~ w.rn r.~ s~eea....ra r~o.+w..ce~ e~•~ - t ~ur+i•nw o. w~ we• •w/o~ ~M +N~SI~i~r~~r, n~ p.no.r. ~+r o.~ ~ .d,r # «~,,..~o o.. ...o •o ~,.~e 8 ~ 40 P M ~ m 3 1 75 8 s 40 P„ ~ Cpitfif~-NANE ,~ti w raN.~ - - - 51GH~TNfE , ~ weae w •mr 'O~~f SKa+EO ~ra+M. e..,.wi . Shaik A . Khuddus, M. D . ? sSti'` : ~ _ _ ~ _ ~~-7~ • • Ki trN~• •.o, cm .o~... n n. ~ '~AQf"~o~$`~ 7th Street Sui~e Fort ierce ~lorida _ 33450 ~unk. ctEruno~+. eEMOv,?i WEtE~r OR C~E+~utW~-w.u~f ioC~tq~ u.. o. r..~ s~.n ~ vrcw.. i ~ _ Burial_ N~Fort Pierce Cemetery_1N. Fort Pierce, _ Florida _ ~ O~t[ ..o.nr. w. ~f~~ ~ fUNf~~I NOME-N~M( ~r+0 ~pdfSf ~ sn~n o~ ~ . e .o . cn. w ~o+.., aun. nr ~ . Ma h, 1975 ,w Yates Funeral Home, Box 777 Ft. Pierce, Rlorida 33450 Y. 5. Ifi I ~ ~IMERA RFGIST~AR-SrGN ~ ~ 0~4 ~tC~~rEO ~r ~OC 1~tG~ t ~ ~ : ~ a... ~9~0 ,~,~,CJ ,o March ~ , ~~9`7 5 n. ~ ~ • , i,ocA~ ~ ~ i h~nbY o~ify M!~ ro b~ e trw and corr~ct oopY of th~ ~ ~ Rvpi~t.•r. reoord on f~ie in th~ St. lucie Coun~y Hasith ~srt- ~ Florida. fILEO 1?p~` Ft~OY FLA. ' ~ ~ A»nt N fOrt PiNU. UCIE LflUN1 ,•i~i.y~ ~ - ,~R~S 4 (Wetni~g: Not ve~id u~tess ra~sud seal of th~ 51. Luci~ . Sj. aO~L _ ~U~T COURT ~ J~d ~ Gounty He~hh Deparrme~+~ is effix~al.) C~ERK C, ~:f'r,.~~• ~ ~ ~`~-,E~? - a~ aEGG' rE" ~ 5 : ~ : ~ ~ ~ ; ~~t ~ : ~ ~ ~ 55 PM ~ N. p. MILIER. M. 0. R i=. ~ " ~unty HwIM Offiur 6 Lon~ Rpistr~r ~ , . ~ • • ~ . . ~r . ~t - ~ ~ ~ r~. ~ ~ • - ~ S ~ 1~~ i~ ~t,` ~ 7~ ~~O 3• rS%-. ; ~ ~ R.o,s~... 3US~3 '''~~~~~.~'~'f~- ' ~ . ~ ~ _ BCOK ~~p PAGE 9~ ~ ~ J ~ : - ; ~ v. - - _ _ _ _ _ _ _ _ . ~ u ~y ; ~ , = ~W ~ ; , ~ ' , ° :