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Home My WebLink About1245 305~2~ . CERTIFICATE OF DEATH . , pe~.w.eN .1 Ik.hl~ .wd R~6.MIu.~h~ G..kr. srwTt I~L[ No. iw.~w~r ~».~u~ FLORIDA • . Ir~t. O~ ~bNt -IN RCGIiT11A11'• NO 2OZ ~ ~ l~~MAlNMT INK OEftAStO-M~Mt ~~qt rrMe t~~i OAiE d OEAiN ~•oww. ~e~~~ • SFt MYNOH iM ~ ~ CLYDE HALI.~Y Iv0 ON ~ MALE ~'I 30 1975 ~ACE A~I. M~~W. ~rI~K~M ~.w.. ~GE-~•u ~w.en ~ n.• ww~ D~TE O~ N~ll1 ~.o~~. w~. COUNT~ O~ OE~ih . ~ ~a ~ wcr.. anr~• ~nus~ .of ~..f •ows r~a nu ~ ; ~ White 74 ! • Au . 5 1900 Sain u ' ; ~ 1~11. tOwN. W IOC~t~O~+ Or ~M r+~e cw....m HOSM~u M O:„Et M ~Or+- ~w .a~ ~mr~. ~~n s,r~~ Mr.r~~ ~ ; vecr. .~s w ~.o ~ Fort P'serc~ ~ F9Yt_ P' c~~iaLHos~itdl. StAtE d ~MM ~ r ro~ w v s• CITIIEN p wMAI COlINT1111 MA~MfO. NEVfII MAR~IEO. SU~1~IV S~OUSE IM ~M~. IV~ YMM MW ~ cc+ww. ~ wDOWEO. WMORCED ~ ~rKS~ ~ w~~•~......~. . rlorida • USA __J~.__~Vidowed None _ _ _ • .wn ~eu.u~ ~I~l SECIIMir MMVE~ - ItSU~I OCMi.iqH ~u.e w.aa ea.e evena ¦os~ a t!O O~ M1S~+ESf O~ uJOYSitr 1~~lO M Ol~M ' OC(VMI~ 1N i~O«AO lM. Ffr M MMN ~ n261-22-0501 A~~L Salesman ~,Fertilizer & Chemical Co~anv .If+DfMC~ M10N _ _ Jr- o.~n.w. ~~pE?~CE-St~tE ICWw~t~ C11~. TOM~N. O~ IOCAiION +~uN cwr irm ST~EEt ~t+0 ~xw~Ei l _ ~wca. ns o~ ~+o Florida St. Lucie Fort PiercQ Yes ~w 310 Pdo. 13th Street I~IIkf-N4ME ny~ ~yM~ i~tt MOi11fR-MAbEN H~Mf . ~Mf~ w~M1 Utt - ~ Franklin Norton Lill c~r 1 n son IMORM~M=H~tMf rUI~+G wOD4ESS ~s~n~r o~ .p . c~ c» ro.+. a+.n. tr~ _ ~r.Mrs. Vanc Thiessen ~~249 Berritt St. Rairfa Vir inia2203G ?~ut ~ • . ..o.~.. oE~n~ w~S C~uSEO ~r: ~tN?tR o'wr owE t~us[ rEt ir+E ro~ k1. Rl. ~?HO kp N/rllM OMMt ~M M~tM N '~.ra• c Ca-f c~~ .3~i 2~ ~ ~.i a.~ e•. a ~ a r~-e.s f ' . :.r~,.~o..~....r. Q•~. /7~...~..~JrQir L~Ch~w ar.~ ~on~rtl.o.~• ~~30~7J~ : c. o..~ ,u ~ a~ iNS _ .r~~N~tf C~~11 ~p~ ~~~~$gs-~.~/~ O/<<~~?-~~-`""~~~ _~,P-~~Hd_ ~aS~SC__~ 3 11~~Ir0 VMOH ~•R r(~ «~7 (fWSf011~Kt W~. y {1IMOC~YMUH ~/'vnC~JvAP.n~-un•/~ l/C/ < .c, - ~ b d o.~.~~~a / ~ £ -~~-~~r,~s+~+ ~ ~ T~UiOKt TM rfS .e.e nr~...os cow- _ ~ /~~t r AiM[~ SKi'~MKANT fQ~Ip1I/pH5 a~M K\~h0 ~O C~YSf OMr r~~~I ~'p1 Hf d ~o• LNq~ rw pn~ru~~b C~1Bf f~lAai'osc%rot,-~ fe~eb~~- r/asc.. ~a~ Glift4J~• AS//!7 yy. ~aJ ~ we.... ' , ~ =_1~ 7 ~ t?.~!e~1~1 K~iO!'+1. 'J'C~t W ~~f(~~~-~rOutr. M~, ~ rMnlM ~110W nalV~~ OCCUr~EO ~ Ir~t~ w~ M~.rvt~ .w r~n ~ w r~~t n. w~r ~ . N(~M1~IQ(: p~ UHOtil~MlNfD . 1swa~M i , ' 70. ~:w x~ M :rr ~ - - i IVRM~ Al WMR ~/:ACE O~ MKAY~~ ro+f. r~~~. fqlst. ~~t~0n. IOCAf1ON • snen o~ •..o . c~•• m~u..~ ~~.n, . .~s r .w. 4a,.., .,.,~m. ; ; x. ~n. CEtI~iK~TKM~- .a+.. w• n.~ +orw. e•. .~.o ~.s~ sa u~n o~ ~ ~e~ w~ .w ot~r. Occv~~to ...?.a.c~. w M { /Nt{KI~N~ TO ~M~A hM •nN N~A ~ ~r'N a ~~ti. ~M. ~O w~ Mf~ [ . .n~rMe ' q •7 M tr0~~loW evf n. o~~~.,.s / L 71" 3 3 0 ~ i- n. 4 -3 s 7u ' 7i. _ v~ . P" 1i .o ~w u~v~~~ y..ns ~ Q~TMIU~ION--MEGKAI ErAM~i'fR O~ CO~OaEl- a+ r.e o~ M ~...w d w.m ~ecev~.o ..s ~.o.~an.cre c~.e ' . ~t~~M~~~pr~ ~V M ~00~ ~~+0~^.f M wilff~v.~~.n.1. w~ r~ Mrrp~. rV~M O~• .7.~~ ~i ~ OI~M OCCWM! d MI !~N w0 OMI ~O ~~uN•a~ )~~r~0 " _ " _ _ _ ' ' _ , . _ ~L • I^ e ~ Cf~tiirf~_r~~M[ rnry M r~~w• ' TSK.N~TI/R~ M i77~ ~ ~ • . . ~ SI~TI SK.NfD . M O~D~~~!'Y . ~ ; Oswc~ ~a/~ de..._1c ~ v ~~x-- ~./~-~-c.-cr+.-.~,,.,.z~ ~r - - - 4: ' --'r - ruskw ~~ess- ic.r~rKe ~ ,.-ni• n:.:. ..r_ -~,n oi~oJti . . - r:. , ik ~~S ~~/'pc? S~.1t / Fv~r i.~~cc F~A ~i./~i. ~URMI. C~f~unOr.. RENOv~i .CtMFrt~v M C~F~u~O~r- N~u~E ~IOC~t10M v.•~ . ~ tnun , Iiurial ~~~~Ni.llcrest Mem. Gard.._ j?~,_ _ Fort_Pierce, Florida__ O~tE ..o~~. o... .r.n ~?ur+f~~l HOr~f - i~~~u( ~aD ~DD~ESS or o ro. cn. w•o~. +r•.~. w~ ~N A ril 2, 1975 Yates Funeral IIome ox 777 Ft. Pierce, rla. 33450 v. S. ~F, V ~W[~ Db _ •n RG~ r~~~_-SrG+a~Wr o~~e ~ttr~to n iocu no~snu f ~ iotn A il 4 1975 . 7f? 7~ 1M i ~ 1 ~ • . . _ ~ ~ OF 1~N LOCl1~ . • . . : i ~ i h~nbY o~tify Mb ro b~ • nw ~nd corr~ct oopY ~ 1. i. ~,';f 1 ~ Rspitt.e~s roeord a+ file in tM Sr. lucie Goun~y H~alth DvpeA• , . ; ~ Fto?ida. ' , . , ~ ~ ~?t N foA PiNte, os pqDEO - . ~ fILEU a~-,~ifNTY ft~. v~ • - ~ (yy~ning: Not velid unle:s ro~sed teal of tF+~ Sf. luci~ ST. Ll•L -1 x County Heal~h Department is effix~d.) ROG ~F ~L~TRi?S _ i RfC`°~ y~ ~c EC ~OURT ~ r, - ~ . N. D. MIIIER, M. D. ¦u t~~ '~,'~r~~ .i - ~ ~ty H~ith Offic~r 6 LACSI R~qistr~t ~ i` ZQ il~ ,~'f~~~~ - Y;r.;~.. ' ~ ` ''4~,'~~'+ ;~l"'•". ~ • . . ~ ~-1- ~ f ~.t ~ ' ~ ~ ~ ' ~ - ~ ~ D~1/ty LAC~i R~O~SfrM ~ 305`725 ~ ~ ~ ~ ~ . . BooK 238 PACE 1244 . J ~ ~ . ~ _ - - ~~-a ~~`r t~:a. ~C ~~'c"~de~~v...v.,.. _ ~ ~ `~t'~` ~ _ _ _ . .