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HomeMy WebLinkAbout1726 21264 Carroll ' • _ , - -~..t ' ~ f v~'' .=c ' . . ~ 3os0~$ ~ CERTlFICATE OF DEATH Dep~A~e~t ~1 11eihL u~ ReL~b111M1he $enlns fTATt FILt NO. avwow or ~w~rn F L O 8 I D A - TY?E, OR ~tlMT IN ~~~~~~0 11[61fT11A11•C NO. 34Z - •I~MANlM INK ~_N~ rwt rrK~ u~~ SEX DA1E Oi OEA1M ~ roMtw. ~~r, seM ~ - , CLINTON CHARLES CARROLL :.Male Jul 2 1972 ~ 6602 dCE .n~m. wo~o. ure~aM www. AGE-w+ ww~ ~+u~ woa ~ w~ OwTE Of MRt/~ ~.a~w. ~r. COIJNir d DEnTH 3 2-11-26 St . Lucie County • • White 46 A. k ~ ~ , iO~w~a, O! l 1N ..ww c~nr ur~a MOSMAI O~ Ote~ NS - ~r ww w enrti o~re s~~ u~ .Mre~ ~ wcr+r ns o~ .a + ~Fort Pierce yes „Ft. Pierce Memorial Hospital STwiE Oi Mt1M ~ r wot N wue Crt1IB~'Of Mrt1Ai 001lN1R1f MAivEO. NEVE~ MAR~EC. SUfrtvNfi SPOtKE ~ r wt. one w~rr ~ ~.~..a.~.. ~.Geor ia ~~,.U: S. A. ~ ~a°rra e~~~`~~ „Mary Alyne Greenwell ~ .rner ~ecua~ SOC1Al SECIlMi1f MM~ER USUnI OCQ1/Ai101+ iam cw a raa w.e w~wa roa a RM1D Of M/SlESS O! IND11Slfr uvn. ~ w~ VOSMO ~Ml. MM Y~tMN 1 Mechanic ~Construction ~„y,~,~ ,,.253-32-5116 u,. .srssa«. ~ESIOENCE-StATE GOIMn1f Crtll. TOWM. OR IOCwTWN ~ c~v trw~ StlEET t~ ` ~ vec.n ns o~ w ~«Florida St. Lucie ~a. Fort Pierce Yes ,w608 Ohio~ Avenue fAtME~-NAME rwt rwa~ us~ MOi?ER-MADEN NAME nw ra~e uu . Homer Carroll Vera Vann tNOY~u?M-NAME wUINC, wOD~ESS ~sma w a.ri. w.. an o~ w.... n•w. =r~ ~ „~lrs. Alyne Carroll ,n 608 Ohio Avenue, Ft. Pierce, F1a.33450 i r~et oEnn~ wws caus[o ~r. ~t+n[e o+xr a+[ uusE rE~ u+E roe h!. Al ~??o k11 wn.n~ a~se. uw N.s ~ N. N' ~ ~~~1/ i , . , ` _ cor~moMS, u •w?, ~ 1 rwKM o~v~ ~~fe b A) : - ~rr~M~n Uvfl ~a. M ro. w~s ~ OO,+stYMK~ d: i {tAl/MO iM! YM~M- 3 ' ~~IMO CAY1~ V~1 ~ , ) i - S ~ - rwer on+tR s~cr+rK~r+r wrorsr • r[s .n~ ~~¦e~~os cw- 6 ~ : w.~wnw wn~Mwo ~o wm w~ .a~ uune w uvu w~reM r~n ~ ~ . ~ L ~ ~ ~,es o. w~ p:u,: «n..~.~.w u.u ~ •-(i~4- ~w. ~w i ~ ~ ~OE~K O~ Y~iF1MMEp A ~.oM+w. ~tw~~ MOW ar OCCUteEO ~ iwn~ w~un d Mroo ~w r.n ~ o~ ~~n r, wer ~ t ~ ~ . 7w 1k- M. !Y. r_~ ~ IN1Ut1f At WORK E Oi N1lR~ wo.r. ~ur. snea, rwc+on. IOC~TON ~ snu~ w a.r.~. wo.. rn+ w wrM. s~~w ~ 1 MK~A T~t M MO 1 pnlQ MM.. fK. 1 f/KYr / ~ : 7~. 7M. ~ - t CEtTIfKAiION- rwrM w~ ~w rww~ o~~ reu uo us~ s~r ww/rr une a+ ~ MC/qC rOt rR~ A! O(wM OCCYMEO n we rua. o.. w ~ . ?MtiK~~W: y ra.n~ e.t nu wM u~n euw~. ~woaer q ww. ue. ~o ae ru - : 1 ~~RMMe M! ~o ~ ~ 7 ~ T~ / ~ ~ ~ ~ ~ n j~ J p r~ aWwlOGl, W! ~ t1a oeu~s~o ~ror tl?. !1~ ! ~ ]I/. v !h. Il ~o s~t uusea~ s~• . ' j CERTYIUTION-MED~CAI ExAMRiER OR COtOnER: ou rwe ~.a.s a ne ww a x. ~•e ~eceoxn vu rwroi~ces ee~s 3_ ~ ew.wnw a~ we~ ue/o~ ma ~nnsrou~, w.n a.oa.. r/w ' O~~ i•W ~~'y ~ ~a•m ouuneo o.. ~e we ~.w eua q ae c•ustw suno. ~ t1~ , CE4iK1fR-NAME ~rne o~ rer.n SI(iNA E' nnt . A O ~ra.n~.- w~ ~ . ~ . ~ . ~ . ~ ~ MAIING ADORESS- R/iKf s~nn w~.r.e. ..o. m o~ •w - ; ifi ~ { WRIA?. QEMATION. AL RY OR CRfMATORY-NMIf lOG?iION un q w... sr.n ~ . Wa e Geor ia - ,M Removal ,N Screven Cemetery YTl ~ 9 ~ O~TE ~.~wnM, r~. nu~ RINER/LL MOwtE-nu~?~E ~O ~DORfSS + snen o~ ~.r.~. .w., cm o~ wvrn, sun, tr ~ ~ ~ r„ Jul 2 19~2 ri. Rt . Pierce Runeral Home 106 So . 4th St . Rt . Pierce ; _ ~ ~ Y. 5. ~612 f ? DItEQOR-sK',ruru+f RE -Src.~urutE ow t[o n iow aw~srw ; ; ~ ~ e.~. i9~o rn ~ s ' iv : sw. ~Y 3 s 1972 ~ fILEO AN~ N~G~~DEO ! i ~ . ~ her.tyy aerrif~r this fo b. • tru. .nd aoR~w oopy~ of ths Locai ' SL WCIE~44UNTr flA. ~ _ , Repittr~a rooord on fik In 1h~ Sf. Lud~ CouMy Hsihh D~ef- qOCE!'_r ~ Tit~S E ~ mM1t ~t FoA Plsr+O~. Fbrida. CLER~ :i:.Ct!{t COURt • , t , ~ rk•~tiED • . ~ ( W a m i n p: N o t v s li d un l a s n l s s d ss~ l o f t h s S t. L u c l~ RfP~lF~ ~ r: ~ Counry Heelth DspanmsM b ~ffix~d.) ~ t2 ~N ~~5 ~ ` ~~r ~ ' + ~ r 32 ~ .~s~;, , f ~ N. D. MIILER, M. D. ' -l - ~ ~ - : ~~t'°- HNI~h- OffioK ~ Loal iGpi~~r ; . ~ ~ ; . . `M~ ~ C~ ~ ~ . 30~~~8 . , , ~ . r ~ w y ~ ~ . 1,~•' ~ ~ ''S•1~. 1'~ y~~~~7~ ~L~ ~ ~ . ~s! . ~ S~~' ' ~.y/~r ~"4 \ ~ ~ ;~'tYvj~.y~ ^ ,~~..I'"t~_ ~ '~r~. ~(+.'4.iyi: ~ ~ ~ . . . ' i.'~ ~ i t f~? ~~!~i!/~jil f ~rh' i ~ ~ ~ . S~Q~~ q~r , ~ ~Ab( ~ ...~~~g ~ ,;fr ~ i . _ . . ~~^a ,.,.Y Y`~~~~~µ'` `.c ~ ~ ~x,.:.... rm