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HomeMy WebLinkAbout1754 4L/ ~os~.oo . ~ ~ : . o~M ~~..a~ R.~.~w~„.,. y.~~ CERTIFICATE OF DEATH . ' ' nn~i ix ~~w~.n~ ~wta ?w~ No. .~n, o. ..„.~'o, , ~•••.~..........,s F L O R I D A ' N~MANtNT IMR I~I6IRIIAq•• NO. 19~ • ti1 YINNN 1M au~~-~~~ . ~n~ •w•~ SEa WIt p OEwM uo.s, u., n•~ ~ ~s~wcn~s ~ E. ; . ~ ~.Male March 25 1975 ~ACf wM, w~NO. ~rMt~r ~w. AtiE-up w.~ rre~ ~ w• OAtE p M111 ~re~, Y•. COIMIR p OEATI Mt. ~ MKr~ ~ ~•t ~twf~ rM_ Yq ro11q w. A~~ ~ 76 k • Sept. 24,1898 St. Iucie~ 66~2 , . . t~i~ rw~ cw~ ~rww NpyhTAl q O:Mf~ MS ~r ~a r~wn. Nw r~ r~w~ ~ Ft Pieroe - ~ ~ • h ~es 1230 Ave. B • ~ ' sun a M.m v...... a wwa cownr wuuco. H[vcR wu.~co. w.mv«c sroinE •~.....w. r~ .Mw , Michigan ~ USA M/O~,°' fOiecT~ None ~~~~M ,i~ . MWIt~ YSIMI OCM~i~Or~ ¦w a~ew ww ~w+n .or a RMO Or ~IKNESS d MDVSM . 469-O1-9823 ,;~`~s`s°' ""~""'caretaker ' School a ~na. u ~EWt~t._ft~Q COIw~tT G/t. tOwM. W IOC~nOn c~r ~rn 1 4E MIw[ Flarida St. I~ucie Ft. Pierve `~e"s 1230 Ave. B IAt14~-1I~ ~ f~_ ~M~ . uM MW~~-M/AEN M~a'_ tiN ~w~ Y~r N 1~ 811~~11 `'Q~ ~ IM~O~M~M-MM~! M~I~+G ~OwESi ~rna a~.s~. we., t~I M W~M. ~Y4. n~ . ~e 1''~~~~ ,r 1230 Ave. B., Ft. pierc~, Flori~da 33450 ' ~ FI - ~Yt L O~AM MAf GVSfO ~T~ {[N~[f OM? prE fAUft It1 l~ Id bL A~ A/O ('J~ ~noir~ r • V . ~ HMM O.n~i u~ M~wl ~ • . Q M~ ~ ` ~ . ' ? ' ~ • ~ ~ . ~ COrM1OM~ M ~q1 C ~ _ . ~~~C~ ~I~~ ~ A~ ~'7L r ~ r~qM~q tqN Ny . ~ . ~t~Bw~ tN O~Nl~ ~M ~O. O~ M : Or~ - - . ~tr~N C~~N ~t) ~L ~A~~ 11. OM~ 3~ONr~CAN? COMDrtIp~Qr .tO.~~b+~ co.w~~~ ~O M~w M ~q MY~ b~NM ~wM « tiw ~ yl MRO?fr ~m p~OI MMH~ M NA riwr~ ~ ' u O~ N~I~ ~ ti /•0 IA i ~ _ r p IMtMW1R~ 1~w~. M~, NQW M111Mt OCCVMEO ~lr~~ rM~ O~ wuM~ w rM ~ p~M~ w. wq 1~1 . I ~ e~ff ~ IM11MY At MO~k M. ~M. t . ~ v~cw. w~ M w~ t d Ml1A~ u~o.~. r.r. uc~w?. lOCA110M , ~ E ew.c~ w..nc. ~wc~.~ ~ ~w~n w~.r.~. ws.. c.~. e~ ~sw.. ww ~ ~ w' ~ iy . • ~ ~ ~ ctttsK~lqN- w~ a~n er ~ . . ~Mt~K1U1t 41b M~ Atl ~OM~1 M~ ~tN Yf? Y~ M/ N/M ~+01 ~R~ Iq M~NI OCCYM~~ ~t My ~ ~m+M wy t0 "°"u'.. n.~ ~ew ..w~ M~~.. ~..n. a+ }h NC~~N~ AOr • ~ j~ . ~ , / ~ ~~ti~ ~ d r~t fW~U~p ~p 1 C:Rt~K~TqN-r[OKM f ~ ~"r _S' fN. tM M rs ~w c.~ra. ~.iwi M~ r OM YYt O~ A ~Or p~ ~W~ M~~ M~ M~~{~W~W. w~n p~~wy~. ? M r` ~Y fM.w ~If ~ ~ O+ M M~~M N~ b ti(~~MM f~~w~. ~C' Mt ~t~~• ~Ow h ' . ~E. _ //~p/ ~r„ - ~ M» , s - 3~~ ti ~ ~l~ V r / ~ ' ' NO M ~T~ A ` . .p - ~M~ ~ty~ • } i • Vf ~ ~ ~ • MAlN6 C frR ~ ~y " ~ . ~ ~ ~i < y n• w ~ . - • ~ )M J ~ w M . . .C. C .C- ~ , • NJ„At. C~EMU1iON. Al f/MEI[Rf p C~f~4?TMI_N IOCA .J ,~.`"I~anoNal-Burial Y~s2, ' p. . eY Cenetery Grand Rapids Michigan • f M~. wu~ ~iM~Et~I MOME-wAMI ~raD ADO/fS5 ~~n r w~~.• w~h 2~ ~R. a ~ , • •.s..6.~t iwe. « ~0~ N. 7t,~' St.;°~t. ~lerce, FlOrida 33450 ~~~.1~10 ~j j~.lJl' ~c i -W,++~?u~E ~•w an.~~l~'ll~.~~ ~~~~/S ~ . tw ' , ~ ~ ~ , ~ , r • . ~ FiLEO ~ws~ eECUrcoEO ~ ~ ST. ~u~i~ ~OUNTIf FLA. ~ h~nby oKtify thb ro b~ s tiw ~nd oorr~ct aopy of th~ Loce~ Rc,C~ ~=,?iTRAS ~ Rpbtrer~ reootd on file In M» St. ltrcia Ga+~fY H~elth D~art. CtEFt. C. : JfT COURT ~ n~nt ~t ~ fort P~•u. Flo?ide. Qf'' " `s `C`~~ t ~ J, (~Nerning: Not vslid unless raised ~eal of'th~ St. luci~ ~ ~~i , ~ County Hea~th Department is effix~d.) AP~ ~ l 2 36 PH 75 ~ _ s_ ~ ~ J - 3(~ • - - N. D. MILIER, M. D. ~+~~VO ~ ~ - ~ . _ - y FiriM OffitN 6 I Rpiab~r ri ~r~ ~ ` ' , ` ' /G - ~ ~ ~ _ ~!~tt~~~.:~~ - - D~A~ D~pu~1? Loal R~oisn~? ' ..t'',' . ~ ; . ~ooK238 P,~1751 ~ t ,T J f ~ . r ,.i : : - y Y c: i ~ ~„'~r ~ ~ ~ ~x, : r_r,~t9z:, ~