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HomeMy WebLinkAbout2054 o ~ CERTIFICATE OF DEATH , De~Awewl d Ilnh` ~ R~Ir611N~N~e $m~hes RATt FiLt NO. t ~ ' ~~~taw~r ~~r.~~n~ FLOAIDA ~.rc. w?nat a~ ' IItGItT11A11•• No. 206 ' M~MAINIA INK ~EA~_N~ .~~f~ re~e~ ~~ti~ jE1[ OA/EO~DEI~M ~•orm,~~~,n.~~ ~ ~ ~~"'s~'~'~'a~ ~ 'E . ST S VENK ~ MAIE ~ A ril 6 1975 ' ~ACE ~~f. ~~O~O. ~y~K~r ~+N~w. AGE-lafi wa~ ~ n.~ wa_~ ~ w~ GAiE Oi NtiM COIM~~ O~ OEAM ~K. 1 Wto~. MHM~~ ~h~~f1 /Of M~f ~~WPf ~M Au/ • . White • w 65 w Ju1.24 1909 Saint Lucie 660,1 . TOwN. tOC~ 10N • •~w cw~ irw~ HOS~iint O~ O~E1 NS - ~ r w~ M+ ~nw~, o~re ~wn .wra ~ s.ea•. .es w .a ~ Fort Pierce Yes N D.O.A,_Fort Pierce Nemorial Ho~ital SUTE O~ b!M ~ r wot r~ v?~.•~~~~ CITIEN O~ MI1tAi COUNil1I MAtlIEO. NEYER MARMEO. SURtlNMf' S~OIlSE I M MM. plrf WMM M~r ~ c ww. ~ v+00wfD. Orv~QRCEC ~ wc.. ~ .i ~North Dakota • USA Married Mabel Paton_ _ _ _ _ _ .+wu nct.~t~ yp~~Y SECVNt~r MMyE~ - - tISY~I OCC1N~il0~+ ~o.~ a..i w¦~ow oaw Mwwa •osi w twO O~ N1S~+ESS O~ w~DIKiRr ~~ne M p~M ~ «c WM~ M ~ r0~~~0 111~. M~ M Nn~ ~ . 501-03-4643 A ~~t Internal Revenue Service > ~ YOlM~ MbM a_ ~ 1 , wf~o~+. ~ISIOENCE-ST~t[ ~COYNI? CR1l. IOMM. O~ IOCAT10?1 rasM cwr ~rwf ti~EEi AND MM+R~ ~ _ ~ ~ vew. ns w w . ~aF.lorida ~t» St. Lucie I~'ort Pierce Nu ,~.32G5 S. Fed. IIw . ! fA?Irt~-H4ME .hy~ w~M~ uft MOi1rtR-AtAp[H N4Mf ~rf~ +~1 ust ~ ' . ~s Fredrick ~ Schc~enk Henn Schmutzler i 1lMO~MANf-a~ME rulwG ~OOIIESS ~sm~t o~ s. wo . cm M a.•.. f~•w. tr~ ~h Mabel P. Sch~venk ~n3265 S. FQd. H~r . Ft. Pierce FIa.33450 ; rnnt ~ p~atN w~S C~~SEO ~r: ~ewr[~ o++~r a~[ c~usE rEt ~aE ~oe Nl 1~L ~v+D k • ~ b• ~ • ' N M11ryM OMMt ~M M~M ~ A ~ ~ ~ISpNyX ~~9 ~ • i . . COYNt~OYt. ~Mt ~ 1~~ s o... ) ~~~~OI~~! C~VN ~O'. ' " _ _ . _ . I 'f O~/f M ~1 ~ CIWS~OM~+[~ O~~ • ~ ~~~tIMO ~~t YM~t~~ ~ ~ .,,..a f Jc~ ~E/1'TfI L O~il! ! ~G~ ~ !_~/P _ _N_~/ ~ ?~~t • OtNE~ SIG~~Cuai rpHpt~ co~w~no.f caww~.»n ro«•.. ~.o. N..a~ ro c.o~a o.n.•~ r.n ~ v~ ~~VtWSr 1 ~f rE3 .r~~e nr~~rof ca.- ~ a ~ ~~i M w0~ AN~~e ~r Nry~r~rw0 CNIN : ~ ' ~ ~ M O~~~M ~ •~a~~_ ~w _ ! N.~e61~ 1 ~CC~OEv~,'•J'GGi O~ NRI~T~wO~lr. M~, rl~~~ TMOlIf ~ NOW IN1U~~ OC~ ~ff0 ~Ml~ N • M• IU• r~p O~ r~~r n. Mr U~ ~ 1i ~ . MO~MK10! Ol UNC~tIliMRXD ~ I I ~ A ; i l ~ NU ~ /T ~f/E !3t%)7?' A.~.~ , ; ~t t~pr~vT ::a~ d 7 s~ ~~l? P ~sr~F~~ ~E o«~~,s~~L/g4„Q ~ ~ ~ ~ i ~VIU~t AT WMR - /UCE Of INqA~ ~r ww. fnfn. I~[~d~. IOCAf10N ~ fn~n w~..• .w . tn• w w.. IiY TN~ L?/~T~ c l ~ ~frec.~. nt o~ ~.or a.r. n~... ~Y .yr~(wv~ , ~ ~ s. r~ R L~ y' i~. FT P/~'Nf,~ /?~t ' Tss+~EE ~ 1 r ~ CE~TMK~T~Oa-- rn.nw •eu ~ ro-.w~ s.• ...o us. s~. w..i.w u~+r w~ aeie~ w~ M Of~M OCCVNIO ..K n.c~. a+ ~.e ( ~ ~MrSK~~w• _ T~ w..n. wr nu ~om .rm a.~ O~h. ~r0. q ~M Mt~ ~ E ~~mrlHb M. ~ r . M r~ ~Np~NOfrf. OV~ ; ~ tt~ aa.ve no. __~7~~ Y 7? ,ik tU ~_~D i fl. ~ 2..~r~_~o ~+r cww~s~ sr.we a _ ' - iM1 NCfOlM ~~f hOW11~(~O OHp CERtr1UIK»+-MEDK~I EY.u~Mrf~ O/ CORO~+E~~ o~ nn usn a.w~ n~ f ~~~r~~f~pu ~v M YJO~ O ~M tw/S•V.~•+w, ~w t(»wy~d~. ~O~M O~~ •~•r 'M~I~ 5 ' N~rr ~CCN~~ l 1 R M tr~n ~ Z V / ~ ~ ° ~~%r~~- ."L~'~`h~~~ti~l'_~ ----~sT~ _ - - - - . . ~ . Cfln/fE~-Na~F ~•n, _ ' ~ S~l-H~t ' n~~.~~~.~ 'n~ff SK.~+EO ~.Kw... o~. : ' CA 1- 'TO N ~-4 - E-- 1ks ' ~ 7 , ~H - V 2= ~ ~ ~f - ~ y~l - -R~i~i ~t wr o~ n o~ r.. . '_r~~ - l~ 71i ~ t. _ ~ a.•^ t - a' i S?H~wl. C~FwNIq~.. af~i~. CIrFiE~r pf C~f~ui0~~. _ ' ,IOC~t10M r.« s..n e l ~ t tMCM ~ ' -R~roval Burial Highlar~d Mem. P9c. Cen?. ,w Provi.dence, Rhode Island * ~ D~iE Wr. ~~N ~ ~UNIIy MOME - HAME AFIO A(ipi(SS . s,~ea o~ ~ r • »o . car o~ ro.~. +.u~. nr - _ . . . . - ' : j 4-11-'75 yates Funeral Home Box 777 Ft . Pierce, Fla . 33450 i ~ ~11 , V. 5. 1 ~ t11iEf~ -S1(y ti~T) ffG 1~t~-SK.M~qhTE o~4 ~[C/w••to 10Ce~~~t41 s}!A1~ : N ~ r. 1910 tf~ - ' tY [~~7T~11 U ~ ly / ~ . ` 7 i = ~ ~ ~ $ ~ ~ h~by oKtify thb ro b~ e trw ~nci oor~~ct coPY of tM t~oce~ fLLED a~,• ~E~O~DED t:,.- ~ ~'~Uk?Y F1A. ~ ST.IU~ii ~ s Rpi~trs/s rocord a? fite in tM St. lucie Gounry K~slth D~sR- gG`,:~ 'r~t1RAS .1~jNlY;d.~~. m~nt N Fort Pi~.cs. Flo?ids. CL~FK ~;:;i.Gil COURT ~.~9~ . ~ ~ Prr,C,~:~. :r~::;LZ , ~ , (yyst~ing: Not vs~id un{ess raised ieal of th~ Si. Luti~ : ~ ~ CpyMy He~Uh Oepertment is affixod.) ~R 3 22 PM } ~ r ~ ~ , . ~ • N. MILIER. M. D. l, • , . ~ ty H~fth ONiur 6 l~tx'sl R~9~itr~ ~ ' ~n ~ . ~ ~ / G [ ..'f~F~ ~~~1-.1~~' i ~ ~ ~ i ~ R~oisnM ~ , E, - ~ p~N ~ € ~ ' • ~ ~ ~ ~ ~ , s , : ~ . o R 23Q ~~~E2051 ? ~ ` BOOK V ~ , ~ , ? , , : ~ g:r, < ; x ~ _ .