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HomeMy WebLinkAbout2318 ~(~50~ CERTIFICATE OF DEATH ~AT~ F~« No. p,~pMl~ewt d Ik.l~{~ .wd ReF..lwl~u~he 1e~.+re~ . IM\'tSNM~i OF INAI.11/ F L O R I D A R[GIST~~~ . No. 7 2 ~ ~ ~IfY R~fwO irrE. o~ rnNl ~N ..s. SEIt OwtEOfOE~iN ~.or„'.•....~..~ ?i~MAlMNT INl ~~~s~ rra~ ~ ~ ottc~sco-?•~ 30 1975 .nrarc~ws , Carl A Johnson > > Jan . U1CE v+q. WOp• ~OI~K~r wM•+. AGE-~~f~ u~.ol~ ~ q~~ lwol~ ~ w~ O:~E O~ M~TN ~+0~~. Nq CO1MN O~ DEATN ~K 1 WCwt M~nN~~ r0f-~ M -i~OV~1 ~l ~ • Hfiite +.69 w ~ ~ . f16 ~ Z ~ ..?ae c~n ~w.s hOSntw~ O~ O'NE~ n+ST~TYT~-r+~E ~w .o~ ~r u*e~. ~n~ ~w~~ .r ..we~ ~ CII1I. iOMIM. O~ lOC/~iION Of OfATM ~~n• •N W«O ~ Ft. Pieroe Yes Ft. Pierce Mc~rr~rial ita~ A SIKVIV?Ks~ ~Y ~n~. OM M~Ofw MYM ~ ~ SiA~E p WM ~r ror w ~ s•. w••~ di1ZEN Oi W~u?i COIM~IYY MwlNEO. NErfR MARMfO. cw.~n ~ W~DOwfO. ONOfCEO ~ wcn ~ 9~aeden . U.S.A. Married Maty_ Finley----- v?v., n.o...n ~ AM NC~~YY ~~~1 SECU~ulil K?WER USUAI OCCU?ATIO~~ ~aw a..o w.ou oo..~ ewwo ws~ w [INO O~ ~USr1ES5 OR wDUSRY ~rr~~ M M~IN 1 rO~~MO I~N. MM n~fn~l~ ~~,.,M n,~~,_~7 «inwn w. o~n 11V~01~1012 ~q~ Pt.t~t~ ~ LGW~dtQr ` 11~ l~G¦ • r CM usw..u wwN ~t w~s~a cm ~rns STREEi AH~ MIr~E~ •~.rssw~. ~ESWENCE-Sf~lE COU?+TY dTlf. iOWN. O~ IOCwTIOr~ ~v~u~• .ef w.a ,w Fla. ~NSt. L~cie ,k Ft. Pierce Ye ~M uf~ MOTMfR-htMOfM NAME ~rf~ rOM~ V`s~ MIIIE~-NAMf ~~~St r~oW! R[J~t'~ a70Y1riSOT1 ~ S~ ' IS au~M~?X'i AD~i[fSS ~f+n~• o~ w. tm o~ rorw, s~•w. [r~ 1N/04MlWi-?JAME Johnsan 1004 S~nrise Blvd Ft P' .4p.,~, y ~ ~VT ~ OEwM w~S CwUSEO t~: ~E?~7ft dM~ ONE UUSE Iff IINE /O~ hL Is1. ~(~A ~en.a.. owsn ~r N.rw " u rra.w cws~ n /"~i. S Si ~i << ~lG.r-~C /`I y.~G n/ aI. "ec / lIt ~Q ? c !~7 :x~t NI ~ ~ ~ ,I.yj COMNt10~f. ~M. M ~ rw~(w 6~+~ ~~Sf ~O ~ . ~ ~rr~M~~~ C~Vf~ let. MI~ M. d~f ~ CO.~SIOU~+C~ W~ ~t~11M0 /M~ YM~f~~ . ' ~aro t~va~ ~~st /~~C4 ? ~ ~ ~f l't / [ ~ ~sl ~/lC/i~lc~e/Jf~~~ ~ IWiO?Sr K YES ~~~e ~~M~IMO1 COM• 1A~T • OTNE~ SIGN~KANT CO~~WT~S: CO~~MhO~+f (PAMW~MO q N~1M NN w01 Nl~t[~ t0 UVN 01AM rui ~ a~ ,.~s w•a~ rw~eo .w Mr~~r.«..e cws~ d Of~/M ~nt.~.+,sor.•c. ~G.ci••o~a ?s~fatP . ~w ~M ' E ~ ~w. M~, +e.~ ~ NOIM NpW IN)1!!Y OCCURtEO w~ p~~^~~ ~w r~n ~ p r~n n, m~ U ~ ~ `MO..~°K`de: oi~ir~o rtwiwv~•co ow wxr~-•a. i ~ ~M ~ 70, M 7M ~ snnt o~ ~.r •+o., cm o~ ro.~.~. tuw r ~?uWr wi wO~K ?IACE O~ N1Ul~I ~ow. r~~r, sntn, r~nd~. ~OCATION ~~fN~n t~f M ~OI M~tl MOG..~K. ~fIKM~~ ' ~ ~ ~ ~ t M~ t~Y ~ +W~M M/ 1!N ~MOra,~~ wr • H•M OM ~ OO W~ 1M~ M OI~fM OCCUl~fO 1M! ~Y[~. OM W ~ GE<iYKAT10D~- ~Ap M~M. ~wpy~~ ~ O~N. q M Mf~ S IMf1K1~N: T~ M l~1fOG, ~M ~ .m..en r.~ ~ 1.3 7 J~ .tn / 3~ 7d~ t~. ~ .30 7.S ti~ 1~~ w~ ~o na uwu~s~ s~,ws 11~ eet~.s~e .w. ~~p,a~ ..s rq~wr.cw M.s CEliKKAT~Ot~--?KOK~I E~~ww+Ee q CO~O~+Ef o~ na ~.~~s a uw wor~ w a•w• w~ "°'N ` ~......na. o. ww .o.. ..~oio. ...~uw..~o... w..~o~.. M ~rn M ~ .91~n~ OCtVMle OM M Np ~MC M1~ q~M C~1M~U ft~qo - _ ~ 77i ~ SK)NATUff wca~ w~ n~ DAiE S1CiNE0 ~+1o-.w., e.•..tu~ CE~tN1E NAME ~nn a..~..~ oCcil! .J~~„y2yK,~~ rya~j i!A ~~J / 7 ~ bs...~,~, a.~~.: ~r ~ ~ ~r,. s~n~~ o~ ~ ~ o..o cm w~a+~ st n n~ ~ MANMK~s A00~fS5-CEIlY1E1 ~`i s"~`. S~.,c. / ~~~r R c,.~ r~~~ 1? t~ o~/ ~tOCw1~ON cm w wr.. s•.n ~W~~l. CtEMAiq~. REMOVAt C4tEiE4Y O~ CtE~M70~'?-HUwE ~ Cemet~xY_ ~u ~ Burial Ft. Pierce ~ Ft. Pierce_~ Fla 33450 ~ • D~TE ~ ~.o~ w.. nu }iUNEtAI MOME-NAMF ~ND FDO~ESS . su~n o~ ~ r s +o.. u~• w~o.r, sun. nr ~ ~~a. 33450 3, 1 9 7 5_ B a i r d A Ft Pierce ~ ~unt~ o• cTOR~s+c~+•iva ~cc,~sr~w~ ;~If.~+wtURE y ~ o,n .uirvco ~oc.~ ~ec~~n.. v.5.~61~ ~N ~o February 4, 1975 A~v. 1970 tp L.I~-'' s e: ~ . - ~ ~ aarti thb to bo s trw and cor~ect coPY ~OC°? ,4 1 n~roby fY itaqi~hsls record on file in tho St. lucie Gounty Hoa~th D~Srt' FTLtUC~V, .•`COROED ~ti i. C~4N ~ FLA. , = t11of1t N FO~f P~i~Ce. FIO?ida. S P~~ri -.1:`, RAS ` ~ ~d(fll Not va~id unless ra~sc~i ieal uf th~ ~IGi~ FFiv~' .riOURT 'r~~ ~ ;a~~ e ; ~ zj' ~~ry Hesl~h Department is effixad.) P.E"'=` ~ '~~j~ ~ k u J . 3 os ~M'~` ~ ~ APR L~ ~ - ~ N. D. MIItER. M. 0. County HwIM Off~ur b tACS~ Rpi~it~t . ~ ~ 3~~5p4 ~ ' :nl . S , . . } y"' 1 R~a~stro? _ ~~,r ~ 4 7 , . _ j ~ ~ Lou • ~ ~ ~ ~ soa~ ~ac~ ~Z~ ~ ~ ~ ~ ; ~ ¢ a r~~~ T-?~ ~e': ~ - 'F .,.~,~~~id'~~$~ `3,'~~:.,,~'~`~ak.. . ~~*r x_ _