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HomeMy WebLinkAbout2643 ~ 1 3Q~~2~ . CERTIFlCA7~ OF DEATH •(arp.rl....~ J 14.1~6 .,.1 R.6w6J:~.u.t G..ice. ~ Ylrwrc ?~LC No. ~x.~~..~M FLORIDA T~~E, O~ ?R~NI IN - RFGI6TRAq'~ NO. ?~7 ~t~MAMiNT INK ~E~O-N~ .wy ~•s~ ga ~DAIE O~ OEA1N ~+o.~w. e.., x~~ ~~M ~ . JO Aia1 ~ F~nale April 18, 1973 VCt .,.n. »eow. ••nK~r ~wo., ?GE-~•~r v~e..Try•. ,uvn ~ a.. O~iE W ~KiN .+o.++. ~COIM~/t O~ OEwTN . ~K. ~ WC~n~ M~ • ~~I~t1~ ~Of ' h~f ~ ~011~~' ~ ~ White „ } 1,, ! Gec. 19,1932 St. Lucie 66~2 Crt~f,~Oww. O~ IOUt~p+ pE~M c~ .~..~n ~MQSM~? q OTH[~ NSIITUi -N4ME ..a ~.•+e.. a~~ s.n~. wr~~ ~ v~r•. n ~ w .o ~ n Ft. Pierce Yes F`t. Pierce Menarial Bos~ital - 31~tE p N~T~ .r .o~ .r ••.r~ GtuE?~ d w~uT COeMT~i r.uitnEU. ?Kvit rucnEQ. SuwNNG S~OUSE ~n. o~~ w.~ ~ (7~7'~'(~ tOw~n ~ U~ ~ w~~i~rl 1[E_p ~ vetn ~ I Williym ~ F• ~ Y~N~~fOfK~ 1 ~7 ~ ~ ~11 ~a ~~~~.we ~~~1 StCW~?~ MI~YE~ USwI OCtwwi~0r+ ~4A ~W W~O~t ~YN NN~O Wt~ M i ~cwD O~ MiS~+f55 W:NOUSItr l~'~1~ N~Ir OCMN~'r ...r.1~~~.P'1~_~~~~ 1 ~ ~ ~ wq~.0~+! [ ~jc7K t K~ N~OM 1} ~J~~~V~ 1~ ' w~M1 (~w ~~rMf St~lfi ~?IO NU~N~ ~tESWENCE-St~rt COW+Tr uir, towr+. w ioC•na+ ~ ~ j ~M~4~~ ~~f O~ w0 ,~~Florida ,n St. Lucie I,,, Ft. Pierce Yes~,., 241 l~:arina Drive ~ ~ MtMt~-w~t ~~nr +rwe u~t : MOiNf~-M~UfN N4W .rs. r~x~ uv ~ „ Joseph r4a~'rxllen rsartha Agburn ^J ~NqRMU~i-riu~! ~/wApraG wG,a[SS ~?,n~~ w..r •«o. cw~ w ro++, ~.n. ~r~ ~ Willi~? F. Carter M.D. 241 ~Y,rina Drive, Ft. Pierce, Flarida 33450 rw~r pE~tM w~5 C~uSEO ~r itHrt~ orxr pat UusE r[~ ~wE rq p~ (s? ~++v kll o.i~i •..e a•.+ q ..rw i ~ Henatic failure ~ ` 6 mos. . . ~ M.7~ . ~ yGr~n~O•~f. ~1 ~wt. i ~ o..~ „ ~ secondarY to carcinoma ~~r. ~ ..~a•q u~~~ ro,, ~ ro. w . ~oa.waw..u o~• - . ~ P.n.o ,.,.e ! 2 rs. ' _ <<~ secondar,_y_to carcinoma of th~~igtLC~zXeast _ y _ ~ Q Iw~i ~ OiME~ S~GNIf~CANi CW~f~ONl• (O~~~O.~ Cbw~wM~W ro M~.. ~V~ ~+0~ N~~ry~ ~O C~VN 4~fw ~~~tl ~ N~ C~UTdS~ H vf5 n~e~..a~ ~o.- ~~nt o~ •q~ ~ o~oi•i.~ a~~••O'~ro t•us~ ' ;iti /NO ,~ti ~ ~ Ir.caeN 1~~WtNi W~f~6~ A~~NI~M ~ ra+~w, M~, NO~M YOW INW~Y OCCW~EO ~•w~~ w•M~ p ~rNn ~w ~.n . a r•r~ w, aer , ~~K~df, Of VOItE4MnAD I ~ f . . ~ iSO~c.~rl . • Tb ~~p ~:h M ~}Oi IN1U~~ 4! WpfK ~1ACE d NAJ~~ ro~f. r~~~. f~MV. ~KW~~. i IOC~T1Oa ~ fnn. a•.~-~. ~+o . un o• ror., ~..n , 1s~~Pn t~{ O~ ~+0~ ~OMKI ~O.fR t~~~C~nl ~ ~ ~IY Cf~iOK~tIpN- ~b.~w M~ ~t•~ F wa v~s• 1~~ w.../w~ ~~..e O+ . ae~ao.nr.yr M o(~~.~ OCCU~~tO .i ~w ~~.c~. o-. ~.r •MT1~(~~M. , b'~~w O~• 1~• ~OY~ Yn~ 0f~1 '~~OV~1 D~A. ~M. ~O M~ff~ ~ e o ll 21 69 '0,,, 4 2S 73 4 17 73 did 3:30A„ o:,: CEtTNK~TiQN-?+FD~CAI f7t.~r~M~~E~ q CO~b~E~ a. w~ ~.vf p M ..w~ d a.ti *~e Nt~w+r .y ..v+ou~c.~ , ~...r•ro.. a •.t wr •..~io. rw .».r~.,:..o«. . . w~..w. ~ .o.n. ro.• N~w~ OC(YHI~ Oti AM ~~~t ~W ~W M M(~MI~f~ 5~~4! Mill~~I ~ ~O ~ . GE~T~~IfR-~i~MI ~n11 ~~w S N~iuif f r.v~ p nn1 ~Dw~fF 5~,~++tO i•!.-.n.-11~~. ~1~~~ • ~lrilliam H. M~er, VS. D. 4~-73. "•"•"~b`~o~~i"9 St. f~'ort~'~ crce Y'1. 3345d ` 1 C ~yfl,y. C~fMAi1QN. ~(MQVI~I CFMltftr Oi C~E+v~tOiY-r.~Mt ~ lOCwip?~ [~n d qw 1~~~~ ` ,~.•~~Burial i,~. Hillcrest N.~norial Gdns. F`t. Pierce Flarida . k OATf ~ n n /UNI~AI HOM -NI!~f ~riD ~Ma;iS +••n~ o~ ~ r• o.. tnr q~n.~. w.+r i~r ~ ~ April `ltg, ~ f 973 F'u: ^ ECifE, 901 N. 7th t. , Ft. Pierce, Florida 33450 a y i r • O~fE ~lCf~~ - . S. ~b 12 t1M[R l fFCT INf ~fG~S~ -SiC.r+~tWf ID ~OC~t qG~S~~.• ; ivto ~.C~~ Iko :N Q*~ril 20 ~ 973 ~ . . , , stif~r - a,v~3~£~ ~ - 1~~bY artify this to w e trw and to~r~ct copY of ttw irou+~ ~ r':! :~I:VTY l.~- n H~eltfi A- z: ; - i \ . ~pb~rer's ?etord on fi{e in rFN Sr. lucie Gou h+ ~4~ -;~1P.t ll _ ~~i+'. rnM?1 N FoA Pi~.cs. Flo?ide. _ S=~'~` - . ° • ~ . t. V'r ~ . yJrr~~.~yf' (yyetniny: hot velid unless ra~sed seal uf th~ St. l~cio , f~ , County He~l~h Oeper~me~t is effix~l.) 3 5r~ . ~t _ . z . • > N. D. Mll?E~. M. D. ?y ; , ~str~r ~ ry ~ ti Co~nty Hwlth Offic~r 6 lACS~ a9 . 5:~~ I~? ~J~ l~0 ~ ~ _ ' . I/.~O ::i~,'1`. ~ ~ ~ ~ ' . c ~ - 1/ / fi - r P ~J ~ • =~tf+l' , ~i ' ' ' ' ' - . . p,~~ prpufy l,ot~l R~o~st.sr . ~ r . ~ ~ 600K2~8 ~~E263? ~ : . ~ , " ~ ~~'p N ~ ` ~ `~,..E,.~ ~~'°3' c~~'i' '~~n`~ ~ "4: k ~n.~_ _ . . :Yr'. ..-~~Y^~-8 ro _ Y. _ .