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HomeMy WebLinkAbout0940 30'~s42 ~ CcR i lF1CA~ c OF DEATH ~ ~ Dere~wM .t 1b.1~4 .wA R(I..MN~dne Se..he. trwTt r~L[ No. ~ IM\~/WY1 (li fYA1.it~ ~ L O R I D~ ~j[ lf~t, O~ ~„Ni IN ~~~~~~~~0 3,76 ~ /'[iMAtHNT INt NE61R11A1~•i NO. . fN Y~iiON iM Ottl~SEO-NN+! n~s~ r+w ~+sr SFa OwiE O~ OE~tn ~•or~., nM ~ , A , Fen~al ~ August 13. 1970 , UC! ~R. +N~O. w~K~r ~r. AGE-t~N wan ~ hu ~«au • OA d WM ~.~oMw. i~~. COIMir O/ OEAM ~K- ~M'lC1N1 M~eN~t ~M~~~1 ~OR M~{ 1 ~OV~t ~M. AN~ 6602 ' ldhite w 58' „ ~•`•ov 9~1_ S-t. LuciQ . r . ~ ~ w.w c~ ~..~n SIITAI Ot 01Mf~ NSIRtRI '-M~Mf ,..ee»..... o..e w.~w.. ~ ?..c.n w .e n Fort Pierce Yes n n. O. A. Ft. Pierce Atemorial Hospital sure a wn~ .s~ M e?. a wwa cou~+nr .u.e~co..rcvci .wrEO. swviv.+o srouac ....r ~ coww. ~ woowEO. O+YoacEO ~ wcv ~ " ~ AlaUama • U. S. A. ~N Married F.lbert A. Hendrix ~wN Nd~M~ ~ r w.n fOUY SECIM~t~ aIMNE~ UfUU OCCW~i~O?a ~v.~ a.ow w~w w~+w .ou a ~tW p MISNESS O~ ~OYSnt Ott7Mq~ w~ ~O~t~O ~r~. At. r tlwq~ ~ „ 421-26- 432 Nousewife nwn Itome .~.~....o.. ~ ~ESIOEMCE~SU/E COIMR~ Uri, tOMM. O! lOUiiQN ~wM c~ a~ws ~S~~EEI ~MO MIM~E~ ~vKw.~f O~ r0 Florida ~e St. Lucie ~4 Fort Pierce \o 1 ~ ~I~~~~•/~~~ ~M1~ 4~N MOiNE~-MAIO(NN~YI Mq~ r~M~ WV ~ ~s Bird Hur.kabee u Alice ruitt iwOWAN~-x4Mt aul~+G wDD~tii ~rmn w~.~.~. .o. tn a ro... ~..n. ~r~ „JNr. Elbert A. Hendrix '~n 210 S. St. Ft. Pierce 1a 'i1~i5n ?w~t ou?tN w~3 Guuo ~r. ~tNrE~ Oiwr Or+E UvsE ~u ~aE r0~ NL (~f~ ~?O k~ ' •••w•~~••,-'••:: ~an.~w O+Hf ~w NN~ ~ a2o ,c/~ 2 v-~,... - ~ -f~. . ~o..~.o.,....~.. ~ ..~cw ~.f~ ~e 1N " ~M~I~ t~W~ IM. M q. M~f ~(MMOMK~ pr {r~t1w~ ~wf rM~M ~ (~~N U~t ~ • 1 _ J • O ~ S Kw?» fO?M+t~O?aS: csr~wo+s co-wd•. ,.c •o «v+ wi..o. aa.- ro c..w o» . wui0?S~ a rf S.r.~ .....»cf cw- . ~ 1 ' " M ( ~ A~ p r0~ MN~~O ~w M~I~~w~MO C~YN .~µ~y ~-~_L Lj~Q~J..1~ ll1 v! - , V t a,L~1~ : ~~~/~!?AVN~j. ~1 , I~pOS~~KAt. p~IM~IlY~M~OF ~i SA~ .~O+t.. Yr, ~~f~Jf MOW IN1W1 OC V~~lD w~ M n.wN ru~ ~ p r~w .ry. ~ . 70~ ~ • ~ 7M ;7C~ iy ~~a/INr A~ wDtR ~~IAZE d N1U~t .s rw.••••, s~rn. •~c+,... ~ lOCwiWn . sn~n a~•• wo.. cw. w ro~s.. ~.•w. ~ 1~Mf~n A~ M r01 OAK~ sM..~K IVK~1 ~ A JM ~1f Cf~iMKAt~OM- .aww w ~u ~ .ww •w .rw u~. s~~ .ri.~~ u~n a. . wie~ ..o. ~r w.rr oeeuneo ~ wa n.c~, o-. wa ~MtsK~UN: ~0~~+ N~ AN p~~ ~~h~ N~1M ' r iO ~ ~ I r. w r N3~ . .m.~ M Y v ~ 7 , ~i.~ . ~ ..ow~.u. w~ f~~ wo•w~ ~w. L.~N~ _ f V fl~ fy ~e~ M t0 M[NVh~ frWY. ~ CElip~CAT10r~-MEDK~?t EIAWRf O~ O~d+if. w~a o~ rr .w. o~ ~e•~. wc .n ~•s ~+o.o~acN M•~ . ~t~~r~NP+ W A W~~ ~1~/M ~~w~1hG~~RY~. Ir r. O~MO~. ~ +OMnI Mt h~~ wpy~ . N~~ OCCIMN O~ ~ M4 ar~ N~ O wA C~oN~. N~N~. 7h ~ r 7h ( M_ 77~ i~ \ ~C ^'C ~ ~ ~ ~ i ~ ~~^~il:i' ~ ~ ~ t.n1 M .w~ 'OAT[ ~ O 1~0.~~.. e~~, ~~Y~ . MLNG ESOS~C[/?i[I , j~ t s~a„ w• r o.~%,~-~_~ e~e~n u~a+~ y`~ ~f . y j ~ 1 nJ~ ~ t.~ ~~•J l.. - NNtµ. C~EMAf1pN, ~EMpVAI ~ fMt(t1Y O~ CiEMAIO~f-NaM( lOC1~t10N trn p p..~ Y~ry ' ~ WCn?~ Hurial }tillcrest ?~em Garden`~. Fort Pierce Florida ~ ~i[ .~.a~+. ~.s, wu~ ~W~fln? NW+E-w+wE aNJ ~DO~.Si ~ unn w~..~ :a., cw. o~ .o.., vh. ru. ~ Au~ust 17, 1970 n. Fort i~ierce 106 So. 4~' St. Ft: Pierce. Fla 33450 Y. S. ~6Y2 ~ i1ME~ D~ECtp- / 4G~»~ ~-Sie*urutE o•n ~ ceneo ~r ~ocu ~~s~.u A~~.19~0 ~q / ~ G/,~Ii~~G~"1~!(•r- I'. - i/. Q~+/Y .~:7N ~llj?U$t l~i~ 197~ + • . ~ - Aq~ REC~ROED ' ' gT~LU~~fc ~:UUTRAS~A. l JL~ ~ I h~ arlifY MI~ b D~ ~ trw ~nd corncl copy of fh~ Goca+~ Cl[k ;`',~~ti~ ~~~47 r 11w H~ f L1~eAG~r ~~jr._5:~y~o ~ ; Rpisa~~s record en f~te in St. lucie Gounh? s?h p~ ,T5 J_ a+o~ yY • ; n»nt N f~oA p~NCa. Florida. YA,~ ~'1 1 ` ` '''t • ~ ~yVerniny: Not va~id untess ~a~sed ieal of tM St. lucio . ° ~ Gpunt~/ Hes~~h Department is affiKd.) ~ : • ~ . ' ` . ~ ~ . . 3~'~6~2 ~ . _ N. D. MIIIER. M. D. . F - ; Cou~ty. H~iM Offiur 6 Intsl Rpistr~t , f~? j/, ,d ~ r , e~ ~ !I,' ii•: ~ ' - ? ~ . t,~-~ r24 ~ ~r-~"'~„",,~- , . ~ pM,~ p~qrly 1,oc~1 R~a~srrK ' . * r . • , - 600#{ 239 PA~~ ~ ; ~ ` ~ s ~ ~ _ _ - - ~ - = u~,