Loading...
HomeMy WebLinkAbout2197 i ~ eZQ~~~ CERTtF1CA7E OF DEA^~'H • ~ ~ • F L O R I D ll ~TATt fllt NQ. ' ~coisr~~s•r ao. j~.2 7 4 , : nn. w .r?n r. • 1~lMAIMM~ /NQ ~~.NAY~ ~MY ~ ~MM t~~~ fp 0~1lp0lAM , N~~MM~ il E !il YIq10~4 IM i~ ! . ~ Matilda Stout ~ rFe:nale , 17ay 13, 19711 ,I ; ~ u0! ..iw, rww. ~tMtr~ Mw+. AO[_MU •~•e.. r-.r~ . o.R O~ M*~M ~.sw. ~a.. cO1~At a ONNN - ~ ac. f~wt~ f wr~~ ~w. .ow~ w. n•~ ~ ' . 1~fhite , ~:+pr l,1q21 Martiir? + ~ . . A •.MN tw ~~w NO N O~ :~4~ NS - ~••p w w~~. w~ w~~ M~w.r~ ~ M~C~M N~ W M~ : ~ ' w 3on:~on Boo.ch no „ i~bl 1i. Indian River Drive ~ ~ fGfl d MA1 wer r~.~.~.. r..~ O~ ww?i QOIMt~r Wu~+tO. ~R~It~ wsM~. w rw~ Aw~ ~ . ~ ~NYM?MK~ ~Now ~er~oy ~ USA "~DBi°18rcu°d'"""' „ tione ;j ~ ~.ww Mtuw ~ u.h. r w.r SOC1Y flCIM11ti MJr~[~ uf11~1 OCqM~T~Oa ~rw ~r «.oM ~s.~ ww.w ~ow ~ n0 O~ M/tM3f p kO11iH~ occrw~ ~our~ ~w. ~w~. r ww» ~ ~ ~ N~;.,,~;, a 1 -0 -0 Waitrass Reata~~rant ~ ~ , ! 'y" L _ _ _ lfOENt!-sr~1! cOMA+/ Ufll. ~O'~'~M. OU IOfJ?t1pN ^rN c« irw~ S ~ . ~r ~ wc... m M .e ~ . ,NFlorida ,~Martin ,k Jonsen neach ,~~no ,~j.61 H. Indian River F, . IA~A~?y~ YM 1M~~\~MMp1NNU1~ ~~M ~q YM 1 „ James A. Jacobs Bertha K. Michael ~i ~ . ~~wA--Nwt w?~w0 ~owtsf ~rwn o. ~..s. w. c~ M+.~. w+. n~ ,ti Patricia Strachan 51~1 S:-J 50th Ave. 1•iargate, Fla. ` - , ~wr OtAM wN tw~to ~r. K~r[~ Orw~ d+t tauu K~ ~K ~d hL Ai ~O k~ ~ i ~ ~n.nw r~n w M.~ ~i : , ~ ~ U E'A C~ • ~.c 1 rNs I•K4~•kcar~ ~ ~ tOw~wW~~ w ~~w ~ ~ " S ~ ~wrcw ~~v( ~q~ ~ ~ 1?) - ~~WM~f~ t~~U ~M. M p~~ ~ t~wMMK~ O~. I ~ ~t~n~~ fM ~w~M ~ ( , in.h uw w~r . ~ k~ . ~ ~ ,~g ~~tt OtMt~ f~Ks~M td~OniOW. CO~~16~~ tOrMll~y ~O M~w~ M~M AM~ q t~7N ~wF wr MM ~ 1~1 ~IRdf~ s rt1 .+.r.~~ cw 0 ~ i ~hf O~ ~O~ ~M~N M MNN~M~ t/~~t NO r a..... t M ~1 t ~ . . nOr _ . O~ VO~t MM~ Mt, ~y~ NQW ~NlW~ OCCVN[O ~M~~..M www t~ ~M~ ~M~MI ~ w -i . z 4~wa~M M ~ 3 ''f9 ~ N~ ~ ~ , r ~ P_M,~ G~•.s~.of wo,~4 . , w.~rar wt woec NMr . . ~.c+w~. toc~n M ~ ~wM M ~ ~ ! M . w. «.w.~.. w.~ ~ # . ~.qcw~ . e. ne~ ~ ~ d r. ~ hc ~ i~.a..d ~c, A ~ ~A ~o • v ~I cr - C(tl~lttwTlpN- .aw~ ~ wr ~a.~ r. nr uu w.~r.w K.w . M~ti.a wnr N~~ Ooal~w~ ~r wn w~o. r M ~ : . , t~. t ~w~sK~?w: TO rs~+~ w• .rr ~ew ~rw w~~. ~.ew~ Nw. rw, ro w~r ~ um.wN w~ a r, ~+o..wa. ~w ! M MtNM~ rro. tq 1~. IN lM M. M w~ W~v~ Ww. ` . ; C(~t~K.T?f~ON- ~l tt~wA¦ w ~w uw er w .ew ~w ou~ww .r~ wo~wcw w.~ ~ ' . ~ ~....+.wa. o. w~ow .rio~ w~ i+.~N.w~o~+. w er..~o+. ~j w.~ .ew n ` I.r ocnw~w a+ ay ww w~w a~w c.w~w~ r.w~ 4 • ir t7~ ~ I Q 0 r ~ ~ ~ t~w~wt ~y a. ~l C.~.. O V c.. S ~ • ~ ~ ~ ' .o.~~.~. ~~./...w~ ~ • ' (p'~ wyNO AOWESS- +•w~• w • wo .o,.. lfc ~r)._l_~- - . ? T-! ~v 7M V I WM ~ PErYN~OM. ~f~0'~?a? tMftl f O~ C~fMAIQfT~N~4f t04*qM c•n w 4.. ws~ ~ ,..~emove.l ,.~Mt. Prozpact Cer.?ot~r;~,,, iieptune, tiew Jeraeq j ~ ~ .ae.. w., w.~~ wMEeru Mc~[-N.w ~?a ~aatss w.... .s . c... « ro.... e» • 4 ri 1+' 1 J s Fi.innrnl 3io~~~ 51 Colorado ~+vo.Stuart,Fla.33494 ~.3.1~11 r SN~~.,.lwt~~ttMf • n~~~~ Noqn ~ A r.1~i0 ~ ~ . ' ~ . . . . . _ , 4 . . _ . . - - ~ ~ - ~ ~ e~ ,:tii'~~~ i j=, ~ y~,~~''+ 1 Mnby eKt(fy thl~ ro bs a trw and aoRed oopr aE tl+s Loes~ , S~= " Repistrer's record an fil~ in th~ Ms~tin County H~slrh O~an• y~ ~ w .1, •i•~. , ~ ~ > Q G ~~'C ° ~ . ' ~~~YC. ff1Yf1~ a~ .~11~0/~~ F~OTIda. , >tiT (1 - - . ' 2~- ~ M : - (W~rning: Not vslid unless r~~sed seal of the M~~tin ' ~ :'4 ~ . . ~ Gounty Heafth Departmer?t is affixed.) ' L " _ l . 1 {1 l " • ' ~ ~ . ~ ` ~ ' ' ~ ' v 1 , " ~ % N. D. MlIIER, M. D. ~ ~ ~ .1 ~ 4'- ~~t:. - ~ " . • ' ' ~ ~ . Co~Ny Hsalth Offic~ i loul R~istrsr ; cn C> ~ . L.. ~ .r ~ . F W ~ , ' ( ~ - _ r ~j's Bc~K~~~. PAGE2191 c'~ o'°`~y ~.o~ ~"r ~ . _ T'!R '5~,~ , - - _ _ , ~ t . . _ _ _ ~ . .