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HomeMy WebLinkAbout0454 31 ~~23 ~ , t ? ROSS 11000334 • ' ~ r ~ ` ~ • ~ ~~J . ~"'~"i. . . _ ] . . _ . ~N? . '~rr ~ ' ' . ' ~~I ' . - . ~~i ~ . ~ - . • _ ' ' . . . . _ .._-V_•« . ~ ' " . = • o~.„..,, ~ R~~~~~~ CERT(FICATE OF DEA7H nn. o. .a?a x~ ~ ~.ti,~..'~'~ . k..u??~~,n F L O R I D A RATt /ILt NO. ' ~~as~ aa~sto N~ ..u •caicTnww•s No. 2~ ~ . L L)TT?Tfv SER 011TE Of OEAM ~rOMM. wt, q~~~ ' .•~.ir+as7~i B~ ~~,T ~ ~.w. «Nro..r.w ~iiiry\ZJ Male April 9, 1973 ~ ~R. ~ wt~n ~ 'r~n'ti AGt uu ~..a.. 1 MwV~~rw~~ ~ ~n ~O.q ..r.. nuE W MRIw ~ro+~. ~?s, COM~it Of OEIIM ~ite O 6602 . r ~ » « ~3 19 St Lucie Ft. P~pg • c.. . p~ws.a.. oe on+~e ..sr ~ 03 . w~PS « •a w e.rti ww Nw~ .w w~w~ ~ , ~ ii~TE d MtiM ~ r wr ..r h r~. p~ 1 •'w y~a+4 • ~j]j~? ~+In, MMAt MYM~Y rutMEO~. hEVE~ r~YE~e ~~i , ~rMU.M~ ' vaef EG•01ND~piv~an~ ~MVNNf3~01R~~~.~N.MnwM..~r~t~ ~ N~~ 3Q~C1Al ifQM117lR~E~ ~ A 18Q 11. C7....'a ,y~,~~~.j. _ ~ 'M•o~t`~Mw C, ~orw ~iAnrp: uw~ ~w w.e~ wr ~wr .a~ a Rr+O OI +Ras a-n • w.p Nbr 1!. ~ J{/~1o-05.i7 •}t'~-~, ~lIS1~rtSS W M~DUSTit11 ~ ~ ~ES~DtbCE_fuff COIN+Tt ~L. ~max: ~$tQY' tb. ?~ca\IwC ya.~~.+~i OT~. i~M'N. O~ lOGT10N r~ya cr~ STfEE1 AMD ~i ia F~'1C~$ TiI~C~@ ~ wan n~ e~ Mo Ft. Pie~cc7e No 399 MiclsaaY Road ' ~ • ..or~._...~orN w,.~r n. JaOp~~ ~ ~ iwow~wr_wMr ~~IC~ AC~@~.lri@ ~1"~1 ~ • ~w C~'a ~1a~ r~a.vG woca[SS i.n.n w..~~ ~ ~n 399 Midwa "O- c.. a.a..ti w~. r~~ ~"~r ~ outM wwt u?uuo ~r. Y~~ FC. Pj,B,~;, F1ari~1a~ 33450 ' N. ;c~rt~ ~ . or+~ r o+~ aus[ rt~ u+[ iOt hl A1.wD ~r~ . , ~ ~~A~~r Orl~t ~y M A h a' r '~1~~' ~G~IiJ~ ~ "i~- ~ . ~n~ jl , K ~ , • COMM~OrI. N w, • _ ~ V _ N ~rw~t~ 0~~7 ~u! 4 N) ~f ~ ~,t hK~rii~ 1iw ` G ' ~ {f • ~fV„~ ~ . t~NN C~1rN W~ M M, O~ Y~ tprN r4 O'~ • kl . ~Atf OMEt SKiw1~(~yT ~ . c°.q~'o++ ra. ~ ~I/' I~ `S~ 10 M~1w M yp~ Muµ~ ~O 4 ~ A ~i~.r~ ~ ? ~ , i ~ Mt O~~I Iw ~YI ~ W ' AYIaSY ~ Y ~tif p YN f~ w'Nq~~WwW lYft ~ ~~~M, • ~ . p~Y,~ (wr[O rs, ~o~ ~ ` NOw ~wr pu¦ ' 70~ ~ f?W~f OCCYYED ~ ~rA~ n.~ Or ww~ r~ur ~ p~~a R~ i~ ~ r 1NlWt AT Wp~1( 7h. ~ ~ • ~ : : ~wc.n n~ a.w~ ew.a w..ew~ ~wc•iri' uun, s~np., IOGnOr~ ~ ; ~~a~n o~ u.~. .o.. an o~ rorr. ~uti ~ ~ 76. ~ . . C1lTM1C~I~ON~ ~ . ~MriKtua: .a'q" - s.~ n"'~ .a.r ?e~. u~s. . , 71~ s~c~i~.~_ ~ / 7~ 1 M ! ~ < < fr~ ~~7 ~ ~ M.t ~ «wO~w~ OCCw~tO r~. c,,, r~ ' _ ~ CEtis~GtT ie~~ r~rw a r~ ~ ~o ~A~i,~,~{,r.~~ ~O.~Q+Et w we w.a a r ..w. o.~w.r y~ tu. f4~~~0/_~ ~o "°.ueu. • OC[M~n Ow M My ry M Ip y r~n p'~ti ~ Nce~ewt ~u tipwOUK~~ ray M treYn~ sL~e~. ~ 7L 4MfW Nw4~. ~'r Y? ~~y ' CE~71HEf~Ty~N( ~Mf M ~~wp t ~y 77~ ~ ~ "~`'uIMK.Yw~ss_~~$C['36 M~D~ / ~~-~7/.//~ , uc.e~ww sK.r~E.o..w.e.~ .,.a~;~' ' 06 Del awar a ..o - ~ n a ~o.., tu~ - : ~ v~'.c~.,, ~et+wnoM, ~cMovwi _ rtr~ o~ t~e.,~raA~r_,,, ~c jr ' Blirial ?oc.TwN ~ ~ r ~..a a?~ H.. ~1cxeSt N'.en. Gard `•'O'•, . , . ~ il ~2`~` ~97~3 ~ w?u..~ ~ ~ F`t. Pi,~ Florrida ~ _ , y~ s . • '~,gai~~~. . a N F• ~vio ~ r~. ~s -s~.n,~er ~t~i 'S~t. , '~1~, Fla. 33450 : ~ (t~s..iQo ~ ~4 ~tGnEO ~pGy ~lOK1W I - _ ~ 7 I973 ~ ~ ~ ~ 3~3523 - ~ - . E . ~ t fllEt? ~!I[? fiEC,~RDEO k~~-~..,. ~ ST. LUC:£ ::~)iSMTY FIA. I nareby cwtify Mb ta b~ s rrw ~nd NOG= ~ r~iTRAS *~Z`,~ t;;;~ . oopy o~f tM loce~ CIERK Ct~;Ct~IT COURT 6v ~.'~1• " i~- lt~ofliitrs/s rooord on file in th~ St. tuci~ Coueny H~sith popart• Rf~~'F~ YERt=1~D~ ',~f mrxit st Fort P i a a e. F l o r i d e. _ I; (Warning: No1 vslid unleu raised seal of th~ St. luc~ J~ t8 Z fi6 PH ~T~j - : Gounry Health Depenrnent is effix~d,) _ - „ C . _ N. 0. MIIIER, M. D. ~HwIM Offiar 6 Loal R iaha . ~ ' ~ ~ ~ 'y ~ 5I ~ ~ M" ~ ~ ~ ~b ~ R~oisha~ ' ~ ~ i ~ - ~ ~ BOOK~4~ FAG~ ~ - . _ - ~ ~ ~ - ~r ~ : ~ ~ ~ ~ > ; . -r=~..c , . i