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HomeMy WebLinkAbout0640 ~ fI:EG RN:_ ~.ELI;ROED ST. LUC~c ~OJN~Y FlA• ~ _ RGSt+~ ~r~~TRAS ~~c~ _ ~~ER~ C~:iCUtT COURT V peC!?o^ •,Ei+ F1f0 Ju~ [y 2 oe PN'~5 = ~3~3t~. i • - CERT1FiCATE OF DEATH ~ Drw~.e.~ .I I k.GL ..J R~L.L:Iwu.e Sn.ite. rrwTt rac Ka ? rnva~o~v or- ~u:,~.~i~ F L O 8I D R g7 ' fY1E, Ot ?ilNT IN, ~'~~~R'~° IItGILT11A11'• NO. ?iQ14ANiNT INK ~p~NM~[ aw ~+w us~ fE[ WJ1~1t~Ot 10t SEII W1iE Oi OfwiN ~ ww~., w*. ,.u ~ ~ HOLLIS JACXSO~I MOORE ,Male , February 15, 1971 # 6602 tw0e ..r. .eo.o..•..w w~.w ~cE_,.u YK~~ ~ D~? o+~~.na a~m ~.a«. cou~tr w oun~ ~ t~ ~~@ i.ws~ ~.ow ' rn i.ow~ ~AIl~J .17 ~ 1.91$ n St. LUCl@ . IOMK O! ~ OlAM wsw cw. .wns wpy?~T~l O~ Oi+~E~ NST - ~r ~p r MK~. Mw 4wr w wrw~ ~ vecr. ns w ro • Ft. Pierce - Yes Ft. Pierce Memorial Hospital i SUTE Of M!M ~ r ww ~.i.... w.r Ontd~ d ww?T COYwitY •~u+f0. tiEVEa .w~bEO. iU~YdMG S~OIISE ~r .w. uw rra ww ~ - ~ .....M....~. Mississippi~""~ ~ USA . ~arri°et`~°i"~~ ~ ~~y~,,,~. Virqinia Baldwin uaw . wu~ SOU~I SEW~siY N1w~Et uSU~? OCtu?wri0t+ ~o.n c..~ a wr ew ww~.y .oN a ttIrJD OI NISwES3 O~ 11~11STRtt OCMY~ ~1 ' ~MD Wt. ~tlw Y YtyU ~ ~ ~ M~.~ „425-30-3903 Carpenter Buildin ~ .cs+oc.~cE-s.wtt ~ ca~..r. un. To+~,?~. o: ?oc~n~+ c....., snc~ N.o .Mww San Dlego c~ ~y Florida ~~St.Lucie (,N Ft.Pierce~ ;~o'«"° Rt. 2, Box 1184-B V .wrtic.-N~..r .r.. ..w .wTNE._.wwB+wwwr ...u ~ „ Unobt. A:oore Lizzie Witt ~Q ~ WOiM~NT-N'WE , ~irway.:; wD'..tESS ~aru a ~~i. w., c+r o~ a.r. u.a. w~ - ,h Virginia Moore ~,;,Rt.2, Box 1184-8, Ft.Pierce,Fla. 33450 - ' r~+? t OfwM w~s CrwRE~ st, ~t~:[a p,ur on¢ Gusf it+ urE ro~ NL 1?1 ~u+o kA ••••o.~..n .m.~~w wu~ ..r w.,+ - y, "~w° c~se ~ . ~ " N~ ~!'i/nC~G~/''r`~ ['~GG~rdr.c-!` ~ /~/U~. . . J A ~ COMM~Ow1. N nr~_ K ~:I~~fi ~7 ~ / K V G?~l. ~ / / ~ia _ ~r ~ ' ~~~Cw O~?~ ~.f~ q ~ ~ ~.y ~ WN~f~ C~Y~~ N~. M~Y. M~f ~ COw~IN1~K! P: ~i ~~1~t~M0 t~~ YY~~L ~ t ~ ~?u,~ CNN uN ' ~ ~ ky ~ OTM[R S~GNMICwNt COtpTpr~tf, cow~~o.af coy~ww~..c w oa.a. ..o~ .~,.n~ ro c.uw ew~r ~~n . w ~~r Y rE5 ~.~u nr~..os •ca.- ~ . ~ ~"/l ~ ~w~ a ~ rs~.~o r s~~~~.w..o twar - %"C~:~~.~ L~ f.a. r<<; ,f a...,. • ~wy~ ~A IN MOr rOK O! YMiIEW!!O b~'•~~. r~, s~.~ : NOW MW~Y OCGWREO ~ Mt~ rM~ W ww~ w~rf ~ O~ ~u1 ti Y~~ ~ ' 70~ 7G M. IY , i IN1Yi1 AT WOtR p IN/N[?.f .o.r. r.rti uw~, ~.cwr, ' `:OCwi~ON ~ sau~ O~ a~.~. Me.. twr W w~w. M.A ~ ~ ~.na., .n a ..o~ ow.c. n.a..n~. ,..K..., y . x. a~. ~n: - CfMiY1CAT~ON- ~R M~ n~ .O+r c.. ~iu 'uw uu ~ ww~ or ~-'o~/pp~ee w~ .~w M~ Ol~iw OCCvt~fO nu n.n. o. *M ~ iKSf~n.r: TO i .c.w ~ n.~ ~uin u.~. . 1~011~}. ~~p, bw~. ~O M N:i . .m»» ? 7l ~y ~ _7 ~ W ~I ~"~O~ViG~. frr~ D~ Ntu3~0 rq~ ~!U ~71~ % / ~ !1~ tM ' M. ro w trrft.f~ s~.r.s. CE~TIRCwTqN-MEqGt E7U~iE~ O~ CqOtifi. w w u~.~ a rM a u.~+ 1M M(~MM ~V Npwqiw(n Ny ' ~ ~urw~~Ow OI iy q~~ ~w~/M N! ~wq16~t~pr. w r~ M+~O~. ~bM~ . MI ~~V • ~ - ~ ~ ~ ~ ~ . ~e.w. occ.w~ a. w w ~w +o .v wxn. wu~. f'~:'~% f~~ ~ •1!~°r~ 3 r.. m 7~ i~~- M ~ {wry ..m-,_ ~ s~c.:~~ turr~i_ / ~ o. pn. d~iiTf S~f+~+ED ~~OwA. Yf~,w, . ~L. .v /i F I~~ ~T.S. .~~C ~f-. 7k~ , ~7~ w~KMG ADO~ESS Ef/I[1 sr.ruo. • ~ prr a 4¦. sw er ra ° _ ,G ~G!.;YI.' 1:.~.-t~ -r,./'+ J[c'~G KYnN. ~ErOVw? CiMETtt11 Oi CiEANiGtr~~wiwi LOCA110N • . an w~ow~ ww ~ M~Cw~ ~ ' B~irial ,..Ft.Pierce Ceme~ery ,k Ft. Pierce~ ~ Florida ~ ~ rt ~.ow.. ~..,,a..~ nw+fu? Mo,.f-N~we. ~u.~ w~uiss ~ Huf. o. u... w-, c.. o. w.., a.N, ar1 r 1i .1 ,w F . 17, 1971 ~..Bai~ia . u..eral ~o:r.e 901 N. 7th St. Ft.Pierc ~ r. s. ~61z ?u+c - s~ a-SiG.wt.+s~ wey~e m~ •..ow ~stu. ~ .i A~r.1910 0 te li ~ i"1~~~~ / _ . bruaY'Y i~S 1971 I . _ , i her~by urtify tha W be • true and aorract copy af tt~s Local - Repistrars recott! on file in th~ St. luci~ County Heaith D~par~ m~nt at Fort Pierce. Flor~d~• . ~ (VUarning: Not va:id unless roised seal of the St. luci~ , Counry Kealth Depariment is affixed.) . _ . , ; , ~ . . . . ' ` f` ~ ' r ' N. D. MILLER, M. D. , , ' ' ~ - ~ - : ; . - . - Coun health Officor 3 Local isttar • . „ ; ` . ~ h . - t ~ . ti . , . - . • ! r . . - , + ~ . . . , , ~ ~j~ r 4 ~ ~ ' . • . C = ~ , ~ OM~ Oeputy Locai ReaisTMar . ' ~ ~ ~u_ ~ • •,:ti i ~ ~1 ~ , . ~ r• .r . / ~~1• , i . . ~ ~ 0 R r PAGE ~ ~ ~ 2~2 6001( ~ ~ ~ - - - - - - _ k ~ • ~ - 4 v~, - ° K- ~-"y ~ ~ , - ~ _ ? < ~ ,