Loading...
HomeMy WebLinkAbout2415 314~~2 CEs '..r:CAi ~ .iF D~~a. ry 1 • Dep..~...w i k.id .~J R.~L.6.lwu.~ S~..:«. srwYC n~c No. - ~w~•~w~~u-w~~u FLO~IDt~ TY?!. O~ ~lIM ~1I ~'~~~rw111O° NEGIGTRAR'• NO. ~a9 • t ?IiMANINI 1MIt ~~~~~Nyr( ~ws~ ww~ ••st ~X OATE O~ Of~IN ••o~~~ w?, n•~ ~ SIE 1LLMi00l /M . ~ a~~ Qeo 'r.. Sv~.th 'oFe~alo So tonbor 1 1 ~ uCE sa. wMO. ~•rrcw rw+. AGf-u~r ~w. ~ a.. ~~•..w ~ e.• ~ DwfE Of W1N ~~a+ti ~C01M~TY Of OEwM ~ ~K. ~MKr~~ WM~~I~M~~~ r04 y Mtt WWf ~ ow ~1~~~ 6602 ' ~0 42 I ~ t~ ::ov 14, 1~1.t3 St. Lucie ~OM~i, Ot ~ OEA ?M cm ~r+s h03/17A? Oi OIhEI Y~ST~iYi~OM ~r .a r~r~. Mw MM~~ r w.w~ ~ ~ {~~(Yf 1~\ M MO ~ Fort Piora• Yos 10162 Avanuo D sTwi! W WM ~r wN w~.~~.. ru~ QTIIEN G 1NMA7 COUnTIt w~ii~ED. N[vi: ~+w~titD.. ~tWViYNG S/OYSt ~r or~. M~ r?rw w.l ~ COY~Mw~ - ~W~'+vtD.DNWCIO~Wt~rl °w•• N•'°••K• ~ Florid U. S. A. r:a: rf od n~. S. X. Saith ~ ~YY MN~M~ • ~nu. r wr ~ SOGK StCvurr MMMEa 115Vw1 OtNrwiAr+ ~ av~ .w~ w.or ~ar~ wn.w .~wr a KwO 0/ MKwES3 O~ w+OVSt~Y Y~'~~~ M ~ rO~l~1O ~W~ I~KM Y\IIJU ~ a.. „ Unknown Houso ::or~ u, Do~estic K~ ~tWM .ESwc.~ce-sr•u tow+n ar..ow~,. oa •outw.+ c,. st.u~ .aw+E¦ ~MKr~os« ~ ~..101b~ avcnua D ~..Flor2da w~t. Lucio Fo: t Ficrce ~ ~AiNE~-NAMt rrM aHw~ ~.u iMOinE4-M~WlNNAw1E ~+at .wra wr ; ~s John ~:cr.d3: son Louiciana ~ 24c~oaly ; ~ IMIWM~WI-IMM[ '~twK:nG wDD~Iii ~uau a~r.~. r0.. C.n W q~... WN. irl . ' S. g. ~,,,102oa 1:v~nz:o D Ft. Pierco, Florida 333`~ Iwti L OEA1M WAS CwYSEO 'Et1Tcr O~:.Y J?r.' G~USf /ft ir1E / (~L Al ~?O k u~w~~..~~ : N Nr.u. o.u~ ~w wa. 2 1~ 'M ~ ~ r , L. i ~ N ! .JG . i'~.`.i i~i w L~~C.~ ~ t:r~.li' r S'I.t~ ~ ~~IM~~~ (~Yl~ N\ ~ _ ~ Y~: ~ l~~tlw~ ~y~ ~rlt? 1~ ~ .•w t•~u u~~ f~/~ i I~UT OfNE~ SrCiIMKAM 10N1. ( ~s tO.~wr~+.o'o w.~. ~rt ..o~ uun~ ro c.~w twtr w ru~ ~ w ~~sr ff YFS r~~~ ~~w~~rt~ tu- 1 n~ M~ ~ I M N~iw ~~t~~+~w0 41n~ .u~--~ '~w N~7 ~ ~n ' V~..w~~. ~~TMAM ~.o+~.. n.. ~ nOt~~ rW W ~i+JY~Y OCCY~11f0 ~~•a~ ~.wM p~+nrn w r.n ~ O~ rus M, w+ ~ Mp~rK.iOy p Wpllprw40 ! ~ . IM ' ~4. .w ' 73r 1 INJI:ir~l WO~~ ?utE G~a~1Mtl.~ ror.•••••, s.rn. •.c.a., tOCwi~On ~~uu~ a~~.~. wo-. tm-M w~w. p~w ~ ~ ~~.~a.• n~ a.e~ o»w «,nt. cn../ ~ ~ t t , _ ~ lT%.J'_'.~.: r.;. CE~SYKAT10f~- w r• .u ! .0~7. e.. ...e ..s, a....r~w. a. ON/0?+~0~ tKO M Oi~TM OCCYMf .~w n.n. o. m ' IN~fK~~Ni +OrM1~ O~? ~Y ~01~ ~~M~ W~R wW~) d. ~ro. q M~ 4H ~ ~ ~f~~M~~ M ~ ` ` ry { I ~ M r~ ~~Oti~0G1. YM ~ ~'i J~~ wc[•u~ no+ ~M v ~ ifOju ~ J ~ / ±7:. ~ v . / / 1 V ' 7~ 1)b / ~t. ~o ~ u~va~ s~..u. i ~ CE~TYIUTION-~fDKwl EawMr.E~ Af OhIN![~ w..~ ~.s.s a nr .w~ M«.r ~ r Nuu.n r.s o~.~ ~ : a .o.. ~ .b... _ a...~.. ; G~,~. ~ ~ is .P ~ ~.•w. eccw.~? w w ww a*r w~s~ s..n~. . ' :7. u'~ : I _ ~~i ~ ~ ~ TYIt~ O~ ~ ~S~CshASJ~t ~ ~Y,. . DA E S?~~y I M, /~L /nYI L ~ 1.~~ t3~ ^ ' fA_ ~ I4A4MIC 1 COf i f~uu w~~•. r ti w w~r WM n e ~ , . o ~ / . / ,~!~-G'~ !t .s'1~ . : ~Uh/U. CJEMAT~Op. ~MOr/4 fMfiFlR Ot CRiMATJiY-NU+t ~IOCJ~IrO+~ W* p~O.i. s+•~~ fI ,`""~~~1~ Pino Grovo Caxo j,., = ort Pie: ce :Zorida ` ~ t~ OAiE .aw., w.~~ sM MOrE--N~aF u:C~{~.7~iSS ~.ro. .e cm •n. JJTJ~ ; „,.S~~i t. i2~ ~971 ,~tono s.os. . u:.o::.l'~iowo ~37 R. 5~. $ 1'ierco, Fla. : V. 5. ~61Y ~ ~t O~tECTO~ MtG' • a-SK,+v~twE wra uu~r~s ~r ?ow ~eo~sru~ A~r. i9t -~il ~ i. . , /.?..l :u ~~te^~'~r 9 7_~7i ~ ~ F11E0 ~=~uK0E0 - ST. IUCiC M ~?S ~A. f+G"vE~ „~~'C~UAT CItF ~~:..c; ~ oarti thb to 0o s trw and corroct copY of it?e w:~pF i Rvpn t~rs reocrd a+ f~le in tFw St. Luc~e Cou~ry Hce~th O~a^' 3 2~ PM , j : 1n~nt N FoR Pi~rts. Fta~de. ~ ' - ~ • . ~ 3 ~ I f ~ha St. ldc.io - =,,•..S ; ~ ~ (yyarning: tiot va~~d unigss ra s~i fea v - J,.• i - f 3 Cpunty HeaUh Oepartment i~ afiixw~.) s`~ ~ 31~9 _42 - . ` ~ ~ ) .•-.t_ : ~ - ~ N. D. MtItER, M. D. ' f~y~•.~ ~ Counry 'N~ith ONkar b inc++~ Ra~~stror , ' , , . ~ . 'r; : i , • . ' ' 1 . ~ r ~/J~ ~ ~J • • - • i ~ ~S ~ 7J l/'~,/1 ,7~sL„L.i~..~ii.~~,` ' b1~~ ~ N,(~i ~ o , ~ Q~1/hI LOCA~ RNJiSftAf • ~ • ~ - ~ ' ~ i ~ ~ ' BOOK 2~~ PACf ~4~7 ~ ~ . ~ • ~ . ~ ~ . ' ~ ~ f F ~ ~ > x_ ~ ~ . n ~ - - , . 4