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HomeMy WebLinkAbout2610 • 31 . ~ - - . ~~8 CERTIFICATE OF DEATH o~~?~.~~ - F L O R I D!t R~~ ~ r?E. Ot ?t~NT ~N ~°"'r~'~R~~° 11[OItTRAII•• NO. Pi~MANlNt iMK ~E~p-N~ ~u~~ wu ~~f QA OF M~~oMtr, au~ S(f nA1~0100[ FM ' Msrn~aars ~.Male A et 14 1 uCE .+n. wow..r~ac.~. w.wM, AOE-up w~e. ~ su¦ ww~ 0~ 1 Of Nl~N ~ra~. wr. tOUNtr Of OEwtM ~~c. ~ wcw ~ ~nwrn~ ~ rwu .ws. ~ars Mows ..r~. ~ ite s. 68 s k • Au . 28 1 06 Indian River j( 7( rt1f. 10wN. W t rnwe un ~wNS HOSNTl1l OR OS11ER NS - ~r no~ w ~nN~, art ~we w~wa ~ j ~ . wcr• ~~s o~ Mo Vero Beech No H Mecca Convalescent Center . ST~tE OF W1N ~ r.w~ M. ~.~.w.. Mru d NRIA~ COUNIRY MAR~EO, NEVER MAR~IED, SIlRVNNG S~OUSE ~r ~+w, oM r?~+ ww ~ , toww~ ~ wDOwEO. Wv04CE0 ~ wt~s ~ ~ Washi~on D. C. • U.S.A. a Married Mar et McNel],y , t»,.~ o.t~.s.s io[ut SECUbn NiwER usw?t ottlx~na+ ~a.~ a~»~ a wa~ oo..~ w.»w rou a KR+D Oi MK~+ESS Ot ~ism ' ~.~o r oe.w~ rwawo ure, new a a~ws ~ 0~:~~~t0 ~ ,.:f~~~u~~0«, GIw ~2 -01~2 q~ 1~. ~If'vlr.tl qWY . • c.'»a.. ~ESMENCE-SiATE C01Mf~ d~ll, TOWN, O~ IOCATION w~f cn urw~ ST~EE~ ~ . 11NCM~ 7H W MO ~ ~ r da ,.St. I,ucie ~a Ft. Pierce ~a. No 0 Pensacola Rd. i~TnER-ru~af r~a~ raae a~s~ MOTMEt-MMDEN HMff ~ .~wu usr „ Ben smin Groff Annie Herrin ~ WpRMAtdT-NAME uuta~G wOWE15 ~snee~ o~ ~.~a. .a., ews o~ +o~+.~. ~.w. tr~ Mrs. Margaret T. Groff 7905 Pensacola Rd. Ft. Pierce Florida 3345a sw~T ~ DEAM WAS CAlKEO ~r: ~fN1f1 ONIY ONE UUSE IEt L!rt IOf Ml, (bl ~ k a:..M oMSe~ «.w u r..r°" ~ 31 ' ~ac~ 4 o?rR~~ ' ~ l~ ~ . . . . - COMMI/OM~. ~~..,o ? F R^ VE~If1~0 r~~C» a~w ut! ~d 1~1 ~rrea.~t t•~se ~a. oue w. o~ N• eoNS~oua+ee a: lI~lIMO 1M~ YN~I~• . lNNO C~Yf! U1t ~ ?Mi 11 OtMEt SIG+i1fK~uiT COH01f~0~1S~ ~a~nOw~ cOw~wa q Nwm wr »ot ~turc~ ro WHt OMr w rut ~ w~ ' ~~r R ~ES rnu ~~wNMOS ca.- ~ns w w~ r~eue w uaaw+nro e~ . p eurK ~w. ~w p~ ACUDE ~ rOM~w. Mr, ~ew~ ~ NOW ~HJURr OCNaED ~ lMw~ w?*wf p~wver ~w ~~n ~ p~~N w, ww ~ c ~dEi Ot IJ~tEWWEO ~ ~ 1~ ~ 7k M !M ~ ~N1UtY At WOdt /il?CE OF N~IURY.~ row. r•.r, sneer, r•non. lOCwf10N ~~nen o~ ~.r.~_ wo.. em w w.rw, s~.n ~ f LMt~tt A~ O~ r01 0111q M~6., [K- ~ VKMt 1 7b 7M - ' , CEtTIFKAi10N- ra+~w o~~ n~ ..owa~ w. ~u.~ 1iO.o TM v wr~ u~w ~/ao. ~wr w..r ~IN OCCY!/fb w?un, a. ~r /NtSKUM: TO ` . . D O~R, ~M. 10 M Mft f11M010 Iw! r ~ ~ A - _ ~i ~ _ ~ 1 O ~ ~ s ~ ~ 1 ~1 : ~C` • IN uecr.ulr i~o+. 11~ II~ _ - O~ rt awOw~loq. O~I . {J~-~T-W 11~. ~.4.1C ~ M- t0 nM c+uf~~1~ saq0 CEliMK~?1~--+rECKwI E1tA?~1?+ER OR CORO~NER: a. ~wf ~.s~s w m~ ~ a weeu.rt rws np»waas oe•o fiaaeruhW p oM r00~ u+O/O~ tM! rMSt~W~OM. M rs 01Mqw. oOMN M~ ~l.• Mpy~ ~ oe.~w occwn~ o.. ~r wn .«o ew ro a+ c.us~~s~ suwo . M ~ . M CtRIIi~ER-?~~wf ~I~N M ~~wq qGMf W nR! ~Ow~ SI(?t~ED ~.~o~*~, u~., •w~ ~ / ' II~ _ J7~ 7 !7~ r ~Kwc ~noecss-ccRrr~R ~1901 ~ th St. ~~n Vero BeaCh ~ F1oI'is~a 3c~960 ! ~unwl. ctEntnt~0~+. RErrOVwl UMETEIn Oe CREwu?tORr_w~E tOUt~q+ c.n o~ avw s=.u ~ 1rltrr ~ ,w Burial H.Ft. Pierce Cemetery ri. St. Lucie County, Florida D~tE - -~..w.«. nu. fU?~RAt HOKE -NAME ~ND ~DOtESS ~ sra[~ w r r• «o . c.n p row., »~n, i~? ~ 14 ~61? ~a+E ~ RFGISTR/1R-LGN~tURE y r owtE a~t~v[o n ~OC~~ uG~s~u~ ~ k e v.: 9 t o l,~C• ~-l~lL'-i~ ~7 n. : L_ C~ .J G' J~ "S hexeby ceYt~,~q th~ r?bove to be R~txae ~~d cox~eet copy et the toc~~ -reg~Strax•s zecor~ o~ tile ~,n Lhe Zsad~an R~vex ~bt~nty ~{c?rZth Depar.*.ment ~t Ve~o re~ch, F~ox~dr?.•• ~ ~ • Thi~ ~e r~ot. vatZ~d u~n~ess ±he xn~sed sae?x ot the ~~dZnn - R~ver County,j:.-KeAxtH:;'Departr+~~t is a~;f~xed. ~ ~,1y.; r ~i~:~ ; : ~A~1t'~~ii~ ' ~1 • ~i . Q •t 1"~F~+ ? ; ~Y j.~,. { ~ 7 , w` •;~il~ 1 t~Pl - ~ ~ ~ ~ r _ -~4~c ~s'ti . `L_J ~i~ ~ • ~ ~ > ~ ~ ' w:~;:~~'~. - ~ ~ ~ Co~~nty 1lealtfi Dir., 1-.ocal Reg. ; t~, .~?..,.ss ~ ~ , . . ' ~ . ~ ~ t T~~.~ ~ ~~y ` r . I~~~ ~~:~~a~' ~ ~ ~~i . ~ ; :l_-~r_ f,~T~ i . , "s ~,~f'.} . .y~y..v.~.t~''.' ' :~l {:tl,~~: +tt~':~~ r-i~~ ..~.~t~r n..f'~~S~X?Y . ~•~s;~-`J!~:~%~';~:~ 0 R ~ ~ aooKz~ ~~f~6~2 - _ • ~ ~ ~ _x ~ ~ - r-•=,6. ~ ~~~~s.,~'~~'~ ~`r- Y°~.. t3-~ _ . _ -