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HomeMy WebLinkAbout2660 . , 31'7~,60 ~ ~ . CERTiFICATE OF DEATH . Der.w.ew~ ~f Ik.NL ~ R.L.IrMaNw S~er.~ tTATt III.t NO. ~~.~?ww ar ~r~u ~n F L O R I D 1t 426 Tr?t. w?rNr ~N •~••••••••••,•~O Aco~sTAwA•~ No. MtMI1NfM IM[ ~~N~ ~ MM~ ~ a~f S!i OAR OIAM s~Orti. Nt. hN1 . TFFIg MAE PBTSRSON ,Female , August 16 1972 ' 1AC~ Mrq. MN~O. Y~~ItM IAI~M. AG~~Y1N 1PM~ 1 • 1 Mf OATE O~ ~M 1~~t Mt. CG{RRr a OIA1M 6602 ~'c. ~wc+~~ • «~~~~w,w~ .e~. «w .ew~ . White w 62 . ~ Ja ' ~ ~ ~w~ tn iM Al NS t - ~p M~~M. MN N~r u~ ~ ~ . ~ Ft. Pferce ti~es N Ft. Pierce Memorial Hospital ; , iTAt! M1M +0~ w~.~~.. r~N W NnMi 0011MIt~ ~MlM[0. M[~Et M~W[0. ~w. Mw ~wr ~wN ~ i ~,,,.~.,,...p, Georqia ~ USA "~EOa~r°N~`~iec~~w`~~ Ralph petereon ~ ~ .wr «cuw M1w[~ ubwt OCM~tiOn ~M.. ew r.o. ~w ~w.~ .ow a nO p~uSNtf~ p~DIAnT ~ ' ~nM. r M~r ~Otr~ uw. ~ M ~ ' ~ „ 261-20-3390 Home Ma"~Cer_. ' ~Own Home ~ .•e». ~eso~Nu-sr.a cowm amr. ~orrN. a ~ou~a« y ,NFlorida 8t. Lucie Ft. Pierce ;N Yes ~,k 209 S. 29th St.~~ /AT1~~~IiM11~t MM ~N~ MM M0~1Ki~AMOtM M4Mf tiM iMM~ W . William euchanon ' Ma aane McMil:.an ~ ~WOwaaf-n~a! w?Rr+G aOWESS uwn~ a~~.~..w. c~ e~ ww. a•~. ~ ~ ~,ti Ralph Peterson 209 S. 29th St., Ft.Pierce,Fla.33450 ~ ' . ~wtt ~ oe~M vrni Cw-sco ~r, ~EMN OMI p! C~Yft IE11lI[ Wf I~b AL YO k~ MMM O«N~ uy N~M ' w " ~ ~ ur • . ~ • tMM„Orf. N uw I' ~ /1 7 ~wCr ~~ti ~ ~1 Y ~ ~ ~r.~M~n t~ON M~, M ~ p~, I ~ A N~hr~tN ~w~w ~ \~~N ~Nf~ UN . w ~ ?A~T OINt~ i1G?MK/W~ CCMD~tq~w~ tO~~OM<O~MMry q N~M M ~M Mu~ p C~~M ~~lr ~~Yt ~ q/ AIROn~ K ~Ef na nraw~~ cer . ~ ns a re~ w i~uw ~ww.r~ t~w i ~ t0 ~ IpY O1 \~ttY~MO M~• tpu NQM IMM1 OCCYMEO ~ ~w~ Mtl~! M IA/11P 1r ?M~ 1 M/Y1 ~ q 1 ' ` ~ ~ 7M. M. 1Y. ~ INAN~ Ai ~MORR .r .er. ~ur. ~n~. ucv~. lOCA110N ~ wM~ M~.r.~. re.. tw~ M~Ow~. p.A 1 ~ ~anarwse~.~~ owt~~w-.ac. ~r~c+.~ , 1M. ~ U~TrKAT~Olh~ ~b~ Mt NY uOMw M~ ~~Y ~y Mf/ M~ ~f/~M MM OM ~ M/Y~yO?~r ~1 N~M OCCMN~ ~t Iy M[7. O~ ~M . ; M•~4M. ~wA1 M~ Y ~O~'~ YN M~~1. IIp~~ ~7 N~. ~y. b~! MN ~ T~ ~ / ? 3 a ..b.~..o..... ( . 4! fh wn.w~ ~o. K n? t~c s Z tu. tM r~ ro~+ ~rra~ ww~. 1 CNtIKAi~Oa-rEOKAt E4wNE~ l. a. ~w ~.~e a r .ew e. w.r •~.e ae..~ wa w wr , ' ~tu~YwO~ O~ ~M ~M~ M~/M 1~ ~f~O~MOr. w w M~~. ~0+~~ Mt AN wDA N~1~ OfpIMN OM w M~ Y~ ~1I~ ~O ~ q~N~Y p~M~ M fA , CE~RR-~ 0~1 ' O~ ~1~ 1 ~/Y~ ~ . ~ ~ . ~ ~ ss_ n e v .o. « 3 w ~ rar 1 Z " . ~r Nl~t. C~EMAT~OM. ~f~Y TEn O[ C~E~MWn-NU~E tOG c+. o~ a~ w~ ~ '~`~einoval-Burial Sprinq Hill Cemetery ri Ocilla Georqia q~ '~9",'"1'3y2 ~~OM~;~~~~"N~~'"~t°f~ St:;~t.Pierce,Fla.33450 ~ v. S. ~612 ~ - -s~rr+~ru~c w aneo ~r ~ow uonrw ~~r.1910 ~w t 2 ~ j ftlEG ayU iECJltDE~ i ST. LUC~[_~,OUM4~S~A. il0"v-'• • GI CLEaK ~;'.~~~T COURT ~ hereby csrtify Mis to be a true and correct copy ot the IA~lI p~r~P~ r'•=~ Registrar s record on fiie in the St. Lucie CoUnty Health Dep~fl~ ~ - _=f~. ment at Fort Pierte. Fforida. SEP `8 312 PM 75 ~~;i ~ . ~ ` ~I , ~ (VNarning: hot v.: ;d uniess rs~se~ =e,i :,t t~:e ~t. Lucis r~a~ari~jT x ~ County Hea~t!-. C~ep~r:.~~~r•' _ ~=fi.:ed.) , 4, ~•ti:-' :et" ~ ' 31'7160 ~ : ; . 3 1`. a. M!LLi:R. 7. ' - ' ° . • ;r ~ COUr+ry Fse~~tn Uit:t-r_r 8 L~Y~; RegiSffu •i, ~,+,~y- ~ ~~~.~~ql f~%•:~ 9 ~~1~:~S~L• ~L~~v ~ ~ J -~~u~ s. - ; • _ . ~ ~Alr D@pUty LOCaI RCC~ict~ar / ~ ° oKz43 P~zs~ 60 ~ . . ~ ; ~ ~ f ; , , ~ , ° ~ ~ ~ - ~ ~ ~ ~e"°'•'i ~e~~ lF-w y~, ~I _.c;'1.u„ ;~+Y'~C_''..-s'-. d~` ~H