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HomeMy WebLinkAbout0973 ~ . . / : . , . ~0~4 ~ ' nwTS ~ow~o c~ M~TM CERTIFICATE OF DEATH e~~~s • ~YwuV pR ~/~K RATI~TIC~ fTAT[ RILt NO. FL08IDA •re .a.w, ai T N. R sr~w • o. ~..~.rl~ ru?e~ ~r w~ coo~ No. t uswc ww~eit~••..aw..r~r i~w~ e.r...~w...rw..w) •a~~.t~~ ` St. LuCie 66-12 ` ~~K FlOrid8 5t. LuCie i¦ ~•r- tm?. ~~owr. w aou?TO~ ~s ?utc os ourn e. Mv. towN. at ~ou?n~ a ~cswc~cc , ' .....t. ws~oc c tw~rn Ft.Yfel'Ce wsroc uwm+ ~ hi~. Ft• ~@I~C9 rES uD~ rp[~pQ ' I. IU1M[ OF (/I y~ a~p/~j. i~ abu! si~rW) IEMCTIt Of sT~ET AOORE~ ' 011 A IARYt NOS?ITIIL 011 , "'sT'T"*~" Lela~are Ave & lOth. St ~~~"rs 07 N. 7th. Street resD w0 : w?.~ e. swr " ~ vw~. w.E x..u o.. re~. ` F:arl L. Rount nee o.N 1 8-1956 ~ s. sc: c. aoaoa o~ ~ucc wa~~~[o~] Mnc~ rru~+co a?t[ o~ ~aTM s. ~c U¦ ~e.n ¦ uoa ~ Yw u~oa u iws. 1«tMrWN) x..w aw w... xr.. r~~ s w+oowro O avo~uc ~ ~e~. uswu. ooeaeno~ `a+~r N,I y.w? d.. ~ Kro os ~us~wcss o~ ~anrsr n. ~ ~ w w p?e1r~ awq) - ~ aiw~ a wu owrme •lt~ ~~r- fvlyw~MN~~IbA~.a~r~iJrefMep , ¦~~~~t L f , ~l~e! iwt 1 t~TNt 'i ~M1rt 1~. MOTNEII'S MMOCM iY1rE ~ . ~ ~ t~~~fltlf IS. ~AS OtC(45fO CYEII N Y. i AlIMEO fO11C~S~ Ii SOCILL SECy11~T~ Iq. 17. NI •~IMIATYw[ D L . 11~~.r_~rJvw~ U/M+.Mwrr~i~~/rwrl - D~U VZl~l'~ t At6eu ~ ~ ?~w~?~1 1~. i~YK N~[ATM ~6~fM ~ w~t eNn M fi~e h(~). /~1. l~l.~ IaN~TeE1t1TYAl ~ETSEEM ~fr~~e~r ~~~r~ a~n~rrnsuuscon. Nega jD U lV rio @oun~ - •¦~a t/1• ~MtRMl11t ~W![ t~l ~ tY• e~r- .ia:~~i~. ~~~r~1~"'b~• ~ To c~) W k FiTe Truck 8c Car } ~ 1 • • • l ~«e cMar (~b ~ r.a~.•... r.n.. nr o~c To ca) ' , •Itatw 7s ~ M~ , ~Ort f- ~~AT 11. OII~ SIGI~ICAIR OO~i1t1016 CYf1~IRM /0 OG1N ~{R ND~ w[t~Ri 1'O M 1[~IIMML 04tA! OOIpTOA CMII w/M~ 1(U . AAS AUTOrSr . 1~ . . . IEMORMEDT s.~ e..e~ S . ~ res0 w~Ci ' •r •~t~r• • ~ ~ ~ ~pp p~~,~ ~ w~r o0tw~~[o. (~n.~tvr b Awt /M Ar11/ Yrw IIJ ~ ' ¦artw~ a¦~ ~caoc~r wK~a NorK~ N41~?r M . ~i ; ~ ~1 O D Automobile collision ~ ( . ~ 20t T~4E OF 1/w? ~/wNi, MF 1 . ~ auv~r ~ F ~ s l: 1-8- 6 ' Fire Truck and ssen er car ( i = 2W ww~r OCCU1tRto 20~. RACE oF w~1u~r (r. I.. h r Mwt ?s~e. m1. uTr. 7~uflf. d1 toeJ1T10M Coitllil/ ST~T~ . . ~1U AT wor wNat fr~- l~r. K•ni. Nke 8?4•. ea.) MOIIK 11T ~1p11K . ~ ~ ~ lOth St & De1.Ave Fort Yierce St. Lucie rlorida , ~ tt J~tNn~d tM r~eww/ /~ern . fo ~nd Hst ~r Aj~ ~li?~ sn ~ ~ i DNtA oetutnd at en on tM d~t~ ~t~tW ~lo~~: ~nd M fM 6wt o/ rn~ Rno~Md(~. /ror» fA~ uuw ~f~Nd. ~ l11 fts~• MMATW[ ~ ~ •r• e• 1~ (Dw?w n twe) L13~~ 2 t26 •oo~tSS t1r. wTC s~o ' a ~:,1'.LeFriest Jr. Justice of raece 160 Citrus Ave. 1- - 6 •~~rr~t~. tl~. wwua.acr~rioK t3i. o~TC 27r- ~urcosccrcrc~roacacw~TO~r t]/. tot~Twu~O+n.aw.rnsW) (~Itw) ~ . ' I~tKarLL ~Sprtl/r) t~u al 1- - 6 H Memorial Garden Ft. Yierce Florida i . /61 ~ 2~. iY11E11A1 OR 3 SIGIIATIME AOOIIESS 2S. OATE IIECO. ~Y tAC4L RCO. IIECISTRAR'S SIGr1A IIE ~ ""''~~s H.H.F Vero ~each I~la. 1-10- 6 Anna e L ' ~ . F1~~0 t.K~ ~ E(,i~:tE7ED , 1 Mw,~Y o~tify thb lo b~ • frw M~d oornct copy Of 1M LouW ST.~U~Ii ~.'~1fNRAStA. ,,'i,;,~~:_ Rpl~~~~rs reoo~d a+ fiie in tM St. lucie Gou~tY ?i~si~h O~psA- CtE 1^c r r:~T ~OuRT ~"}n~~JJ Florlda. ~r~i: .iEt L`~~ ~ . , « , . ryNfit ~t fOA P~Nq a c r ' ~ ` "i ~ ~+~`,R = ~ r.•_- U (yy~tning: Not velid unless raised ~ea~ of th~ 51. luci~ ~ " ~ ; Ith rtrt~er?t is effixod.) ~T ~ • . ca,,,,,, o~ 1 2 i3 PH'~~~.' ~ < < . ~s f N. D. MIIIER, M. D. - ~,~Y s ~ 'H~alth OfficN i IAe~~ RpisttK . ~ d; ~'~!~r; ~=,'~"~~t :~X' ~ c~?n? 3~~",,. - . ~ ~,:j~:. ~ ~ s~. ~a; , t'; . • ~e 4> - /O - 7,S- ~~~r.s ~ ?n~.~r~~ sr-" _ ~ Q~QN1~/ R~OisMK - . - . aoo~2~4 P~c~ 973 - ~ : . . ~ . . - ~ ~ ~ ~ ~ ~ ~ - - _ - - - - ~ _ r___~ . _ _ ~