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HomeMy WebLinkAbout1017 . ~ 32Ut?~3 ~ ~ ; ' ' CERTIFICATE OF DEATH - ~ nn~voro nF ?s~~.n~ ~~~~~~~i ~ R~~~~ F L O 8 t D A ~wTS FIL[ MO. . ~ lr?E. M?MM IN. w~r~~.w.awa.w.~ IIEOlLT11AH•• NO. ~I~MANtNT fNR OECEniEO-NAM[ ~wa~ ~~w 1~J7 sEt II~rp1[ rN s~ o~~[ a oe~n~ ~.oM.. ~ ~ ~ i au lf i ld 1 ~ ~ v?C! wwrw. ww. .r«cu~ .wr. ~GE-u~n we~ ~ ~ r.w~ O~TE d NeM ~.a.M, couMn a oenn~ ~ . C nt. ~ vKr+ ~ M~Mn ~ A~H~ rw. Mn AoMS ~w. . ~ V60Z ~ M~ A. S~ i. ~ . . : . , . OM'M. Ot t OEA wf~t cn ~rwf _ i . vKr~ nf w Mo MOb~1iAl O~ OIMN MS rw w~~t. o~w M~Nt u~ r~ye~ ~ ~ Fe~+t P~CL'~t: _ h Yes D O Fort Pierce Memorial Hospital ~ 31Att p W1N ~r rer w~ ~.t.~.. •.w ww?1 COUtiitr w~RMEO, MEVE~ MI1~M[p. S11~vIVNC ~M ~M .r,Mw.wr ~ • . ao~w~. ~ ~DOw[O.OMOKEO ~ rwc~. ~ ' • New York . U S A » Marri ~~.Francis J. Caulfield ~ryN- ~M,M fOC~A/ SEQltllr MMNEf tISt1Al OCCINAiIaJ ~Ow~ a~N p~O~a ~py ~Mr~O rO~t M ~ otcvrn .r ~orM uw. ~a. r u+w~ ~ RI10 Of MKMESS q MOYSlt~1 ~ ~ 46-46-8722 ~s. Housewif ~s Domestic ~ESIOENC!-sr~?[ tO1Mit~ d/Y. tOwq. p 10GiWa •~sw c.. wn s1~Et , ~..Florida ~.St. Lucie ~4 Port St. Lucie , Yes ~,,.159 Estia Lane ~ fAM~-MM~E ~NN ww~ Wr MiOiIE~-MADEN NM?~ nMr ~ewt uN ~ ~s Robert Gershinske . IM/OWANt-NN?~ W?kN0 wOWEti ~rw~ a~.r.~. re., t~r o~ a•R. t~~ ~ Ib Ip ' •+t OEAM wni CM/S[O ir~ rB~rtt O~at O~K GufE rE1 twrt rd Nb Al ~ kA ~ ~n.eer ow~i .r wa : - a~ /L1HSS tlE /NTR9 C/P9/YEH L ' ~'Ato ' COMNttOMl~ 11 ~f1?~ ~IM~(M ~~1r/ fIS! f0 ~ , I~NM~tl ~~111~ 1W. MI~ b. M~t ~ Cp+f~OY~w O~~ . {t~fINO /P~ ~M~f1- ` tt~N~ C~~{1 ~~N ~~?~.S~~i~~~f~ L ~ r- A urY o EAo . a?n r. otNa s~o?is~uwr ~o~tq~, co~.~ww. w~w..,n..o „n „o..w,,,,~ a wne ~,.a., iuno?sr f 11ES ~~H hMMMO~ COM• e~el o~ wo~ f»ta~ w Ntar.wMO tYM . • O? N~fM /+OM/w. Mt, H~~ A. _ Iw e . OR IM~ttrWEO C~ HOW IN1W~ OCCWlEO ~t~wn wNM wrN n~ ran ~ or rur w. wH ` s6' •7 - 7f"' I4 ,r 5!J/G!D/g L Fiit~~'~Q~ti l~da'/ND oF • IMJIMY wt MipK RACE NIUtY.~ wow. ~u., fnn~, r.c+w., lOGN10N ~ pM~ o~ v.~. uo.. an o~ ~o.r. a~r ~ ~ INK~n t M r01 OAKt ~1N..~ .~fNC~1 ~ u c ~ /s'9 ~sTr ~ , . ~ CEBtIC~~ION- worw M~ ' .~u .w~ wn nu uu us~ s~~r wr/w~ K~w or ~»/M w~ +w~ w~ ~wtN oCCUwto ~r ~ ~~ce, o.~ w MnsKUN: - i0 rowr wr ~ow uw~ M~a . ~wo~~ MR. u~, a w ~efy ~ .m.~n ~»e O L o... ~.o.~eea. we ~h Mu•s~~ no. tM J~. ~N fh. Q ~o ~w wr~nu ww~. CH?iKJU10N-/~EDKwI E~~MMrE~ 0~1 CORpKt: w ew Nan w w .oM a~e•w nw NceM.w .ns NeMOwnw ~w ~¦..wawo~. a~ ns. wio~ rr ..wsno.nw. w. w.ww. * nw~w w. a.~ w~ otaw~w Or M ~~wr.~w~[ .p ~ ~vs[ayw~ ~ L K !lf ~ ?~~F M • fftnq t--rt~M~E mw w n..n a~ rau C~+a.~.. nu~ • t_ XTU /V t ~ C ' ~ - - ~ Au~t CE~ts[~ uri~o~..~.~. oe •w rn tM ~ NJ~ pEMATqN. ~E?~OVAL E~r O~ C~Ew?tOn-t+~E. lOUt10N cn. o~ ar. sua ~ VKri ~ ~ Cir~at~ on ecron r torium Ln ch Florid ' ~E r..o.ww. ti[u~ ?UMEW nOME-wME Anp AOO~ESS ~ smn w~.r.~. ~.o., ce. w q..r. a~n. ~n ~ w Mar. 17 1975 ~s. Fort Pierce F'tiner 1 Home 106 S. U S.#1 Ft. Pierce . ~ v. 5. ~612 ~IMEIt~p~c~ OR- t ~ ~EC,~Stwt- o+ +itt~.[o n to~w~ aearsre~~ ~ R...i9~o L ri.. Qh.~ 7 975 ' i h~nby owtify Mi~ b b~ • tn~ ~nd ootr~ct topy of th~ Lote1 Rpistnrs rsoord on fils In th~ St. luei~ Gou~N H~alth Dapser• . ; m~nt N fwt P~.a~ Fbrtds. ~~kaf - , arni Not velid unless raised ieal vf th~ St. luc~ f1LEt1 A~ ~~uh?Y fl~- . ' ~ Cp~n Heahh Mpsrtm~+t• is effixod.) ~ ST. pG~'~ ~;iTR?S ~~k~l~~`,j~ ' ~Y ~ . t. 0 " ~ CCE~K C t~Ut7 CflURj r.:~ t,.~. ro~ y-~ , AF"~ Ef '1~'"~'~f~~-r-- ? ,j :~.,y' !6. N. o. MIItER. N?: o. Q t ~ , ~ : , Camty ~H~alth Offiar i tAOSI Rpiatr~t 3i t? (~4 ~~7~ ' - = Z ,~i~~ ~,~r° _ ~/7-'I.3 ; ~ ,s,, . O~A~ l~ocd R~ohn J~J,~ s~~•''S ~ _ 32~t~53 ~~.~ii ~'t~~~' . . , J ~ ~ ~ ~ 800K~~5 FA6E~~~ ~ : ' >w W . y~:~~ ~ ~~z . - ~'n ~i ? uS..YK . - . " ~ ?ti "Gv~~~' I ~