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HomeMy WebLinkAbout2391 ~ FILC[~ : .•.~.r.U~D S1.ll;C.1~_ :..~.MTY f~A - .:P~s, l 3,~, C'. c _ `T ~O 3 MODIFICATION OF ARTICLES OF AGREEMENT DATED SEPTn'~~ - EMBER 1, 1962 Page 4. 1 ~ . EXHIBIT A ' ~o~wo o~ N~TM CERTIFICATE OR DEATH ca~~• a ~YIItAY OR VITAL fTATlrTld RATt ~ILt NO. "~'1 r"_ FLO$IDA - " ora •~~w 1 N . A . p r o p~? I r 1 KAlt N KATN COOi N~. Y~YA~ A[M~ f A~w. Murr 1.w p.~.w..~ 1tr~Mr ~Iw ~rriw) a~ e ~ t~~ 0011MT1/ . ST~T~ OOIMTr •nd •ll! P~~~ Bea(~+it O- F'lerido . P~lm 3each i A e. cm. toMr. o~ wuTwN a?~.a w a~ e. cm. Toww. o~ wu~wn es aswc~cc .u•¦a ws~a uTV ~wirs~ Pah~kee <'r ~""'s. r>>•• res NoQ Peltcan Lake vcs0 uo~ ~ ~M06MT~L OII If/ W iM ~M~M~1. IYf ~f?Mt NbtM) ~(IICTM Oi 1. ST~t~T AOOQ[SS ON A iAwM~ '"s~~*~T10N r,ver:~lade Nem~rial 1~'da " P.U. 3~x 2~} resp .o~j ~ Afi/fe L«t ~ wrt x«n Dr~ Yer :,,ueenie T~z~ma~ oi~TN Sept. 2, lyb3 ifX ~ OOIUII OA A1tt ~ MARRI[D ~ NfY[R MMRIEO O~Tt Oi ~IIITM ' ! AGE (1~ ~tM~ 1/ IIMOEA t~tM Yq0[! M Mf r• ~ e• emale h6 ~ I`O w+oo+co? avoRao p ~ y 3 r`r~~w'r~ r..r. a... w... w~.. ril 1 l~'c p t?1 ~ 1~ 10~ USU~I OOC11?ATION I~i+ b? ti~/ y w?t M~t 1~ K~wOOi WS~wES30R wOVSiM11 11 ~NITNrIKE ( 9Yr w hr~y~ e~~lr/) 1 qtu0~ aF wyf OOU~Ae~ t ~ fr?fy wM( oMlGN h~r. ~rt~ 1/ r~ti~Nl Demestic ~ousew ife E~:faula, ~ 1~ . ~ ~ 02aet ~~k 1. tATNE~-S 1MME ~ 1~ MpTME~~S r~~OEw N~r[ o~ T~11~ a ~ixen ~~es e •ell :,entson 1. w~s ottu?sco i+cw +w u s. iurt~ ~s+ K souaa sECUanr No. 17 wI s sr~wl~wlt 1?~. M. ~ w~v~ Ul r.. wr .v ~ I~~ M r..r~ h• 2Kj_~~ ~w?•~•p G. ~ ox e c~.n axe a. /un~ral 1~ tw1N[ N~fATN (QYn~wrc~w pli~r}r lsl. u~ (t Ilf'(ERVAL ~ETrC[A r~~t ~ a~n~ Yws causco ~r~ 4 I r~ t t~ ~ ) ORfE7 A~O OIATN •ast t1!• wrEOUTE CMet[ W --~L~-`~~ ~/I~S - _ _ - - - tw• t~~- _ - - - ¦1 tAe`t1~ C1ditlww. ~1 ~+1. ouc To /N -----s~.CL-~~_~_ ~~l` CI~iLI 1~l~ Ll ! 3L~fJ. . ~ . Wk1 /w b - i • e • 1 ~Ewe cww~i). % . r~si~t~ar +~'~U f~ •~r?- ~ , +ra, o...~ «x to t~~ __L~'1'~"Z!~j~~ _f~Y1 [~l~'J~_. _ stt ~ . .~~e~. ~s ~ - ~o~r• •t- ?ru1T N. Ona S~iwrKM? Oo~arian oam~u~wi ~o OutM wrt ~ o to nt ~ur~ wst~s[ Co~oinor ~u w M~r ~pl ¦ t~r d~~tw K~~~~ _ o. ?.r... ~ i resD wt3 •~rfw~ a~~ ACC~OENT SU~CME MOYidQ ~ OESCIIHE N01N MU1MrOCCU~IlFO (EH~? ~~?t ym/ary f~ Pef Pat JI yir~~ 11.) dl~~~~t- ? ? . t i ~ • ~ f ~ ~t T1ME Of Hw? XNN. DA. YtI ~ - l~d~. ~ aNYllr s_ w. ~ mf INW~Ir oau~a[o ~r rtAtt os x~JUIlr b r dwt M.v. ~ pTr. TowA. oR toutaN oovNTV sr~TE ~ tMiLt AT ~ MDT NNIC ~ A~e1M/. drtd. y~a aN-: dt.) ~OR1~ AT IIIORR n. l ~tt~e~rf tM Nw~Nd /ro~n. ~ . fo _ •n/ /ut ~ ~Ii~~ on ~ OwfA ooe~ ~ m tM I~f~ ~t~t~d ~nd tq tM 6Nr d m~ Rno~/wdN. /roen tM e~uw ~f~tM. •11 ft~ss at• t• m~~w~ ' - : 7L A0011ES5 2tt. OATt S~GMEO e~~~l~t• ~ ~ ~ , ~ - - aessrat~. ~ ~ - ~ 23~. ~1/~K. p~!MTO ; Z~ DATE IUME OF CEMETE~I/ OII CREY4T0~~ 23f. tOCAT101f (CYt. hrR. M ew~~t/? ~ lB~It) ~uria~y` ~-$-1 63 Pert t+tayaca Cemeter~ Port c: a••aca F ~.~Al! ~UMEIUL S S AOOIIESS 2S DATf RECO. t~ LOG~L IIEG G15TRAR~S S~f.MATYRE i••.i~ae ~ :~elle 11ade,Fla~ a ~ ~ ' ( ~ ~ ~ ~ ~ 3 r ~ ~ LAW OFRICES WILLE8. BITTAN & WILLES U ~ . P. o. eex ao~ 8eC?~i~~ ~?Cd1:~1i~ RORT PIERCE, FLORIDA S3as0 s r ~ ~ '~~'s.~.,. ~_..r., ~ ~ 'y ~ `