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HomeMy WebLinkAbout2629 ' CERTIFICATE OF DEATH + ~ ' p~ad d{Ie~I1L ~ Relr~lYaN~t SrnMe~ RATt /I~i MO. ( ~ • avw«+ ns N?~u.n~ F L O S I D A fY/E. C. .rN. MI ....•.....~.a. i • M~MAMIA NMt IItO1~T11A11•f NO. ~ OK~Af(O~ «M~ ~MY Y Q~ ! . Mf. qY~ • ' • ~ ~ ~ ' MAD~.II~ S`I~VH~19CtJ F~aale 1 IJONelIbeT 26, 1974 j . ~ - ~AA! ~ww. wq. ••~wtar ~.w~ wOE-ua ~ • wn ~ r OA1E p MpN ~~a~, rt, COIRAr p 0lAM i ~K. 1 MKIA ~~~A ~ I J ~ AM~ I'~0~. r~ rOM~ ~M. • 8~ K vb • ii~.L7p ~i 66~2 ~y, j~ w~ta ~m o~ ~ ~~y, • ~p r w~w2. «~w wn ~r ~w.~n ~ . . ~ R i4~ . pi~GLWt h i~ N i~.• ~1~ 3 j ~ su~n a«ea~ .w ww?~ aouMar wualEO.l~ve~ M~uco. «~....w. ~ fArr~M~ M~b 1 MCw 1 ;,„w, ~ It~iy • ~ISA N Pl~°l~° u. Erlwit? Steaeneon ~ .r M f0[W itCY~Y MIM~E~ WYAI OCQNAbON ~«w s.~ a~wa w~ ww.» roM M KMO Or N1SNEff q f~lliltr ~ ~ ~ ~ „ 094 32-5314 ~a1'c~eic"~' awn Haaa ~s~omce_s?.n ca+~rr tar. Tow?~. a ~ounoN ~..w ; : ; ~y Floaci,da St. Luci,e Ft. Pieroe ,y ~'1~0 ~ ZZ09 N. 42td St. , , r~r~t~_w.~c .~w ..w. • ua Mo»~te-w.iotN wMC r.a w. ~ r ' i: n D~L~C~C LS(~Odl8 N 1~lt~@ UIIO~. , ' am!/rG ~DO~Eit ~~n a vi. ro.. ar w w~w. rw. a~ i. ~ EdwSn Ste~r~ensoc? 2209 N. , 42rx~ St. , Ft. P3,eroe, Fl+a~ida 33450 r att O~ww~ wns cwuSto a~ ~t+ OKr a+t uust ~N uE rdi I•~. IN N+D ~ ow~ w w.~r ~ i w Bilateral bron~chopaeumonia 2 dau?o , , , _ , j M.M hoc ia leukemia ; .,...a M 1+7aP Tti ;Unkaowa ~ ~ NNM~p C~rtf N4 ~ M q. O~ U~ tOrNMR{ Oh ' 1t~nr~ tp ~w~M. : ~ ~~w uw un • : ~ 'c ~ ?ut ¦ Or+~lt S~GrwKwNt COuOrtq~W as~w~o~w car~..~ a w.w ~w ..a ~w.w~ w ww ~ww. M w. ~ w AYrOKr 1I ~Et .ren r~.~..ws caw~ ~ ~ m e~ ne~ yw~w~r~ ww ~w i ~ ~C~yy~ p~~ ~~~L ry ~W ~ MOM~ p1JY~r OCCYN[O ~ M~~ ~rM p w111w r r+M ~ p hN R wr q 1 ~ ~ ~ M. JM ~ ~ INJllfy AT M10~[ NA/r a¦or. ~ww~. r~tson. 1OG1110N ~ ~wNt O~ MO., dn O~ q~r. Paw ~ ~ t WM? A~ a~O~ O~G 11N..fK. IM~L~~ 7 ~ ~ ~ y CEK/KAflO~~- ~0~~1 M~ *!tl ~O~ Mt hY pM~!.t ~Y~r ,w~/t~M MM Or 1 N/ w~~ M~M OCCY~l~ ~f rM ~Mt~. b1 ! ~ f+. ~,a.w~ .~o. JLta9 l~ T~ OY 26 14 ~ 11 GO ww .~w «.M. ~ ~ ~.w. ~e r«r :i ..~wwa rw 2 n'°~`na. ~w + ' ~N 1M ~K M ~ thnl4l ~Y~M. ' f CERIA1Gf10N- : O.~ ~M MN o~ ue woM ar ~f~w M MpM.w ~ w~p~q~ MN y ~ ~tY~M~ub~ OI IM~ ~M/O~ M M~1ti6~~~0~. M w OrrO~. ~OwM NM~ OUMM~ d~ rf MA w~ M~ ~O A CMIM~M N~R~. ~y ~ M !7~ ' CEIq111f~-N~M[ ~nM a n+.n ~t • MO~ O~ Mt ~q~M. M~. hY~ Y. F. Watkins Y?. D. 11 29/74 ~ y`~ ~~`oz 26 Fort"~ierc e~l ri a« p~" ~ N~AI. C~MAbOM. ~A10VAl WE/tfr O~ QEMA/OAY-NAA~ tOG??10N aA w b~ snw ~ ,.;"`~~urial ,~H311Crest Msn. (~dns. F't. PierCe F1aCiida ~ bA^i! ~:pi.~. w.~~ ?1MrE~l4 NOMf- iwF ~?JD AOW[fi ~ f~n~~ o~ ~ r• t~. p q~r u.~r. r• s. ~6 i" ~ 9 197 901 N. ~th St. ~ l~. ~fe~[+~~ F10~3~tIa 33450 11w.191o ~ `s~+"tu~c! ~eonn.~ ~ December 2 1974 . - ; ti "t ~ •~~1 b {7~ ~ M{» ~ W~~w.~ ~y V~ ~ `,11~NH•t!/Iqiii~;r~~~' , ' ' ' , ~ Rp{ar.rs hoo~d on fil~ In N» S~. luciir Cou~h? li~atrh O~aA- ~~••`~,~~~~I~YsJ-~~: Ia~M d Faf pi~?u. Flalda. ~ _ t~ ~ ~ , P (VY~m NW v~lid unless ra~srd Ms~ of Ih~ SI. lut~4 ~ ~ O~i~l ~r~`.,j>~ ~ s` ~ ~~,pu~sly H~ahh D~ps~t~+Nnt is ~ffi~ ' . ¢ f '~~s~-t ~~K ~ ' ,r , ~ ~ f. ;.,;.ac - ~ % ~ f •`''.~+`~..~~<~`~t ` if N. MIItER, M. O. ~ ` " " • ~y - 'y,;:- ; . "lirith Off~oM ~ trooa . tbQ~sit~r ~J: ~i ~ i''. ~ • .a~".- -"j. r,~ _ ` ' •..~a~i ~ ,.`~~e 'j/~~ -~%~~J~ . i ~ nf / ~ ~ - ~ J ~ _ ~(//J . } ~ I ` , , ! - yy ~~i~ Z G * i. •,Ty "lf~'.. - OM~ ~y ~~o0d R~Qisl~M g ~ . - 'o,... % ; . rs _ ~~r ~ ;K... . ~ 600K P~~'~,.U . . j • _ . ~ _ _ . _ . . _ _ . _ _ - . . _ _ _ _ .a : ~ ~ + ' ' ~ _~E- - - / . _ ' " ' . , ~ _ " . . ..~a~. ~ ~ -L~ 'xa"~'.,s.~'{ - K'~-- _ . ~