Loading...
HomeMy WebLinkAbout0787 / 321~2 ~ ~ _ f1~EU ; :K~EO ~~~r ST lu°~_ ::v?+~AS~A. _ ' f,Q:: - ' ~ ~i.[=!c ;:~Lii: ~)l(y~" ~ CERTIFICATE OF DEATH ~ 46 1 i~'i~•~ Rd~.blian.e 5...~. ~rwts ~~~c No. aF~w~n+ FLOAIDA trrt, oYMwit """'""~'O 11COItT11AR'• NO. lt~MA/NNT INII ~~~_N~[ rns~ ~~u uu s[R OAIE Oi OEA1M ~•oMt~. ws, nu~ i SEE M1~100t i0~ ? ~ 'S11K101s RALPH HENRY CROUCN t. Male ~ Se tember 9 197 ~ ~ACE .n.n. Mww. urucu~ w.wr. AGE-ui~ ww~ ~ n.~ u.e~~ ~ w• O~tE Oi MRTM ~.~o.ww. w•. COUMY p OEwTN tK. 1{qC~n 1 MtM~t 1~~f ~ r0~. Mq ~OM! rM. 1fa~ 1 ~ f~ M k ~ t~ , TOwN. OR l OE~M rsw cwr ~rw~ ~l O~ 0/Mft 10~+- ~ r.a r. un i~n u~ wrn ~ wc+r .~s w uo _ n Stuart h N ' SiATE Of M[M ~ r Mor w~ v.s ~u~ C111ZEN Of wM~t COIMIlY MARRlEO, NEVE~ MA~rEO, SI1tvNNG ~ r.rr~, owe M~ rw ~ ' ~ ' w100w(O.ONOKED ~ fntn ~ j usw~ aseeK~ ~ ~~nns~ f. N. 11. ~ ~ `~R~t ~fCl~fl~ Qc~ S ~~.~e r ea.w SOG~I SENM R USW?l OCCINwT~OM iave a..~ a.+ow ww Mr~e ~oa a rtND Of MlSl4SS OR M~US1R'? ~ occ~vwe M ro~.a ~re. Mr Y N~M ~ ~ - - ~y ~s iy~oad *eHa~.ce rro~ r.~ c~? a~n snEEt w+O •0"'s"o"• tESIDENCE-SiAtE COINItr CrtY, tOwN, OR IOCAiION L~~ ~ wcr. ns a..o Florida St. Lucie ~k Port St. Lucie Yes ~.191 S.W. Ivanhoe Court ?~nEa-NywE r~w .naw~ usi MOtl~t-MADEN NAMF rw wwe uu ~ u Geor e (NMI Crouc Grace (NMI) Towner INfOWAni-N~E w1lllG wOWESS ~fwa+ o~ .w., cw~ w w.., ww. e~~ Mrs. Martha Crouch • i r~et DEwTM wns GusEU ~r: ~nm~ a+~r or[ Gus[ KR iw[ rae NL AL uo .m.aw owe. u. w.e . ~ i N r?rN" . ~ a~ :_.%~c C GsL' ~ OS (C/ f~iCK-~~ ~ ~ co»emoNS. ~r •nr, • ,~'L~/ ' ~ . - { aw~M O~rt uft q (~i z . t ~rrla~q t~11s~ am. ~ . O~ u~ Ca+uoMMtt O~: { I f~~f~MO tM~ YM~[~- ~ 1~~M0 CAYf! \~f1 /j /n 'k f<1 l. ~Z~'~~/~Q~ GC i { ?~RT Ot?~Et SK.~+iK~?tt COr+Ort~O~+S: carews caaawwo ww w~ tlY~N q U11M O~r w~ • ~~a MJ~OK~ i 1Ei ~et~ r~rNwOf c0~- x ~ Iq! O~ MO/ MMq M Nfl~~wM~O t~11N ~ ~ M N~f~ ~ i R.~4~?~ ~[d0[r+r~ A ~.wn~, w~, n~~ ~ Mpw INN~~ OCCYtlEO ~ e.wq wew a~wwn r r~n ~ o~ ru~ w, w q ~ ' M0.MKJOt~ O~ YlDfifW1MID ~ tsrwhrl ]0~ ~ ~ M. ~ ~ uWtY At wOtlc ?uCE Of ~UU~Y.~ .or.••••, sryn, r.nor•, tOCwnOa ~ ~nu~ a~.cw ..o.. cm w~o.r, u•w ~ ~ ~ f?ec~n w~.o ~ ow~a rw.. nr ~ wan ~ ~ 7M 7M ~ ~ CfttIfKA1~ON- .w~w wr nw nw'~ w~ rw ~M~ YS/ Y~r w~/M~ Y~7 OM ~ M/» ~+or +.~r M OEwM OCCYMlO ~r ~ ru,a, o. M r~s~a~N: ,y T~ ~ .o..M n.~ ~o~+.ns ww~. ~.w~~ w...~. a w rr ~ •m..sw rn n. o«~.ue .w. ~ tu ~i, tu.~i1 ~er ° ao.u.o~, w. IM. K~O 7M t~IrN~N WR~. CERT11CAt~OM-MEDKwI fl[AMNE~ OR CORd~E~: o.. na uws o~ n~ woN w K. ~.t wn .n .u na~o~wKt~ wy ~tu.w~~7Ow O~ IMt WO~ ~n0/W ~M ~tit~G~~Or, w~ 0~~+~W. M? ~!M ~pp • M~rw OCCWMO O~ M O~O ~N MM W~M 4t~ffN~ Sr~RC . - ti. ~t m • ~ cEenf~ER nn w.~r.n ~y ? ` oaca~ a ~.a.w. n~u~ s P- ` , /'f' ~ ,n ~ ~Q~t /l~ ~ a~~ / ~ 7f ~ MA~NG SS-C f f t~ p• tm p p~r N~t~ , . tI/ ~ ~ ' I~T~ . ~ Wtll4. QEMAiION. 1EM0 fMETEt~1 OR O!Y- lOCA110N cm ot q~M w~t . . ~ VK~n ~ ~ :M Ramval-Burial ~ Jefferr~on Me~nrial Cem. ~ Cb. , Pit , Penrta. , ' - OATE r..o~wr. rr, nu~ fUNERAI MOME-NAM( ANp ~?pOfESS ~ s.~~n w~ r.~. ..o . ae. o~ ro~., a•n, ru ~ . ~ Septeiber 13 1 n. ral Hane 50 So Federal . Stuart Fla. 33494 ~ ee ~ A~r.1670 ~ R t~ut-S~Gr~wrurt ~ o~ nu~+on noa u r~ 9 ~ ; ~ ~ : ~ . Florfda. 2 ~ ( Warning: Not valid unless raised seat of the ~ ~ : Nartin County Nealth Deparbnent is affixed.) • ~ ~p.,_,~.1,~-~n _ , ~ ~ ~ ~ 't. ~,,'•i - Archie McCall ister, M.~. ~ . . ~ ~;s. . ~R;E.. ~ ; ~ r ~j~=;'s- ` ' County Neal th Officer & Local Regtstrar ~ ~ ~ : ~,t.:?;~S,~p q A-~.~~:~, - ~ - , ~o ; . ; - t ' ~ _ '~•~.,tk-~.~.~. .rr ~~~o~~~ , ~ ; ~ ~ . ~ , ` ~ ~ , ~ S'`~ ~ y : i ~ ` ~ ? _ . c : • ~ ~ ~i~.., , , . ' , ~ • ' ~ . te eputy oea .eg strar i . ~ ~ ~s ~ t `'E d P ~~v fAGE ~~U ~ ' ~ BG~K - . - ~ ~ ~ " ~ ~ `~.~£Y~`i ~ ~ ...{z .~.Y . ~,,_~~r:'~ +'~~.n~~d;~ W