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HomeMy WebLinkAbout0411 4 - 323~~E~~ ; ` ~ . CER71FiCATE OF DEA7H D.+..~.e.~ .1 14.1~R ..J R.I~.Ir1e.M.e Sc..h.. ~tArt ~~RS No. ~^~'"^~~•r~TM FLORIDR trn, oi, ?uwt w ~ NIMAWNT \N[ RCOtlT~AR'~ NO, ~ . if1 WJOWOt la OfCtwi[O-rlM~f wa? . .ra~ y~t Wi[ p ODUf~ ~.~w~ wr, •~u ~ warc~MS ~y!?I3.'V~~iZ I. CI,,r ' F'EMA .dUtiE 1 1975 UC! ~+n. ~N~o. ~wrcw r~u, AGE-wr a• ~ au tv~~ ~ w~ D~~E O~ WIM ~.ar. Nr. COIMIY' Or DUM ~ ~R. ~M~t~~ Y~~~~ ~HY~~~~p~-=` Mh ~a~wj ~'i r. ~V~~ ~ ~ ' NEGB~ M.. ~ ~4 ~ . October I4, ~,941 SAIh'T Li3CIE • ' E 6(~(~I dyN.~RibCwtK~+ Of~M c.n ....a „OSN44 O~ O'Nti N~t~ ~N- ~r ra ea.~a. Nn aw~. rw w~wr ~ ~ ~?htr~rN M M ' ~ F RT PIERCE YL- r~RT PIF.RCB MEMORIAL HOSPIT'AL • - Q---_-- - ~ 31A1! d MM wer r r.r cmitM p w~w~ cou?iiir ru1~~[O. NEvC~ MNeEO. __~f1/IVIVNG S~OVS! wt. ~M r~Nr ~w~ t YWY ~l~MK~ lO1YK!/~ ~ • GEORGiA • USA l, ~Il~bw~ ~iOl'tE . : ...n. r~~. f~CUi SECutrt? ~4MYlf WuN OCCY?aT~ON .aw ~w M~oM ~a~ ~wa ~ow w t~0 O~ MRNt33 Ot R10Yf1~T atcwr~ w . ~rea~e ~w. ~n. r Nw~~ ~ ; 265-66-8132 Housewif e . • x ~[SbtNCt-itA/l CO{MA~ 1Ort~, TOrM+.O! lOC~1WN "rN uw ~..n SIK~MWi~~ ~u FLORYDA ~4 SAIYI' LUCI i., FORT PIERCE ~YFS p,w 51.1 N Douglas Court • , ~ IAtK~.~.WM[ NN~ r~w~ uN MOi~~-M~O[NNAY! ~rM w~M yp ~ ~ n EADZE JAMES GR~E1 BER'THA LEE STEVENSOi~1 ~wOMU?q-~r.wE ~ 'rA~~K, MJ~ESS ' ama w~~~. ..o . cw. e~ qw~. ww. s~ # ,h MRS. BERTHA STEVEhSON ;,n S12 N. Douglas Court Ft. Pierce, Fla. z rut Outh w~s Uuuo ([aqr Cwr or+e Cwus~ n~ tr+f IrW i.l P? ~?O (.N ~ ' M1~p~w M~Yt u~ M~A ~ ~ C/JistDloR,ESf'iR~ ro ~R ~ t' f~~•~~s r :+.iwmii i i u~ia M1l ~~~vv"'~J~~~ ~ f~~~A~ r~M~~:: ~~f~ M. ~ M a, o. u. cw~~w.ti w. fl~t.r• ~ vr~~ • ~ \~MN CNN ~N~ ' k, P/~ ~1',S~/ ~ ; : ~w~f OfW~ SR3M1KMat COHd~iQ~S. car+aeaN cor~w~w o~..w~ ww..o..w.M~ a cwM ~«~r rur . w . A1f?0K~ 1/ rf I.~~t n..~.w~~ ca. * C~y.~ ~A~ M r0~ MM~f~ w MM~M~~ ~~M t /~~3/ U Ii ~'Ys'~]_ ~ M~faM - ~t, 4- l+ir ~w ~ i•-...;, w.m.Nr: val~t~1-d('" bw1C~TNM1 i'~a+~.. w... nur nOW Nw/tI OCfUR~fD +ar7~ w*wt d rwiw wr ?~~s ~ O~?u~ R/M N~ ~ '9 M~u~t~4 w wwr~wwo ~M~~ /~T!//?!~L i Iv~Y~ - / - ~7.~ ) ~~~"~~n ,,c/~!_"~J~ f~~ /3r_- p ~ _ ~1:._ /1/_c r~ . ^f- /.tI- E~ nUUii ~1 r+pt h~ Od iiM?.~ ~rr. ••w. un~. ~.cwn. `IOC~f~ ~~wn~ e~ .ro e~ q`wr. a~w ~ ~ r INHM s~~ M~O/ OAR~ /YO.I~[ ~M~C~w~ . ~i ~ ~ ./Vl f= I ~ f~L~!/ ~ /7 C D [ J /:l T _S • ~1<T~ItAh~~- ~fltilw M~ wM ~ nOrM Ma NY uff Y~ ~r/ry~ NM O~ ~ M/M~ ~O~ ~T~ fi! ~~~M OCC11~f~ ~1 M wK1. M~ Iwh~C~~N~ wY ~OM ~IR~ M~lw. •~Ilr~f~ ~/f T~ /V~~ M~ ~~101Ny NA. ~y. O V rM n. hr.......o. 1~,~ - ~~u ~i~ /I~in n..~'C r o: i.~":~i;:w: ct:iriUiqn--woK~tii~rri+M Oa~Cyoi+ti. a+ ..v, e. ~ nw~ a«..r -i'wr w[.w.w r.oMOMCw wN ~...w.~,n.. d w~ v». .~id .r~ .w.f..r+wo... ...n o~r.o-., ~ ..o.w. rs wy ..e~ - e~..~ ~ • ~'"1""~!!7 ~'C"'X.1~~..?,:~ j?-"1~":_~t f i? rr- n ~ u.~w , i.~:.:r- ' wwt a.w a.:.:w M«n w eei 8i723?~'~t~i.w... n~ rn i. ~ ~C r~ i ,~~u.` i+:f'~ ~ ~ CF-t: - L~. _ ~ rk w~KiNG ss Iin%4. v.i~Toa. . ;a!» O w+ wr ' . ~v ! i ( E A '/1•f l' ~ ;s 1. ~-lt:c 1~~ t ! r_ , c '1. ' ; • ~ MMAnO~a. q+rOV~I f Wtf~n M C IMAIJ~Y~.M~y~ I~OG~~Ora c.n e~ ~ow. ww iw REP'IOVAL {tp AXid;"A C~E'r'.ai`~RY Ci~EWISTON~ FLARZDA ' . OAT! IrOMw. Mt, ~7Y~ W?~lIM NO~[-N~Mf~i~iq ~OMfSS ~n~r~ o~ ~ r_~. ro <w~ M M.w, a~ti, r.r ~ %,~19~~,. Sazan-~ s N.enorial Chn cl 72~ Avenue ~~D~~ Ft. Pierce, Fla. ' S. ~6 it iYe~f~i~ o EfrO~-s~fd+~ - ~trast~ -t~GV~r1pt / ew ~t anu n we.t Nas.e.. ~ ~~to h. .r'•• ,i -.~..~r~%'',~„ r. ~~a ~ n.. June S, 1975 _ ~ i h~t~by o~rtify thif to b~ e tnM snd cotr~ct copy of tM l+ocel R~qistrsrs record o~+ fiie tha St• ~u~K G~^'Y Ko~~~' gE~~Y F~" - rr»I?t d FOrt Pirte, f~o?ida. ~h: . ~ti . : ~ . ; . v erni Not va~id unless ra~s~i ~eal uf ~h~ St. l~ci~ f~~~'qG1E ~~ptiSR~'S 4g ~ r~r ` (w Gounty He~Nh Deparrment is effix~i.} R0~ ~~~,~CU~pC~u . y~''. ~~~R y~,,F~E 1Q~,~~ - i~-. ` D. MtIIER. M. 0. PFC^~ 0`~ _ ; My Hoalth Offltsr b 1 R~istr~t W . ti." ~ I ~ ~ 7 J ?t~ {~W ~ ~ ~l!, ~ , . T i a» p~p~ily L,ocsl Rro~strar . ~ ~ . 3238~'f9 , . 3 , . ; ~ ~ ~ . ~ ~ ~ , 6Gt;K PAI,E 411 ~ -~t S . , ~ , ~ ~ . ~ . . ~ ~ - ' ~-~a~'."~'~,~'~,J v~; ~ M... i . ~ . -ig '~``~i' :