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HomeMy WebLinkAbout0987 3242E~'7 i CERTIFICATE OF DEATH ~ o.,.~.,..~ rk.~~~ k.wMti~.N.. Crn/m tTAT[ No. ~ - rn.~mn~. ~...i,N FLOAtDA # 1~~t. W/MNl IN ~td1iT11A11'f NO. 328 ~ MlMA/MM iMil ~~A~-N~ rrst a~t SEX pAiE Of DEAM ~ rOwt~. ~fY 1 Stl Yr10N 1M .s~a.~ , J~,~sS I:L~°K)OD C1IREIS :~talo ~ June 17 19~5 j V,C! •~w. +~ow. •..aK... rw., ~GE-uu wso , vu wen ~ w~ O~IE d~~fIN ~.~o~.~r. CCIMt~ Of OtAM ' ac ~ wc~. ~ ~wy.. ~ nuu .~w ~.n ~aw? .w ^u r . Whito 59 • s. .~kir. 8 1916 Saint Lucie .~1i TO~+-. ~ tOl.?t~~0 «s~w c~r ~..es MOSM~A~ Ot 0:~~ NSI 1M u0~ M ~PM~, O~R ~~P w wrw ~ 6602 fhtr~ n~ M r0 . ~ roxt Pierce Yc~s D.O.A. Rt. Pierca Memorial Hospital . . 'Y'----- ~ STl1!! d WM ~r ro~ w ~ s~. 'r------'-_----'------ ..s~ QtUkN Oi wfur CO~Rtf~r wNbtD. H[vt~ w~n[D. SUtvNNG S~OUSt ~ r.w. ~~n ..rw..wr ~ cow~.~ WppwtO.01Mp~CE .wt~.. ~ vw.....~.-~. , No~v JQrsa . USA i tarriac~ htarion Bast vMNOK~.t~• ----------------------L"'------------ - a r«.e. SOCU?t Sft17Mn MJWtR USt/Al OCCW~riO?+ ~aa aw a.w. ww w.~.a •~w~ a Tp~1D O~ MlSNfS3 a~ISfR11 «C~~ ~ ~ptr0 tM~. F~r Y ~lMN 1 145-05~0563 „ Ca anter Count blaintenance i.~is~o,w~~ ~~~-Stilt COYNIY Gt~i, LOWN. O~ IOUT~ON '~'MM c.. ~rw~ tf@tT AMD ~NW~EI ' ~ ~yKyr r1/ W NO ~ rlorida St. L~cie rt. Piorce ~w YQS 202 i~a le Ave. - ~AiMt~-N1NNf ~N{l ~eRe UP ~OiM[~-MAOfNN4M( ~Ap rw~~ YV ~ Clinton Carels Ida I~ammond IMIOWYA-?wrE w?\n~('i ~OWESS ~?m~r o~ w. cwr o~ ro.~.. a~w, tr~ ~h t?iarion ]3. C~irels ~n 202 Dfa le Ave. Ft Pie - e 1 33450 r~n pE~n~ w•3 uusEO n: {E~+re~ owr o?+c aust r[r i.a[ ra hl aR ~ k11 .n..eM o.n......~.x~ i N ~ f c AR vi c~~~sPiR nra ~ ~ONNt.OM,. M .M~. . ~rr~(M O~r~ ~~f1 M ~?1 . r~~~Mary t~~4! ~M. NM M. O~ ~1 ~ CO.~f~OMKI p. f~~~~r0 ~r~ Y~~H- ~~w~ t~~N ~H~ ' , ~~~f1h'7~jTit~s~l,!"/~L,r/c ~F/IRy-- " ~ ~~~1 ¦ OtNE~ S~G?+r~CwM CONO~~~~S: ea+~wws co.~w~vv.~e ~o w.~. w~ .w ru.e~ ro c•ow o..~. o..w ~.w ~ M/10?St I! ?t1 ~ren nrwr~~ eor~ ~ ~A1~O/~ ''~OL~ O~ N~fr MN~w~~ L/I~M ~ .Z) ~,.~yY ~y ly C/ IN - , I I~ ~ KC~YI~. ~IR+~C {I~ 1AlV~• 1~~1~. M~~ ti~~ I ~pW IN~~~ V~CVS~EO ~~M/~ W~Y4 p M/rM ~M ~~f~ ~ O~ ~~M M. 1 I wr~i~e. w uwe~ewrro ~ J ~ ` ~ ~ ~ N ~ ,~'c~VNl~ _ Ofn n ,e /s~/F~ ~yiyG ~ / T ~~yE _ / - ~ ~ ~ - i - f' ~ ~wl1A~ t wp[ hACE Or MIU~~ •r ..or. ••u. ~~wn. ~.cwr., lOCA110N ~ ~wn~ o~ ~ ~ • .w . cm o~ ~o... ~uw ~ ~ . ~MNM~ Af M MO~ OAK~ YO.~R. ~YK~~ ~ ~w ~ ~ ~ /~A~~C,~ - V F ~ i CEftifK~tqH- ..o.w. w wu .o.... w n.~ w u~~ w~ wri.w .u.~ o+ ~~+i~~e .e~ .w. wy ot~tw Otcw~fo .r rt w~n, w+w ~ ~ M~1K~u1~ ~O ~A Mt AM M~~ ~/h~ N~w~ .~0~1~~ `~j MR. ~y_ ~O M MN t ~ ~mrw~ s~ w ~~orv~W. w niua~ ~w. m _ n~ ~L! n' l?_'__ 1~ ro r ur~r~o saw~ CttiwiGtqri--MtWCi~l Eiwiwi+E~ p COeI~K~ w~w usn a+w .ww w u.w. MuaM .•s r.orov.~cw Nu ~~..w.ro. a r~ ~o~+ w~w ~w .m+.r. ~n.. a..~o... s, } rrrw~ w. n.~ ~ ~_~.~..Ix'r1~~'~l~'°'~`~'~ly?,a'IN~R ~~~Ml~ ~ I~ ""_T_~~ y ; cHiM~El=?+AMt ~..n~ w~ .w+.. / ~~71~~~'~ ,w~ •ow~ a ~w. 'b:tF SK'~ilO ~•a.M. nu~ ~ rM l~~f_~_.L1~~ D ~ N l~JGL-~_L`^ i/) 7l~ ~ Jk ruR ~OOQ -CfRMrt~ e.ae. o~ ~ r e c~n w.+ ~~r 7. ~ 77~ ~ ~ 1 ~ ~ : / I ~ - ~ v~ic.~i: C~[ru~i~ON. ~EMOVwI CW~t1ERit O~ CRErU~tO~~-w?~?~f .~OC~T~O~+ c.n w.o+•. sr.n ; '-''-----Bu~cial "'rt,__Piarce Cemetery_--i,«_-- ~~~?tie~~Q,---~-~~-- ~ CATE ..rti.rw. Nr. n~~. fUHE~AI NOME-?1.~AiE ~JJO AOOfE1S ~ sn~rr p~ .q . car p~ ro~r. Mut Juno 20, __197 n. Yates Funer~zl ~iome Box 777 Ft. Pierce F1 33450 v• s..a,] ~v+E.:?4+. i Rccasi4.._S~G•,.n,.r o. .ea~+eo.. ~,..w~ ~ lalo ~ 1~.i' - ,y,-'1r, v pw, r» June 2~, l~~ - ~ a 1 h~nby a~ify thb 10 ~ e irw Md car~A oopy of tho l~OC.eI ~ hpistr~Is reaord on fik in Mw St. Lucie Gounty H~elth ~an. . . ~ Pi os Florida. . ;'N : y " , 4 A1qlt ~f fOM M• ~ I f"*•. ~ ~u~~~~~, _ (yyWning: No1 vMid unless ~~ised ieal uf th~ 5~. luci~ . ` ~ ` ~ Counry Hs~ i~ h D~ p er t r n Q rn i s s f f i x~ d.) ~ s'~-~ r~ ` -:-i.-... : .J ~ » = ' ~ "t.~ ~ N. D. MIItER. IN. D. ' > ' f - , ~ ~i ~ ~ y Flrrith O~iu~ i t~oc~i Rpisttw " !t i = , , ~ - ° e ~ / ~ • - ?~p? ~~~~e~~". .~/t ~ / , ~ G l ~ y ~ ~-J " "»Wytr~1.~ t ~ ~•y~~~.~~1 , ~ f ~ ~r IAC~~ R~OiShK : _ . . ~ = ~ l~ ~~~F ~~~~~~f~, ~ ~ . a~~R~ c;F~U~T cou~ 324`~' • r.[co nvc~~s~fo.....~. . . - -$~a2~-~ 9$'~ ~ - j - 1 J w9 ~M '16 _ - . _ _ . . ~ ~ - - , h~ ,~c~~~ ; - - ~ ~ ~ - ~ ~ ~-w~ n - ~ ~*o-=,~ ~i ~ r ~ _ ~ - -