Loading...
HomeMy WebLinkAbout0749 , - / ~ . 326243 ~ ~ ~ CERTIFICATE OF DEATH ' ~ • . Q~e~! ~1 Ile~llh ~ Re~rL11M~N~e Gniae+ /TAT[ ~1~ NO. , : • a.n~on ~?sw~m F L O R I D]t T~?E. O! ~tlNt IN • R[GIiT1~AR•• No. 233 ; NiYANIN? INII ~_N~ ~MS~ •rw~ ~~s~ ~i OAT~ p OEAIN ~•oMer. Ns, nu~ i SfI MAMIOOI 1M ~ ~~rs , C(,YpE F~tAt~IIQ.IN C~ SR. Male ~ il 21 1975 U?CE ~+w. wnw. uratu~ «ww. AGE-YM wwe~ ~ a~~ wwe~ ~ Mt OAiE Oi Ml/N Ira~4 M~. COUNiY Oi OUM : nc. ~wc+~~ ~11~ w~~+wu~.w. «n .oMS 9~ 1896 St• Ll1Cle 6602 • t . l ~~ON OEAM . ~.rN cwr ~rws 110SMiAl O~ O:ME~ HS ~w .a e.srt~, aw uw~ r~ .~rrn ~ . an nt o~ wo : ~ Ft. Pierae ,,~tes Ft. Pierce Marorial Hospital ; ~ St~tE O~ Wm nw ~.a r~r Bd d 1MU?~ LOIMilr MARR~EC. NEVER Wt~EO. 510115E ~ r~q. sM r~rw~ w~ ~ 5 uwuuset.rte• ~ ~C~11f~aT1 cow~w~, j~ NDOwfp.Qlv~1l4ER~wcrr~ L'Veta McKinnis ~ [`7aIT1@Q ~wq Ntt~M~ ~tY MW~f11 USUM OCpMAT~ON ~OM a.N M~.0~ ~ar ~Mwo rOSt p I(IND Of NKl1ESS Ot MDIlSIlY ~ ~nn~. r~t~r rotw uw. enr r aww ~ p(~ ~~~N M 377-18-4886 Sl,irv r F~tired .~r~,.~~ ..b. ~nra~OM. ~ESIOElKE-SIAiE COIINt11 Gir. TOMM. d IOCAT~ON MsiN cw~ ur~s Si~Efl MIO MM~E~ ` _ ~ wc m a wo Flari,da St. Incie Ft. Pieroe ~es 1240 B~'j~I Drive /M Iq IM-- It~ IM. M11~~-NAME y~ -,s~a,,s,~L rw~~ ~y~,~,~~ Wt MOT11f~-MAIDfMNYIE rrY .r~we c.,,,~ Wt . If r~-NLl ~.t1GllNJCi$ ~ ~M10iWA?~i-~+M~E MARwG /?OOtE55 ~snen w~.r.~. w., cw. a+o.... s~.w. s~~ ~h y~Veta (~ambers 1240 BinnEy Drive, Ft. Pierce, Flarida 33450 ~ aut oum w~s uusEU ~w - ~t?ntt aur on[ uust it~ u+t fot ~e wi~ ~v+o f~ w+.~~o a.::.:..~ . ~ ~ . _ _ ~ ~G ~ + . N1 ~Co.~itrt ? COMM~OM~, tr ~w~. ~ . , ~ ~ rrKr O~w ~~3~ q ~ / } ~ :~~tN~t~ t~~1~ M• MR q. O~ ~f ~ CMf011~MC! M ? l1~hM0 tl~~ rM~N• - ' ~ ~nM~ C~~N t~l~ • i ~ (c~ ~ AU~OK~ N ~ES wn nw~~rp~ ~Ow I ~w~T OTNEt t C : c n •w w~ ww run~ ro urw aar r. ?~n ~ w ~ nt oi ~ii•iw ~e ~nrr ii f ~ IA If~ ; E p~.M~1 K ~~a+ . re~~~ nOlJf MOW IMIIN~ OCCW4ED ~~w~ wwwe rrn ~w r~n ~ o~ w, w~ u ~ F ` ' ~OrKMl~ Ol 11?O~tE~MIN[O . ~ ]Oi~M _ ; QM 7w M. 7Y. . ~ INRAf Ai MIORIC ~IACE Of MJIRY wow. ru~. sntn. rK~. ~~MCM~ ~f M w0~ O~~p wO.,~K. /YK/?1 IOCATIO~'1 If~Nt~ O~ MO.~ CT O~ W~M. M~41 ~ ~ * . ~ tElTSKwt~ON- .aww rv nu ra.M nu u~ usr s~~ wri~ N~n a+ ~»/w +~n+ ~w w~tn ottw~o sr rua. w r . .m.~e~ ew d a..o+ueu. wa 1 28 69TO 4 21 7 5 4 21 7~ ~ p~~'~ tN ~ce•u~ rwr 7~~ t4 tt1 IM. K w~ uwf~~s~ Wwe. CEQ~KAT~O~+-MEWCM Ei~~if~ Ot COiIO~+E~ w M wws o. +w .ow w.w t1M NIOfM ~tl N« fwr.~w w w qn u.s~w r.ntsna.tis+. rr w~wo~~. .a..n. n.t .oN ~1 N~w OttM~N Ow MI Mw ~ N~ ~D ~f C~VYh~ f~~~t~ ~ K 77r ~ 2~ 7 5 K ; Th - ""~`•_N~elviri~'~Yolkowsky M.D. T '~y"~p p To-~- o, ..a•.....~ N „ • ^ ~l . . . . ~ 4~23~ 7 5 . ~"""O0"u-"•"`~" 802 N. 7th Street. Fort Pierce F ida 334 0 ~ ~UM~II. GEMAt1pN, ~EMOVAI EMEI[RY O~ CRfMAiORY-NAME IOCAi10N c~~ p ro~r ~ua ,'"~naval-Crenaticn ;N Necron (Yanatoritsn West Palm Beach Florida~ - + OAtE ~ ~www. w~. ~tu~ fUHffµ MOME-NAwtf ~NO AOORESS ~ sry~~t O~ u-• tm p~ q~... fuM K ~ t April 24, 1975 ~L I~'~, 901 N. ?t~i St. , F`t. ~ierce, Florida 33450 ~ Y• S~ 161Q iIME~A 01~ O~- 11NE ' RfGi -S~GNAf ~f ~ . • OAt! ~1C11YE0 ~t l 1 t t R.~. ivto • ~ ~.s..-,...-..: J ~ April m t 'l ~ r ~ ~ ~ ~ ~ - 26243 1 n~nbV aAify thu to bo e trw ~nd corr~ct coPY , ~ t/pi~t.ers record on file in th~ S?. lucie Gou~~y Ho~ith . ~ r w n t ~ t F o r t P~ N C e. F{aide. f I L E O a N O RECORDEO 1 1 1 1 1?' ~ ~i ~ (yy~niny: Not veJid unless raiSed seal oi th~ St. l~c.io it.lUCIE COUNtY Fl~. . j:~ ,rlr ~ . ~ n t y H e s1~h De p artmer+t is effix~l.) ROCEA P0~?itAS :;r;~`;:, J~- ~ CLERK C1RCUIT COURT ~ i~ R CORu VE~IfIEO Y. :~°.<~1" =;~r.= s ~ N. O. MIUER, M. ~Cb' p ~ c,, r'~:;,~.~ r--% ~ ~ty Hwith Offk~? 6 1 R~~ 1, v SZ ~ i:~'.~~~~~~, -f!~ ~ - ; ? ~ : ~,J`~~~~t~O~ •~3 • ` ~ a ? ~ _ _ ~n ~ . . _ ~ / :ln. t G" . . ~ ' ~ ' . ~ . . 0~0~ D~p~Ry ~.d R~o~strs? ;i`a ~~F . ~ FCi~ ~~V PA~f ~ ~ - ~ ~ ~ ~ ' ~ . ~ . ~ { . ~ . - ~,.._,r _ -