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HomeMy WebLinkAbout0050 ~ C'.~ ~Ir . ~%7 ' LL e r ti --aL ....r ~.oco ~ ~f~ . A1? ~f l ot ~2 anc~ th~ f~:~st 13 f~~t ~f L~t 33, Rl~ck 72. RII_T.:(~RE PARK, ~S ~c~r Pl ~t R~t~k 4, !~~nP 52, j~i~hl i c ~ .?r~~~~ rPC~r-~S nf St . L~i~i~ C~unty . F~~ri c~3, t~l~C7 • APPkAtCi.i~ - G 6a -a~ 3~ oao 0 u~ ~~~r • ~ ~ t ~ ~ ~C7v ~,a r~.. iiouo yA r~ t?~+ 1~- ~TAT[ ~OMO o? Nsw~n+ CERTIFlCA7E OF DEATH ~•i•+ • ~u~cnu OF 1IiTAL fTAT1~TIC~ p L O R,I D A •*wT~ No. 1• •1 r~e- •A~w liRTN NO. RC6 tT11Ap•! NO. ~2 pr~~~~l~ 1. KAt~ ~~N COOt NO. t YW/?l 11[MKMC<I~~••~M.rHlw 1/wewl.r• Rw~wrW~~~/wwiw) •a~ert~~ Co~M~t STAT[ tOV11iT •n~ •fll e ~1~e~1 -S-t ~~r- 0. aT~. row~t o~ ~oe~ta¦ rs ~t+?te or a~rN e. an. ro~rr. o~ ?ae~Taw e. K ~ES~OIMtt pK~O( GTr UMITSf as~a aTr ur~rs~ r~~~. .cs ro m I. M~wc a ~ry.w u~ ~w~r.~. ~+..n.~t.~era.) 1. s,~ccT ~ooass Npst~tat o~ '"~,~T'~~~ Ft Pierce Mt' > > HoSn~ ~~.,~3 ..~_t~S~re~ ] w~iwt I1rM NWfe l.yt ~ D~~E MMM D~~ Y~r ' ~n~~~ BERTHOLD SCHULTZ "t" 1~?y 28 19b6 ~ M~IM[D ~ M(KR MM~I[D O~ «!E Oi M11TM ' ~GE 1/~ NMI 1 tW yrpta N MS- ldBbfW/1 M~MM M~ Mwn Mi~. • t t• Male Nhite w~oorco O a~wccu March 26, 1902 64 ~ l•tw t~ ~0~. usu~~ oeeu?~no~ to~.e ~tdyr«~ M.r 101 Kwoos wsr.essw w~ousr~r M~~wi~e! IS7~tr w~eM~ ~~lr~~ 1 urue~ or ~w~ ow~r~.r .fe~ ~~r- I¦rlywtY rw~h/li/r.nr~l/raIMtI1 Owner- ~,tuAlit Aeef & viaion Co. Russia USA ?l~t! 111! 1. MTM[A'S N~Y[ 1•. MOTN(11'S MA10EN IIAM( ~r~••~~~•~ Ludxi Schulta- Juliann Schoemacher ~ socu~ xcu~~T~ Mo. ~ N~Twu wu?.a 702 South ?th. StI'eet~ 26 -0-2 Gertrudo Schultz Ft.Pierce Florida I~w~r 1~. CwWt N K~TN ~btita ~ wt twt /n ti~e /v (~1. 191. (r/.~ ~KTl~v~u Kiw[t~ ~?AT L OE~~N w~S CNA(p h• ~NO DE1iN w~co~,n e~u~c w Viral Pneuu~onia rs. •Y/t ffI• - t~• •~r- ' . . ~«.~~r+~-~• rr.~~• eu~ .o u? Il~a~iu_1_acytosis Aplastic Meiaia 18 Konths ~ a~. ~.k. . - - 1 • e ~ l ~+t tn~t~i)• ~ r• f~tr~e ~ •t~~f~ 7• ~~N t~w ~.r. ~ ro «~-__~oxic_Bone_Marrnw_depr_ession- --iB_I~fonthw ~ ?MT N. O'1~ M~ICYII Ca01T~010 WM?~YY~~i 10 OUtM RR bt 11IU1[O i0 ttt TllerM/ pStAY CO~i~t10w i1K~ M?Mt 1(~ . M AUTp~sY ~ A~r?• •t- ?~Ri~p~YE01 , Probable Toxic I3one ~arrow from Insecticides •r ~~t~r• ~ ~ 2M otx~NENO~rw/u~rott~~to (Aw1t?eM~rsNf~far~MP~rtl~?AWI/yY~~I~a ~s~~~? • ••tii•s ••s ~ KCM[N~ wK~a Norc~oc _ tl O O O ~ •w •t ~ nr~ os l~w. Xw~, Mt. 1ir ~ ~ Ni~. ~ ~MnMr g~t w. i 20/ MJU~~ OtCU~[O ~r. ?lAtt O~ xu~Mr p. h v~t Mwr. m/ Crtt. TOAw. pl lOG1t~d1 OOV~TO Si~TE • x rMK[ AT ~ IpT ~~lt ~ MA. ~~I. ~fd, Mt[ MI/.. dt.I MO~K A~ ~OIIR ~ ! t~ f ~i::.-..isd tlas ds:s:»~d ! ~ . _ C . .o ea ~wI /~s~ w~ Ai n ~li?~ en ' [H~IA eceun~d ~f ~i~ _ ~ m on fM d~N ~I~t~d ~60~~: ~nd fa the Ap1 0/ in~ Rno~bAp. lrom eA~ uuMa st~ad. i ~ a••• u. s~o«a*uwi (Uryrn a Wk~ tIA ~oaecss . . I'ee u~. wn src~co ~ ! .r. a• , ~ e ~...~.e. a Helvin Wolkowslqr,K.D. Fort Pierce, Florida 5-31-~ E ( •eerr~t~. ~~~K. car~now 23b M~E ZJf MWC Oi C[MlTt11Y OA CAf M11T711• jj/ LOCATIOM (C'i1/. fKA. M~MN// (AUr) ' ~uri~ 5-31-66 Hillcrest Mem. Gardens Ft.Pierce,Florida ~ r.~.~At? 2~ fUrK~l~1lO~[CTORSSICN~fU11[ p~ ~ 1 peTC~cco~tlOC~l.~[6 REGKTIUII'Sf1f.M~TYw[ 1 ~ ¦.•.t~se Jack J.t4oore Ft.Pisrce, Florida 6-1-66 Mna Lee Denison, d.r. : e F i nereby certity Mis to be e true and correct copy ot the Locsi . ~Tegist~ar's ~ecord on file i~ the St. lucie CouMy Haallh Depert- _ , menr et Fori P~e?ce. Flor~da. A~p ~~~~ROED • ~ (VNaminy: Not val~d unies; ra~sed seal of the St. Lutl• f~EO ~~vN Y F11?- County Health Departrnent is af/ixed.) ~~'~jtOGER Pa~tA~~ t c~Ea" Laif~ED COUP ~ N. D. MIIlER. M. D. ~ECdRd YE. , County ealfh Officer d~ Locel Regis?rar ~ ~ Z~ Z3 ~ , " . ~ G . _ . _ ~ i 7 G ,~jV , _ ~ ~RpUfy ~p~O~ QeOiStMf _ . - ~ , i ~ ~O~r`t~7 • ~ " ~ ~ ' ~ ` ~ * - ~ . _ ~ • R ' f ( 7 ~ ~ " • • • ~ ~ , ~ ~ j ~ _ . ~ III~~ ~ ' ~ ~ . ' . . . - ~ >F ~