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Home My WebLink About0650 . ~ ~3~3H~~3.~ rh~. sr~T~ so~no o? Ncn~ni CERTIFICA'~E OF DEATH - ' °O~~• ~ SUR~AU 01 VITAL ITATIfTIG• tTATt ?ILR NO.__~___ ~ ~•R~~ r~~- FLOAIDA 3~ ord •Aew n~RTH NO R[G16TRAR~f NO prep~rl~ et~CYt~A ~ KA« O? 6[AiN COU6 IfO. Z. Y~YAI R~iiOtMCtl~MrlwrN?w~ //~~~eM~w R~M~r+N~~~wi.~) •nd •t11 COUMTY ~ L` 1 a ST~TC A. MIIIf~? ~lae~~ Jt.• L4~(~ W~12 Fla. S ' ~ In ~~f- C1T~, ~OrtM.0111OC~~qN ~ t. ~7 Klt[ Of Of~TN t. CITY.IOM~N.O~ tOC~T10N K tS1DEMt[ ~ •~w~~t MrS~OE C~~~ L~MItS? 1NS10( C~1? ~~w~T31 r,~.. Ft. Pierce Ft. Pi.erce .csp ~Op ' N~MF cY IIf ~ Iw ~MNqI, ~in NrtN d4fY) ?ENGiN Oi • STR(ET ~ppNlS3 ON w i1~M1 µosnT~t o~ ST Y w~ 11 '"'s"T°~ONFt.. Pierce Herno~rial Nosp_ .D.1~.11_ A~le Road _ ~FSO MoO _ ~ ~ M~ri e? firK ltfiat~~' tww ~ o~it 1u..r~ u.~ Yer K~..~. z5 1v58 , f~~~'ptW) Ma Fota Tei~,e ~~H Dec. 3t¦ i co~a1 0~ ~~cE 7. YA1I~IEOD ~~R~?~~KOU • Mtt or ii~~N f~cr 1~•Ntl~ r ~~RI ~IN ~.x~~~Mn / ?w~Nql r..w n.w x.w xa. ~ ~ ~ ~ • Female Wh1te ~noow~orJ avcr~ccoC A ril 2~1 1891 ~7 ~ ' p1~1~i~ ~,,._.-Z~- . • 1 t A •f- 10~ uSU~I OCCV?~~qN /Q4e ~l~1 y~r~r! fh~ IOD K~MDOf MlANtSSOn wDUSi~Y 11. ~~eiNKlt! lN~h M/M~yw tMAh/) 1~ otttU Of ~IM? p~URrff! 1 t¦.i ~..w y r~.~tq tik, m~ t~ ?d~M •~~•p~ ~ouse `~Jife Nome Pa. U.S.A. ?laek !w! tJ IATM(~'S MAMC 11 Ypi11E11S MAIpEM IIAY( •r . t ~o•••~ UnobL. Unobt. IS. w~s otcusto tvt~ a u. s. ~~rco soRCCS+ K socu~ stcu~iTr ~a V~Mrowr~wu?~tlws H aLnor A. t~......~.,e....+ U1w.ww+v~Mwb.r..w '1'C~(;e Oti ..2b-8967 ~+k••~ Ft. ~ierce- F.1a: r~~•r 1! C~YM ~tA?M (6wtn ql~ ~we dw ~t? Uv M UI. ~n~. ~wt ~Ni~~v~t ~nwtcti r~~t a+~tw wns c~usto ~r. owst~ u+o a~TM e~.•e~er ~NME04T[ CAYS[ I~/~carcii~?1_infarct.iOt7_____ _ _ .~.s r~i• • ~r• e~r- ~tr~e.e. c;..,~,,,,~~,.,. o„e roa,_pcute, Coro occlusion no_ Lime 1 • e • 1 ~De~e c~tiN •tt~ tA• ~r~k~ prr r4r 4 ~ _ _ - - - - - r~Rl~tr~? Ndby f4r r~Ii.• . llyl t~YN 7u1 MK TOI~I_". ' •tt~ln 7f ~ AOY~• • ?~wT M O/IfA 51LAf1[YII (nMMiqNS CpRMUf14 !O [I~M /1R Mp: R[U~TO iOIM! t(Rr~~t pVAS! CpOllqti y1Yl~ M?Mt 1~~1 I~ M~5 ~I~lOtSY ~ ?t W yEO~ t~? Q~atY , er A~fer• C YES? MO~ ; . •~klw aw i- ~ ~ ~x~'k~~~1~Nlrottua~ED (F.~hrwrrrr~(4/~rylwl`~NfrP~rtllNYn~N.) ~ . et.~. t- ~ ~ ~c~~a~r wK~oc i«,rr~or . - .~e• •t v ------U U l~d~. ~ lOr iw[ or l/wr NwNA. M~. Y~r . ouue• o w. w Y IOt nuu~r oeeu~Rto mr. n~et d e~u~r M~.. ~y.~ bv, ~D/ a1r. Tows. o~ tout~ eewMtr ST~TE wnac ,T ~ wor rrwtc ~ lM~. ?.d.... r.en..p.e hlp.. etr. ? , MOilK AT NORK Z~ ea on arr~va or ierce a. oy~~ a ~ l ~t~~nd~d tM d~e~~Nd /rom . _~j~ _ . o _ - _ _ ~n 1~. w Aj~ ~Ii~~ on _ O~~fh ~tu~~W wf __~!`!_A rn on tn~ d~t~ ~~~rM ~Ao.~. ~nd to eA~ bur M ml /no.l~dp. /rom rA~ e~uN~ u~t~A. ~ ~t t t a•~• t2• uor~iuwc - •r• ts . 1Lry.nMIYG~ ~T72h AMwtS1 27t. DA7ES~GM[O ~...~.c. a Alva L. Urr, Ff.ll. _ j vlb iJ. 7th. St.,FL.Piarce,Fl . 12-25-58 .~~•..e.. ; tA h~u C?trarrn. 2y1 oat~ IJf M~YC SX C[ME T[RV OA CQCYAlp11t IJif ?oc~tnw f(Ytt.tw~. r nr~tll I~~rl ~ .~w.~ ~.,~,.~r.~ f ~urial ;2-?8-St3 Ni:lcrest ::em. Garcic;n Ft. Yiorce, Fla. --t----- r.s,~~l~ j~ fUM(N~I~N~~C~O1155K>N~iUN[ •CDII[SS i2S 1i111[11FCOtY~(1C~1~(p RE6KTAAwS31GNAlU~E ~ "••.t°"s ;!ilton l~t. F3airc3 112-?1-58 Anna Lee ~enison d.r. . 33863~ , - f L[D A+JO qF~p~{ E ! nercby tertrfy ~his to be a true dnd correct copy ot tf?e Loca~ ~~CIC 4aU1lTr Req~slrar's ~etord on iile in thc St. lucio Cnumy Neahh DepeA- CIEH-C£fi A~{)R~s ment ~t Fort P~erce, Flor~da. n~. K ~`~:~WT CDUR~,(~ F CR'± yP?,,~~~ ~ y~i~~~ (VNaming: Not v~l~d u~l~~s ra~sed seal of the St_ lucle County Nea1~h De~~arlmenl is affixed.) 1~O pj~ 1~C v N. O. MILLER, M. D. County Hoalth Officer b locel Ropistrar • - ~ 9,~ ~ . ~ , ' ~ . ~ ~ ' ~i 0~ ~ [~l~" /~..s'-C~ . ~j. }~L ~l - . ' • D~1~ Depufy LoCal Reqi~tr~r ~ T . ~ ' ~ ' . _ ' . . ~ ~ . _ - / ~ F . ~ 1 FEE, PARKER 8~ FEE, P_ A. ATTORNE1f8 AT LAW + P09T OFFIGE BOX f000 f FORT PIERCE, FLORIDA 33450 ~ ~ Tt~[?MOhe: l30D) 461.5020 ~I~~ ~I+r•r ~~y ~ { lt {.~V ~ - _ _ .