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HomeMy WebLinkAbout0721 / 3~~Uf t)5 CERTi~ICATE OF DEA7H Ilryw~wwwl d 14.h1. ~wd R.I.+i.l~~.u.~ t...h.. Y7ATE Fll[ NO FI.ORIDA tr~~. O! ~~1Nt IN ws'a.~w.°w..w~• NCGItTRAR ! NO ?I~MANtNt INK ~ClnSEO--NM~f ~~~r Sfa OnIE p DFwtN • ~o~~.. e•., .e•~~ ut w~wOt i """""s ~ tienry _ J So~asla tMale July 18,1976 4CE •~~~e. ~~cw. . ~.r..+. j • - - `-T- ~ Cw1E d W ~ tt - G{ --a.4~ ..w.. . n.~ ~~~a~• N. ni ~+o-w+. N., jCOUli 01 OE~M ~Y W[r~. ~~~~w.e.. ,.~•~s. "~o. w.s .w~f .r-1 ~ 6602 ~ Whit _____L,. 74----- ~ t,. ; Julv 28, 1901 St. Lucie . ~ C~iv_ tOwa O~ tOC~t~ba d 0l~1N ..sw cT .~•n MOSMwI O~ On~f.i ea11~M~O~a-w ~w ..o. r n.+w~. cr.t +~a~...~ ..w~~ ~ ~ sncs. .~f w +o ~.Ft. Pierce~____ Yes Ft. Pierce Me~rorial ibspital -_O.Q A~ StA1E O~ Y!M • M ro~ w ~ t.,+.+~ t~i~tE~+ Or ww~ COwnr ~ wun[O ?+[vE+ ~ut~+tD. ~SU~~rn~iG SrOUS! OM WNM wr/~ cow+~ r w~DOWfO. QnORCtO ~ anc~. ~ i ••~,•~•••••rc• ~~.'@tln. • U.S.A. - _;a_?_~rrled j~~ M1rie Zubek +~rw ~ecutis ~ - - - - - . _ _ . . _ . . - - - - - ,~.~e r M~r SOCInI StCUMTr MMYl~ USUwI OCCIM~tqw •~n 4.+e o• .w. wr wwwo .os. a~R?+O p iUS~+ESS W M+011St~r - K(WMi M ~Ow+i ~wf_ Mr r Nn~M t - ~:271-07-5724 ~f Bus Driver Transportation t~WfwClMWM _ •s"++or ~tSiM~+tl-Stir[. jcoVw~r -----T----------------- ~ iC~Tr,fOws~.MIOCwT~O?+ ~ 'ruei.i:~i..af jSt~tE1 w?iC ialWifl Fla. St. Lucie Ft. Pierce t~o~' ~,N 366 Notlem Dr Iw1N(f -rt~~+t •»s. .MU us. MOllItA --1MIpM N~M/ ~rs• ..ep~ w~ ,~i~cY So~oslay Ethel Ctirtis It~MORWNt~-M.WE !w~lwG wDG+fSS o~ •+o. ca. o~ ro~.._ t..w. tr~ ,~trs. Marie Soboslay 366 ~3otlc~n Dr. Ft. Pierce, Fla. 33450 rruT ~ ot~n~ w~s CwusEO n ~Ewrt~ owir oat C~vSE rt~ tK ~o~ MA N). u0 tr • r e u ~y~ . ~ Nh~f~w ~p~`t ~M M~A » h~ . ~ . . ( ' i " ~ ~ l ~ ~i. . ~ i ~ =0+~N1~OM~, H ~w, ~ ~1(/ 6~~! •11/ M ~ h~ . ~r~IM~1~ C~Of/ ~1M q. M N~ COtitfOO~K~ d -r~- ~ ~~~nMO f~~ •~IM~ ' " ~ f - ~nW ~~tM t~f~ r. , 1 ~ j ~Ct~ ~t~ ' . ' i . ( ' • ~ . . . ~ / ~ ?A~t • OiNl~ S1C,NMK~Wt CQi~pi~p?4 ~o-awaw co-w~vr,.... n a•s ~.~r . wYiOISt M~ S~l~~ r. w. wuti~ .e c.vs~ o•.~. . + E w~...os cw- ~ n`~. ro. ~n~r~ ~w ar~~~...~.ro uvr . ` i ' r'... " l ~ , ~ - ` ~ _ . . ~ . _ ~~fi `y ~ A ~e•~¦ .~w,V~ c ~ ~ P• Al.~CC+M~ti- WKd Oi b~ft ~N1Vi~-'~.o.n.. .~.~i 1~-0M1~ MOwK d{I~[(!Wr't0 t ~ IMOW IMN~1 OCCU~fl~ ~~•~ry~ •uN~ W~r?l~• •r r~~f ~ M 1~1~ w. w!~ ~ ~~M I ~ ~w r. ~ ~ta1V~i wl wppi~ ih~CE O~ ~alUr~ s.~e.. •.c~on. '?p~An'OM . snt~~ a~ ~ r• ro . tm w ww.. p~n ~ ~snt~n nso~..e~ ~o~a~~?o.~ac .v~t•r.. 1~ 7M ' ~ C[~4IK/~11p?i- .o~~ M~ ~ ~d~~ e.• a~e ufr M.1 +M! .an~ 6~. ~ r Me~n.e ~»1 fv~ M Df~iM OCC1H~f0 •I W h.~[~. d+ r! ~Nt1K1~N- I J tO : r .l ~ rb~s Oat ~~t~~ ~d~ A~ M~M ~+ou~~ ~~A. ~r0. ,O 1M NS~ t4 w~•n..Me~ . , ~ l ~ , ~ , ' i _ ' ~ i ~ 1~ d r• nw~.~eew. ow ~ Ii~ ' . . ;J4 ' 1N ?M e .'i~ ~O 1~f [Vqtq! fuq~ t 7 C[R1R~CjfIL~N- WD+CA1 f~~i+w{~ p Cpe~Y~I o.. •w ~.sh'+ ti' .cw. o. a.~ *~i Nciiv~+t ~.s .~o..cv..c~e s~.e •~ur~~+b~ d MI ~Ol~ ~r0'M ~f +n~]er~~~fw r w p~~+'O+. ' Os~` ~I'~ ~DV~ ~ - W~~w pC[V~MP P+ M o.w +~e eu~ ~O t~W~t. f~~AO . - ~ ~ ~ ~ i th . ~ 1_ ; Cl~MQ~ - ?~4M( ~nn c~ .n..•. . - _ _ ~-a~.__. _ M . - . / SK.~~~ttp( ~ . . ~ w•.~q q .,~e 'D~~ SK.NFO ...o» . w•. •Wr ' ) , ' ' ~C _ _ . . ~ - . • ' ` - ~~I~AO(MSS [HrM+(• PMf•M~~e ,..fV~CV~qru ~ Y~q •(ty ~H ~ - ~ . . ~ t i 5~ •iN+wl. C~ENaiK~?+ Rf+K3r~~ ;CtMt~It. (,H CRYJ,tM~ vaW ;lCx~fqr~ c~~ o~ v~.~ san ~ y.~..n . ,k I3uriec] ' 7.~ wfiite City C~netery - j,., Ft. Piercer F1a.33450 O~it ~ryr~tr~1 ~~_'~r1 ••~.,y uj0 ~.^blfi5 , unt~ o• ~r o ..o c~r. o~ ~o~. f•..r r~r~ _ 7N July 27',""19rIC y~tes ~~r~~~_ n o rox 777, Ft. Pierce, Fla. 33450 : v• ~b.l: ~U F~~~ a SM:.u . t. - sit,~.;r., w~¦r~:t . . o~r~ ~een•~o ~e ~otu rtGnnu ~ R... ~ - ~ -r , , - ,y~Ct~ . : . • ' - .r , wi`- j K? Jal 21 1976 i ~ nereby terUfy th~s to be a irue and corr~!ct copy ot tF?e Loce~ ' 4egistrar's record on f~fe ~n tho S!. l~x~e Covnly tieaith Depart- ! mem ar Fori P~e?te. Flor~d~. i (Waming: Mo~ va++~! vnle:; ?a,;ed cea{ pf the St. L~cis EQ ; ~ County _ lieai~h OA~~artm~nl is af(ixed.) .E.O . ; ~ tt S .1,~,, ~ ; ~ i.0 M ~ot , ' a f `',L = ~ J r 4~.T~ \ ~ ~ ~"s' ~ y~ t ~ s ' i N D. MIIIER, M. D. St. ~Z ~ . ~ , County H aith Oifice~ d locat Ro~istrar qE t" 6 ~ s` t ~ ~•_E c = +1 : , ~ 7 yl ~L ~~1-~.z. ~f~cD' ~ Z9 - ~ . I.., _ ~ i o.+. oew,~,? t«.t Reo~~~.~~ ',VL~.6 ~.l~~j , ~ . ~ ; ' .r ~ 3~~ ' - 1~• • . - i . ~ ~ t ~ ; ' J j ~ y y~ a. i " a, ~ ,;:-:r ~ Y^ . i