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HomeMy WebLinkAbout0735 3~E'~54 e•- rr~Ta .owRO w Nw.tt~ CERTIFICATE OF DEATH c"••, • weiwv of ~~T~u ~s~t~~nar r?w*~ Mo. ~ '•s•~ FLOHIDlI ~ •r1 •~~n ~r~~~r1~ A . ~ . . ~ • a~ e r t~~ 1 NAt~ ~I MAfN CODR NO. . YWAI 11[MKMC[ l~~..1~n.d M.d ~l wrwe.w~ It~Y.~r ?d~. r.w+.+l •~t~ ~r SL Lucie 66-02 sTen cowT. ~lae.~ • • l• ~~t- . CI1t. tOMM.O~ LOC+~tld1 t. KKC OI D[~Tit dT. TOl11.0~ IOtAT10M t. 13 11ES~ MCE i •1~~~! IMlIOt Clir ItNITSf p131p( CITr LWITSI i r~~.. ~t. Pierce n:QQ ~np Ft. Yierce ,resp ¦o~ MAY[ Cf (?I MI ~M/Md. Irt ~trM rMfM) LEIIGtN Oi lTIIE(T ~0011(3! OM ~ iAIIM~ M1T1OT10N F t, Pierce Mem. Hos . ~ ~T•~ ~ 2108 DOnSl S res O Mo ~ MAM[ N FUM ~(f1~t Lrf 1 DAt( f(N1t~ DN Yf~/ ~ ~Mi~+~~ 5amuel Antho 5indon ~*M Se t. 0 1960 x~ ~ w~ YM~~(O ME1f[~ MA~AKO ~i( pI NR7M ~ l6[ Ih /eM1 ~ V~0[~ 1~W {IM[~ i~ MR. ~ 1 t t• M Mf w~oow~o~ wrw~cco A ri2 20 18~0 f 70 ~ X'~' °i' s"" x~.. ~ ,.a~wl~ I~t. ulWlOCCV?~rDnlObrkl y~r! la RM1cosWSM[ssO~r~OUft~r ~i MM~nKAtf i~7i~wj.+ty~nr~iY.~i tr!tLi~orwM.ar~.~ - •ft~ ~~r- y t~*INM,s.r~M~erhdl ~.a~n ~ontractor Buildin ital Nat. U.S.A. ~~1~L . f~T11~111 IU1M[ 1~ MOtll(11'S MAIp[M IYME ~ •t •n••?i llnobt. Unobt. i w~s acc~xo rt~ ~ u ~rto ro~ccs? 1 }OCUL S[tUR1TY IID. !7. • aw~twu ~t~10 ~ ~r.....~...,...? ~n.»........«».?...:.a r~y Sfndon ~ b8- 0-0b~li Ft. Pierce Fla ~ r~e...l sAtlss ~r ~tA*M ~6w...h..t e...r re~ N.r p. t.l. N?..d {~~.j ~wrc~v.~ ~nwe[w ~ t r~ c t~ r ?~~T a ~n~ w?s c~uxo ' aiscT ~wo ou?rN ~ ...a n~. ~""~w~n cwx _1~oCardial InfaP~. ~ Min. f a~• s.._ ~ atfte~~• a~ ~'r~n /i ~ •111~ lA• ~ ~ ~ (~1 - - 1 • t • 1 w~ ~ ~+Ir?1 • + f ~~~~str~• ~~~~y tu~t lwr. Du[ TO (qi- ^ •It~IM T! j ~~r r• a f- F ?~~T n m~o ais~rsr~r oo~aro~s co~wrtw ro oun~ ~u? wvr au~cs m n~ aawr mu= ooiara wu w wt q~l Kvsoar[o~ •~r ~~at\ ~ Q 1 ~ •r 1~f~t• ~ OESC11n[ ~qw rUU11~OCCVIIA[O (FJMn w~lv~ tE1? ID ! •~tf~~ ~ ~CC~OC~T w+aa IlorKwE M~/ I~ Art w PMt lI yYr~ tf.) ' •~~/~~f- ? ? i w • f ~ Tw[ o? l/Mr 11/w!. py. Ytr ( ' ~ _ auv~r n. y ! ~~0/ MNllr OCCY~11[o ~t t111[t Oi 6U1111~ (r. I~. 1+~ v~af wv. c~T1. 10wM. OII lOUi1011 OOYN?• lTRTE f ~ ` ~~R ~T ~ hDt~~ D 1M~. hAr/. rnM. Mc~ A/M_. dt.) ~ SI / ~N~M~I fM IroNwl /rem ' ' . ~o . _ eP • f •eIl~~t w~ AI~ ~lir~ on DwtA xeurr~I ~f Apvrox. L 1 t~• rn on ~h~ 1~f~ ~t~t~f ~be.~: and ts fM 1~?t e/ ie~ Rne~l~dp. /IOO~ fA~ e~YM~ ~f~fld. ~ •1 I 1 t~~• *y~ (piyre~ ?YU) tb ~oo~tS3 ?lt. Mtt Swir[O s• y ...rl•~• • N.F. Watkins~ M.D. rt. Yierce, Fla. 10-10-60 ! •~~~t~l~. ~~M. ~~/p1, ~ p~T[ Lk IUMC O~ C[YET[11Y OII M(M~T011T IOCATIDA ((Y/. fM~. M YI111~f/1 I~~ft1 ~ Re~'no~~' 20-3-b0 Woodlaxn Cemetory iletroit~(Wa ne) Michi an i ?.~.~el• t~ n? ~ . L• ts 04T(OECO.~?LOC~LRti . R(i13TR111SSKM~tYRE • ~~ss Hi2ton W. Haf rd, FL.Pierce, Fla. 10-11-60 Mna Lee Denison d. r. i I Mhby csrtity fhis fo be e true snd correct copy of the L,ec~i . Registror i record on f+te +n the St. luc+'e County Heahh Dspsrt- , rn~nt at fort Pierce, Florida. a.; . . (Wsrn~ng: Not valid unless raised seal of the St. Luci~ GoOr?ty Heshh Depar~ment is affixedJ • = . c~~40E0 , - - - F1LE0 t•~` ,;;;UMT'( fll~• . ~ _ ' - N. D. MIIIER, M. D. gt. ~U~1~ ;~AS - . County eallh Officsr b Loc~l Repistrar aO~E" ,-1y` COURt ~ C~EF• vE;;,~tiG ~ . ' . /a i ~ M~nn,c. aE~~an PM,'~ ~ f~.; K,~ ~ ~ ~ ~ 3 3~ ~«.i R~~t~.R~ j , , • . . f ~ r. r ti~ ~ ' ~\1V~~ . • ~ . , . ~ ~ 2~58 ~29 ~