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HomeMy WebLinkAbout0891 ~x . ~ 359:492 ~ ~ ~ state ot Ploria, CERTIFICA7E OF DEATH ~ • ~ Dep~rlrneat ot Health and Reh~biUtat?oe $e~rices lrwT~ s~~t No.~_-_ _ _ ~ ' VITAL BTATI$TIC,8 F L O R I D A p~a~~Tw~~ s Ho 674 ~ TVVE OR Ni1NT •,e• •rM~ ~ y[n OI?~E Ofl?M • rer+..;`~.~, .i•n } ~N , J/UIFS B. RENN~ , Ma.te , flece~nbeh. 25, 1976 ` PERMANENT BIACK INK RAC! ~n.N. woq. ~•ewcaN .w.~r, ~GE-~~f~ ww~ ~ a~~ ww~ ~~a~ CATE Or MtM ~.~ow~r. w., COIJ~Y d OU?TN ~K. • MKrt r ~ - W ~r ~rfu~~ ~Of Mtf wOMf +M NV 1 6602 ~ W~e ~ ~4 ~ flec. 1? 1902 St. ~Luc.i. - , tOww. ~t l~ • .+w~ c~• uMw Al O ~~1S w~ w ew~~. u.e ~n~u .r rwe~ ~ F.t. P.i~ce ti~ Yed~ ~ w fx. P.i~tce Memon,iccl Hoa _pi,t.a.C ~ 3iATt OF ~NM . r.w~ w r f.. ,.ur~ W1Mi C01Rl1~t MAlMEC. NEr[~ LMlMtC. SIR~MMG S~OIISE ~ r~. ~~w w~e ~ ~ , • Pennd ytvan.isY"""" , IISA » ~u~lr,u01~"O . ~ Iltha.e,ia Me~z- ~N MCYlN _ ~ ~~.u • M•r iOCw E3--Cu~ih M1~ti YSUAi OCNiwt~ON ~aw ar~ a.ar wM w~.~.s roa a tND d MISt~SS O~ MOUSm 112-07-1814 „`~""S~af"eana"n ~ „ T?tit. Hcvcveaz~t iwrw c.w u.~s sttlEr ~ T ' •~rswr ~ESbEMCE-11~fE COIINI~ . d~1~. TOM~M. p lOCw110N i ' Floh.i.du Sx. Luc.ie F~. p.iehC¢ ~N~Ye.d 1176 &ct bkohe n/i. ~ j ~ /Af/~!-NA~ ~NY ~NU YM YOfl~f-MAbfN NAME IRN wiM1/ ut~ V ~ „ - W~LGi,aia Rennen N FGlza ~ ~ 1 ~11~ M~l~i ~u ~fW/~ a~.1 • MO. tA a 4~. M~~. f~l . , a, Atha,Gia RE?ue~t ~ 1176 iia ehone fli~,i.ve F#. P~.Qhc¢ fl. 33450 ~ _ nn otwr+w~ cws[o ~r: gNre~ aur ow~ c~u rN iNE ~ I~J~ AL w++p kM o........i... I u ~ ~ 6 - ~ 3 «•«ek} ~ M, _ ~s~~r.~...w~ ~ co..~mort r ~aw 75-76 i ~ w« n~niw M~ .e~.s.ro+`~}a~io~~ ~PSSP~~?AToRt~ ~R/2~5'~ , p p.u«~ tN ~w~s ~ . lwM~ t~~M uN I kt ~A~C EiL e F ~C3 c A ' AU10ri~ M 1IES ~~n n..~.r~s con- . i G~ Mf1 OM~ SDNIIKwNT CpO~f10NS~ carw«a.s co+r+nwuo a«•r rw wa rua~ w c.~ a.er «.m ..M - O~~ p Niiw ~nwrw~ tMe . A Ip ! I - ~.o.w.. n•~ ~ MOw 1NAN~ O~CIN~EO 1~wN~ wM1 O~ ~wN~ w~~M ~ M~~M M. wN 1/ 1 } iI ~ . ~ 1w M 7Y i Millltt ~i wpt d n.a.r. ~~ga_imt ~•non. lOCwl~p+ ~~wn o~ r.~ .w.. cm o~ +o.r. a.w ~ ; ~ ~NtM~ ~ff O~ w01 OAK~ MM., ~R. H/Kw ~ j ' ~ ~ ' ~ ~ j~1•.- ~0~1 M~ QY uOMr Ms qY Y~ Yf~ L~ ~r/M~ MM OM ~ M/O~ MM A p~~M OCC11MlO ~t wA /u[~. O~ M . ~w1 M~ AY ~0~~ ~nM M~M ~~p~~ ~ MA. ~N, q~ MV F ~~n~+w~~ ww TO • or a.ow~w~. ~w i 'i ~M NqaMt ~q~ IO / ~ L tw .2S ~G m/ 2 S ~ n~ t~ y~ M~O wM trnw~Y N~M. 1 ` Utfr1Ut10M-M[DKnI li~uY+l~ OR O~O~lEI w~ as.s w~w .oM a«.w. ~.r Narw. .p ~o.w..cn ~e.~ ~ ~ ~wr.~wOw M~f q~~ w/O~ ~M w~IfwW~pw. ~r w O~rO+. ~0+~+ Ms .f~~ ~ N~M 00[MM~ O~ ~ MA ~M N! b M 4~,L l..w~ '/S M t» D~• t Z Y' ~ rX ~ L r~ . w~~ ~ ~ T- • . ~ . CEft~i~E~-NM~E ~Mf w•w'e At • , _ - wuu o~ , ~•o.~.. w••. n.~~ ~ U Z~~L ~7~ ~ 'ri I Z~V Qt rt~•p ura o~.. • wo cm w:.. r+ ' i I NJtlAI. C1EMAilON, ~EMOYM WEttai O~ CtEMAtO~?-M~u+E ~OCAOOH on o~ ~ow~ ~nw . ~ ' ' toed~ Pa,Gn Reach F~o~tirla ~ ~.~e,n-GiemaZi.on--~ Nee~con C!cen~,t_o!c.i.um_ _ . OAi! ~ro+~. •~u. IU?+ElAt HQr[-~+~t u+D SS . s~N~r o~ •..o ..u w w~n.. fr~n. w~ ~ ~~ec_.._2~ ~41 ~d Fu?teha~ Home 9A1 N. 7~i_ S,t; f#. p.ie~cee FL. 33450 VS. ~812 i1iNl~~l O~ 1u~( , a •iu![ e~n tn~o n~oc~i, rcr Rw: 7/7S ~ ~ L r ~ . / ,s,: ,(j~'v ~ ~~l~dY~ J ~ 7 # ~ , . ~ ~ ~ ~ Mroby prtity this to bs • tr~s and cortetf copy ot the Loc~~ ~ Registta?'s record o~ file in the St. Lucie County Health DepeA- ~ m~nt et Fort Pierce. Fbrida. . i J+. (VYerning• Not valid unless raised seai of the St. lutk : ~ Counry Hesl~h Oepa~tmem is affixQd.) ~ ' , ~ I - _ :i~ . - ~ N. D. MIILER, M. D. ~ ~ County aUh Officer b Loul Registrar _ r . . _ , . ' , , _ ' . ~ : /~/~.i~Ir'/~' Ny`~ , ~.s " ' ~ ` f ` ! ~ ~ ~ t ~ ~0. , o.» o.~,? ~ ~,~sn~. ~ 1 ~ ai PH'1~ : ~ ~ . ` f:.~¢ , . ~ . ; -J~T~~.... ftl.Ea ~NO aECORO~e " • ` iT.6UCIE LC~+1tiTT, f iA. ~ RacE~ rettR~s ~ CLEiiK CIItCJIT T . IIECORO vERlitE - 35~ie_ ~ t°oaRic~z P~ ~