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HomeMy WebLinkAbout0090 ~JJ~~?~ , . , • -r.~ . ? . . • • . GERT{FICATE OF DEATH . , O.pw...~ .1 14.k1 .d F•,.•~ ~tu.q.. 5e..h.. sTwf t r~ls Mo._ ~r.~~~.~•~ FLORIDA :23a. ~ ~ l~+t O~ ~~~nl IM wr~.wrw.~...~ 11[OltTllwll•{ NO. . •.t N~lMNI INt OlClUt~-MrWf .+w u~~ a wn a a.n~ ~.o+~., r, q~~i~~~ ~ x`:s„~,~ , 21AFi^vARET I. FQRE~:A;: ~ renale , April l~, 197G + . UCl rNw. u1Ka~ Mr~. ~0l~uM ~ wa~ ~ Mr O~tt O~ ~MM ~~o+~. M~. CWM?? d OU~M ' ~K. ~ Wtn~ M~M•~ ~tY~H .OL MM rON~ w~~~, 1 1 if1.l^YiJ.;"a . . Whit~ A ~du..;; -5,1911 N • • A wc~in :ii oimw w? p O~l ~+1 • r•e~ r~•~w~. Mw ~sa w wrw ~ * Stuart ~ s w:nrtin i•'~::t'.OY`1P: ;fospital . ~ ftA1I Of W1N ~r r0~ M~.~.~., wuu d1 WINI COtM'~~t1 MA~tKO. MI'~lt 1M1bt0. 1)1lwtv .~w. M! rMw .M,r ~ taw~+~1 n w~QQrRO.OMO~ O~vw.w~ , ~ „ ~ v~'~•l~I~qK~ ~ POTIIIS~ZVaT11A • U.~ l.0[`I`i9~ i~t ~;11-iAPl L• t^'OS'OSit1~,.21 ~ ~tiN Nl~~Y• . ~r • Nw SOCW SKYMT'I q11WE! YS{IAl OCCINATION ~Mw sM~ M ~Or q~~ ~M~+~ ~W~ M-~RIMO Ol WSMS3 O~ M~IJ'il~i .a..~} w..........~»~ ~ Grrn Fiortio u~.~r.w.~.n q~Gl~-~~- 2~3 ~i 1lOLlSnW~a O ~A ~ a~M+[~ MbM , .~s~ot..u-sun couar < on. *orn.. a ~ouna+ w~~ ' ~wcrt.n~ w .o ~ . a.t1C 1 Q ?'~O~ . ~~Florid~ t~tnrtin IndiRntc~xn ~~o ,M~p~l .-_,t !f)~'! i YZCo /AIM4A-lMiMI • ~MM ~Mi1t ' YM MO~ME~~MI~IOtM M~Mf ~rM MM~ MM 1 . . ~ „ Charlea W. }Iard7 Lula i•;cvey ; ~ ~ w.a..o.oou•, Indiantown , - ! ,ti t t R9r~ St. L'ucie i:obf`lo Vi21a e Lot r? ` ~ ~tr Ot~M wat twusto sr~ (tMN Or+~~ ON[ C~Yft ~t~ wt rOa Nl 1?L ~t0 p~ ri.eH. e.r. ar M•.r ~ l ~ ! ' ' I2 L,w ~ ~ . ~ y t • ~,iru~eti.'rr.~-c.~f -'~C~ ` ~ : j cor«ner~ a .r~ • ~ , , ..K. ...r ,a ~ n~ _ ~~NNaH (~~N w. ` ~..nr~ r.~ ~.~N. w~ . w u• cerww~.a d: 1 r ~ ~ kl . . { • ~ui Otwt~ fria~~C~+t GO?iOnqnS. t0~~~ ~OyMM~N ~O Ns~ W~ rp MYM M tNM MP~ r Nn ~ M~ wROrft ~ tit1 ~ur n.Mw~ co~ i Q~~ ~ ~ ~ns O~ YM~~~ w1 NpMr~~N d~M ~ W N~t~ M /VO tiw IMi~r ~ Ol MO~~H1M~t~ ~~M• Mt, tY~ ~ 11QM INIYi~ QCCYlIlQ ~ Nw~~ w~~A M r~Aw ~~Y~ ~ M MM ~4 Ir 1~ ~ ~ , ~M~M1 • . 7w 7A M 1Y . . ~ 1?W~t AT Wp[ FK~ M11RY ~Orl. ~u~. NwN. IOCAiIOM / ur/f~ M~.~ 1. w0.~ t~ M q~, faA ~ . l VKN~ wt M r0/ plwq ~y~-.AC ~YKM11~ • , ~ . 71~ ~1 1~ ~ .t . CERTVK~T~ON- ~ow+ ~n~ , n.~ ~a.~ ~.r ~w .r~ w•:y...i.x u.w r. Mlw rw N~M OC(YMII n~cr. e. r~ • - INi~Kt4NV tO ~P~~w M~ ~IY ~OM rR~ ~l~r. ~?OM~ ~~~I, ~r~. ~O M M{~ , r. ac::u::.~d. G 7G y: ~ s ?L p. /s' 76 n1 L O fa /d~ r re ~i w~ w~Mi. ` ci~ir~unON=.?foKA? e~~w+l~ w ..w a .ow o....,~. / s.c.a•.. .w.oi.'a..w ' ~ ~ ~ ~ :i :~ooou.s w w'O"i ~.w ri ~a a w ow 'w~ a wi.°`••a•' /p y//V r i S/ / f 76 ~~s -/O yt~/1^rI ~ i• ~ ~ ~~hHf~~ p Nrn / ww/ ~i.orw~. Y~. , ~ • nr_~~c , ~ ~..r e S~/b ~~i~ w~! ts ~u~t.t - a ta S' 7 _ iu~~+0 WO~iSS-~n~t~ Naa u•.o. • ~e a~ a.. ww n. tI~ fPaN - ~ ~ in/~ ln~ 3~~y ~ ~UNAI. C1tW?hOM. ~Y0~11~ E~t O~ G~EMATWt~NarM IOGt~Oq a•. er a~. s•.n : ~ won . . . ~.Removal Burigl• ,~Southern i~~~m. Yark ~-;ia:~i i3+~ach, Florida,.. ~ , w,~~ NoMt-N~e uo r ~~...n o. a. N n.• c ~ 334~1~. • w~ e A~ril 1~, 1976 dohns Fsin~ra~'~iomo ~i~ ~o~ors~ 3~3 ~+ve . ~tuart ,I`la. ` . Y• ~O 1? IUMtt~l at -WJ+~?uH si ncnr~~ no~s• • / ~~Y.~~10 ~ ~ ^ i • ~ 1~ ~ • ~a~'-' - n - - - - ~ • , . , . - - - : , i I herchy certify t!^is to te a true and correct coov of the Local Pe~istrar's record on file in • tk:e ''artin Count~ Nealtfi ~enartr^ent in Stuart, . " Florida. {.•~arninn: ~•'ot valzr! cmless raise~ seal of the , _ ~ -x.'- '~artin Caunty t!ealt~ ^rnartment is affixed.; , . - - - 1'rchie "c('all ister, 1'.!1. - County heal th 0.`fi cer P: Local Feoi strar . ` r ' " . ,.P _ . ~1~.F1: ~I.i~ ~1C.L1'':,~.~ ~ ~aS . ,~~RT _ ~ • e: ,~~N 25 12 i~ PM'll s°a~~ ~a: '~"7 r~- ~ ~JJS ,