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HomeMy WebLinkAbout0482 . ~ Y \ ' D..~- ~ J ; / O S', ' ~ ~ ' ` CERTIFICATE OF DEA7H i ~ Q~rw~w .1 11..ht .d R.U.irln.N.. Sn.k.. *rwT~ n~a Na_ ~ ~~~~+~~~~M~~~ FLOAIDI~ ` t.n. w nxa iw . R~n~~~~~•• Ho. 10 Nu.~,w~n w~a ..w ua w a • . w ~ ; ~n ~wMM ~M + - ~ "'w~'~ ~ W w ~ Male • ~ ~ 6602 n'a .».e..•.•K......~.. .a-w. . ~ . ~ . wn a «~a~ ~.a.~. cwN+r a oe~n~ ~K. f MtN! FNA~~ ~~W~~ ~M. MO ~OM/ rc wY~ ~ . . w Au st 22 18 St Lucie , r~ M ~rw M ww w~ ~we rw~ w~rw~ ~ ~ . MIt~ w~ N ~M - - Fort Pieroe ' ti ee N Ft.Pierce~Me~orial Hoepital ! ; A~pi ~MM MM r~.~ ~+~f IWMt0.ltrtl rM~IO. ^~rWl~~~ w!. Nw ~Mr ~r~l ~ ~ i ~ WbOMrEb.ONO~CtO~wtw~ M..«~ , BwI . U S. A~ Daulah Me vin~ i ~ ~ , ":iuwi. ~.w.... «.u...au .~w. .a. « t.o a «a.Eis G..pl.th? ~ : f OCt~MM~ r ~l~M M. M+ M M~A 1 • y , ~ n 261 10 8126 ~s. „ • ~ ~ N_: ~n ca~wr an. ww~~, a iou?na~ ~ ~YK~H N~ M a0 ; ; ~y ~w Yee 226 McCra Ct. . AM~~ MM ~MII Ml~ MOntA-M/OIN NMrt MM wM~~ W? ! 11 1~ ~ t . MAlNO AOD~Ef! NMp W rs. t~h M 4~~4 M?». Ir~ . + , " ' 1+1 ~ ~ U~ ~ a ~ i' , • 0lAM MII~! [MqlO n. ~EMt~ OMr Out I~E~ tK /G~ ~d Fl ~O /r~ ww~ w ww . ~ , 1 ~ 1M •N~. ! ( . ~C ~ ~ . t ' ' ) • • . . tOr~»~ M ~11~ . ~ ~ M / : ~ ~,l ~tt1'~t~.y • rvw.n u~ .w, M ~ : i~.w~i e.~ u~ ~ ) . • ~ ~ -i ~~l1 OnE~ f10K~R~M1 CO~abOM~ ~a~w~+~ ~e+r~~ r wur ~w ~se ru,N ~e wr vw. r w. ~ w ~OK~ r ?t s .nn ....«w. ~ ~ • IN/ O~ r0~ MMMM~~ frM ' . , O~ NI~ ~~_~r~~: Mr, Mu~ MpM WIY~~ OCCY!!t0 ~~•~H .rMw M~+~M~ r ~~w ~ o~ ~w~ u. wr y~ ~ ~ ~ ~ 1~ Y IY. ~ outr~ ` ~ ~ IM111ti A MiO~R ~ i~T1~n .aA. •~K ~MM. ~~nw.. tOC4D0+ ~ ~wN M~ r~. re., cw~ w M.u. Maw ~ , ~MKM~ N~ M r01 y~.IK IMRih1 N~ ~ ~ + ~ . ~~?rKATK7M~ rpwr Y~ NN rOM~1 Mt hY Wt M~ M~/uN YM Or ~ M/N ~p wf~ r M~M OCC11N1• Ir~ FK~. Or ~y ~I[MM- t J ~Iqww~ Mt A+~ ~O~'~ M1h M~~11. 1~lrM~ N~I ~.y. M r/ MN ~ ~ ~~+~e~ w ~ / ro ~ / ~ ~ t~ r./•'30/°r a..,..o.~....... ~ ~ !M N[~a+h ne. ~ 1N J- fN `e r crrm ww~. t CifNKttq!/- ~ 1 , ar w~ uM e~ A ~w~ e~ M•.. wy ~~r+r M Ny ! •~u.+~w~ O~ M~M~ u~~O~ ~I w~M~~~ar. w w M~y roww Yr r~ ,y~ ' M~r OC~ s~ ~ YA ~ M~O ~ t~~'N~M N~N. / ~ ~ ; ~ iA / L~ _ ~ ~ ~O ~/1( ~ . 1/i ~j i ~ d! ~D ,a+. ~i nr~ . ,v _I`_~.f~lf~l~~ ' t In ! . __w.~~/~i~3~ 1~'-~i _~~1v7~' ~ i,.i.y asj-r ~ i jc/ ~ : F' ' - I .3 S~ ) ' W~ul. C~lWIIOH, ~f~IW~I lMttl~t O~ C~~MIO~~-NnM IOC~~~OU ~r b.v i,~N ~ VK~f . ~urial._ ~ Pine Grove Ce~r~etery ~'ort Pierce, Florfda b~i Ni. NM. ~ l~f~t( IIQy~-~~( INp AppfISS • /•M~t M • • ~.0. [~H W ~O~r. \~~N IM. ~ " „aTanu ~;~r 1, 1 Stone Broa 317 N 7th ~t Pierce Fla. 33450 S. ~~lf ~ • ' ~t . rup, c~ e ~ no ~ ~1~f.1~10 ' ' ,~n. January°`f3, ~1~b ~ i hN'~bY osrtifY this b bs a ~?us and oorrect copy of the locai iteyistre~'s record on file in ~he Sr. lucie County Hsalth DspeA- rrwnt et Fon Pierce, flo~ida. (VNar~:~ng: Not valic! unless roised seal of the St. Luc1~ G?wnly ia4alfh Deparlrr~eM is affix~d.) , 4i, ~t . , }FY N. D. MIIIER, M. D. '~:~r~+ v/~9 ~ Count~? IIh OfficK 6 Loal Repisr~~r - i y;~^~,'. 2~ ~L ' • _ ~ x ~ ; i. ON~ . } T: _ ,,r~: Orpuhr local R~ohner i . - ~ - _ " % ~,1i ~ 'tl . . /f ~:~t~~~~~ . . ; • " , ~ . ~ - ~ F.",~,wJ1t 1~ f:.~ ~ P~ . . '~.~..R,~;;.~~~- ~ ~ ~ , ~ ~ ~ ~ ,