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Home My WebLink About0710 / ~ ~ ~ 3~~283 s ~ . ~ . ~ r , ' . ~ : ~ . ' ~ CER7IRICATE OF DEATH ~ { 1~MAr~1 d IInU? wl Re~4Mh11w 4nk~s ffATt Illt N0. _ i I . . : FLOaIDA . • - . : 1 t~K. pf frN1 tN - 11~OI~wAl1•~ NO. + ' i MIMAMtNi Nlll ~ y ~ p~p . . . s • . . . , i ~ l MI YM~NII N~ _ v ' ~ ~ i~ t ' ~ ~(~1j t 1 ' t ; 1 ua »w....«~w ..uq, oe-..M . ~ . . . c.re a M~M ~•.•a w. cownr a a.nr , . • ~ ~ ~i~its """~1"'"" ; dct. 28, 1894 N Martin i ' ~ , - ' i , .rn.. s.w u.w ~.•e........ «w aww ......a ~ ' : , I ~ ' ~ vYa~ai f. h~~ ~ ~ N ~ i4i ~~pi~ . ' ~ ~ ~ . . ~ i j A ~ r wM M R?a. r~a~ MA~~0. N[K~ M1~YR0. wN, MA ~M ~ ~ ( ~ ~ , . ~ w~y j~~ M~~~ M~~DyO.MilO uM_r~OK{O ~ ~ • ~ ~ ~ , ~ •wwNNtiR~ ~~~~~y~~py~.W1~lG • W[1 .a,~r~l~rl~ 1. ti ~ s"S'cw s~e iir~T+r" «w...«.. w~..oM « c.o a ws.+ess or ~oam ; ~e 043-05-0114 ~s ~ei~tred ~ . ~ ( ~t...~ .eso~na- .w cowwr . . an. wwK a ~oc.aar : ~ FLoac3,cb 8t. I~de Ft. Pierve "~[e"s ~ w 309 dcanada t. ~ f. _ «r. .~.w. u. ••otMt.-..wp...uMt n.n .+~w. un , ~ n Jaci~s Hicksoc? w ~ Catherittie ~ii~cksa~ E~ i~ ~ ~ 1N~ONANA w~lMO ~ODMtt3 ~Maw M~.~.~.•~. aw M w+M. w~. ~ . ~~1 ' ~ti dcaoe Ai~]teon ~ 309 GYt~t~a~a~ F't. P3eroe~ Fl. 33450 't` ~t • ' ~ w?s~.r.s cws~s... . ~s.ru a.. as cwse.a ~.r a. wi••~ w1 .n:... i; i I 1 ~ ' . : ~ i I ~ M .a< Ait.t• . : • : ~ ~ • . ' ~ ' ~ ' , • , . ~ s :~..cw :~::'d .i ~ M ~ilbfA ~ i i ~ ~ wrww c~~w ~i • ~ ' = ' ~ t'~M~ t~ Y~ ~ / ~ , ' ~ ~ , ~ ~~1 ~ kti t~~~iG• C Pit1M~oA1 ~ ; ~ Q MnO~f~ r res .n.~ «w.n~~ cf. ' ~ ~ ~ IMI l O~ ~~AM ~~M~ t+~Ml~ tON~Mr~ N Nr M wM MM~ N sNM ~w~ ~ MM ~~M - ~w~ rw~N r NMr~~ iMr : ' : M NY~ M : . ~ . O~ M/~MrpN ~ Mw~. r,+w~ Npv~ IMJYIt p~QMlt~ ~ ww~ r~w M~rw~. w~.w ~ w wr ~w n~ : ~ ' f''; ~ i ~ ~w fw r fr. ; ; A~ wCrt ~vr. wn WC~~ . ww « a.i. w. or~ w Kw. wA • ~ ' ~rww w?M.~~ aws~ w~at arit+w~ ~ 1 : f s. ~M. tM , t . : . ~ ! ~1~F~ tl~ M~ ~ tM~ ~Pw Y~ ~W M~ VY w~/~ Mw~ N. M/N~ ~p ~ w1 MtlM O[LMM~ ~ wrtf. M r~ ' i • r~ w wr Nw rw~ wr~. ..4„n w. a.~, a r wr j: t. t ~ '.K,':~'~. 12 29 7S n. 1 3 76 n. - 7G n. i ! ~ CtflnptqM- .~...a ~.?w r r .w~ r wr • ~n~.. w • ~ ~ t• t~u.w~O. M~~OF w~/O~ wr ~w0+. w err~ti ~s~ rrs wr reA . M~ M~MIM Or M M~ rr N~O r tIMtM~ M~R :`!J tb CE P1q N ~AIA ~ / M w I~L M~.~WI _ . , ~ _iD ~ f ~ . YM~ M - M. M~h F~ ~ _°nar~ 4 6 Ba . ' f ' NMSeI. 4t~MO0K QN~OrM O~ C~faYUO~t-~uw aON a~ a a.~ ww . ~ ty '~1 ~ N~C~Q1 ~.~L'Hl13tAl'j.lnl M,. WE:B~ pB~AI HP~~1 I~Ol'3~C~A . . ~OP1~1. Mf wY~ ~10M~rM~M[ ~NO ~[SS ~ NM~~ M ~1.~. N.. bF M N~ WM. M ~ , . ,u,` . 3 197~ Ft~1L HCt~ 901 N. 7th ST. ,~`t. pieroe, F1. 33450 s..~1Z ~ ~tcai - r~.r , u «onw.. ; ~ , . ~ t~~•1~10 ~f ~ ~ tw 7~ . ~ ; . . . _ . . - ~ • ~ ~ ~ . - • . ; - . ' . ' . ~ I herehy certify tMs to be a true and correct , ~ ;.r: ~r. copy of the Locat'Registrar's record o~ file in ii~~~ . - . ' the Martin County Health Deparbnent at Stuart. ~ E j 1 ~ ,i+ ~p ;i - ' ~lorida. I! n~'* . ~ ~ j~~;•; * . . . = . . ; ~ ( Warning: Not valid unless raised seal of the ~ :~°,r'y-~'~; R j.•. Martin County Nealth Departunent is affixed.) Y. ~ ~ ~ . ~ " ~ - . • --,~:~;~~j~~tor,~ u~ ; : ~ ~ ' Archie McCa111ster, M.D. ~ : ~ . . County Heal th 4fficer ~ local Regi strar ~ '•,~t~ ~ e ~ ~ t:+• . ' . , R r,.~~ ~ . ~ , i~ ~ . . ate , eputy aa eg strar ~ ~ ~ ~ , i i . ~ ~ . E - ` ~r`! ~ ~ . ~ / i.EO I?MO RE ~EO ' f~.l{1C1~ C t~'. ~ ' Il00tK ~ cpYRT ~ ~ ' REGO~D "0 f ~ ~ - : ~~e tZ i 32 PM'1 E ' fg ` I ~ e ~ • O¦ ~ Ptt~ ~ PACE ~ ~ ~ ~