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HomeMy WebLinkAbout0239 _ _ _ s-~~ • __i~ ~ ~ 4 ~ 3~~~' ~ CERTIFIC~4TE OF DEATH ~ ' Dep~~twerl ~1 Ika{tL u~d Re~wl.:lil~~ire hr~im lTAT[ FIL[ NO. ,~.~wc~~r_,im FLORIDA TY?E. Ot ~tlNi IN ~ RE61tTNAR'f ?:O 474 ~t~MAWNT INK OECEASEO-Ia~1ME ~w~t •wp~ us~ ~i OATE 01 OfAM ~•o.n~, *t~~~ ' YE~~ ~a ~ EDRIS L. TIPPING Female , Se tember 2y,~1972 ' ~ACE .rn. wow. ••eut... r.w... AGE-us~ w.ea. ~.i.e v GnTE Oi NitN ~.aw¦. COIRi11r O~ OEAtN ss~Z ~x. ~wcr.~ a.n.~••~n.n~ w? wn .ows •w~ . White 74 k A r. 28,1898 St. Lucie , TOwN. l T10N .n~w cm ~~.~n Mp5?~TAI O! OTME~ NSTtt - ~ r~ M ~~M~. 4M f~Mlt ~p Myry~ 1 tiryCui r~f W ,+O ~ ~ Ft. Pierce i,, Yes i,~ Ft. P:~rce Memorial Hospital sTw1E Oi WM ~ r Mo~ r~ ~.s w~.t CIi~IW pi wNAt CON?~tR~ ruR~lED. NEVER MAlCEO. SIMr1rNG SrOVSE ~r .nM. o/w r~N~+ ww ~ ~ ~,,,~,,,,,,,,u Connecticu£"""'"' ~ USA ,~loPa"~`~~°ivi°' Charles Tippinq ..ir wu.~e SOCuI SECINtrTt M~WEt uw~t OCN?wiip+ .u.~ a.w. ew we+.o .ov or Ka~O a M?S~+ESS O~ wWlSm ~~a~. r ~e~r OcCWe[o w ~rOrw w. ewr r un~e~ i „264-41-2956 Home Maker = bwn Home .~w«..~ «b.. ~sr~a~w. lESWENCE-St~tE COIlNT11 Ciill, tOWN. O~ IOUT~ ~wN t.n ~rw~ St~Etl Iw0 NU~E ,h Florida St.Lucie ,M Ft. Pierce i',w`"~~"~s"° ,~w 117 Indian Hills Dr ' IATME~-MAME hW W7 MOTNE~-A4OEN N~M[ 7Mt Wt ~ „ Burton C. Dixon Lenora Banite IWO~M~Ht-NM~E r~wa+r+G ~DO~t3S ~sra~~ w~ ..o. cn w ro.n., s~.w. tr~ ~ Charles Tipping ,n 117 Indian Hills Dr.,Ft.Pirce,Fla. 33450 },I ?wn OtwM wwS GuSED ~r (cNrt~ ontr Onf busE ?u u+[ r0~ Nl. AL ~++D ••••o•~•,• H ur.~tr o«s~r...~ «.~w R~ u ~..ew o Pulmonary embolus " ~ j{ `9~~` 1 .A . . . « . i ~ ~ coMS~uowt. •.n. ~ U ~w~Cw 0~~~ •.1/ M l (O) _ , ~ar~O~~t~ t~~l~ ~e~, l M W. W~f ~ cWq~OM~+C~ W ' {t~f~NO ~M~ YM~l~- I ' t~~NO C~Vl~ l~{t ~ k ~A~ r OTII[~ S~MYKANT CM~I~OMS' CO~M1~0~! [dAMW~rG 10 M~1w Wt rpf tlUUfY W UVH 4Mw n~ ~Yt ~ q1 ~T«Sr V ~ES ~11~ /~MOINO! COw• ~ ~ 1 H1 w~.0~ YOI~~~ ~r W~t~~.wr0 4Yft ~ p O~~tw [ A H~ O Ih : 1 WrK~OE: O! UWEtIWUtiEO A E ~.wtw, o~~, ~u~~ ' InOw nawn OCCUUED ~~••n~ wnw o~ ~rw~. ~w ran ~ p r.n n, wb. { .~pe~~ f ~ ~ ! 1 7M ~ M'~ ( ~NAlR~ wT w0~[ HACf Of NAl~1I wr. r•u. s~r~~, ..n~r.. t?OCwi~Ot+ ~ s~~e~.a ~ r~. .ro.. c~r a~o~». u~n ~ ' ~ LI~4?~ t~f p MO~ ONKt M~G..fK. IyKYf 1 ~ ~ ~ 7M 7M ~ ~ CELLTMICwTiON- rortw .w .a.~+ w• .e•~ uw u~u y. ~rire~ u.a a. ~«o~ao .a+ .M. w~ ot~rw Ottuueo •r r.a ?uw. a. w ~M~fK1wN: ~ ~WM M~ riy WM Y~~1 M~M. iwOU~, ~~n. ~O. A M Wu ~~tt~w~f~ tW p i0 O, r~ ~~O+~eoG. Ou[ tt~ eec~.w~~~o. Z 18 60 !tt~ q 27 ?2 f~~. Q ~7 _~tu ir~ tH124rj ai.~ wnuuw~n~ar.no. ' CEtilfKwT~O?~-rrEDKA? EY~++M+E~ O~ COaOnEt a+ r.~ ~.a~s a nr ~w~ a a.n. 'K~~ •s a~ ~~O .e.~ wa.~ 1 ~a.rr+.nw a sw wm ...s/a rw rmsrw.rc.. a.+a•~. t N~M pCCY~O OM M N/~ ~M NI~ ~O eM 4vM11~ s*~ns. ~ M ~ M Z}~ M CEtT~f~E~-w~Mf ~r.n w n~«n ~ SK,~+~y,+jE acn~ w nru ~ w Es~+yr ~.ar. w., wr 1 FY'anqC~is J. C~rboz~ara h~ T~r• «'w ~ - nP 'r~ y~2?/72 i t~~ iY Ortf ti~'1 $ f'. . ~'~n a~.~ o. un W.~.. s+.a rN F rt P' ~ ~ Wtlµ. C~fMI?TiOM. ~EMO~IAI EfY Ot C1~MTORY-N.uwE _ tOCw an p ro... wn + ~ srKrr . r.. Burial r.HillCrest Mem. Gdns. Ft. Pierce Florida ~ DATE ~rO~w,w~ ~eu~ E ~n ~.o r ro sun ~ - ~ F~~~~` ~OM~,~~~ ld':' "jtYi $'t. ; t.Pierce,Fla. 33450 Sept.30,1~72 ~ 1 Y. S. ~612 f1~HAl OIR[ROl.~SIGNAlURE - ~ ~ , REG+ -S~GI+A711Rf /t~ D~it ~ICEntO ~i IOCw~ ~EO~S1W R•v.1910 ~ i~ i~ t~. •O~1C ~ tw ~ • ~ . t ' • ~ ~ f1Af~ OOf~l~l if11s /0 1RN i~ OOfibCt OOE1y df ?~IS ~D~.O~ . ~ Qp~1S1Ti~t fb00fd 0~1 f1~A jl1 1+N Sf. ~4lC~ GONfif~/ HOififl ~ . ~ ment at foA Plsro~. Flortd~. - ~ ~ p 11ND 11ECORDEO (yyaminp: Not valid unl~ss rabed seal of ths Sf. i.uci~ i1~~lE GOUMTY FU?. , . County Hsalih DspaAment is affixed.) POGER P011 COURt . cLEaR ~?RCU~ ~ . < , a~F~eo..1--- ''1- _ ` AECO~o ~E ~ N. D. MILLER. M. D. . 'r y i c«~, orf~ a~.i wo Ma~ ~ 2 s6 PM ~ ~ . . iy~ . . . Dy~ D~pu~y Iroal ihatstnr ' , i ~ . , . : ~ `r . v~ A ~~i . ~Vti/~ - . r: . . . • ! _ i E'~ ~ ~.UJ P4GE 23? ; . ~ - ~w