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Home My WebLink About0871 ~so CERTIFICATE 0[' DEATH ~ ~ ~ 11?*.d..~w ~1 1 b.i~? ~..1 R.L.1a6~.u.. 4..r.• ~rwTC ?~~s NO FLORIDA. ~ ~•r~. o~ rn~n ~ wro~a~w~w s wo 99 ~ ?I~YANIMt ~M~ O!C ~SlO- .w~~ u~. Sf: O~ t p p~tw ..e••r, ~ MI YMMM IM ~ CARAOL F.v~':.ItLTi'E WIId.I1uS ~ Male ,•~1pri1 3, 1976 ~KI ~~N. W~b. ~N~KM~ r~Mr.^ ?W-~~N wen ~ q~~ ~~Mr ~ 1~• Mtf O~ M~M ~o~. Mr, CO{IMft p OIAM IK 1 M~t~~bC Wwy~~ ~ H~~h ~M Mr~ - w wu ~ ~ 6602 ' ~ ~ ~ .June 30, 1919 Saint Lucie ~Il~~~i. a1 ~~Ti~Ka?~11~ rr~~ t~ ~~+t M O~ Ot1M NS ~r .e~ r~wr~. ~M ~~w~. u~ .~.w~ ~ WtM~ N 1~0 ~ ~~~Pierae Yes N _Fbrt~ Pieroe Mc~nrial llos~~ital ~ M~~ r0~ r r~~~ OT~MYI C01Mit~ NA~~MO.~MVlf WYMIO ~tIh1YMG S~OUS! ~r .~M. ~w~ .~ww ry ~ ~ , tOMM~i D.pNp~(fq ~yllN~ ~ : ?w.~ w~.~~ ~ Florida ~ ~~1('~f] _I~~ ~.c`iLO11Rl ~~~.iH ~ •.a Ncarr - • ~ ~~ns r Mar ~~LIN1I~ 111M~1~ ~II OCCtMAhd1 ~r.i ~ri e~ ~e~ ~oy wwr ~OM M a.o a ~in.~tss c• +~ovsn: - - - - - ' OttwM~ ~ ~OU.~ ~N. M~ w Mw~n ~ . ~ „ ?~f~~015116 Minch O~erator Ft. Pieroe U~ilities Department ~ ~~YMr[~ M~ ~~otMCe _ an " eown an. to«~7. a ~oc.no.+ cw ~r:. ~iii~ :i3 ?MirN~ ` ~sntr• ~n M M~ ~ ie Fbrt Pier~e Yea ~.,2111 Florida Av~nue ! ~i Fi • -M ~YN ~M~ aM rOIM~-M~D/N MYr rM~ rM~ u~~ . ( ~ Willi~-yns Sarah t~brri.s ~ 1~ ~ ~ - r.~ro.oo.ess ~w.~~«•.• c..«~o.~.. W~. M~ ; ~a . iiilliame ~~2111 Florida Av~e., Ft. PieYOe, Fl 33450 ? ' ~ ~ ' eu?M w~s uuses n. pr+tl~ Oru? Or+! t~utt ?f1 ~M IOf h? Al ~?O «N NAN~ M~M~ u.~ M~Ir ~ ci9R0/A ~ ~RR~s r , , + ~ tH,M~~~f, N ~w • . . . ' ~ i ' ~w~[~ ~~~f 1~1 ..MM~n ~~~t~y~, Giti:aTAii~ ~~anr~ ~M ~NM ~ ~s,~ 4n IfEART O/1~/l.s 1; f1~i~rFMiUS~.~tiron c ~ j~ ~IIM ~ OT~~ ~q/AS41* CO~~~S~ tO+rwO+~ td+MM+~ 4 N~w~ M+M Mu\~ W a~~N ~~I~ r ~YI .~w A1ROry~ I t[f •ar nr«.~~ aw- ~ ~ D/ABFr,ES MF,c~irus ....a.», . ~ ~~y~~+/ 1~ w ~ w • ~ b~M~~l~ ~~O~w~. M~, N~~~ p ~M IMIY~Y a~ ~ 1 ~MM~ ~u M wIN~ M~~~~ ~ M~~M w, Mr ~ ~ 1~TIlR n L r°~ y~ Fo vav ~~°AO [~~iYC oiv F.tcuit Ori~ ~v ~ ! ; ~ T ~A . ~nr c~/.vc'__~iitc~~c ~ ~~~I ! ~N ~ Ai'wp~~ .o.+. •.~r. ~.r~r, ~.[row. IOC~UOM . ~nm a ~ . • +e., c.n e~ w.... v~ . . 1Wanq~NM1 O~K~M~~.~4 ~fwt~~ ~ ; ~ w. - ~w FA w, 3 ~i+s O/F -S e.~ /C . /~T - = ~ I j CtfUnf~t~OiM- .a~. M~ wN .o... w~ w. f~~ .~iw rw~ er ~ w~«~ .a w. ~ N~M occwa• w.~ nrc~. w r I /Mt1K1~N- ,O ' ~OwA M~ MY M~~ ~„H M~~ ~~011~1 ~~A. ur. b ~I MM ' i ~ ~T~f1 ~ M ~O~YM~. M ' M Nuuu ~M. /M t /H tN M q~ trYn~ ~ww~ ' Ct~tl`~KI~f~OM-iM ~ -~M s.~ v r rw.w j ` •......ro. r «ow .r~e~ .q ..n.«...o.. e...e... , ~ .ei... ~w.eM:N „u ~ ~ N~r p~ ~N • • I ~ ~~i~<<~r~--'?~13g•_r_7~_'c" . °~7j/- M ~ : N~M~1 ~~M M~w S • M~N~ M r~q~~ ~~iN~si.m.w~, N~, HY~ ~ ~ ` j i'' 4~ 21 `~_T_P_J..AIIG _V E L lllt-~-- ~-?-~.~Q`=~ - = ' , ~ u -c~ i i~~~ a~.-~ ro t~ w .w M • 1 ~ ; n~ . O ) t ? C=' S ~ AI. (MW?t~0a. ~t~OV~I tMlt1~I O~ C4MAIC~ft~H~W lOCA1qM tm O~ b.w fr..~ • 1 ~ Mtw~ , -Burial ,M Glern~aooc~ Cc.~~etery Chipley, Florida i ' 6~f~_'_"' ~.or~.. " ~ iUM~ii Npai( _.i.~+H i•N ~~,M(SS : ~••r~'. w • e~ . ~ j w Apri.l 6, ~976 Yatea ~neral tbire, Dox 7'~~; '~`t. ~i ~e~e ~~Fl 33450 , i f - t. S. lt illiil~M ~ ~-f~G?~ ~ qGr ?uq . . ea t uU~te n ~pcu na~srw ~ ~•to w rzt~~ ~ n.~.. ~ •~`'~:.tlc-.~h ri 1 5 1976 ~ k ~ . . , . ; . , - ; f ; i Mr~br c~nify Mit to b~ a trw snd correct copY o+ the loc~~ ~f~~~O I ~ ~ Reyi~trar'~ record on file In tF~ St. l~c(e Coumy Hsshh D~p~rt. ; I rrwnt et Fort P~eres, Fbrids. i ~ (VNsrning: Not valid unless reised seel of the St. Lucl~ County Health Department is affixd.) ~LFO +~~'~tn fl~• ~ iT.111C1~ ~ ~ N. D. MILLER. M. D. ~ ~ pL{i~jT COU~i ~ ' Covnt~r ealth Offtur i Lotai ttpwirar RT fl~~ VER~f~EO.~'- :,r--. ' ~ ~ 'tiz 1t ! ; . aN,~z . _ : 8 ~ . 1 ~ ~R ~7 a 3 , , -,,y, . ~ OM~ D~pu~y loul R~ots+.er - . ~ ~ ~x'', ~ . . ; T~~~,. • '"3" .".;L~Sf• ~ r~. l • il~' .f , i. YJj . 'T 4' ~ r ~~ie 1 'i; ..~.:~~~5~• n :~n .•tF~Y i ~~_'?~t;~~ . xr~ ~ ~ ~ 1 - f~ ~ ~ ~ ~::1 pA(;E , I '