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HomeMy WebLinkAbout0617 3stiz~~ ~ f lE~ ANO AtGQRUEU ~ s~. ~uc~E couN~Y ?LA ~ocER Po~ta~s 3~2~~ RECORO YEM/IED C~URT I N TNE C I RCU IT COURT OF THE NINETEENTN JUDICIAL CIRCUIT ~ APR ~ ~Z 42 ~ 11 I N AND FOR ST . 1.UC I E COUNTY , FLORIDA . IN RE: F.STATE OF HARRY MIDELIS, deceased. (No Probate) CERTIFICATE OF DEATH ' stac~ ot Flor~da CERTIFICAIE OF DEATH • Dep~utmeat of Health and Rehabilitati~e 3ervioes g L O R I D A ~'*wT~ No. j VITAI. STATISTICS • nto~sr~w~•• No OECEASEO-NAME r~~ ~ SE71 OAtE O~ OEATN ~ rowt~, ~~r, n~~ ~ s TYPE OR PRINT • , H~t I~IIDII~IS ~ Male ~ 6 1977 PE FiMANENT BLACK tD1K RACE ~nwn, ..~aw. •.u~K~w n.~u.., wGE-..~~ vw~ ~ n.~ w~~ ~ w. CATE Oi WM ~.w~.n. COtNi1t d OEwTN ~K. ~ f?~CM~ ~ N~hW~~ ~ tfu11 r0! ~rt~ MOY~1 ~M ~4~ ~ ~ -Q y • wltite s. s7 ~ k , . ls lES9 Inctian River CITr, IOMIN. Of lOCw110N DEATM rfe+ cw~ ~wn MpS/~TI?~ q OT11ER NSfl ~M Mp~ u~ phy~. GM 1~MN ~M MYr~N ~ fMCM7 •If p NO r. ~ VeYV Beach Yes Indi,ati Riv~er MemDrial ~'ltal STATE Oi ~NM ~ u..o~ w u s•,•~•~ bnzcH or wruT ca~?+nr W?~R~EO. ~VE~ MAMIEO, SIRVN~i S~OUSE ~y r~M. OM +~O~M M~rl 1 cowm ~ T~7~ wwOwE~Qt 'W.,M.~O.RCEO ~ wcn ~ y~~~ y, y,~,,, yy ~sun ~~f~ol~Kf ~ ~G'C~.c ~ W[1 N i'iL.l~ _ 11 Wl1lGi~.~. S{.• S~..LC.~{.~. rw~~f OlC~~f~O . - ~~.~o M~r SOCIAI SECUl1T~ NIW~E~ USUA1 OCCU?ATl~fi ~MM ar~ M rW~ ~Wf OV~w4 rOf~ Or K!O OI MlSINESS O~ 1?~VSTfr occue~ee w wpaw iw. fv~w r ne~e~ ~ ~~~~n~r~o.., aM 1,43-10-8099 11~ ~Yl~ p~ ~$tRl,llallt .n,oetic~ ~ewr ,0i'~"~" ~ESIOENCE-SIAIf COUNTI? CIT11. iOYVN. OR IOCAf10M wYM t~n ~ru~ SItEEI AND ~ ~ WCYt t~~ O~ MO ~y Florida St. Iucie Fbrt Pieroe Yes ~w2001 Minnsa Av~ue fAil~f-NAME ny~ uf~ r~OMEf-~ui0[n N.wE ~rs~ r~oa~ us~ ~s Nicholas Mi~delis N Harriet IwORwuw)-aAME ru?IIn~G I?OO~Eii ~sm~~ o~ w. cm a a.n+, u.w. er~ ~n Cathesi.ne S. Mideli.s 2001 Mi~sa Av~e. Ft. Pie~'oe Fl 33450 ?wtT 1 DEAM WAS GUStC W: ~fNTfR ONl? ONE GUSE I[f IINE IOt N1. t~l AND (cp wti~iw o u~ ur w•wi _ 1 j wwo..a c.ya~ . / ~ G~L cc.-GLzu.~C.~~.c. ~~LJ~~ E=~~Lc.,~~~ .CUt~•u /r-~c. COMM/MM~ ~1 • • - . • w~cr o~vi n~~ w 1?~~ J't-`CL~LYL~.~ ~/1~.-L r~/~~ --it.W~ ~ ~a.~N•~~ e~ru w~ w. w•s • eors~ow~+ee a: ~unwo ~w~ YN~~~ ~ • w~«e c•~a us~ / •r ~q( li'Z 6S .~i.{. ~ Ty~ L~-~~ ~l~tc/Zc~.~ M~T a OTNE~ SIGNrKANT CO~b1~lONS: tOuMnOMf CpwrM~w6 ~O M~Iw N1~ rW MYtN q 411M 6nlw M~rt ~ yl AArtOK~ 1~ 1rEi rl~~ /~MNMOf COM• ~ns o~ Mo~ w~~w w w~~w«wo c~t p ~~~~M IM Ot Y~DEtEU~wEO A ~.O..iw, ~e.~ ~ qpw INJURt OCCUtlEO ~ iMn~ wrw a x~wn w r.n ~ o~ ~u~ u, m+ ~ I ~ fA ~ M !Y ~NlUtr AT WO~K KACE Of M1JU~Y •r .or. ~ur. fnee~. ~.t+w.. lOG?110N ~ an~n o~ ro., an o~ M.N. a•e ~ ~ sMan ns o~ ~+o ~ owKe we , ut ~ wan ~ • - 7r ~k CERIfIG?T~OM- ..o.nw w~ au .a.w~ e~• ~w ..r us~ s...w./re~ .~M a. ~ M/ae.~o~ ew.. wa ot~rw oeeW~to ~i w~e n.u. o« +y ~ ~Ni3K4M: tO ~M-~~~ Mt RY W~r M~~ ~1 ~~t~, ~r0, q M~ Mft ~ •newe~ me ' ~ ~ ~ th ~ y ° fU ~ ~ ~.i ` tM M ~o a~e cwsre~i~ ?i:~u ?I~ ou~.~~o ~w. ~ b ,tl~ L~ Q~- GERTNKwilpa-MEOKwI EI(AMNiER OR COIONEf. p. n.~ ~.s~s p n+ .ow 6t oe.M rwe eec~e~ ry r~pwpw.Cw a•o l~~rr.•rO.~ G a~f ~W~ ~we/M tw~ wn~Hw.rpN, w. rr MruON. i.' ~O.,tw O~~ qu wOu~ Of~m OCCWYO OM M O~p ~MO OY~ ~O M UuS1if/ it~q0 ~ ~ M T?~ ~ M CERT~i~Ef-wN+E ~m~ w rwn» eae a nn~ A D~.w.~~w. w., ~eu~ n. - ~ ~ ~ ~ c - 7 MARNG AOORESS-CftflflEf s4t~~ o~ ~ r MO tmr O~ p~r.. N•rt iu 7]1 WMAI. ClEMAt1pN. REMOVAI fMETEfY OR ClEMATORr-NAlME lOCA110fJ c~n O~ q... s~•~~ ~ Wcv~ ~ Burial H. HillGrest Manorial . Fbrt Pierce, Florid.a OwiE ~..w~¦, wr, nu ~ fUNERAI NOME-I~UME LNp AppRE55 ~ tuu~ w~ r e..o , an a w.u, f~.n, nr ~ ~ebrua~ 10, 197 n. Yates E~u~xal F~ane Box 7T7, Ft Pieroe, Fl 33450 V.S. #612 /U~+EW D~t fWE y~ lEG~Sit -S?G~+wlutE ~ ow~t ~EnCtryen ~OC.~ ~f nvu Fl ev. 7/76 ~ ~t~~ - • 7M . s 7M ~1~R!:i;Y CERTZrY TtiL A~OV~ TO 3~ A TRl7E A!~D CORRECT COPY OF THE . ~ '.nCAL P.rGTS'!'RAR` S R~.CO1tD ON I'ILE ?I~ T:Ir I:~DIAN RZV~R COLNTY NEALTH ?~r:'ART:~i::NT AT VERO B~~ACH~ FI,ORIDA." ~ ~ T~'.T.S IS, !~OT VALID Ui~1LESS THE RAIS'ED SEAL 0?a THE ZNDIA.~` RIVER COVIQTY ' j i !:FA'_,TN DLPART;~W:~T IS ArFIXED. , ~ - ;r ' . ^ ` . • ' ' ~ ~ ~ , . i"i 1 . i ~ . 1 ~ ' ~ { ~ . ' ~ ~ , , . ~ ~ . 4 : ;-,.r . : J, ` • _ , . . . . ~ D~ P TX It~G STRAR . . ~ . . , ~66 ~ 617