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HomeMy WebLinkAbout0850 E ~ ~r ~ ~ . ~ . ~411 ~ ; - , . ..~T~ .onwo w Mr,?~tr CERTIFICATE OF DEATH ~ l"~ ~UII[AY OR r11AL RATIfTfC~ ~r~T~ n~s No. ~ ~ •~~s•~ ~•a. FLOHIDJ[ ~.1~r~ •~~w ~ N ~ 11 NO. ! ~ r~~~ r 1~ 1. ha~ WfM COOt N0. ~ 1~~~M~sNit (~M~ Ir~.i IY ~~.rwr.• s~Y..~ ~I.. N+.rw) ; i •t~t~t~~ ;St. Lucis 6(0-0 ~ Florida St. Lucie t p•e•~ ' ~~r. Mt. te~r.o~tocat~ s nACC or eun~ e. cm. ~owRO~ ~oatior e uswcra ! I ~10! llMfffl MS ITt IIMITf~ } + ru.. Ft. Pierce „ Ft. Pierce ¦.ri a. ~~w w ~r~r. M+rw «rwt mcct ~cs~ ~ ' ~'t. Pierce Mem. Hoap. 11S N. 8th St. ' ~ r...~ K ~rwr sw an x.,~ n.~ t',.. ~ ~ nMMrwn HBNRY O. CLARK ~TM November 27 1967 " ; . ft1[ tOIOA OA Mtt ~ ~IY1R0 11[KA ~WIM[O MT[ OI NI 1 ~~tY uAU N ~Mf. ~ MwY~ O~ iwn YF. . ~ i t• M N ~our~e ono~as July 3~ 1902 ; ~~~t~1~ .vw~tottu~ano~ lO~r Nwr M~ .R1M0~~K1fO~IIIOYST~T .WTMR~QIa~hM~~l'NM~ .MIQl10/wMfOOlirl~tt . ~ .te~ ~~e- .r1yw wIWM?.wnM~M1 awner ~ rator Furniture Stor Stewart Mise. USA ~ ?l~ct l~l /~M~'f WK ~ . MOM~'f WIO[~ M~l[ , 1 ~,.::.,a.. Henry Clark Ada Shep ard ~ _ i ~ /1l J. . . ; ~ 31-01-139 H IL pw[ M~n1 Mr aw Mrp? IN. Nl. ~ k1a ~~rtc~ru ~crncM ` /rw~?~1 ~ l t l~? ?~~1 L 0[~111 Rtl C1rl~ N~ - pK[T A~O 04tM ~ x . a r ~ u wwcwn e~wlt w : u• e~r_ • i 3 c,. y« M, l~seaive cardiac coronary ~ ? , 1 . . . ~ d... c~«r~'r.~ 1 # RrMY Mt ~M?- ~ y~ r~~l~lru h~y nyr IW. ~R TO ftl ~ ~ ~ ~ • t Nl • 11 ~ ?YI IL Of1~11 C~M~1p~ q11MRA N OUM ~11110~ 110~II11~ M RaO~Yt OIMMt 001~11~1 ~11t/ 1~ !Yt qU K~~~~ i [ \~~f• •f- . t~r ~~~1~ ..tus•••s ~ ~ocw[~t fwc~t Merc~ ~cxawc ww wu~~ ouwMCO. t?ww ..rw~ MtiM1 a r+wr J~. f~l . N~ ecs w i ~ ~ q~~t- ~ ~ ~ ~ a ~I ~ ~ ruw• i ~ t0/ wpr~t OKM~tO ~lKt o~ w~t p. I_. i~ v d~wt Mr. ~ dT~. TO~R OII W[~T~ MuNT? luit ; ~ . ~ Rw4t 4T O 1OT MMIt a ~~M/. WM. ~tf YN.. dt.1 ir ~O~R fOAR , • i i tt /~~bwf~Iflr 1V~DV1qS7 .N NnV~77 1Qfi7 •w/NHw~Alw~Kr~~n ev. ?~~9(-7 . ` DNfA ~cewrN ~f ~ ~ rw ~w ~M t~~~ ~f~fN ~nI N tM Maf w~ tn~~blN• ~ie~n fM e~uN~ ~qr~d. 8 all ft~~• ~ ~~~yt~ ~}~{S1~,~ ~ •r• t• 1• ~aMaMlMr) m AOW~lS ~t. i1~L0"6~ ~ ~ ~ ~ ~ 1122 OTetT?$@ ae~~r~t~. t~ wi.~r.at~noa t~ Mn 2]r +ursorarc ~?o~cn ~ro~r ~ . ~r~~y1 f8tr.~ ~~~~i~' 1- 9-67 Hillcrest Mem. Gdns. Ft. Pierce Florida ~ r.i.~~~• 'sN. 7th St :s.wn¦cco.w?ocxu~. s w~~ ol.r. ~ ' a...t~s• ~1- e1. -(07 . , ~ . , i n•nbr osrti+y this ro b~ • trw and corr~ct aop~? ot the lou~ ~ Registrar'~ record on file tn the St. lucie County H~ahh D~p~rt rr~nt et FoN Pierce, Flo~ide. • ; (yVarni~: Not va~~d unless raised seel of the St. lutl~ ~1LE~~~ - ~ ft. WCtE COYtfTtr F~e ~ . ~ ` . , ; i , County Healih Department is sffix~d.) R06ER ~OITRAS • ~ t:'_EtiS .CUITCOURT " - . : ~ - . - . . i "~lES3 - . j ~ , i ~ N. 0. MIILER. M. D. - . ~ Coun FlpeUh Offic~r loul R~strsr T ~ '~'J t~EY { 8 i2 3r,~ P H' 7 y t 1 J / ~ ~~s.! (~l ~ +lcoi~ ~ t i . 0~1~ • D~pvf~/ IOC~) Rec11s?r~ :3~411 ' ~ + - , I : ; - : . . 800K GUQ PAGE 8~ ' Q , ~ _ - _ ~ - s'`~ ~