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HomeMy WebLinkAbout0566 / ~ ' ~3~`~1GOv - State of Florida CERTIFICATE OF OEATH ' Deputcnent of Hcdth ~nd Rehabititatire Scrvicea F L O R t D 1l ~*~TC f~~c r+o _ VITAL St'ATISTiCS pEdILT11w11 f?+0 109 TYPE OR PRINT ~USfO-~r~,vf .+e.~ a.u g¦ O~tE p Ot~M ••o»r., .e.~~ ~N ~ ~ I p ~ > > Februar . PERMANENT - BIACK INK lACE ~wq. ~N6b. W~K~w w.w.. ?G[ -a.~~ w~a~ ~.a~ w~e~ ~ w, C~1E Or WtN ~.o.a.. COU~+~~ O~ OEwtN I ac ~W~r.~ wr~....~u~~ .os ~.n wwa n.~~ ~ 5502 ' Wh.ite 8.~-- ~ ' C'rtt. ~OMM. W lOtw/rOM Of DEwtn w~ cw? i~us ilOSR7Ai CS O. i. t~Ttt1 - .or ~~wr~. a~n ~~M~~ ..n .w.~e~ ~ . ~ncw. m a ro ~ Cort Pi_e~ce Yes Fort Pierce Memorial,_Hospital SfAif OI W1M ~w wo+ ~ r~~.~~~~ CIfIlEN d WWi CQ11N1lY MAt~fEO. NEw[~ aWMEO. SIR~Ir~'K' S~OVSI ~w ~r~. nM w~1r wy ~ • toww. ~ Mf1DOM?EO, WMOlC O. ric~• ~ 1 ~.~•,N....~. ~ Mississippi ~ U.S.A. ^_L Marrie~ Daisy O!Conner g~udd.~d • .~....~~.x. - - - - ,•w . r•w SOC~N S[CVmY WlirE¦ VSU~I OCCIN~T~p+ ~vn ¦.w a.a. w.~ w~..c .os~ a [rq p MlSMESS d ~MtlStti occv~N~ ~i rOrMO ~M. Mr r q.nN ~ ~ ~'"'°"O"•'"' 701-07-9111 ~s Retired En ineer ~,.F1aiEast Coast Railroad .lYMK/ M~ON _ _ ' _ _ _ . ~ o«ssw ~ES~OErKE-Sr~tE coura~ Crtr. roww. ot ~tt~t?a+ ~+:••"c.~....»~ si~tti iwo'~wiii Florida ~.St. Lucie Fort Pierce ~~.~~No «p ~wRt. 4 Box 406 ' ~ /{i~lt-M,f+Mt r»H rrw~ ~ t~p MOIM[R~..MA4tH NM~t ~+?r rywl uN , ~s ames Daniel O'Conner ilnobt~~inable ~ IIMOWMiI-MAMf . aN~lraG 40WESS ~~~nn w~ r•.w . c.n o~ ro.r. sr.w, tr. ~ ~r.Mrs. Dais O'Conner ~n Rt. 4, Box 40b,Fort Pierce,Fl. , 33450 ?~ui otwM w~s C~uSto ~r: KNrr~ o?w r oHE uust rE~ iNt ta+ hl Al ~??b kA .~i u. o w~ . w w.s ~ N r~`~ J~ ~ N~ l-Ct-fC~.c~'~ Ca.C~w•`a.._a.~a GL-I-l-~1~^ • f ~~'~TTC6-Y3.~- ~ ~ • corMno.f. ~rr, • - ~ . ...c. o•n ~~N p ~ 1?1 r ~ ~'s, t' ' ' t c/ ~ -~„t ~..~«~n u~s~ w.. M~O. M~f .-~o.:wow..r~ v ~~~hw~ ~q Yr~M ~ ~~~~N t~YM ' ) ' kl ~ Il 1 fA~T 11 OT~KR SKsMrKAN/ CO~~T~ONS~ (d~wOtif (O~wWVh~6 q M~Iw !M MOI Mun~ M C~~N 6~tr ~w ~Yt ~~N AtRO?S~ M ~ES n«~~res ce+ • 1 Hf M MOI YN~I~ ~M Mp~MMM tMM O~ N~~~ ~ ~w IM..a~.~ KL~Off~t, SIMC~Ot O~ ^ DATCW N~~O.~ew, M~, rl~~ ~ NOII~ NOW IMl{I~T OCCVl~EO +~wA~ wwiM O~ wM+ rr ?u~ ~ O~ ~.lf w, rwr ~ ~ ~pp.~{~: p uMUftfwrq0 M ~ i 1MlU~~ ~t wO~R /?ACE d~+lut~ .r .~o.t. s.ter, ~.non. IOC~t10?+ ~ s~~n w~••..o . a~ w ro... +~.w ~ ~ wc.~. n~ o~ ..o~ owK~ w~c .~~c .+nc~.. ~ ~ ! ~ M~ ~ CEQRKAi10M- ..o.+.~ nu .w~. •iu us~ f.~~../Ir~ unn or w w~ y. w a~tr otcwMO rr rur~. o» w~ ' ?M11KUN: IO .v+r a.I n.~ fw~ ~.cw~ ~~M. ~M. ~O M Mf~ . .m»Ne n.~ c d. a .w.n~w. w~ ~ b~ Ncuf~e •w. ~ ~ t71~_, ('7 l 7 Z r... y 7q !N 3: ~J M~o wy cwf~q~ fun~ . CI~11f1U1~ON-iWO~C~I EiA7rw~(~ OR GO~ONtf o» ~»e ~.v~ w r+~ .e„• a M.a j~•~ Nc~w». ..t Mor~c~u.c.:: f~w,r~now H tiI ~UOr ~~e•'01 M wn~/~~G~~rw. ~H r~ O~~'0.~. i .~o~w~ Nr M~~ ~.ov~ . N~w~ O(CWNn lr+ M M~I ~rs OM b w~ C~vwA. ~•~~D ~ M 1h TD!" . - Y - . - - - ~r' ~n.. w...».~ ~ f S~Gi+~ru~f ^ r:w~ w~~.t ~OwfE SK,?+EO ~~P~b. N~ n,a~ Cl~iNNt-~f iM OStiYc31C~0 Nf'lIJ.I.C~f-_2•1~_~~'_- ---_..i- ~ y-~~.''=_~ r 'l~~r` - L ~ _~t1 1_L~ ~ 77 . ~uuwG ~DO~[SS- tF~rrK• t~n~~ o~ ~ ~ e-«o'-'' c~~i o~ w~~ ~ s~•w ; r,. (~{39 . 7th .'t . u~,~_l,,Fort P~ erc Florida 3345~ , {URIM. ClFMA11pN. t(NpVAI C~MFII~t Of C~lMAtO~~.._N~Mf ~I~CAIIQ?A f•~ d~r ~r?q ' .snc.~r - i , ?y_ __BuYial ~»~Fort Pierce Cemetery i~«___ Fort_F~ierce_,__Florida , OAtE ...o..~w. wr. a.~~ ?UN(I~l NUML - N~iM( ~r~p apLVl SS • arnn o. ~ ~ s ..o . c~.. w .q.r. s,.n. n~ ~ - ~ ~ ~ _ H.Feb. 19, 1977~__(__~,. Fort Pier~e runefal Home 106 S• 4th . St . Ft .PieYCe F1 VS. #61Y ~ ~ptECtO~-- ~ ~ ~ ~ ¦~Gi TIA~--Sh.N~f a.~~ ncu.~o ~ocu nan~~~r ~ ww. ~~~8 ~ 7„'~\ ti ~w b 13 1 77 ~ neroby certity tAis to be a true and correci copy ot tY~e locm 2egistrar's record on file in the St. lucie County Fiea~th De~art• ~ ment at Fo?t P~~rce, Florida. . ~ Q~p . , (YVarning: Not vatid unless ra+sed seal of the St. lucle ~ ~~N~ fl~ ~f ~y f~ : j CouMy Hea{th Department is affixed.) s,~UC1 ~~yja~g ~ l ~ rl X, { ~ rt EPK C~:GUIt COUR~ ~ f:. _ ~ _ ,Fa f1f~~' '.a-~ • N. D. MILIER, M. D. ' ' • : +~R, ' Counry yeaith Officer ~ local Rogistrar ~ ~ 41 ~N~~~ _ . ~ / J , ~:r. . ~ ~~-~z. U~ - '«s~~"'~,~•-~*?', , ~ i D~~ Dep1liY ~OCAI ROOitfr~f ~ ° ~ , • . ~ - I ~ ~ 6G~L?K 2w7 YAC~ JV~ ~