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Home My WebLink About0641 `I ' ` 3~311 = stace ot Florida CERTIFICATE OF DEATH Department of Neallh and Reh~bilitati~e &enices s~rwTt F~~t ao. VITAL STATI3TIC3 F L O R I D A pt61ST11Ap f Ho .~2~ T V PE OR VHINT DlCEASlO-N1MII ~•~r ~.Mn ~~s~ SEa D~If O~ OE~~N ,•ore._ n~~ ~ ' PERMANENT ~ - - - ~ BIACK tNK ~CE ~'wnt. w~6~o. ~r~~K~u ...~~~r, •GE-~~1t ~~!w~ ~ ry ~ ~~a~ ~ w• • CAT[ Of WM ~uor+r, Y~. COUW11 OE~1N IK. ~Wte~~ M~MO~~.rf~~1r +01 M ~OV~~ rw ~~~f~ ci6o2 ' ~81 ~ ~ «7une 7~ 1895 Saint L~cie Crt~t, iOw?+. O! IO~AI~Ow-O'~~E~~M cm ~rns NOSMAL O~ OIME~ NSf1iU IOM-N ~M .~w u. ~~wy~. a~w srrn .r «r.~~~ ~ 4 fr~tw. .~f w no . . ~ ~brt Pierce ------1''--Yes !.-----DQA - Fbrt_ Pierce P~n~rial Hospita_1~.--- S/AiE p M~iN ~ r rp~ w r•r~ CIt~IEN p WN~t COI1N1~~ MA~RIED. 1~EVIt MARbEO. - ~111~rIVNG S1'OUSE 1 M~M~. ~M wMM N~~Y ~ tow.n ~ WDqwEO. pvOKEO ~ wc~~ ~ ~~sa~.t~ / r]~[1/ a7~$~?_----- ~ N Diwroed 11 --en e~u.f~. - - - - - - - -1 - - - - ~ .~•~o r w.r SOC~N StC~Mn~v a11W[~ VSU~I OtC1MAnp+ ~o~.~ a..~ w.w. ww w~.w ws~ a [rrD d~11Sa[SS W urDVSt~~ t oy twn~ r rOrr4 \!h. n~M N„f~~N I ' ,z 145-09-3449-A Machinist Autxxmtiv~e .1s:N~R~ M~ON o..»~o.~ ItEypEN(E-SIil1! COI1Ni1f CI~I. tOrN+. Of IOCAiION tw~ ~ret St~ttt M~O ~NF~ l-~----- ~ p L ~L IYItN~ ~~f M M~~ ~M Florida IM St• I~:le ~4 O~V ~CZI~lI ~ ~ ~M 806 Brack ~aad IATlK~-N~Mi /M3t rNM~ 1~~~ MOi11(~-MAOfN NLMF ~MY +N~a~ lN~ Nicholas Marion Sarah una ilable , I WO~MIINT-MAMt ruRIN6 AOWESS .smn o~ ~ i•..o , ~a~ o~ w~+, N•w. t r Beatri4e Oook ~n806 Brack F~oad F't. Pier~e Fl 33450 ~~i ~ OEAM 1M~S CAYSEO ~11: (E~tt(R ONl ~ ONt UuSE /EI l~t ~p hA A! ~??+D 1~11 wnmr orw~ wi ~i.~w N N~ .n~r~ ~ ~ r~n,~s~- ~ . ; ~O.M..Q.,. U .M~. ~ ~ ~w~tr Oi~t uf~ ro ( (~1 _ - ~~U~ut~ C~Yft ~N. M q. W~f ~ CO~MOMMCt O~. ~ - ' {t~1~N~ tw~ OM~H- ~ mw C~rM ( , r~~Tf/,/US~~~t~tUTi~ f/_Fi)~)r ~~s ` j~= - ~ O~/~[~ ~~T CONO~TIONS~ C~ CdwMMw6 q N~/w ~~1 ~p~ MUNO ~O ~~~f1 OMr w~ ~ut ~ a~ AY10~S? M ~ES n..~~.oa co~+- • 17-1'l/ 1 ti~ W~10~ M~lH~ 1N NNbN,MM ' M ~ ~ / 7 b~` , i { o~ N.rw S IA i lJ ~A i Ct c~i fl'wT~T~ bi~~ ~.o..a. M...u~~ O r Mpw ~Nlu~r OCCU~tEO ~~•m~ ...~vn a..urn n...~. . o~ ru. n»e. a~ a Y~O~ttM~/p , Fo~•H/~ ~~F/IO •ty~~s!~ U.V ~~'i~ r ~ At ~G - 7 ~ ~ ~ , , INAM~ AT 1N~R ~ O~ NANT +0+~. ~~N. 1rM~, 1~(tptr. L«Af1ON . t effr W 1~! . CIN. • ~ _ N~p ~ ~ MK~~ „f W MOr orrK~ r~6 .~R ~ VK~n r • u, /'G' ~ 0 iLf E" rti Sr` ~w~-- ` - , ; CE~T11KAtION- .aww ~ar hu rd~w~ •u~ ~.o ~sr f~~ r>fwN WM or ~~+/w wr .w. ~1 oe~rw OCCUnlO oq r.~c~. w ww ~ ~Mt~KMN: ~O ~ ..w.+w r~ wu ww •ra~ w.w ~+.o~?~ ~ ~.n. u.~. .o r as~ } ~ am..~t~ nn a.. a..o~.usw. oM • i fi~ MC~~p~ rpr ~}t\ tl~ 111 ~,n 7N , ~ M~O CMrY~f~ lt~q~ CE~irKw1~0?~-wiEOK~I Ei~~veE~ OR CO~O?~E~ w rw~ ~.s.s w r~ N J,q,~~,~ C,~' r•~ Mc~M.~ r~~ ~wrw..ce~ a•~ ~ WM~fO1 d MI ~M~/W M N+~~f110~~0~. M w d~/'0~+. ~OMM M• ~1~~ +011~ «c ~ y~ n . f..e. t ~ ~+~rn ~ 7 7 ~ ~~3'i~C _ .~~~.t~"~:- _.F~*,~s~ - - M - CUD~K~-~+~M[ ~~m o~ .~..n S~C,~+~~ «r.a~r a.,..~ ~ OT Si(;?r[D ~+a.r. s.., ,iu~ ~ rI ? ~--x.:Z ~i!~ ' 1 L ~ i t~ s' J' 1 t~. ~~~U~~~ 1[~i1[r ' ~f~ ~ ~_t---t- ~ . w?~~+G -(fRfr4~ vN~~ w~,r • ro ~~cm w s,.a t.. iM r - ~ t ~ n ~ O 7 - I~ 5 ` t`v ~{J~W. UEMMTIO?~. ~(MOVAI CFMEIE~T Q~ C~EMAiQ~~-NAM[ • IOCAt1pH on p~ q... 1r~4 . vKr~ ~ Cremation Ft. Pierce Crematoriun-- Fo~'t_P~.srce. Florida - - - - - - O~~ ~.o~n¦. w•, v.~. i ME~Y NOME-NIA~[ AfM A00~[SS ~ s.~rt~ o~ ~ r•..o .~n. w ra.•., s~•q. hr ~ Jw~e 1, 1977 Yates Funeral Home Bax 777 Ft. Pierce Fl 33450 V.S. #612 ~U?~E~nt l ~y/~~ a~ ~y, tfG~ J~~1G~+~fu~f (ri . . o• nc~n~o n ioc•~ /IG~St1~lf Rw. ~/78 ~ ~ . ~/~!+'s'tG..~ ~N kG~. . _ ~ , y~N ~fG/U tw ~?1 ' 31 1 7 ~ ~ E ~~Q~Allp aEC~ROED I hsreby eertity thia to ba s true and correct copy o~f tho Loce~ =~.l""~E COUN Y flA. _ - ~ocEa ~omu?s . ; ; - Regist~ere record o.~ file in the St. Lucie County Haalth Dopa~t• ~~EgK CIRCy1T COqRT . m~nt at Fort Pierce, FlOride. pcr+lk" YERiF~EO.r-~*,'`~ (Warning: Not valid unloss raised s•_al of the St. luc1~ ~ ` CauMy Health Depa~rmen~ i• aftixed.j ~N ~ 22 ~ , ' " . N. D. MILLFR, M. D. County,}lealth Officer 6 local Regisrror 368311 > : 3i/~~ J u _ ~ 71~~~.,~, .o,~ - - ~ Dsputy tael Rea~~~•~r { ~ ' t BC~QK 269 PACE 6~9 : . . _ _ .