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Home My WebLink About0790 ' . ~ . V . . _ . . _ . _ - . . ~ . ~ . Stnte of Florida CERTIFICATE OF DEATH - Depeirrtment of Health and Rehabilitative Services F L O R t D A s"YATE FIL[ NO. ~ VITAL STATISTICS R[~i16T11AR•s No. TVFE OR PAINT DE~Ew5E0-~+~wf +~~e +~st ~x DATE OF OEATN ~+ow~M, s~~. +e~~~ IN ~ t ) PERMANENT BIACK INK ~~n• wIGM. ~r~~K~n uO~~w, AGE-ufr VwOft ~ q~~ VwDt~ 1 O~~ CATE OF L~RTM ~~Owfr. ar. CO(I1d~Y OEA~H t~C 1 S~tt~h V~+ro~r ~•t~~3~ u01 Mq MOV~f ~w. ~t~! ~ . k+hi~ 7 " . June 30 189? • i// CITr, iOWW. OR lOCwtlpN pi p(A'fH ~.f~oe tm ~w~n ?10SMAL W OTMER M1S11TUi1pN- ~w .wr ~w t~*w~, c~w ~rr~+ .w ..uwe~ ~ r,. T s?un. •~s w «o ~ Vero Beach Yes Indian Riv~er Marori_~~4~t~'t~ StAIE Of ?~R1N ~ u.~ot ~a ~ a.,••••~ Cf~~ZEN W MMAT COUNTlII !NAlbEO. NEVE~ MARRIEO. SVlvrvNG SI'Ot1SE ~ u ~.u~. G~ve .uoew wre ~ • to~.+m ~ ~ WIDOM1R~O.~. .C,.f.v,.OK~E7O ~ vKr~ ~ usv.~ eff~w.Ke i • ~~~+7~ N pn<y It .rv~f NCI~1lO _.,_1 . ~,,,o S()[IAl SEC'JtIT~ NU~.~EER Al aGUtAT10N ~w.~ a..o w w+¦ ~a.e ow~»c ..os~ a KwD Oi WSwEU a I?~OUSTRr ~GCU~HO w ~O![wG 1~~l. t~tw N~ln~10 ~ ~ •,•i;t~. GM ' . N~ 163~8_6345 ?s~P~~a~er and Pi fit ~~.~.r~q RES~OE?+CE-Sr~if COUrnY Cnr, TOwn, OR tOCwnO?r ws~oe c.~ ur.n SteEEi M+O Hl1wuER ~ ~ snu.. •n a «o ~y Florida St. ie 14 Fort Pi y 02 en fATKfR-N~ME ~~~s~ .~oa~ us~ MOTMER-wWD[N NM~E ~w~ Woae us~ ~ ~s DaV].C~ SdC~a.P..Y' l.d~d ~ I~EW~LZl IN/ORM/1NT-?~AMf wu0.a+G wDORESS ~~~an o~ s. .a . urr o~ w~, ~~.w. tr~ Edith G. Sadler ~n 102 Garden Ave~ue Ft. Pi.erce Fl 33450 r~ut .,.u iw ~ OEATM WAS UlISEO !T: (ENiff ONtY 01~ UUSE /Ef IINE fOt (e~ (b~ AI~D (cn u~.~~r. oMS~i ...e a.rw 11 r.rou~tcwus! } - i / i%~n, ,~Gc•~~'G~ Gc,t~~G~ ,uA ~c nl• ~~icca , coMMr~ows u .u? ~ / I ~I.~ 0,.1.,~..~ ( ro, , GC . ;~-.~C~.~ Ld . . ~ ~rr~Ot~t~ C~~f~ ~N. ro. a .s . co«kagMU a / ftAhwO tw~ vMN~- . ' U~wO 4v~t l~lt U . 'f ' Au1p1Sr 1i trEi ve.e nMS~..cs cw- f ~AtT 11. O1ME~ SIGNMIUWT CONDITIONS: co-.ano.n cpn~un.~ a ot~n. ~w rot nurt~ ro ts~ru oner w~ r~n . r~ y,,o~ ~N~lO IM ~l~lRr1~I/M0 (1Y7R ~ w et•~w ~ Ha ~ ~i' I6 4 NOM tbE: OR WVDETERMW[O A ~~a~ ~ MOW IN/URII OCCUtREO wN~e p IMlV~t IN r~n ~ o~ ?~~t u, ne~ ~ 1 • 17k M !01 ~ ~ IN1VR~ AT WORI( /IACE OF tN/URY +Ort. ~~rr. f~~ttT, ~~o~~, ' LOCATION ~~ntt~ w~.~.o. .w., tm o~ ~o~n+. sr.n ~ ~ s?ean ~tti o~ »o~ ann ~ . ~a ~ sncnn ~ . 7w. 1M ' CEfTN1CA1qN- .o..r« o.• r~u ..o..m o•. .e.~ •w us~ s~.r r..ire~ u~.t o.~ . wlwo w~ .+a~. ~w otwrr octui~to eK ruc~. w~.~ rMr3K~~N: t TO L ra.n. w• nu ws.~.+t~ •n~ ~.wu~r wn...o. ~o nw ~tf~ ~.neNO~o rwe A 1 a r. r.~w~eou. we tb act.uo rwr ~ ~?t? J ~ r j ~ !1~ ? ~ ~ ~ f11 ~u~' ( )b / M ~o *we uusi~s~ suns CEIIT~KJ~i~O?~-wtEDKwI Exw~.ut+ER 01t CORd+ER O./ n~! ~.LS W~M .wo~ w oe.ir rM~ wc~aw~ r~o~ou'ato oe~o tur~+~tq~a d MR q0~ aw0/W t~! ~sn~S~W~rq... ~w r~ O?wr0... ~~N O~~ q~• rOW - ~y ~ D~~M p(WfNO O~ wM O~n ~MD OY! W~ C~V11~S1 1~4t~0 - ~ , _ ~ ~ K t!~ M cE[flfl -NAMF ~ o~ . ..n ~ s URE .tE n ~ / ~ A StGt~a ~w.~ •7 ~'c•~~a~~~~~ v.q ~ t- ~ G'l,~ ~'c - ~ ~l~ - ~ ~ .5`-.~ . : wu?IIPIG AODRE55-fERtM~E1 s~ue• w~ r.o. .w cJ~*~ wv+. / s.•n e.• tal 'T'L 1' ~1J! . G /J .~c ~ ~i (o O ~WAI. CtEMAT~ON, REMOVAI EMETEtY OR CREMAIONY-NA.~ IOCAt10N - c.n q w... s~•*~ 3 ~ v~un ~ iw Fnrt Pi Prce _ FlOrldd --Bnrial-------_ Hi.]lcrest_Mem~rial. Ow~f i..or.rw, w., .e.r~ ~UNERAL MOME-N4ME 4N0 /DO~ISS ~ s~n~r o~ ~ r o MO , C~~~ W ~OMM, 34~~, I~~ ~ s ~ay 31, 1977 n, Yates Funeral Honie, Box 777, Ft. Pierce. Fl 33450 - i(XlERAI U~RfC70W-SlGNAIUQ[ REGIS~RR?--31GNAfU~E OAIE 1tCttvFD A IOC~I ~IG~S~l~~ + V #612 ~ i i~ Rev. 7/76 ?p + c ' < / ! tw , ~ • ~ • - ~ 3 a _ ~ . ' ~ "I NEREBY CERTIFY TNE ABOYE TO BE A TRUE ANO CORRECT COPY OF THE LOCAL REGISTRAR'S ~ RECORD 4i~ FILE IN THE INDIAN RIYER COUNTY HEALTH UNIT AT YERO BEACH, FLORIDA." ; ~ ` ~ ~ THIS IS KQ~°~~l~b~ i~ti,t~ ~~i~ TIiE RAISED SEAL 0~ THE ~ ' ~ ~ INDIAN RY~f~:~OtA~iTY•N~3H.UNIT IS AFFIXED. ~ _ . o-~~E~ C U H H D ECT R, REGI ST R a.. ~ L . ~ ~ ro?,~?~,pj 35843'7 ~ 1 ~ _ ~ A~ T ~ ~ . . ; . R ~ cu~s ca ~ ` • ' Cl~ K C,H ~ ~ " . :1; . . yrr~FlfO ' ~ ~ ~Q/• ~ - -=4 ~ 4? AN ~ EPtITY REGISTRAR . . _ ~ S1lh ~ ~ bDO~(~ ~ , _ _ .