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HomeMy WebLinkAbout0517 _ ~ #-3~03~3 # . . - ~ , ~ . / ~ . , . ~f . Y' • ~ ~ . . . . . ~ • ~ ~ ~ su~ ~t CERTIFICATE OF DEATH ~ D~pactra~nt o! H~dth aad R~'baWUtattw 8~ricM F L O a I D 1l ffATt Illt NO. VlTAL 8TATI8TI(~ ' RtOtSTRA11•~ NO. TYPE OR MINT ~ u ~ r~ r, u~ IN , ~ ~ ' j PERMANENT ' f BLACK !MK U1Cf wa. wow. +rrucw wr«. wGE-uf~ r QAT! Oi MRIM ~.w~wr. C011N1t"Of OEwTM ~K. ~ wc+~~ a.~.• ~~w~~ .wi ~.n .oYa .w. ~ d ~ ~ k ~ ~ 21 24 y/ ~ , iQR~ A ~wMM cw ~ww Al - ~r wp~ ~w uw~. ow~ UM~~ u~ ~ ~ MftM~ ps p MO ~ , R VE~~ H~1 k Y~S N. iaa~u~ii 1~i~/~T • STATE Oi MqM ~ r ro~ w w~N p W11AT COIRlT~Y MAttlEO. N[~Et MAM~EO. NG S~OUSE ~r wt. sert ~»w+ ~rw ~ ; ~ cow~n ~ W~OOwEO o~vo~co~wc~s ~ . ; ~•"••••w•~a • _G@1lrldi~l C__ • L?SA » I~drl"l~ o. K1'~lt 88~1 ~ ;,':;o 'r socuu sicuem wwf~ uw~u oau?~no?+ ~am w.a, .w o~w ,b.. a ~wn a wsn+eu a rousm M ~t 100-18-3694 Mw r Mj7VY~C~I/ZLB ~,.i«,~.,o.,, a«r ~a OWII HQ~ ~ ns~a~.U Mqy •°""t=-_ ~ESIDENCE-St~fE touarr trtr, toww. oe ~otwna+ c......~ s a+o . Flar'f~da St. I~uCie P~o~ct St. L~ucie ~w Yes p w169 St. Jaa~ Docive ? fAT1E~-l/AME ~Mf+ ryp~ ua MOtlIE~-MAfDEN NAME ~ ryM~ uf~ If. ' llllll ~Aml N i'LfiIIiCl ~VQ11~L71e ~ - rultlG ADO~lii ~ww~ w no., cs. a a.». ww, ~r~ ICnut 8 ~R 169 St. James Qriv~ Pt. St. Lucie Fl 33452 •n ~ oEwtN wns cwus[o rr~ ~rEe p+tr or+E uus[ ~[e t~E rot l.1~ AL ~ kA ~ MfrQw OMM~ ur M~M Jt ~w '1 1 - • P ~ ' ~ . ~ Nw ~ n~ C~G l"Gr' Gt O Lu 6~" 6 ~QG~ s'~ G ~ u'~ y : ,o, e~ ~s . aow..r.u. or. - ~ .nw~ caa~ uu . k! Mtf OT11Et f1G~1rICANT OON01t10Ni: ca~*aw caw~+ww ~o M.~r w~ Ma ru+e~ a c.rw owa r.~.n ~ w AMOrf~ r tEi ~e~e arr,.es ca? ~ ~ 1~ O~ MOI /NlM~ ~ Nq~rww0 t~W D , ; a vohanweo ~•~a.~, «...w ~ Now +?awr occureo ~ o. M..w ~ w ~ 1A ~ M. 1f1 t INJIAy wT wO~IC Of NlUttt.t w.e. ~ur, swa+. ~~c~w+. lOCw110N ~ sw~n o~ i..~. No.. an w~orw. suN ~ ~ ~ NKM A~ O~ MO ~ OwK~ YO., ~K. ~ YKinr ~ ~ ~ ~1~'h- ~prer M1 1~Y rOMM W ~W M wM YM ON ~y~r M OlAM OCC11MlO ~t tM r4[~. Ow ~M TO 1 ~MOY~i NM, w, q MI Np _ f1~ NpM.Ni ~w~i~ II I ~ ~ l~ T~ Ty 2 fN tM ~ w~r wanwoe, ~M 6 ~ 7 ~JI~ r? ~o w uwa~ ww~. i ~1GTIaJ~ E=AM1f~~! , OM ~M MMf Or 1~ rOM Or M~tw , tM MGMM ry ~ _ ~ ~lu~M~1~0u O~ ~/Ot ut ~+M~l~~~~, ~w ~s pM~W~, rO~Mr Yt AV wOM ~ N~1M OC[YYM OK 11! Mr M1~ ~M ~O M! t?IIMq1 fLM~. ~ CHTMIE~-NAME nrM O~ ~M~q ~ ~ ~ t Yf. ~ Michaele Tovatt M. D. ~ ~ . - . p. ~ r~~'O ~0°~u ~n~ 23Q0 ~th Avenue Vero B ach, Florida 32960 wr~„ a~.~u?non~ ~eMovw~ Toe~r-wu~r c~. o..o~.~. wa ~ ~~(~natiAn Ft. Pi,erae (Y~nat~ar'iun 1~. Pieroe FLoric3a i Owlt iro~+r. w~, ,w~ iYt~ERM MOrME-w?ME YlD ADO+ISS ~ uM~~ w~_~.~ .a., cw~ w w.n., W~n. ta ~ ~ ~ZZ 17 ~ ; V S. #812 O~- IME tEG1S -LGM~?uRE rv ~r loGU ~ ~f ~ R~v. 7/76 ~ l.~ ' ~ ~ / • ~'f/'~':C~/ . fM tQ~ / "I HEREBY CERTIFY THE ABOVE TO BE A TRUE AND CORRECT COPY OF THE lOCA! REGISTRAR'S RECORD ON FILE IN THE INDIAN RIVER COt~ITY HEALTH UNIT AT VERO BEACH, FLORIDA." THIS IS NOT 11ALID UNLESS THE RAISED SEAL OF THE INDIAN_=RI~1~R-~COl~'CY HEALTH UNIT IS AFFIXED. j,,~ iJ'l~~'~~~ . G ,~w ~ -i ~ , ,;~+'~r ~ ~ + . • ' ~ • Z . i ; ~ r,- . 'i.~s~• . . t ~ ~ . < . ? +~3 •r ~ . ' ~ ~r~ f;' EPUTY REGISTRAR ~ _ ~ ~ ; ~ r j . ~ ~ : t ~y i~' ~fY' i' s.1 ~ ' 1~ F LEO AMD RfCOR~EO i~. itIC1E COUNtY U. ROOER POITRAS ClfRK CIRCUIT COtIRT -f ^r~=r vcaiFiEO...~.~ ,lur~ 1~1 2 PM'1T ~ a~t SI 3~ 0 3~t~ ; o~a ~~D ~ 9