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HomeMy WebLinkAbout0172 ~ 3'~2145 statc ot Ftoriaa CERTiFICA'i E OF DEATH Depulment of Neelth aad ltehabilitatire Senices fTATE n~~ wo - VITAL S1'ATI3TIC8 F L O A I D J~ ~ ;90 flE016TNAq~f NO TVPE OR PRINT ~tluStO-wA~?~~ ~•v St¦ p~?[ O~ OE1?tM ••ow~+. o~~, n~~~ PERMANENT ~ JO~ltl _ j~QP _ I~ ~11@ ~ JU~.~/ 7~ 1977 OIACK INK uCt ~ti•M. wfAW. ~W1N~r w..,.. •GE --i.~. w.n~~ o~en CAIE Q1 ~1\iN .+o..•... e.•. C01M+1~ pI DlAtH ~1( •~(M~ 1 ~~~ti r~~~f+ b~f~T M! } M011~L wM ~ 6602 • ~dlite M gY' ~ T----~~ May 18, 1886 j,. St. Lucie _~l-- Citt, IOMIM. O~ IO~Af10H~Oi OEA1N MVO~ (M ~rnt MOShTAI O~ OT1H~ HSIpU~ --N ~w ro~ .n ~~~wl~, 4w~ ~~M~~ ~ww1~ ~ Wtr If M MO . ~ Fort Pierve ~les Abbijc~n I~ssell Care Center • • - SfAff OI ~NM ~ u ro~ w~ r t~,+~r~ CIhlEN p WH~I COIM~T~~ ~ MAtM(O. N1V[t MARMtO. SUfV1vNG S~OUSf ~r rw~, ew~ r~Nr wr~ ~ 1112.~~ tow~ ~ I~~ wDOW~[(D~. ~W~v..ORCtO ~ vKr. ~ T ~ ufw~qlWKe ~ ~ N----i:~A4~41~ . . H ~~L. . .wb~ect.Ne - y.. ~16ii----~------'-~-- r N.w. SOCuu SfC'mlr M/M~[~ YSVAI OCCW~i~O~+ ~om a..~ o~ won w~w wawa rw~ a [MO M NK~?~tSS W o+OVS~~+ OCCWN~ M ~M~~~O 1v~. MM r yM~» I 264=40-8214 S. Na nYM~U Mq4 ~r 1~ U• w ' ~~___=3 ~l._"" . . •e.nf~or. ~FS~D(Ntt--Si~?( COUNtr tttt, tOwN.O~IOCwiWH - cw: ~rs~ SiiEtt ~?K ?Nlnifi------------- L~,~ .wcM. ~s w .~o ,N Flori.c~a ,p St. Lucie F'ort Pierce Pb 2808 S. 25th Street ~ ~AtMfR-N~~Mf ~Nf~ +MU Wt MOi1*f-~4bENN~+W ~Nfr ~NM~ ~ ~~f+ ,s Feter HeeP u Sophie Barganann 1MIpW/Wi~-?a,WE MwMNG A004SS ~sm~~ o~ ~~•.~o . cn• o~ •m.,., s~.w. ~s~ Lily B. Heep 28Q8 S. 25th Sti~t, Fbrt Pieroe, Fl 33450 r~ur i oE~m wws Gwsco ~r: ~twru orwv art uvs~ rn i~+t rw A1. uo ~ql . . u y " --=i'i7F~lf2~ ~~t~1~w o~iw~ ~w M•r~ N~ L' aRDi~c /~,~Resr /Or~6'8i ~ib..-iiSiw:i i ~ :~o°:+e i u w IJCA R//'1C / y~~.lAJQ~ uwn.q c..i. m. ~ - ~~~hM~ 1~~ Yw~~? M ~O. O~ ~ COrflONr~~ P t~~~ C~f/! l~~t ~.f/1~iJF. ss ~_C Ai'.r'1E~2 f I~i1os r» - - tMi ¦ OME~ 516N1K/wT COqOrt~ONS ~d~MwM1 (O~wM11hM0 q N~M NI r0~ M11/H W C~YN O~Yw w•.n . s~ Ml~ • ~K ~ne .~..~~.o~ eo•. t 'c C/~ NG G/Z. ..o, a...~..» «.......~.o c..~. . ~ / I ~ ~i'1 s 7'A f . a ~t.~¦ .~?1~ • - iw . IO~K~6Ei O~ t~IEM~M~lO t' ;~~~~O~M• M~• qN ~ NQM INJ11~Y ~CCUl~~O ~ ~'~M~ .uWM M~wNfr ~N r~N ~ M ~~n n, Mr q~ ~pcM~1 70 1~. M 1M IM1U~~ A1 ~MORR KACE d M~Y ~.Orl. f~4p, rK~~. lOCA110N ~ una w~•• ao . an o~ ~o.... u?p ~ 1~M(~A N! M r0~ OMKf YW . ~K 11?!(A 1 ~ ~ ~ CE~iK~CwnON- .o..~r ~ tiu ~ wr~. w. f .~.s ~.s• s.. .r.ir~ ai.n w. N w w~ . ar oe~tw oecwqe .r M hK~. Ow M ?M~~KIAN- ~j ~M~~+ N? ~tV ~OF • ~rpy~. ~~q. ~w~. q M Mf~ ~.m.w~~ ~w ~/~fA 9 ~~~a ~o ~u ~ ~77i~ , w r. ¦w.~~aw. aw !N Na•f~~ ~K•+ l~ )i~ fl~ ~ f~ 7 ~t1 ~ 14 7 st ro re c.wt.u v.ws y - `x------ -B - ~ CftfMKAT10N- M[OKAI llAMil~f Q~ CO~ddf~ a+ ~.n ~.v+ o~ .ow p a•w~ r•~ ~~a~.. ~•s ~orou~is ~.ur.no+ w ~r ~ .riw +.r .~.nrc.ne... o...w y~ .w~er . / ~~J ) .o„• ' . m A O((MNO d~ M Nw ~MO ~M ~O 4y t~~f1H~ L~~AO / MLm _ ~ /7 ~ ~ . . ' ~ . . _ _ C(RTqltf-N4Mf ~em o~ r~wn } S~GNA~NfE . qGN~ p m~~ jb~T S~Ga(D ..o~+,-e..:.~:i~ . / N tH D~v~iJ L Frla~+t ~a.a G ! O ~ ~ - ----L-----~-r~//~7i- irAlNG wD0~Ei1-(t- K~ - F~- --+~ii~. c - vn a ro~•.'?~~~~~~' •w »I S fi~ /f ~l /~~~Cr ~/4 ~/~i.-~ ~s 3JVJ-o ttMnwl. ~rEw~nOr+. ~MOr~t C[MtrE~~ W C~t~rO~r- N~wr ~OC~nO~+ a~o.~ ,•.n ~fncr.~ ~ ~h-----Surial-------------~"• ~fi.ite_Ci Cemetery ._~~~.--F~rt_Pierce -Florida-- - o~re ..b..~. w. fUN(R~l NONF-N~~. ' ~ . , ~+D ~DMFSS ~ tq~~~ o~ ~ r • .~O [n. O~ ro.w ~~q. t~r ~ July 9 29'~7 ,w Yates ~1u~ra1 fiames, I.nc., P.O.Box 773, Fort Pierce, Fl 33450 YS. i~612 iW+t~e ~y~ f - ttG~s ~ S •~wt _ o•u uc~n~o ~r .oca ncnn.~ w... ~~~s ~ -`~/f ~M ~ I ~ / Ju 1 8 1977 ? F~LEO ANO NECORDED ! . LUCiE COUNTr flA. ROCER POITRA~ ClERK C~RCUIT COURT ~ . 1 heteby teriify fhis to be s rrue and correct copy pf the Lou, V~RIFlED - ~ Regi>>rsr'a racord on file in the St. Lucie Counry Nealth DepaR- q ~ m~nf ~f Fort Pierce, Florida. Jll~ 15 ' 23 PH ~ 1~ (Warning: Not valid unloss raised seal of the St. Luci~ ' - - County Heal~h Depar~ment is affixed.) ' ~ 1~1,~ • . ; . ~ ~ r N. D. MILLER, M. D. . _ . Gounfy Hqieith Oificer d~, tocai Registrer ; ~ ~ ) / " ' - . . tec~.~ ~ . a.~. . r`~:~ : D~p~ty loul Reo~~••,? BOOK PACE 1 ~z • ~ ~ . ~ ~ , ~ s ~ y - - -