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HomeMy WebLinkAbout0804 - , 3'~+6642 ~ ~ _ i: CERTIFICATE OF DEATH ' tlr~.N~twl lI..11~ a.1 R.L.IdNhN.. ~.Ner. ~rArt ~~Lr No. ~ ~ ~r~iaxc ir a..~ rn P L O a 1 D Jl. ~~o~s~~.~~s aa 134 rt~t. o~ ?r~n N+ www....w...~.. ~l~M~MMf ~NR ~a~ ~ • p A , n ~ . . fN ~MN M - ~lMNMU ~ ! ~ , ~ ' ~AC! .rm. wps.~?rKrr ~wr. AOt-NM w~~ • ~ was e ~ Cwf! OI M~M ~ reA. M~. Cd11Qf p OIAM ' ~K. ~~Mtw? M~N~~W~r ~sf MA +oM~ .w. wy~ . - . 6602 ' ~ite k 7y ~ Narch 15 1898 St. Lucie C~i,~i , 8~ 1 rrw c+. ~ ~r .a~ r~~, ~ wN• w~~ ~ wcr. M ws ~ . s Ft. Pierce tiYes Rt. Pierce Mcroorisl Ilosnital ~ lT1T! CTM ~~"w~ n~.i w.~ CO{I~~ M~~e[O. ~tvtr nia~t0. ~ i~io~F i~ .+1. ~M r~w w~ ~ - ~ Indiana ~ U.S.A. ~~fe~~~`~~„_1laisie_~ Malker ••~w wu.w pn~ r wr O~[ ~~Y~1 OCCIT~A/~OM qrw ~r~ N rM~ ~MK M~N rOM M i!~ W MflRS! O~ ROWMt etcw~ r .err a?. ~w. r~tw~ ~ " ~ ~M : n327-03-019y ~s Sales~att • Neat ' ~oeNCe- ~w cawn on. ~wM. a~ouaoM rw. iw iWi"ii~ ~ wcw h~ « «s ~r Plorida ~.S Lucie Ft P rc ~w Yo ~a xn . IAUl~-M~Mi! MM ryM . MM yObRf.~M~M NM~! ~M rM~~ ~ YM h Cice ith d oxn u 7fieodo a n rs ~ ' ~ . W~tMO ~OO~Iff 1YNN M~.M M• CF Y~r, MN~. M~ ~ e 1~ Ib i4 1 C {t . Mitu~ w~! uuste n. pMN o+nr oK cwtt wa ~Nt ro+ wl All a+~ k~ ww~ ~.+.w ~ • - ~ • n r. ' ! - . ~ a ~ f - ' a~...R.~Rw.- .~o.r wr ~ .~ir.. ~w. .w M M~/ fM ~l~N MM • ~ «a«. ra .w ~.e N.w~ occwu~ ...n. e... . ` /M~~K~~ ro ~ M~ ~Y ~OA ~M~ Mrl i~M~ W~. .M. tl w wM 2!D 76 ,w J~t 76 m y 6 ~J ~ }N Nf~~M~ ~~Or DLQ IM ?4~M. ~ Ct~f1liG?flM~ YI~Od ~ t . ~s~~~ O~ w/M 11~ ~f~Y'Or M~ M YM M MII~ M MN~ ~OMr Y~ « MY A11~ ~ S M~w ettMN~ ~r w~ Mr r+ M ti~ t~wr~ MM. ~~/i~=~d /!_s? w~)r_w ~ 1 ~ i1i _fV.J~~Q(iRLny ~~...IIa W-S3ir ;~f - I L~_~r ~ _ ~ ~.e~..tiw.,...n ' V. wG ~as~ ~ N. ~.t~.'~~~e .t. 9~tida 3~' ~ ~ c~tW?nOM, llwv aEw?wrt- !ou ~ws a~s.r ww t ~soYaL-9.a..u w..~ u` ~e~e~~'-CeweterX ~ e~-JCen Y- 83nistti.ll tuck . M~o~tsf ~ wn w~ r.~ w, cw~ M re.r, a.w. ~ «J~larch 5, 1976 a.Yatea Pun ral lome Sox 77y ~t. Piercc Fla. 33450 S.I~Ii iNinii ~ etcn tu~r , u~e~ . wca nonn.~ •.'.l+~o ' ~»March 5 197b ~ . ~ ; i h~nb1~ a~tifY Mis b b~. a tnis ~nd cornc,t ocpy ot ths Locii j~LED AMO RE60R6E0 Regisnar's rec~ord o~ fiie in the Sf. Lucf~ County H~aryi? p~}, sT• ~YCI~ COUMTI? flA. m~nt ~t Fort Pierce, Flo?ida. ROCER POITRAS " CtERK CiRCU1T COURT (Waming: Not valid ur~lass raised sesl of fhb 51. Luci~ ' r"~R~ ~`Q'f1E0 ; Cow~iy HeaUh Depa•trnent it affix~d.) A~G 16 24 Itll ~ ~ 1T _ ~ , N. O. MILLER, M. D. ~ ~ ~ ~ ~ ` s: ~ ' Cow~tp H~alth OffioM i Loul Rpbhar ' ~ • . ; ~ . ; . : . ~ ~ - ' . jE ~ ~ F~ s~~ ° s~ ; , ~..y!~JaY!_ . ~ ~ ~1 Wf~N R~fi~sh~ ~ ~ . 3 x i~,_ ti L ~ ~ . t C / , i, ~-Ls~~ ~ ~.a, ~ r,, . ! N I ' ar :`s)~~ j ' ~.,r : • ~ < i : ' 3.,~ , : t-: ~ ~~~`~t ~ ~ t . ~ t _ a _ A~g: ~~~14f~`t 'Z- i ` • } ,,~;:==i~•~j,-~~~ , ~ . ~,'irrii~,.~r~~~'' } . ~ i- pR ~ Q~ ~ ~ ; . - . . _ , . _ . 600K~+ (J MCE pV . _ - - - - -