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HomeMy WebLinkAbout0826 ~ - t i t 3 ~ ~~t~i21 ~ st~t~ ot Pio~wa CERTIFlCATE OF DEATH D~p~tmewt of N~deb aad RebabilitatlN 8enioM _~rwtc s~~s No. vrrn~. s,rA,r~srtc.8 F L O B I D 1l R~a~~w~w•s No 461 TYPE Oii lftlNT uf~ ~i OA/E d Ot~M ~ •o«r.. .t~~ ~ ~N , Qarence Williaa Cornelius ,Male ,l?ugust 8• 197? rE~Nr YIACK IMK fKi ..r, rw.••rrc...wrM. ~GE-~.a r«. w~~ ~ C~tE p MnN ~.a.~. COIR+tr d OEw/N fK ~ ~MCw¦iLL W _ ~ ttM11 ~O! Mq ~OIMf ~w_ ~!u ~ ~2 , , ~ Feb. 2. 19i9 St. Lucie ~p~l ••a~ un ~~rs Al O~ OtMEt ir na w~~~. a•.~ tin~n u~ .wrrn ~ wc+. n? a ws ~ Ft. Pierce ti yes . H P't. Pierce Me~orial Hoapital 3L11E O~ MfM ~A rp~w r s~., w~N UI1iEN O~ MnNf C0111it1r W1RMt0. NErt~ MAWEO. SIIl~IrlKi SIOIISEi+ ~rw. ~M r~M+ wr ~ . Illinois • U.3.A. "~D~EOaY~ic°~e~~Oirit•,~ Helen Kanit~ ` socw s~cww. wwEi us~w acu.•ran e..o...o, ....a .w. a uo a ws.~ss o`: wousm ~pa~+0 ~r~. r Mw~M ~ ~ 318-03-8515 ~ u~ Meat Cutte7C StoCk Ysrd Packltlg Co. _ y-~- ~s~owce-s..~ coaw. omr. twN.. oe ~ou?na~ •w.. ~~..r.. srn~ ~fNtr~ e~f M w~ ,.Flo~rida St. Lucie Port St. Lucie ,w no ,w 12 Juares Lane IU1~~-fMME rMl~ ww~ us~ ~MOtNft-11YDEN NAMf ~w~ rwM~ us~ Claucenoe Y. Cornelius Psther Hanson tl ~ -NIMf waNC, ~00~lSS aawu a~ ~.c~. wo. cw. a.o.«. ~..w. „~Mrs. Nelea Cornelius ,,,12 Juarez Lane. Port St. Lucie. Florida 33452 ~ efnw~ wnf cnus[o n, ~?E~ O~+lt Or+E C~uSE IE~ uNE Wf NL Al ~ kA wr~.n~M ww~ u.i ww • ~ ea~l~.~;~, Z `.°.~.c~.~:.. «N w•~av c•.n q.N ~ 1(1.-.~ , cr~..~ I~t ~c c~~ cP~ ~ D w.ti..,R.•, r.rwa un~ ~a ~ y~ te+ww~ra a: iw~ t~e u~a~ ~ M MM • O1~N iDM~I[AN~ CO~ONS: WMw~f ta~wwwu~ ~o ww w~ MM Mum q c~ ~iw.~ r~~n AY10?S~ Ir YES ~~u n.N.e~ ca.~ . ~ ns w..e~ w~w~ w Nn~r....e ~.wn~ pr p~rw IA n~ 1* ~ ~ p M~1~ ~~eww. M~. ~u~ ~ NOM IN1W~ OCCYMEO wryM O~ a.wh 'w ?~n ~ M~.n M, ~M. ~ i . f ~ IM M 1Y { .o.~. wwr. ra+on. ~OGNWM ~ swm o~ ~ r•.w . cm o~ ro.~.. w•w ~ f ~w~ar ws~.~i~ w~s.,rR. ~wcr~~ ~ ~ ~ ~ i .p.~i M1 r~~ rOMw Yt tW Yr Wt M~ Mr/MM YM OM ~ N/Mws?.~t~ M OI~M OCCIIMlY wM hK~. W M ~OM~1 M~ wY ~0~~ M~M /~011~~ ~~a~M. Y+. ~D 1~f NN ?v~.~ ~ ~977 ~N~ Y. ~477 th AuG d Iv77 ...w.u.a...e Iw iea~~sn wor. /1~ fN ~w? i 3 A N'r0 r cwrn~ fu~n ' CHtI~CA1~ON-M~1CAl ~ or wti wn w w~ .ow o~ M.w Nce~.w ..s ..a.o..ce~ ~w ~WwO a~! ~r r+~ia~ M~~no~~or. ~ w or~4~. M• ~ar~ w+. occ.rr s. ~r ..w u.~ wM a~.e c.uea~ n+¦• 7 r ~y i,. ~ I~17 7 S~ : 3J /F M n~ ~IIHH-1WIf ~ww o~ nrw ~ec~e~ w 1bAi~~KiNEC ~:a.M. nu~ gT~ p•/~iv S. ICRtn L ~t~ ~ G~~~ I r~ R ur~ f,' ~4 7 7 ~WNG ~OO~E76- ~tpH u n o~ ~ r.• ..o. ~ ~ cw. w w.M rw ry 9C~,7 ~so~.r» S• 1 2; Sr [.vc~ ' fL u~ ~ J~s- 3 r~/rZ wau?. ur.wAON. ~e.wrK wc~cnr o~ aw+?ro.r-w~.~ i«.noa o• ~~Aetqval Acacia Cenetery ,,,Chicago (Cook Co. ) Illinois s~?~---' n? . ss .o . s• • ~ Por~3'~.~,ucie , „~?t~guat 9. 19~'~ - _ „~~ogeµr°~,."~"`yr~ ~ Flieiera~ "Howe ~5~~°~': ~ec~. xxy. VS. ~612 tEGtit •rueE arn aunio n iow no~sn ~m ,M rw Au st 9 1977 ~ f ~p ANO ftECOR0E0 _ , ; ~ i~• ~IE QOUMtY FIA. • r ~ ~ ~ ~ ~ ~ ~ r i. 1 r ~ 1 h~rb~? c~rtify thN b b~ • trus and oorreet copy of ths lACai CER POIT~A3 ~ . ce.ea~c c~acu~~ cou~ ° - ~ . Rpiqrar~ reca?d on file in the St. tucis Coumy Heahh ~art- a~rnFS? VF_411f1ED N~~ ';~.er ~ Ni.rd ~t Fnrt Piwro, Fi~ui•ia. ~ ~ ~ ~1N~rnir~y: Nol valicl unless reisec) sea) oF Ihe St. Luct~ Mj a ~L 57~~ •'7-• ~ '~'~~X?'~~~ . - : , . Vtr i ` ~ Cou~fy H~alth D~psrtment is affixed ) ~ _ - ' . " • - - - _ . t~ i'~lLS " A,~YJ~`•• . ~ .tf i . ~ z N. D. MIL ER, AA. D. "~s~ `r~ ~x~~~~ K r'~~ ~ ~'iONnt~/ Ith Officer 6 loul Regist~er =f f~._..,~: t~'~`.~' . Ci' ~ - - o.~. c.w~,? Reot~..,~ . - ~ ; ~ ~*J~ ; 6I~O~c iG I v PA~ ~ . ~ . _ .~~R~ ;r~ -