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HomeMy WebLinkAbout0499 , ~ ,~s_!~~-`~- . ~~o ~ 3tate of Florid~ CERTIFICATE OF DEATH Deputment ot Health ~nd Reh~biUtall~e Senioe~ ~ srwTC nu No.-_---- - VITAL BTATl8TIC8 F L O A I D A „~a,~?„~~ s No S61 . i VPE OR PHINT OKE4SE0-N •,M• Stt 0• Ot? • rorn_ .t.~~ ,N , pPAi, R. D[XON , Ma-E , SEPTEM3ER 29, 1977 rtHMANENT R! ACK INK uC! wrM. W~~O. ~~MMt~~ wpar, •O~-~~~~ _ c•ri a+~a coaa+ a a~~N ~K ~wc+.. •o• ~M11Y 23~ 1934 ST. LUCIE , WH1TE M ~3 * ~ (~(~Il~ (R1i. i~w?~. O~ tbU?I ~ wuM c.w ~wn NOSN/Al p Otnt~ - ra w ~M~1~. GM tiN~~~ .r .~.w~ ~ wcr. w «e ~ FT. PIERCE h YES N FT. PIERCE NEMORIAL NOSPITAL T_ ~ SfAf[ d~MM ~ r no~ ~w ~ f~. r..~ CIhtEN O~-MnMt COIMn11 wuiKO. Ntvta iuareo. Nc i'»use •+n. a......e....w. ,_~.~.~,..+,.K.• ~ VIRGINIA ~ USA N°O~R~o~~•«••~ JUANITA ARMSTRONG ` aa.w• y«I~l SECUMI~ MlM~~ YSIMI OCCU~Af~OM ,-~n .w a.o.. ww «n..o .oa a ar+o a ws~xss a rann. . .~~10 N~# - °~'"•„:r -~~~'M~~"q"~R TEXACO SERVICE STATIpJ u 215-30-4333 ~s ' ~11•NMC~ M~OM - ' • .o..~taor ~ISD[NC1-ff~t~ COIM~~ M~. IOMIN. O~ IOCA~IpJ ' wMM tw~ lrw? ~f~T~ . - . . ~ w` YES 21 l R 1(l?MR DR 1 V[: - FLORIQA ' ,»5T.'U1CIE ,,,PORT ST. Ll1C1E IAt1~~-N~M~ ~MM rAM~ t~N M0114~-WUINNA~M ~~1~ r~M~ uP . ,s ROSCO DI XON u MYRTLE COMiiS 1?MOMANI- w?R~+G wOO~FS1 ~fw~n e~ ~~•~+e . cw. e~ w..., ~•~w. h~ MRS . JI~W I TA D 1~N . 21 l R I Ot~MR DR I VE P~RT 5 T. LIJC I E, FLOR [[M ~A11 1 OEAM MA3 CAIISEC i~. {MIEf pJ1? OIt CAYSf ~E! l!Q ~d NL 1~1 ~10 Nl1 MrnNw OMN~ ~w M~w ~ ~ ' ~ ~ r n.. Rwt ca...1.'~ ~ ~ •~.{.,~1 . .w . A ~ _ ~OM~OM~ M ~M_l ~ A¦_~ ~ J(/~/ J . . ~~1~~1 \I~~ ~O T ' ~V_ 1N ~r' - V ~lVY~~{~~ ~rNMU~ c~~s~ ~M. ~ ~"(rO~ ~f .K~ O~: - ~~~NM~ tN ~~~N ~ • . I~MN C~~M UN ~ kl M~t ~ OM~ S~iM~KM~~ Cd~~S• ~OM~dM CO~M~~ b M~t~11~ »M Muq~ q C~1eM ~~f~ w~N~~ ~M MAOKt M~ti .eN n..~~.~~ cae . 1N1 O~ w0~ M N , MMMww~ UON • ~V~ ~ I IR/ ~ ~a.~¦. rt •~u. ppw 1MIV~? OtCYNfO ~~•w~ r.w~ o~ •..wa ...•.a~ ~ o~ r.~. r, ~w. .s ~ NMOr 11~0~~ . ~ 1M M /tl ~ .w~. swn. r~cw~•. lOtwnpl ~ snea w ~ • • ..o . c... o~ w.n.. a•w. ~uu.n wt •a~ owt~ w.~t ~wun~ ~ ~ A C[RtwKwt~N- 'O"~ r~ •~u .a.~. .fu u~. .~~w~ H..~ a. ~ N~Me Mo..y. ~r ~e~a OccYNl~ .r ~r .u[~. o.. .q IMt1K11M~ ~A M~ AY br~ ~nM M~M ~~p~~ ~~A. ~r~. q 4/ NN , ~~mw~~ w~ :3 77 Q 7ry n ~n ry7 T10 w.. aw.u~. sw Mc~.a~ ~w. ~ tM ip ~ fN tN9 . 55p1.M re ~w cwr~u n.a~ Cl~TIIKAtqN-MIO~AI ~tAMR~=~~ n~ uvf a wr woM a M.w. rw Mc~w.w r~oraw~u~ n.~ . ~t~~r~w0~ P M tl~~ u~/O~ w~ ww~fnO~~Or. ~w w O?~~~. S r ~O~A~ N~ N~t ~br N~w~ O(tM~N O+ ~ MM w~ M b~M ~~wf ~M P~~~ C m - M CliM~--w~-+.N w Mw.n A NoN~ o~ .m~ b~1€ ~6i:o.+. n:~~ Nne~h?n~ i:ddiY~L1.~.~-~n' ~ ~ ~ lG, y~ ---~~s (~?R~?7 rUK Ct~ ~'M "w .i • i i~ 7. S r•n ~7__ „~'"E~"N~. "/~h StrP~t `'uit~ ~ r.. nrcc• _ ~r~_ F I_ C• j NI~~At. C~ErunM+. ~tMOV~t INr O~ c~l~utotr_ ?+.w IOC~fqt~ ~ rw d~. a.~a ,~rR+aiY cnrz~~=r~ cr_rfi:r~:aY i~ucF w~x~ni, r~atinn i [iURIN_ ~ h~~~ ~~~M~. NN. Ilf?q~11 IN~W N~IN ~I/1~ AiMVf •~t~rr~ r~~ w • . r~r. r..r.1, ~~~r~ 1.~ ~ I (N'I 1'1J! wIMM~ ~i Y I ItN I:AI` NrM '•~1,'~rNN.l~I AVI . I N'1 4NH'lll 1 t/1. ~ " . ~ V.11. ~111! /1~{?~~I~NHI f~ {N •11~~ / a p~~.n~~ f~,.~~~r~. ~u.~r. . ~.w~~ a•.~~nu f nw. 1/1e - ,L" / ~ ' ~ V J ~J J i E i • E • { i ~ 1 f~srobr asrtify ffik to be ~ true snd oorrect copy ot the l~ocai ~S ~~~~d , ~ Regi~trar't record on file in Ihs St. Lucie County Health [?e~sA• iT. WC1E OWIZY flA- ; Il~nt ~f Fort Pieres. Floride. ~iOCER P01TIlA5 _ ~tERK C14CWT COURt _ i (WK~ing: Not valid unlass raised seal of Ihe 51. Luci~ VC.".iF1E0..~......-- ~ CouMy Hesith Departmenl i~ affixed.) DFC t 2 ao PM'i1 , ; . N. D. MIIIER, M. D. ~ • ~ ~ Co~nty He~lfh Offiter ~ locs) Regisher - . ' ~ / - ~ ~0 7 ~ ~hflc ~i~ w~/`!~ . , ~ . : , ' Dd~ D~txity lot~l Reo~«•~r . ~ ~ ; ~ ~ ~ ~ 3 ~ v .'S ~ ~r . ~ 'r: ~ SGOK ~ 1 Q PdCf ~ ` ~ - ~ - ~ ~ ~ -