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HomeMy WebLinkAbout0855 / ' 386'711 ~ si.~ ~r ~b.~aa CERTIFICATE OF DEATH Il.{~rlm~nt of Health and Reh~bilit~ti~e Srr~ices stAlE nu No . VITALSTATI9TIC8 FL~RIDII prc~sta~a~ Ho (~il i vPE OR Vii1NT Ot~lUSlO--?1uN •w.• ~+su ~•~r SE~ ,b4?t M Ot~~N .r..r. PFRMANENT ~ ~ ~I~~ ~ ~11e ~1 ~dVH1~E'r 14~ 2977 - U1C! ww.h. r~OM]. ~NI'f~M aM~N. ~O~-t~~~ +n+ef~ ~.r•~ vw~~ C~iE W fNM...cra COIP~~~ M Of~t~~ eIACK INK - _ - IK ~ WfMt ~ M1M~~~ ~~~f~ rp~ ~ N•1 f ~~1 ~N ~ GGn2 • Witite y- 65 w--j-- w ~ Mardl 5, 1912~~.__ Saint Lucie- _ Cm?, ipwu. oi lO~~iq`~~bfifii ~n .-.r~.i~ ~.n ~rM NOSht t O~ O~Nl~ NSII~UIIQN ~iAM~ ~+n. .r ~~w.~•. ~ ~n~». .~s o~ ro n I~brt Piere~ Yes ~r~ f1~rt Pierc.~e Nk~ori-tl ibspital ` ~ 37~ie d ~iini . M »o. v.. . C~iilEii O~ ww~ cO~e~n. 'ww~.qo: NE~u w~uMto. 'SUwn.ar: swxK~ e~.....«.. ...r ~ tO~rn~.~ MtOOwtO.O~v(HflD~wtw., ~ ,•~.~•••~•w• ~ Kentucky • [)5A t~4irrieci ~~~ry RusselZ -.~1~ MIt~V• .•.rn r M~r SOC+N SfC'iMt~ M/iN~(f- USVM OCCIMAt~ ~4•~~ ~W A~ ~(N~ en..~ .os~ d [MK+ M Mri~ilSt wOlKt~t •rV~MO M ~'M~4lMf. h~w N~~M ~ • n 403-02-OQ59 ~w Production I:ix~inerx _ r isix-r. i~y Grnr~ral M~lors ~e~~N+t~ NMY .e...~so.~ MS~D!?Kl-S?~r! t01?a~i -~Cnr. tOw?a ot icx~uo?+ - - - ~••ve. ~w: ~..a~ ~S~~flt ~?+O ?wiwN• Florida St. Lucie - I~brt 1'ierc:-e ~ : .~•Ycrs « ~ 1181 C~~rltun Court~ rw~Ht~ -_N.w na~ ~..o~~r~ - w[Y•. a.w .rw. ~s Cl~net Finch Mz Gill~~rrl 1MOWWt-MAAr ~uRr+G ~GfHIS) .v~n• • tw. d w. ~r ~ R. Finch 1181 Garlton (burt Ft. i'ieroe 1'1 334`~0 ?Yt 1 • p~AM MAS CAUSlO ~t~ ~(Nfl1 Ord1f pI~K C~UU II~ IM! ~s?,~ f~f. ~?n NN ~~.+.e~+ e N. •~..n~ M ~ ~ /~•~r P~?• ~ Y . 1~ C i ~ t_ ~ , r-~ ~ ~ .t-~ . ~ ~ J t . ij,~_~ , v ( ~ ~ ~I3p - ~ "--~~Yl k ~ 4 - - ~L ~ . . G tor~~~.prs, ~rr, . ~~f ^ • 1 • = ~ _ f ~ : ' ~r'tw~~•l~Hlro ht :/~~,y ,~A ('~.S/. ~ _ ~ , .tti~, ~.f.i' ~ ~/iL ~ ~~YM~~1 C~Yf~ M/. / ~1 ' Y l~[, a __i . { 1 '_f___."~y _/_Y _ _ _ ' _ ~~T . _ j~. ' ' ' . _ ~~~rrwi rw~ •~NN M~~O. M r O~ aM . .M..~ (..N l.f~ ~ L - ~A~1 ¦ OTI~~ S~IM~CAN~ CO~'~~~5' tOMF~O+/ C~1rw~w.~0 i0 N~w~ wf +Or Nuw~ Po t~vN an~.~ w~ ~u~ ~ M_'-._ AU10rSI M fFS +.l1~ ~•we.res ~ew t ti1 +O~ Y~~~I~ ~M Mti~M~A C~~V W N~~\ ~ ' ~w ~C~ ~w P..W~~ Kt+lY~n. 3eT$~ Di ~Tj7~iw~rw_ ~r~, •w. NOU~ ~--~MOW IMIU~• OCCW~tO ' ~•M~ •uww d .rwn ~~a . e~ ~.n n, nr ~ IOrrK~M~ O~ Ma11tMNN T ~M ~ i~, M f~ IH1W~ At wptR OI •r .r~w. fanr. . ~ OCAHOfa . n~a. o~ ro . cm M ro.r. tua ~ . w~... .~s o~ re ~ ewrt r~s . et ~ ve~+. ~ i4 IM ~A CftT4KwT~OH- a.ti Mr nu ro.~. .~+e us• s~..~r+M .~~w a. .»r~.~ ro..•h..w o~~~M OCCUWO ww ~i..~.... ~M71KJ~N~ IO r~ rD'~M N• 11N W~~ ~Nq M~w~ . •m.~N~ .w ( ~~*.+e~. ~ •.n. ..m. +y w.• ul-~G ~ ~ r/ ~4 ~ ~ / ~ o~ .~~n~a.~ r•~ • Iq N~~•f~~ rw. ~ ~iN_ 4~~- Cf 1}I~ ~ 1~' , fl/ ,~t( y? I~ ~~.-r~ o wN uvrn~. ~..ne Ct~tYKAiqM-M[OKAI t ~ O~~ Ei cr .,w ~.s.s cJti .r~ ~r.w. Mara.. ..f ~~~ras~nOr p M qir .r w n~ «.~u.c.nw. o.~o... . ! .o.... ~ . N~M O~CN~M M 1~1 NA ~~R MIr A~(~NY~N t~~w• J ~J 'I ) C! iM~f~-NMY nqM~~wb - ~SN,N4I~ fi~ •-/J MIJA ! ~.~~t' . j~4i. ii• e~~ ° J~ / ~ ~i~t o~ D~i! SK:ryD ....~w. ~ f i tM V!i._ ~ i/__ _ t~* _ . C:-,C.-. 1 ~i/' ~ -irr r~~ - ~ ~ , J~ MA~NG S-C(I!M I + e~nt~ o~ c... - ~1'rti r k+... 1~ - r~• ~ )fl . ~ J ~ I f ~ t ~ • ~ . ~U~141. C~Iw1t10N. 4l • tC[M(rt11 Q/ CRMAtnfr. •uaw ~1 wtN~H w.... ' , ~ vecr~. 74 Burial Hi~lcrest Nk~rnrial Gar.dcrL~-h, Ybrt Pierce, Florida O4~e_. _ _ ' _ - _ -~tVNf11111 HOM( - rlAa[ ~~M ~MxISS w~~~ r~ r o~ • v ~••n ru ~ . si ~ /~7 '7_ _~_Yates ~Lineral tcxi~e, liox 777, Pt. Pierce, Fl 33d50 V.S. n612 ~tRt[f t ~~Ita? a/~ .•~i~ry / - w.~~ nin•~n n ~.x•~ nr..t~.•• Rw. 7/78 ~w •.~~y,'~~~~ ~a l~Ct cc L ~ fC Jih {.~"~N iJo4 cinhcr 17 t ~~17~ , - . # ~~t Fsy ~ ~l.• I• " ~r i~t . 1 IMre~h~y ~briify N~iR to tx~ s Iri?e snd torr~ct co~iy of thn ince~ ~~r~ ~ F- : t_ Repiftrer's rc~ord on filn in the $1. lucie County Hnalth i~+y,ar1• _ ~ - m~nf it Fort Picrce, florKla. l P, W~~`~ r ` ~'[.2~EE ~D~111A`K'PL'~ , v: ~ ~ . (Ws~ni~g: Not valid unlnss r+~ised seal o~ Ihe St. lvci~ ROCE'~? PORRAt . ; GouMy Heal~h DeparlmAnl is affixed.) C! E=K ~t~CU11 COUR . . _ ~:..~.~r~w _ _ '-.i:. . :t` . • . 1 _ ! . ~ . N. U. Mllt. R, M. D. ~ • . ` Df~ 1 IQ tio AN 7'~. CouM~ Nee 11~ 0/ficer.6 locel Rc~~~ir~~ , . , _ . ~ . . . ~ ~ a ~ ~ 38~i'711 ~ . a~ DsA+/?Y Loc~l Re+s~~~~+r k • ~p Q~ J ~Gi~t( ~ I D PACf ~7~a7 • ~ ~ - - - - ~ ' ` ' ,Y , ~ - _ ~ ~