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HomeMy WebLinkAbout0025 ~ 3~9944 ~ ~ ~ Stsl~~~t FloriJn CERTIFICATE U1- [11"!~ i 11 ' iw ~•~run~nl of Il~aith ~od Rehabilitati~~ Srr~icrs { ~.•,~~r n~ r~,., '1~)-(?5S`~2V FLOAIDI~''`''~' ..'f~. VITAL.STI~TIST17 ' n~.-.~r,rnwn e r~n i;it 4 ' " " MQ~SlD-w1wf r+~o~~ ~r,~rj ~I?~.i ,~„y~ - ' ~)['C`P\lIC ~f . U~.k~ ~~__1~7~ ~ EVII~YN FIAEiTA ~+100R1, 1 - - - u~•.~Y~ NCf ...q r~ow. ~•~~K.. •Gt -~•f~ v~.on • _ `u..r~~- - - - ~'~t! M ~~~n~ • r.~ i.lP~~. ~ •1 M~n~ ~ V R tq[M~ . 1 P~MN ~ ~~~N ~ M~ i ~ 0~~1 T +P~~~ ~ .ur ~ ~ ~ . . ?~lhite ~w 78 u ~ 1---- ;~.Tuty 12, 1f3~8 :k~int I.~~cie , , l,. , - - - - - ~ i ~pwf~~. Oi fOC~i~ONTi ~i~ ~ ~e~ c~ i..~n /qSh1Al U\ OINf~ MSIItO1KN1 •+a~uf . .•nn .~.e ~,.-u. . . _ _ . . . N~[r~ ~s w .rs . n Fbrt PieL~G~ . Yes •L'35tc~r htiuior •N~usi»e~ flarn frNt O~ ~~~tN . N ..o. w. . f . . F~P~rjii (r~wNil LOV+t~v ~ ~ MwtutD rH~R ~+war~fp 'S~•~vw~~G SP(wS! • ~ ..~~r•, . ~ tOwn.~ Iw1OVW![? MvJ~flD~vna.~ . ~ C,anada • US11 i~. Marricil 1'r.~~uik 11. P~tc~rc abC~~l S(C ~~~nr ?~Vwt~ VSU~I OCCU~~rK~a .a.r ~~..e o• n+u eo... ow.•... e• ~ iNM r~~ ~tiv.rtSt C•~ ~•K~vS~e. - . . .cr...~ un nr. n•~ur • . 61-42-0873-A „ Broker - ~ilc~a~~n Pr~:,l 1 ::t :itc • ~IS~Olr~C!-Si~?t--- COVN~~ ~ - • ~n~,tOv~a (MIOC~h(~a ~w~•..... !t•Ulr •.~h HVuM~ .~~n.... ~ Florida St. Lucie ~w Fort Pierce ~ t+o • ~ ~i~100 CiL-n~s I~vc_rn ` J ~ ~~INI~._M~W nH• ~~oOU uv MUI~y¦ a~~M~~•~~u1~_.~~.. y...~,.~ 1~ William E. Hudson F~lith Sm.ur.lc~r : 1~NOWAMI-NAM[ M~qwK. AOG~tS1 . n. r . . . .n n•~ Frank H. Moore ~n5400 Citn~s 11cc.. t~l?ite City, I'r. Pi~~~c•r~, F't ~~45( ?~~r ~ ~ _Oq~ C~USfD ~tHre~ p+lr t»~t •os~ ~n ~•~t n,r , Fi ••~1• ~ . ~ ' -t N ~ i . ~~y'11F- i - ---r~--- - . _'1 _ - , i ~ / ~ " / ' ~ , ~i< <--l~l~~~(~~' ~~~~«L~C ci _ ~ r/~C : . . ~ - ~ ::.:,~?a~ ~~t-~~ ~ ' ~ ~ 'l., ~ ~(r i n~~ ~0 1?1 S"~_L~L~~V _ I tLl l• ~1~~.• _ ~ ~ ••~n.~~ t~vu ~~r, ~ wTro. o`i'Ii . to•.u _ ' ~ 1 ~~~IIY~ •M~~L i I . \r~v~ (~YM ~~11 . : ~ j; , , ~ ; i ~ ~'l_~c~ .7i~~~CL~~~r~~~ ~`f ~ - - ' ' .t . ; r~~~ ~ OiMt! S1G?rMtf~rat CO?+Lwu0e~5 to~newt eo+~rw••w, m a.r~ ~,.,...o• m.•re ~ ~unry~. { ~r . . . !..n w~~ ^.,r• ~ ~ ' , , i~?~{ yA ~ - ~e4`~`~~ ~~~~~~J _ ~f .r~. ~ . ~ w g ;..'~'^F'rl~tt~e~~i n~bi iT/ i-~.o.~. n.~. i+Ol~l -~NOw nuu~. t~tlu~ret+ n......_..~, i..••.. . ~ ~ ~~of w vanw»wo ~ i - - : - - - - , ~ ~ IMqJ~I ~1 Waf ?U~ R1 U~~~ +OM ~~M~r, ~~C•iw•, IOC~IION . ~•~~1~ r~ ~ . p u. t~.. , ~ •t~~l~~. ry{ M r01 OwK~ MOG .Iq ~~H(~~ ' x ~ ~ ~ t C~fItIKAtp?~_ q~~r ~Orv O~• •1~~ •rD l•~• 1.~ r~~ •1~.1 (`y . r•!~'t~r . t~ w.1~Cl~tr (~.r V~~II~ .~I ~ ..r ~ •r.i~~~~r • _ r•. .n~ ~ i r~e. .~.r~ rn•. • ~.•r . . ~ y • • ~~I ~ ~ 12 -26- 72 7- 5- 77 7- 2 - 77 t,~~ . . ' C~~II/ L_"_~"_"_ ~r1 CI' 1:1... r 'e~t ~ ~...~..~~tpri_.ai[O~C~I liAiw~~ Op C'Od0?~t! d+ Mf ~~f•~ M .o.~~ 9. a.~- . , ~ • ~ a ..d. a ..~,o.... ...~..~...o.. aw.~... ~ r~ a t,:" °'~,,..~e a.. ~w ~.w .«e ew ro •w ~.u~r~~ ,•.,0 7 : 3A.~ ~ ~ r - ~5 - 7 7 -7 ; ~n ~ Cbtl/IE~- NUM( ~nq . - ?'K.r . ~ u~ • r•f~ v~.rnt, . . . ~ y~~.. ~ } . f ••!1 t. ; Melvin Wolkowsky M D Il~r~`,j ~_rt t~i f~.t~.~. . 7- -11 . . , o , - f~ ~~1q~fs~L•D~ESS-(H/HQ• nr• • • • , ~ ~w 8~2 N 7t~1 .StrPE?t ~O l~,'T"C^..~Z~. S1rJ.L~iI.- - ~.3'~~-U----- - - . ~ ' ~ ~U~u~ Cft?ut~~. REMOv~I CWf~l~r Ot~~tw~0~~ _ yaw ~ ~ , ~ ~ . . Wt~n. i~!)~-~. T~1~•~-~•~iI f: ~iy'li~.~ ~ ~ tti Burial Ft. Pierce Ccmytery ~ n.,~ . . .I . , . . ) .~G C~. ./UNI\~l NlIY( •I~l~~ ~~Ifl ~~~j,Lft: •~1" I•~ 1~1(~/'('(` 1 l'~•1~1 1 July 8, 1977 J~.. Yates FUn~ral Jk-ntx~, Is~ . • ~ - ~~"!~?t W~'G~O~ -S~~.r~u~nr ~r1~.r.}cw~ v - - - ~ . , . r - ~ j~i)~ Q. ~•.f.~~~~ i. ~ I~~Ic I:, . x.. - _ _ . . _ `y-FS ~ hereby tenify Ihis to be a true end co?reci copr of the locei h Reqistra.'s record on file in the St. lucie County Heelth Depeh- FIIEfl AMD HECOR~EU ~ = ment a~ Fort P~erce, florida. - St.lUC1E COIJNTY Fll. _ FOGER FOITR~S _ (Warning: Not valid unle~s raised seai of the 51. luci• ~~!.,T i Co~nty Heahh Deparfinent is afFixed.) ~~F- Jn~ 6 12 0~ PN '7~ ' = N. D. MIILER, M. • . : - Counfy hh Office? d L sl ReAislrer , " ' ~f / Y ~ 3t~y944 - i a+. osw?w ~«.i R~~~~.,~ ~ c. V , . ~ ~y~ ~ 2 ~ _ L ' ~f~ ~ 300~ w YALE ~ - _ - ~ ~ . ~ ~._sr .v~,.-,~. . . . . .3 EA^'". i,<:3