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Home My WebLink About0411 / ~ ~~1b6 . .tTIF1CA'~ ~ OF DEATH lkya~lw~~nl o~ (~~r~lb an~ QrRalu~ddl.e ~tt~kta fTA7[ FIL[ NO. ~~.cw?.~r ~n..i~u FLORIDA ?~irai u+ w.~.awa......avna 11~GItTRwA•• NO~ ~•ln~iRr:iNi ~Nt pfCEASEO--Nrwf ~'001~ ~ 1il i~\^.iGGI 1~~ 'SE¦ D1dE O~ 0lAIM ••Ow1., u• 1 ..~:~wuw*s , ~M~ A. ' East : Female ~ Fe I 1 ~ R~CE ~w~a. ••uKw ~.eu~. aCt-~.f~ u•.ou ~.u~ u..u~ C~~E Oi ~+RM,.oM.. cawTr a a•n~ - , ti.~~w.~hite ~.M.. ~.a~~~ ~..o? C r.s +ow~ ~ ~e ill " . CITY tOWH. Ot IOCAT OEAtN ~ wwe cws ia.w M06?riAt M OiNl~ tR - ~M w. ~r ~mK~. om ~~r~. w w.u~ ~ Meun qf W MO - n St~anrt Yes NMarti.ri ~!er~arisl - St~iE-01 NRM ~ r wo~ r~r~ Oh2EN OI WNAT GO~RIil~ wUttEO. nEvt~ wtbEO. TS~ S~OIJSE IM OW. ~I'1~ YNM ~MY 1 towen ~ Wi60wF0. WvORCEO ~ wtur. ~ ~ t~:innesota • U. S. A. u~ t'~azried Ral~h 0~ Ea$.~ - .:.e.~, SOC~w~ SEC~iMiv i+uWEt tlSUw~ OCGV/wTqH ~a.a aw~ a.ou wr ~wwo .ou a [q+0 Of WSNfSS Of YOUSRt ~ „ ~ow.+6 .w. e.~r r ~~o~e~. ~r 217-32-8871-A Housexife ~s O~rn H e ~ ~ ytl~OtraCt-St~T[ tou~+n C~tr, tOwn. O+tOUt~Oa .n~ c~. ~.n sttEtt L~ ,wFlorida ,pSt. I,ucie ~«Port St. Lucie ~~..~No~«~ ~y Olive Ave r~~n[~-N~u.f nn~ ..ba~ u» r~OtME~-w~DEnnu~[ ~w .ba~ ' w+ ~-'~-~-`„`m~t..~. „ Andrex Katilo Hilma ~ Ka ute ~wOYw.r+i-ww[ wuMwG wCO~fSS ~unn a~.~.~. w. cw~ w•:s..'. u.w. [r~ :talph 0. East ~n3~3 Olive Ave. Port St. Lucie Fla ?w~r ~ ot~m w~s UusEO ~r: ;EN?tr O+rer wrE uust'[? ~Nf rOe NL M1L ~v+D kll Niru. o~w~ ~ur M.w ti r""n t.~ L2/L.C n~...~ c'_c.c. 1 1~k, • • - . ~ (Ow01t~OMS. ~1 ~M~. ~ O~~! •If~ q ~ C- ' Ira~(W~~f CaYf~ IM. 10. O~ bf ~ CW~MWfKf O~: 174~~w0 1M~ yMh4 . \~~MO C~YM t~f~ _ _ ) Ia) ~ ._L/~./~ C !~l~~ ?,ttT tl OM! 5+~,?+MKw?+i Cp~pTqr~1: ca.~uows caw~M..~o q ws w~ ~ run~ w u+v or.w ~.n ~~w M tES ~~.~~MOS cd.~ ~NS y wp~ YN~N ~w MttW~MO NW~ ~T M ~l~tr . ~ ti 1~~ 1* t~•.be~~ 1~tt'n'F~+F,'-SU~~ ~.or~w. N~, n~~~ Npw IN1WY OCCYHED ~e'a~ w~Mr o~ wwrar H. r~» ~ a?.n w,, wr Mi.v~~C.OE: W 1RDfil~MYflO • Isa~c•M i 1A ~ M !Y ~ INJURT A~ WOfK AACE O~ NA~~ +OM. ~~~s, fhtf~. iK10~~. tOCANOI! ~ ffN~t O~ lt.~. r0., GN O~ ~OrM. Y~11 ~ . 1 f~tGn n~ M.01 y11q N~p . ~K. ~ VKN~ 1 7A 7M ~ CEii~iKwtqN- ..o..n. ws .w ~ rw~. s.~ •w w~ w. +~f~n .~w~ ou ~ w/ao nw .~nr aa ol~M Otcut~(~o wu. a. w ?„~sK~.N~ ~ TO ww+w ~.r +a.~ wr~ uw~ M~w_ ~+pY~~ r ~~R. w0. b~ MM nl.e~0 ~w~ ~y n I~ d r~ [MON~OG. ~V! o.ce.seo ~w. ~ ' 1 1 tt? rQ-~ ~ ~ 1 )1. -Q..b ~ I ~4 11. M. ~o wn cwfus. wn~. CE¢t~iKwt~Oia-MEO+UI Ex~w?+Et OR CORONEt a. ~w ~.HS o. a w00~ p M~M ~ M~ ~~p'~t ~V My ~ . , l.ur..ro.. W w~f WO~ ~M/M n~t .nflnWrOM. ss O~MW~.. . ~Or~w Vf n~~ wOy~ "Y.~ . OI~n. OcCVNW O~ ~l W~! ~M MII ~O MI 4VMq1 1\~R~ ` )7s • M th ~ CE~i~t~ Re Ar ~ A~~~f~'r"entice ~ ~ ~ wiE D~~*~ a••. ; ~u ~ ~ . Feb. 2, i977 . ~oo,ESS_cr.,rr. z4 0 N.E. Dixie~~': y. ~ Jensen °~each Flox~da 3~ ~ ~u iW~~l. UEMAi1pN, ItEi.~OV4l CWitE~r O~ ClEw~iqr-r+Aw~[ ~~oUnoN a~ w nw.~ u.n ~ s.K ~n . Re~oval ~,.Hillcrest Kem. Ga.rdena H. Ft. Pierce~$t. ~ie~~c~~or~- . E t.. T~~! D~tE -,+w~. w•. w~ fU?~ERiU nOME-?uiuf ~HO ~tDOtlfS ~~»in oe ~ r.s wo . cm o~ roww, s~~q. P? ~ ~ 11C C f :y `'i•~= ~.=1~ ~.Ro er I.. ~ i: ~ur~fRwi e" ~O~~ ~ • -nvta ~ocw~ n~:vw ~ _ , e[ u~~-S~e~:.ru~E w~~..~~. 75~ / ~ C ~ ~ !h i ~ • I hereby certify this to be a Ltve and correct . copy of the Local P.egtstrar's record on file in ` ~ the t~artin County Health Oepar~tment in Stuart. + florlda. ; ~ ~ (Warning: Hot vatid uniess raised seal of ihe ~ Martin County Nealth Department ts affixed.) ~ , : i • . ~ _ ~ Archle MkCalltster, M,D. ~ - ~ County Health Officer 1~ Local Regtstrar , ~ - ~ ~ . ~ ~ ' /~77 • ~ - "L'., . ; . r.~~ ~ '-i~~i't~1~"""' : ~ ~ ^r~~~~Qr M R ~sEo - ~ dotllT~r'c, . = . , ~ ~r~~ y ~ t ; ` :~H'~^ 7 ~ 3:~0~~6 ~1 t~i~~ '~i.~.