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HomeMy WebLinkAbout0641 t t - . ~ ~y~~3;~5 st.~~ or Fi~?~a. CERTIFICATE OF DEATH y' [kpartment ot Ne~ith ~nd It~habilitalire Senicea *7ATE s~~c No , YITAL BTATis r[CS F L O R I D A G 21 pcn~sTa~w s ?+o TvPE OR PRINT ~ClASED-~+~N .+e~t ~.~r yta o~~[ Or OIwrN ~..o.+~,, s... .e... FERMANENr ' MIL I~6N _KELL_P~1R_I:1VT ~j! Fema~ej! November 10. 19~7 BLACK INK UCf ~r~q. r~4W, u~~a?r ~r~ur •G( - uf~ w.ae~ ~a• ~ow~~ ~ e~. ~CAfE O~ ~h1H ,.d~.. u.. 'COU?~t~ 01 Of~tM PC ~ WO~~ ~ ~~~wy~• ~ ~H~f • +of -T M•{ rOU~f ~ M~~ ~ f,f,p2 ~ White N 68 ~ ~~„lune 10,1909j,. Saint Lucie Cm.30MR~. O~IOCAIIQH ~~`A N - fM~ c.n ~r~n NpSMtAI q O1M(f NS1~IU1iON-N~W .r .t. .r ~.r,q~. c~w ~rn~~ .w rw~~~ ~ - f.eo.• .H M MD r Fort Pierce . ~,,WYes „ FoYt Pierce Memorial Nospital • Si~l~ Q1 {I~Ti w0~ w v t.. r~~~ CIfII~N O~ WNAf COINIt~V -`MARfltO. N(YIR MAflltp. ~SU~YIVNG 51011St .H~. O~~ ra~M.. w~W ~ ~ ~~'M' ~ M~R1QwfD. OMORCtO ~ vKr• ~ ~ M~M~~ England _ _ .__U.S .A. ~N Married Armond J . Parent e.~~.w. - ~~•eo a aan. SOCI~I SEC Htt? ?UWf~ USU~I C1CClN~hOra ~a~.~ .r~ o. .cr. ewe sw~~.c ..o~~ oa RND OI M)SMRSS M MMK~~v eccv+a~ .d...o ~w. nw + nnne ~ w~, ~,138-20-7924 ~s Retired Pro~fessional qYt ~t Art . .nwsv~w ilSiDEatt-3i~?E COUwt• --------Mr.tO~ww.O~toC~i~O?+------- ~••i~eac:n~~,.m1SiilEt~?~aUMi(i - - - ~.i? ' ~s.aN..~+arod Fla. ,N St .Lucie ,M Fort Pierce 920 D. tiiyh Point r~iNe~._?+~.~t •~n, ..roa~ a49IMf1- MArPIHNl~4f ..~ee.. ~s JAMFS KELL FLORENCE F~11RRI50N. j 1?~O{MANI-MAMf ~utwrG wOOMSS o. ~ r•..o . tm d•o~•.. t~.n. ~r~ f r?. ELRMAVD J. PARFSIT 920 p. fli~h Point Fort Pierce,Fla.33450 ?~tt ~ pEAM MAS UUStD ~i~ ~[~ai[f OMr p+f C~UN lNf 10~ hL A1 uA kq •••ro.~..~ r..~ M ~~t_ Nnlf+ pw{~t ~M M~M N~ ~~a ~ a~~_ ~ c..~~.~,.... c..~, wr~s,-erstz - ~ . ~~MN11OM1 ~IA f• l' t,,~ ~ ~ ~ 1 ~ ~,~y.~I.El~ ~~h.~..~ l tM Oa~1 ~~f~ ~ ~ 1~1 ~ ~C~•~. ` _ _ ! ~a.~MU~ ~~~t~ ~a. w~ J=~'_.1~ ~ i . ~ - - t i~.nr~ t¦~ ~r~e~ ~~o:e-i'~i~iw~ f tNr~ b~M ab ( ~ ~ ( / ~ kl I FY {i ct~~Yl'?~ni ,~`'v.-w`~' O tA~t • OTN[! S~OlIMKANI CONOhIONS-. CO~Mwy+f CPwM1m~+0 q M~1~ ~M ~Ot NW~~ r0 CWN GM~+.ti AVidS? M YtS s~~r nv~~..n~ ~o~.~ ~ ~nf O~ ~O~ MN~1~ rr N~~sr.r~ro t~Yf1 M ~\~t~ ~~w_NO ~w t?•.M?~~ ~ K $t' ~RAI~ ~ .o..~r. ~ - Ipo~r.~~C~Of~ W IIO~1 lrMAO MOW INIU\t OCCV~~EO ~ rw.~~ ~.M~ d~rrv~. w r.n . o~ r.~. u. m. ~ fi. ~M , /A U. M ~ tY IN1U~t I~1 WQfR ~lA ?7 ~•t npr~. ~u~. f•w1r. rKrdr, IOCA?ION ~ f~~~R W~ r• rp , t~n o~ to~+, f~~n ~ ~iMCrti qf M ~O~ MK~ M10.~~t ~MKM~~ ' , ~ ~ _ ~ " CEffN~C/~t~OH- +owr+ M• .~u .o.... s•. ..e u?~ s~~ w~..; re~ •i..~ w~ ey~oa~ ~+o• ++n o~~rM Oeev~~ln .c w~ n.cr..r. nw •Nf3K1~N~ fO ( rw~w ea• nu ~0~~ ~~ry~ N~n~ ~nOV~r O~q. ~.~e. ro+w ~~t~ 7 77 11 10 ~7 Did 11: 4Spa ."°"'a.~ - t~~ ~~a.~~~ .~o. 11 ~ 7 Il~ ~ 1 1 ~ !i~ N~ o•.r ~.vx~u ~.••r~ ~ L-----------~- ' CE~rKK~hO?~-irfDK~! ti O~CMQ?~f w ~e an.~ o~ ~.r .w~. o+ a.,.• -~T~~~ sic~oi»• ..f no..n.i»ceo i~.• - - - - i I~uw~~~0+ p M b!~ ~r~/W M mn~f~~6~•Uw. ~w .n 0~~+~. ( .dn+ e~• ~1.• ~ ..~v~ . N~Iw O((11Mf0 O~ ~M Nh ~~A ~M b~W (~MfM~ 1r~q0 r~ ~ 1~. 11 t4 ~ 11 10 ~ 11 s~~s A : - 5 - - M - - - cE~nl~fl-?r~wE ~nn o. n.r., _ _ _ -7- - - - - - - - - - S~GNAtIM~ iy..~~r ~ e '6~Tt Sr~~ O~.(w~. e.. .r.n ~s. S .A. Khuddus~ M :D . L~ - - - -~~7~:"-~/~' __x~ U . 11~11~7~ - r~~`~~~'s'-n~~~`~ 609 North Seventti Street rort Pierce Fla. '33450 ~ue~.t. n[~now. aMOr~~ ct~urt~. o~ ca~u~o.r__ N.w ~~oc.nor, c... ~ fHt~n ~ +y C.RfiMATIOlV N~ Necron Crematorium ~7~~ __West Palm Beach, Florida DAt[ ~+W~r, M~, ~N~~ fVNEf4L HQMI -I~AMY ~IRI ~OM(SS ~ m~n o• ~ r o » rn. o• ~p.... s~•n • 33450 ? v.12~1 77 „F_rt Pierce Funeral Home ~106 S.4th.St.,Ft.Pierce F1. V.S. #81? O~E(t ..-SK,~ tM~ ~E sir.s~•~iNt ' o•p ~eci~ne n ux,~ ~ecnn•• , aw. ~/7e „ ra~~l1~- • ~ ~ . • • ~ _ / - 7 FILED AMO MEC~F,OED ST luCiE COUNTr Ft~ P.~JS.? P~1~TRAS : : v ",~~),i f,~?~ T 1 her~eby aertify thte to be s rrue end correct conY Lnce~ r, Registrer's record on file in the St. lucie County Heeith Depart. R1Ntt sf Fort Pierce, Flprida. J'~1 4~ Qr i~~~ ' (W~rning: Not valid unloss raised seal of the St. Lvci~ ' County Nealth Department ii affixed.) N. D. MIILFR, M. U. Gounty Health Office? d~ tocet Regis~rer . , 1/- /y - 7 ~ - ~ . ~ ~ _ 1. ~ L~ .~,~z. Dsp~/fY locel Rer~~~•.~.r /7 / ~ ~ _ ' ~ ~ . 6DDK~ ~'AC~ «7 . .