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~ ftlEp AMD NECOROEO ST.lUC1E COUN?V flA. / ftOC~R P4~tR~E ' ~ ~IFRK C~RCUtT CCUat 39U5~~ ~ - - ,.f?~FtEO...-..-~ir 39Q5t~0 JaN 12 1 42 PN'~8 Sl~te ~~f Florids CERT1FiCATE OF DEATH (k~~rtinrnt of He~lth md lt~h~bi111~tIre 8etticH fTAt~ n~R No Y_~~_~__ v~1•nt, trrA7~s7~cv F L O R I D A pt(i1sTAl1p ~ Ho 3~~2 V!ClAtfO-M~ ~.I•• .,••••r o~.,.n~. i~'PE CHZ 1'RINT ~•t• ~u• ~hitf O~ M ~ / PFHMA?iENT ~ ~@-'.Y.-'- St.O~iiC~iOn a ri,G _ r' y~ ~~_Mal,e._ ~ ,d~ ~ ~ ~M~M. ~1M~q~~'M~~r, , -.r~"""" ' OIACK INK l~Ct ~•a . ~-.~~p ~vw~~i .~.~u YMI~ \ 0~• ~ fN! W~M ~w~~. Io. Cp(NIH d J~/a/w ~ ' ~R ~ N~(M~ ~ ~~~~N~• ~•1~~~. ~++I Nr1 .oN~ w wa~ ~ 6602 ~ ~1~Ck " ~55--- _ i_.~. w . . Jan. 7~ 19Z2 ~ts7,uCie Cn~,-io~+. ttx~iK~ 3~S€iiA wsri i~. ~rm HOS~~I O~ Otl~ N~tTlj~iai7-i~7Si/~+ rw i~~ OM ~~Mt~ w+~N ~ W~r~ H~ M NO ~ Fort Pieroe ~ Y. North. 33rd._ t~1 nc~1 ve..Q-------__ ~i~11t O~ ~qM ~M Y01 M Y i~.. CintlH p wNw~ COU?a~• ~?u~eKD. NtW~ M~MlO_ ~IR ~r .+n, r+~ wwi v,..,......~~ ~ Florida ~ U..S..A.. --N~rri~e o~r«... Janie__L. _WilBOnw_ ' ~~.INMf,~Y~ . . ' " ~•.~s • aaw~ soe~a s~eu.n. wwe~ - uw~u oau~.~r.. ~r•~ er~ o• +o~ ~v+~ ~wre M RMO O~ ~US~1SS M MAl1S/~1 cucvs„r ~o~e+y ~w. aw + u.~~n ~ 26?_ 20 4004 ~s Salesrnan ----~tadi Si;~j oN •14MM(~ Mbti J., ,l _ ~ ' _ ` ' wNN (w. urM ~~l1 ~NO MlM~(+ ~~w~'o'~ 1lS1Dt?Kl--ft~1! ~COIINtt CIiY,iOWM.01tCK~T10lf L~~ ~ M~(.~• r/1 e~ r0 F or da o t Y ercc YQ ~w 10 Ave It ~ t~lwf-_Mt4t ~~M~ +~wU ~•N iMOfNf~-_AUl+fa uaaM ~yH ww~ ~.N . . ~f r t~ , -MAMf - rulhr6 ~OD~f11 ~~.~e~.e?~~• w. cn. e. M~•., ~r~ ~h ~l~ t" ~tt 1. p~~TM Mr~f C~uStO ~r• ~[~+tt~ OMr p! C~uS~ r[~ IM !d Nt IrL ~?+O hR Nti/1~ OMI~1 ~M M~M R [L7i~ " ~ a~ /6!/~SS/b~ /NTh'ACRANE/1,~--C'~~S'Edti'nL E/Ilo,P,~'N~,t ane: erir~+ar~r-fn. - ~ern„e.s ...w. ?nt. ~~d u~~ id ~ 1?) ...~w~~~ c~w~~N Fi~e.ei"~'ii'in.ntwi~fS~ - - - ~r~n~~ r.1 ~r~'•' ,.W....M k~ sl1lG1l1f~1_-~~'~~!~~sl~r~r ~~~vyd_ _~~ov ._CN~ _ f ~~~t ~ O?M~~ fa~'MKUI~ Ca~1~IQ~y t0~w0~~ flrM1PN ~O M~M M w0~ M1~H~ M(sY{t ~Mw w~~N I M~ 1~UiCyS~ r~t S~r~~ .~.s,rs~ [or. "1i~~wr M.~~....w~ ~~+Y ~ M ~~•1. ii"~+lwT~iK~-01'- bl1[D1NJlIA"~~.:..:i..,.r.~~ r 1_'1`.S ~ ,..~~~..~e ~ s~~NR MoK +Nw.. OCCUUfO ~ w..« a~ rw~. r. ~~n ~ m r.n m. C Jt~~i~v ic rEn G U•s's~yn r' /?OuFt~O D~" U/ C~1~ w iTUNf ~f~ ~ ~ , 1/L1 ~?iiu~i 1ii M'O`tR rlK~ iillli?:~ ~a.~. v.r~•, ~+c~ei•. ~UC~BON .~~?rn . ~.n e~ .o.+. v~. ~?M~•N N~ M MI e»K~ IIM.IR ~M1Kr~w~ . ~f / n 1w ~ 1M / ~ ~c'f/~ ~ ts~ r ) !Y G ~l CltIMK~t~Py-• rM~ ~~r HN qH W~ N~ w/r~~ qw1 O~ ~ M/e~ •4~ M Of~~M O~tVM~O wn rutr, a.. M ' •M~1KI~N ' ~O~+M M~ NU ~Q~ ~rN~ M~~Y r~[M ~~N. ~w. T +Y N~• 1 1~+/.N~~ wN ~ ~1 ) M rr ~.q~~l~d. Ny h~ l1.~.~~~ r~n. !!1 It~ !r1 l!"I P~ ~IT Y~O ~r u~r~f~ 1•.n~ - - A tmiK~~K»i-woK'Ei ii~iieiiitil"~~xFx:Ei c•+ cw H ~rM 'Y~I~ Y~ T~ii~ ini»: •k*~ot•wis ii.? - /~~yw~~V" N M M~ 4'A/(~1 M l11~l~Mw, ~w C~v+fH. ~S /I ~ ~ r(rnr ~a~ ~'S~"tr• .~l1'~~i~'ti)~'""'~-•xA~?~.tiE- ~ -Z i1 M ~t!!v~-- ~ - M unu N~u.l ~«n trs~~tun „..a. ~ 6Iry 3i~.?iib . =M .L f~~- ~,~o~~N l.~.VC7 --~~..C~zL~"~.~.~ _ b--~.=-7~-- . au! ~M»!SS -t~irrMr - ~stiii: n~ - .n... - ~..h - ~ 1M ~ - 1 ~ ~ J ~ - Nl~tA1. CtfWlllp~. tl~K711~1 ClWIU~ O~fllWAfr;~• . N~M ;1(K~/NW c~..r tir... ~...i ~wcr.~ w Burial Pine Grove Ce~ne tery P'vrt Pierce I~lorida _ - - - - bAf~'_'" rrpM~. Nt. AN1 ~II~~A? NOM( _N~ W Uq1 /MNf SS ~ fqm er ~ r e ~o m:o.+, i~..~. n::.. Jun 26 19?7 Stone B• 7 t~1 7th I~'~- ~ ' c ~ - - •V~. ~e1t iv n~ io~ - :?+~r - nc.~c• .ruiu~t ~ c.n nu,.~s ~ecu Nr.y~~u s`':~i1hr.1/11' j 7M ~ ~ ~ . i heroby axtify thls to be a tn~e and cor~ect copy of the loc~i Regliher~ record on fiie in the St. tucie County Heelth DepeR. RIK~t at Fort Pierte, Florida. _ (Wsrni~g: Noi valid unless reiscd st•al of the St. Luci~ County Health Depar?ment is affixed.) N. D. MIIIFR, M. D. Counly Health Officer d locai Registrar ~ ' , ~ -.,L 7 7 7 - c%-~~y~c - ' - ~ ~..c~ ~ ~ a~ Oerputy toCal Red~c ,r . _ . ~ ~ , I',~t i ~ . ` ~ ~ .<t 1. BflQ~( rnct ~Q~ 3. _ _ ; . , ~ _ _ _ .