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HomeMy WebLinkAbout0043 .'t919:~'7 ' ; ~ l ~ ~ ~ ~ i i _ Nt.te ot rio~~d. CERTIFICATE OF DEATI~ ; Ikputmenl et Ibdlb Mtd Re1~~MNl~Uw betMee+ t.~t• ?~~s ao ` Vi7'AL e'fAtIBfICS L O R 1 D A 555 ~ . 11?p1~i~AA ~ NO ~'~E M1?AINi '.ti• . ~ e o~ M• ..e... , G~ctd Spenee~t ~Ahle ~ Ce te~Ge~t 30 J91 t Pf~~MANINT ~ • ~ - - 111 APR INN Uf~ ..w. ..~~~n. wM~+ ~.M~~. •O!-~~H vren_. q~~ w.~a ~ u. Nff M MM ~.e++. COW~~ O~ OI~tN . ~Y ~ M~t r• ~ FM~• ~ ~~~M .w~ wq ~arq r ~ ~ ~ . aMii.te M 2~. M L~ Dcc. 31 19SS ~t. Luc.ie ' flli.l~i oi i~~1~b~ rvi~ NU~~iiinl Oi0 N~ _ ..w. r~~i; ~~w rMn ~r rV.~~~ ~ ~ w ~t. P.CthCt ~.....a...e " . ' 9?D F~nnc.fe lant il~ii S ~iw`~ ~ r ~ ~ ~ ~ . f1AIF~ O=~UI ~pV1~~t - r~~~~AD-Mr1~~~i~HNO. - - ~IFvF~M~ S~OII~F .•:i. i.:~ i:~ b:~ i ~`1~~---- ew+~w ~ o a~p~a ~ ra.•, ~ ~ Fto~.idn . I~SA "~OO~~ri~tx~.c~ l~~ C1n th in C.inc.e • nio ;OC~ ~t-~+~/- IHV~I OCCIMii~ ...i e..eN ~ow ~y!ew M ~W d M/lMSS fM MiOVSt~1 , m ~ rw~ r ~~r M. M~ M w~v1~ ~ :"rM.: ~s Ca1t~~cn#e~t ,w Cc+nathuct.ion .~wrr NStM-'aC'"~iil~-- COYMi CN~, ~Ow d IcK~~~O+ ri»itw.;~+i 11N11 ~i16 ~71WN~ n•~t+• H~ M +w ,y Fto~tula St. Lucie ~f. P.~cncc ,M 920 FhnNCi.d L~nc •M~--N~M Mf~ r~w~ ~~M ?~OIM~-41dNN~ ~rp ~yM~ u~• . . H~ln~tn S ~e~TCCh „ CRC~teic ~ ~ ~ Nt-~~MN . r~\~~O ~WNSS ~a..N. M +e. tm /r K..... a~r. ,ti NcJlmaa Spcncth P. c1. 8nx 4t9, clcn~a ft . 32670 ~ ~ q~M w~s twste n~ pNrw ow. o?~ aust n~ v~e ~d ql At u+e p~ n..u. e~u..„....., • ~ - ciws t~il1 - - - w/N19sf / 1/~ ~/V rfNC~N/YE17 L'• CFi,t~'d~rlL /y.~'~u~.v_ ia cf~ . =:rM.~r~ p ~w r~ ~~.i ~i •IN •..~~.n a~~s~ iW~~liTFi~i~TrtST- ~ - ' ~~~~u~ ~~N f~~M ~~M b 5U/~~i ni~ t_ ~/r~ l~~M ~~nvrva o~_.l.~J-"!~.n- ti~t • OtiM~ 1O~MS~Mt (~111pM~. tsMeM trw+~~ ~ M~r M rM Mu+N Y f~~N ~+~r M yn ~ W jU~hft • r~S .i~r n.~..w~ ~e+~ fi~N~c y sinily Ot'.rc ~.a ftr.,~rin~? N.~~~ M~~~? w NNN~~w~ t~~M ' ~y . ri ~w Ml~~ `O~ ~~II~ ~pM• N~ M• ~ ~ ~M MIIU~~ (V~~IO •rM~ r~tiM M wi1M w ~~H ~ M ~~M r M~ fnv~v~ ~nc.~n ~ r-~~~~..,~-~~.~ .~y.,,-~ /./Vi^.p :,r~,•,~, . ' ~ •S~ ~C/L~~ t~ / p - w~ r w /',(~(.yj (wNt1:!`~lL~lt.dtLL~-~-s1S11'1_/L_ IM~ZT`- S1~f N ~0~1. . . . IOC~~~~N H»N~ M / ~ • ~M . !w~ M N~. M~~ ~ / ~w~+~ w• r~ W.1~ .wc~.. /~S n • w /Y U w O /L//_~ ~1 ~ _ - ~ : ~ - .c~ Y ~ ClNwC~~DM- M~ NN ~d+~ M• N~~ uN M. n~A ar . N~ti w N~~r OttW~~~M~• ~ .w ~F~~yY, ~~1~ N• MM M!~ ~~w~ M~~ r~Mwl •~M. ~Y. M r M\~ . ~ ...n»..... b ~vl~?. w ..~..N...e. M~ IM ~~n ~tiu ~ e ~..w.,.,.... (i~iiiCi~fidi -'rib~lTliiW~7fai~+li~r ~+i.w e.••+ .~o~ e. r~iw -ii ?~i:i - - - , ; Tii~ ' r •r r,« .rie~ w .r.~t..i~~... ~ ~+..a... .o-e. a.~ .riw N.+ «c r w ~w • ~uNrr- r~_~t~" , ~ , ,~-r~ - ~?~~~1~t ~~v~~~in~ ~»~C____,-~_-----1 l~i~wLi ei iirw trSil~ii( -y Nn~s~ M w~~ blll S~i~b G.~ ~~D: F~_C n!~~uY~T~J.~r_~G_v_~ z ?u~~» ?~Z . ~:~,.Q.~~ ~ l_~ i MY ~p+e f-Cl~til~ vr~. n~ ii ~.e ~~.7..w ~ a.w ; fw r ~ [ - 1" 1 C~ 2 l ~ i ~ s t J ~i. ~ 3.1' { M1Mq. CM~M . pr0~~ rlr(h o~ tNwtWr _ a~w ~OC~•NPa ~.n .n~.. ...a p .~wcw~ , ~ g~~ _ „~(3ood Ske?.~in~td A~cm.t',~fn~. OcnPn-- ----F'~oh.i~ln ~ F~H_-" ' N4' '~~1 NO H~ay ~r i ~cc . i o~r•. M ro. .~a q• s vcrob i~~t c~~w,ean'Z' +?~rmc, '~bl"~t. y:th St., ~~ic~?ce, 334S0 ~ V.S. ~81~ ~IM1~~1 O~t~- •i~ ~ qf•~5 4~ . t+~ ur~m. ~ I • ~~e ~~x~~ an~vu + Rw.1/7~ ~ ~ ' ! F ~ $ ~ • ~ 1 i hsrsby osrt ty thb to be s hus ~nd cwrect copy of the Loc~i Rspi~hra~'s record on file in the 5~. Lucie County Heelth Dep~rt- nwnf ~1 Fort Pieres. Flo~id~. _ _ (Ml~tning: Not valid untess ra~sed seal of the St. L~cN ~ Gamt~? Health Osps?tmeM is ~fflxed.) ~ ~ ~ ' . ~ . ~ N. D. MIIIER, M. D. - ~ ~ ' ~ ' Go~ntr H~eaith Officer 6 lotsl Reg~sher ; k ~ r~ ' ~ y 7 ~"!iLl~s•~ ~ ///Q~J/h .(t~ ' 4 O~N D~pufy LoC~I Reoie~~+r , i~ ' ~ y~ " ~ ~ 1 ~ • • • ~ ~ ~ . i ( ~ ~ ~ ~ f~lEO AMO RECOIiOED • wc~c cou~tr Fu. ~ ~nc•~~ ?~~;ans . r;iR ~~1~1~ Ci'~?~ ~ • '~'-:ilED~-- - ~ ~ ~ Jt,N 26 2 4a PN'18 ~ ~1 R 39~9~.7 - • BOGK ~81 PACE ~ ~ ~