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HomeMy WebLinkAbout0338 ~ 39599'~ ~ T~~. •t- •TATt ¦o~wo o. Nrn4TM' CERTIFICATE OF DEATH ~ - • ~vAUU o? vnAL ~TAT~snC~ ~rrATt n<t No. . _ . ee~•' FLOAIDA srd •Me ~ R~ STRA ~Y 1 a. pN~~?IJ I. KAlt ~1 KA?N C06! NO. 2- f/WAl A[NKMCtIRW1.e~r~M+l IlarM.h1+' RwMw«~d ~J~t«N+1 - e~~e~tN ~ • St~tt . C01M~tt •a1 •111 - ' ~lorida t Luci~: ~ w utr. row~. w iouta~ h K~ct a ou,w e. ar•. rowM, a~ iou~n~ e. n csro. hcr , .•.•~t ~ws+a c~n ur~tx as~a. ur• ~w~n~ r~~~. F r~s~ ~aQ ~'L. Pfel'Ce rrs~ «o[] ~1 /rf Ifr ~/btM) ~ l[IKtN 0~ ST~[(T A0011tf1 QM A fA~Y? a~ Ho`~ba r inQ ~`ome u? '""T"""0M v rt3. 2C~ N. 1 th. St. ns0 M~ w~?Mt ~r M u1Nfr Lur ~ wtt A/w~M Oq )ir ~aeuk~ . ar c*tr~«A~.r~ J S•~he ou.M Jur~e ~ `~Zl~ .!tl OOIO~ 0~ 11ACt • Wtt o~ M~~N ~cc ( f~ Ka• r u~ecR ~ rw uw[~ t~ ~ws. M11l~t0 CJ ~[K11 MA1111RD IMf Mr/~N/) Mws~ Ow+ 1rwn~' Y'- M. Female White ~nno,ao[Xj avo~ao Dec. 16 18' 86 ~ ,.~fwl~ IM u~wlotM~n~~(OMrluNMw~~M~e 1~R/NOO~NIS~MESSd1M~OVST11~ 1~.~rNn~aGvrerh~ry~rw~n~i cmtr~orwiiouwnrn .1 e~ ~.r- .ly ~wey t~rNar?~. wr. y.N1rd? . ••••p~ ~~ousexife ~~~.,ton W. Vir inia USA ~I~Ot 1~~ .~1lK11! 11AM[ 1. MOiNE11'S M\ItltM ~4Yt •f e~~...,.•• Johq Alkire Artc i•,a~ ?~:;m~ i,h t. ~~s acasto cvt w v. ~~rto ~tsr u soaµ s~cv~~i. ~o n~Mrewi~~wr s s~aurvwc J. i:. Y ~tes ~?a.r.«wlr.r //Iw-~••w~.Yn./~rr~ - j~p Albu~ r. ~ }'lE: C l' ~:7 . ~~w~r~l 1~. {AIM~ N~[~~N E1Wer W eNN fl~e pr IH. N?. aw/ iH.~ nrttR?v~ ~[rwr~s ~~11f 1. 0~/TM ~b CAIf![p ~1r nMSET RND dl~iM s'••°`•• w.~wncwxt.r Art - Sclerotic_ffeart_lliscat~e - - _..~5 Yrs. ~ ilypcsrtrophy srith Hypertensfon e~ree,t. elntYtn..ll•*~. . • . ~ :~4~ ~ . . .uc .e n~ ~'~yoCaz'~i.1a1_. Fa11uz'~ - - ~ - - - - _ . b Hr3 ` ~ . ~ . ~ .eK. ~•Ha ~ ~ ~~~MCr Glom - Nephritis 10 Yr:;. HIA~w 71 ~ II~N 4~N /Uf. - \~Mr• •f - lAt N O~~l1 ~It~! WfIM11M ~O OUtM wlf MD~ OItAq~ t0 TM[ RIIr~MI M[A1t fO~UtpOM fiMA w?~? 1(~t *?S ~i~~ilf SY fF Rf[MY! t.r e~•t~ ~ •r ~~~~r• rtsD ?"'U--- - ~~klw •11~ ax~~ MJY~~ aCY~~tD fi:,N~r w~l~rt N.I~far~ Iw /'wf I P PMf Il M`~~ ft! S ~ ~Ct10tMT ~YICW[ 1q111CIQ •.qNl- ~ ? ? •t ~ t~rt ot !/Nr - - - - - wuu~~ w. • • ~ , ~ ZQ1 M1u11~ OtttlIUltO . h~CE O~ M1VI1t p. 1~ r~wf Mwr. ~ ptY, i0~. 011 tOt~tqw MU~t? sr~r( MMKf ~T qDi RM~II Mr/. /NM. ~~tt NN.. fft.l r1011R ~ ~ A1 NOII~ O . ~I I~INMMdIMI~N~M1/Mw~~.~.7~SL~~-.fe_XU[lE_ ~ 79~-~ndlufN~ A,'~r~ ~li.~on~11AC-~~---~~ll. - d?itA aceulti/~f r nf en /M J~N ~~~fW ~60.~: ~nd fe fM 6~N o/ af~ Rno.~fNN. /rom fA~ e~uNi ~t~~~J . 1l 1 f t~~• !21 i1~IM111lt (O?pK IfHel !L ~Dd1tri flt. MR 5~('.wIO •r• t• s..~~.e. ~ D D 4' P' e ' •~ar~~t~. ~ w~IMK.UtWT10M. ~ OAt[ tlr ~~rco?tcrctt~~o~c~tr~~oer Z~f IOtA)i0w1IY~./wrw.Mm~f// (Rd~l• . ~tiria~~ June 2b 1 bl Ft. Pierce Cc?~eLel~-~_ FL. Fierce Fla, 1.l.~~l~ =1. A000[ff 2S W~E ~[CD ~~IOClL11E6 . RE6KT11AlIS3KM~1U11E ~••.i~se Jose j,i. Yatee Ft. Pierce Fla. b-~O-~~I Ann~. Lee L~nison d.r. i7. Ll~Cl~f ~CO~~TY~ j AGCER ROITRI~S r' ~aK :tCUiT CCU ' . . ~tr~ , ~ Mroby osrtify thk 1o be ~ true •~d ccxrect copy of ths lnc~+ Pl~p l 52 AH Repl~trar's recad on iile in the St. Ltrcla ~nty Heel~h UepaA- ~ nMnf at Fort Pieres, flwids. (WKning: Not valid unle:s raised seal of the St. luci~ p~ ~ Co~nty Heelth Depertmenf (s effixed.) 3~S9.7I N. D. MIUER, M, D. County Hsalt Offite? 6 loul Regisrrer o ~ . a* ~.pwr Reo;~~.~. ~ , sa~x283 PAGE 337' . _ _ _ _ _ _