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Home My WebLink About0118 i tt~at~otKlortd• CERTIFICATE QF DEA7H ' IkMrtm~+nt af II~~IIh ~nd Reh~bUfl~tl~re Ren{ee~ •~~t~ ?~t¦ ?+o - VI'fAi.B'fA'flti'flt'A ~ L O R i D!l RtO1t/wAM • No ;~i5 01CIwf10--NWI ~•~r iw.~ St¦ nut M• ..ewr a• ~ ~ 7VPE Orl P/1lNi ~N , JOSEi'N S. 1WRSt1Ai.t ~ I!k~Ce .~~inc 20 19y~ _ PFhMANENT - • 8ll~CK INK U,C! ~~~M. W~~n. •N~K~N ~YJY. 4OI Nt1 v+~n~ a~ v.w~ CAt! d Wt~i ..o~~r M.. CdM~~~ O~ Ot~t - -1yA/'~ ~q .~ntr~~ a~w ~~I~H~ ..f~ 1 Mq +ar~~ w 'f ~~~02 Wlti.tc _~3____ w ~ Ja~i. 31 1904 St. Luc,i.e _ y ~ ~N Y~»-- -I-_--- l-'--- lA .~~w....,...~...N.......r..... l~,~OMH.OiIO~A~~ON~~~I{I .w...~rm` ~bs~iuwonni~r:iinu'Iio~- Nf(+~ N MO „ rr. ~'i.e~tce l,. Vea „ F.t. P~t PhCe blem. ~ro~ p, - : ~ . , . . - - - - - - - ~ - - - Sltll M ~~iM ~r ne~ r t ~ ~ . w~.1 (ff~fN (X WW1 (OtINIt? ~M~IMD. ?NW~ W.lfMO. 111~VN~M1 SKIUS~ ~w .r~. ~e~ .~~w wN~ ~a„~ ~ wpp to Mv~HC o~ vK+• ~ ~ ~tli.cl~inccn ~ USA _ _.?»---~1n1'~!,cec~----- • • Ah,~~~~ct i`Mh.e.Ce - - - - . _ . . . _ . . . . " ~MI~ Nl1~M~ . . +«•r lOC~~I ffC N~tv ~RWN~ USU~I tKCW~tKw .a.~ w~ o~ ..n. ww Mw ~r»~ a~ tW 01 NIS~~Itl d WOVSt~r ouwwe .ow.r .w. y u-.n ~ +•..Y«a.. e,.. „ 378-2?-0111 Supeieui.te?i~{ent JnmeA_ N. Uneev Con 1, _ 1 Ind.in?rapc~~~.a ) w~~, M~ ~tS10lMC1-S~~If ~ COIMf~" C~11. IU~N W lIXAftpN! ~?1+V tu~ tww~ it~~(~ ~1~ M11M~~ . ~tqar••H M ro ,N F~o~,idcc ,N S.t. Luci.e Pont tt. Lucic ~ea ,w 2~ 6~ccli.te~nnenn (v. i.~Ne~-.?+.w ...o MQIMl~-A4ilMH N~MI .»r „ CC~de ~kv~sliaC~ A~mn . Jo;~n3~~n 1?MOM4~Mt-MMIf ~ M11\~NO /~DUnSf ~s~~~P e~ Me. ~w: M M.r. ~~.M. ~r~ I~kugat~t I~~v~shnC~ ~n27 ~Icd.i.tchna?~ea?~ (~?c:st oh.t St Cu 'c ff. 3id5~ ~ . rrut ~ p~~m was C4usto ~r. ~t?.~t~ o.wr ~w c~use n~ i~w ~ty 1.L ~?1 ~++o a~ Nti1~M OrM1 ~~N N~~+ » ---z~~~------- . j ~ ~ (Jtir?~~,,~ ~i Cc r err t~~' n . - f-~ ~ w~-~rv-a-ra.wwron , //////~~jI{.. - =O~M~~0~1\ N ~AI I ~V-w~~ ~~y,'_{r-~~ `V IYY•~~1~ ~ (~~\~'IK ~ . c0 ?r~n~~ r.~ r.~a ~ ~i~:iiTiTF'e~u'i~iiT:' - tNN t~~N uN ~ ~ Itl , CJ i~n • OtW~ SOM~K~N1 CO~~MIIQNf fO~~wO+~ (bwMMw b N~w M+O~ NuN~ ~O tpN ~~.M .r y1• AYIO~S~. N r~ S~n~ .~.~~..e~ ~o~. ~ N? p~ YN1f? w NI~~~I~~~ (~rN v N ~~~t~ ~y IM ltt1N1A ~tj~t$( Q~R ~~7~~ i~e+ti, M~. ~1~~ ~ NQM u.ro~r ~occun~o ~ IrN~ r~.~N s~ rrwn w. ~ e~ r~n r w~r ~ ' o~ veh~ur~ne~ i f~w ~ r n~ iw1~Hi ~i v~'(MR~ ~1K~bi ii- • ~n~. •.w.. ~~rr. ~~cw~.. lOf~bOw . ~nn~ e~ ~ . ~ ..o . r~.. o~ •o.... a.w ~ - . 1~~KM H~ M r0~ OMk~ 4M .~~t ~~N[+~1 _ p1 1M ~ ~ ' Clf~tKAtU~~.-. " M• MY ~Y~r a+~ uf• y~ sirN ~~M O+ ~ M~wle •M~ A N~M O~fWNY wN o+ M , 1Mt~K1~N~ ~d~7 N• H1~ ~L~~ ~~h~ M~~ I~ffM~ ~~h. ~rN. b M Ml~ / p ~O , f ~~0 O~ ~W'/~~OrJ. ~N IN ~.n:~n•r.~~r LL.a ~ //~J llq ~ a.~J ~d ~'~J Ip 7J1ylol ~~y 7 h~ 1N ~ ~ y ~o ~ r.vw.~. s•.+,~ U~IYK~iR!MI-. W[~S~l F~~Mw~~ ~M CO~ON~~ O+ M M M~ Mo~ M MY~ ~~~~4Hi~Mr~ ~Mri~cN Ni• ~......r•r o~ w.~ w. ~e~ ..r «wfs~n~•nr. w N+.o+. . ~ ..w .....n......a~..,..~.~b~....~,.,,..,. 30 ~ M~rn_~..~~ ~_v r~ ~O l~ - - - - - _ _ - - - - CI~I~M~-~H~MI n M.~w« . . ;;V,H~~UfT-_' _ ~~rNt a+ •e1 ~6~II ~.NIO ~•n..~:. •I:ri ~H I . I3ol~sali, M.D. . - ---~t..u~- ----~Yy~ - ~'}~;,-,.,t..t. : 'YZZ - m . : r - - h - IM`~~~~ort~i~ t Str~et F t. ie e i~ a t r ~uN~t. otw~iKla. ~lw~M ~l~r~q~. r~~ttlw~ua.. a.w `IOC•~qa e...~.. .~nc (~hA?11I RR l~b _ ~~tC~i([~Qll ~ ~w 12'emovaC-8u~t.icte (vooel Lcutai Cemetehy ~N. p ' . 6i1If - _ _ . ~ t•i. ?UM1 ~~l NQM( - Hu~y ~lID 11+M(SS ~ fa~qt o~ • ..n . t.•. M ~o.. f~~a. t~r ~ - ' . _ . . e. P~~191~ ,~a,~hd Ftutt?%~nC 11o~n~' 901 N. 7th S#. ~t. Piehce FP. 33~150 VS. 1/6/J ~w0• tcror- iwifu~i i / nc~y ~-sp nui»f _ e•n ~a~~.~e n~nc.~ ur..t~..¦ Rw. 1/1• ~'i - Z.G'!! f~ -r..C~,...,. l~/t4-s~-i. r.. June 21 - 1977 - ~ FILED AMQ aECOnOEU ~ ST ~UCIE COUtfTY F~~ , RQSfR ~~ITAAS . I hereby oettity Mfe fo,be a true snd to~rett copy of tfie l,oca~~, C:".~U{T ~C°' . Registreri record on file ~n the St. lucie County Heahh ac?part• •='r~ m~tt st Fort Pie?ce, Florida. F` (VNaming: Not vaiid unloss raiscd sea! oi the St. lvcit ~7 ~ 5~~ Q`1~~'•~ . . County HeaUh pepar~ment is affixed.) . . . ' :r;, . ~ a. ` ~ ~ ~ ~ v t` 8~~ ~ ~'i J:~.•. . • .'y t:.. N. D. MIIIFR, M_ . : - Gounty eelth pFficer d Locai Regisrre~ ~ ~ ~ ` ~ , . aM OePufY LOCeI Rea~~r•+r ~ ~ O~ LAUGHLIN AND O LAUC3H~IN. ATTORNEYS AT LAW. FORT PIERCE. FLORIDA , . _ - - - ~ ~~^,~r - ~_-z ev-~'~€" . ~ .