Loading...
HomeMy WebLinkAbout0259 CERTIFICATE OF UEATH ` I~~..~~«a .1 14.I~L ..i R.t.Wr.w.. .L..w.. ~ L O R 1 D A ~'*wr~ r~u wo. _ _ _ _ ~ - tt?~, w ~nN~ ~ ~~e~arw~w • ?+0 28 ' N~YAM/Nt INR _ ~ , ~1 YI1~MM /M Sf~ o~~l W pap~ ~•er... u.~~ ~ ?ltaodorv J. tiintzko , ~tiile , January 20~ 1974 • ! ~~C~ wN..M~N. ?~IMt~r wM~r. AO!-~•N ww. ~ n•~ wew . w. O~rf 0/ i~fn~ ~~a+wr. N.. COU~it d OfAtN ~ IM~C~1 M1r~~ 1~~1~\1 M~ Mh ~O'M\ M N~~1 ~ ~T_-1~ 1= ~ ~ Whit~w 68 w ~ Feh. 23•r•- .1-r90. ~.St. Lucie ~?fl~Z ~M cw ~~s MOSMIwI M C111M~ NS~1IU~ n~! IM ~tM r1 ~~M~. ~M ~ti~~ a~0 M~I+N~I i W(r~ N{ M n0 ' ~iarc~ h Yes [Xa11 rt. Pierca Momorial Has~~ital ~ . ' ~~~r _ . ¦or r r~~.. wu~ i wW1 CO~M~~r r~~fMO. NEv1~ ru~~+[O, SU~vtvNb SK7Vff ~r ~r~. ~.w w~r.....y ~ ~ wisconsintO~'""~ . usa _ /~I46~ - --_Sf_cou~? _ .wr ~~.w u3UM cittu~ritio?i ~e:.i :w a .oi::ow ~~.e •~oi: a .?io a ~us.xss w .+cxnn. . t~ r ~M~ ~N. Mr ~ NMM ~ ~ _ a 265- Contractor Ruildinq ~c1 war -o:iii c.~ ~r+~ fti~fi `?~TiF+Miif - ' ~~rn~o+ ?K -fl~ C dM. ~O~MN. M IOC~t~ON ~ ~ WIMr t~~ M rD Rlorida „~St. Lucia ,,,Ft. Pierce Yes ,~.1670 Thumb Pt. Dr. . ' ~ Mt -wW rwN ~ .yw~ ~.u ~Otw~_uadNN,w .r.• ww~ ' . ' Unsvailable Unavailable ' i - W?lMG AM~N SS ~v„~. w~~•«e . c~v M~e.r, ! , Me?bol M. Hi~take ,~1670 Thumb Point Dr• Rt. Pierce, Fla. •~~M)~~~~~ ~ti t • OtA/M W1~3 CAYStO h. p~+tt~ oM? dt caust M~ t~+[ +W AL Al ~ Nll w~+.n_. e~rw~ .r M.n ' M~ C ARD/AC _ A.R R~ S T i . • ' terMNw~ N ~r~ . ~ ~ot~ =~~f a~~ 1~ ~ 1~) - _ . . wW~~~ ~ ta~a1~ d. ~I~I~M~ ~N ~M~K ' ~ ~ f~/l r~R !os c~~RnTi c_ - H~f~ir r_~~/sFf~.s,E t - - - avtdtr r r~s 1a~t ~ OM~ ~D~'MKAM C~~~S• ~b~MUb~~ (OrFNlwrO ~O M~~r M~ MI~N~ ro uvN ~..n. r•n ~ w~ e~ .o~ o~~~r~ ~nr~.~..~..e c.:~~r ` ' y ~~.rr ~ . y D tA . 1 V~t ~ ~~b+ti.Yr,tlH~ ppW IMIWt OCCW~IO~~'~'~~r~NMM we..rr.•~~o~.•o..,n.u~ f / U lr.~r ~ <.~i.v.A•s AL ~ ~san~- ~o -ii~ ~ ~ ~xP~nEn on~ ~FO o.- ti ~~~~1- ' i A . q ~eN~. ~K~a.. lOCA110N ~ ~nn.~o/~ ~ ~O . r~. M M~+, n•w ~ k•!.r ' f ~ .n w~w..s~ ~ w.ac ~wc~n. A ~~7D //J~~~~/Yr a/~ , ` C~fIrKAI1~1~-. 4~~1 M~ HH . Mr~~ M~ ~fY ~r V~~ Y~ A/01~ ~~M Or 1 w~M ~V~ M k~?1~ OCCW~~O rf K~(~. 0~ 'M ~ jM~fK~~M- ro r0+~ M~ wY ~OM ~nM M~w~. ~~OMI , ~4~. ay. ~D w, N~~ r ~MyN iM p ~~Owe~n~. ~M . - b~ Mc~~iH r~0+ H? 1h tU ~ v V !N ~ Y. r0 r! t.~fe~f~ s..n~ ti~ MCWM ~b~OMq~~ M~/ ! CEiii~KJ~~ON=~ wr ra~ er wr wOM M M~w , ~u.wwe+ a ~qr~ ~ww ~wri~M ~w ...1n~1~~w.e+. rre.. /~DJ •a.~. .yn.~ .oM • j _~.I~a[~<N~L~r~ /I~___ M 1/~ ' Z_ V / - M . WMM ~wN M ~w j~~ 1~- MEN/ M ~f ~ ~R/~{~ ~~rr~V. ~~NI ~ ~ GN ~-JXTD_ 11L1 G UE t M ~ D,In?~~~-~ • » ~qN ? x -~7Y__ ! vei~ o~ • w ~"~.'o~~a.~: s..w 3 ^ J f t l- ~ MA C~Eru~tMr_N.u~t ~OC~~w+ c~~ o~ .r.. s,.M ~ fMtw ~ ,M Cremation ~w Rt. Pierce Crematory Ft. Piercey Florida ~.s~.. w. ~ t N..~[ .w .noaess ~ ~ o. • r0 . tw~ O~ W~~ .•.h ~ w ~ ~ Ywtes F'uneral tlome Inc PO 8vx ~77 Ft. Piarce, ~la. ~ atGr a _ Wa+~Ntl ..~cu.~o n?«u ac~p... ~ S. 1! ~ ~•..~~t~ a. cao Januax~( 22, 1974 , ' . ; : 1 hersb~? asrtify fhh to be • true ~nd co?rect copy of 1he lnce~ . • , Reglshart recwd on Hle in the St. lucie County Health Oepert• ` i 1r1~nf at Fort Pierce, Fbrida. ; (YVirning: Not vatid unfess reised seal of the St. Luc1~ - - Count~? Health Deper~menl it affixed.) ' ' ' N. D. MILIER, M. 0. . ' ~ ~ Cotmtr sl~h OlFicer b local Reg~st.er Z:~ ' , / o . A, ~K- O~» D/OUfY lOt~l RM~c~•+r • BCOK ' ~ R 436 F~c~2301 ' ~ EXHIBIT "A" . ~~K 284 2~9 x . _ - . ~ _ _ A.~-, _ j ~