Loading...
HomeMy WebLinkAbout0126 ~U~~s6 , • st,te ot Florid. CERTIFICATE OF DEAT H Ikp~rlment oi Heslth ~nd Rehabillt~Ure 3enices F L O A T D A ~TATE ruc Ho ~ V1TAL BTATI8T1(:3 P[61i7AAR ! r+o 75 ' 1VPE OR iRINT ~C •SEO-NAM .ea~ 1!¦ DAtt p ptatM ~+ow~.. e.., .e•~. PEpMANENT ~ P81~ M. F1S~r~ D.D.$ ~ Mdl@ ~ FP~3Y11r3.Y'~/ 1~ 1978 BtACK fNK ~ACE ~rn. ~w~o, a.HK•.. ~.,r~•.. AG!-i.~~ w~~ ~we~ ~ s~. Mi! d~NrM ~..o...~. cas+~. a a.r~ nc ~wcw.~ w.. na.s• .o~ ~ s.•f .w~~ .i~ n.., ~ White ~ Dec. 12,1902 St. Lucie ~i~)n2 C1'FI, iOw?+. O'~ l~tA`i1pN p~i~iiii - w~~ ca. ~~m ?~OSnt~t O~ OtNl~ MSt -N ~r ..w I~H~. OM f~Mft ?y r~Wq 1 ' {?~CM~ ~~1 M MO ~ Fbrt PierG~e Yes „ i~wnwtxxi i~i.iu~i ~~i.,Gi . • 1•.n a wr« ~ ~ ~ - - - - - - - - - _ _ - - - ro~ w~ f~, w~~1 ClitltN O! MM~f COIMif~ MAN~D. MvlII w1RM(D. SIJfvNN(3 S~OVS( ~V\. YMY N~y 1 ' cOwNr ~ D tC ~ fncrn uw.~ .,.w.~. . P~msylvania , t]G~A • ~~1D~rI~l~ Faye pose ~MM N(IaY~ _ ' _ ' ' ' ' " ' ' _ _ • _ _ ' " r«.r SOCULL S~C ~i ?A?Wt; tISU~I OCCU~~tq?a ea.e sw o~ ~or. ewe eM..w rw~ a cr+O O~ NK~+lSS d N~01Ktt~ n~n.w.. wn i1 ~s ~7~ M 293-34-9975 ~M`Dentist ~•w ~ Dentistry - ~~vM..u Nrow •O.HI~ ~ES~M~~-SIAt~__- COIIMII ~ i_-- ~Ilt, fOvMN. O~ lIXAt10N wt~N t.~ ~r~f St~I~f ~N~ NUM~~j' _ - . _ . . _ ' Florida St. Lucie ,M Ftort Pierve No ~„~2406 N~rpork Drive rar~~_w...e .~n. 1rO1MR- MADINN~RY „ Gic]e~on. Peter Fisher „ Lillian Phipps 1 .-N . MAR~NG A00~[SS ~~~Nn o~ ro. cm w ro~r, f••w. ~r~ Faye R. Fist~r 2406 riew~~ort Drive, Fbrt Pierve, Fl 33450 rw~~ ~ ppm w~s cwuslo ~r tNre~ ww~ oa~ uuse K~ i.+t ?o~ ~.+o . I hl: M1L f N ~~Ir~~M OMYI ~rN N~1r » - ~ - - - M, Metastatic Car~c~ex Iw~g b Liver 2-3 Nbnths tO~N110wf. os~CR O~f~ ~I~! ~ ~ Al ~r.~a~n ta~a~ ~M. ~~e. O~O+~irl..c~ w: . - - - - - •~~~~we ~H •w~M- ~tw~ U~M ~~f~ . kl ~Atf ~ O~~ S~NM~AN~ CO~KX~S~ fOM~*Orf tOMM11h+0 q N~s M NO~ N~~q~ ~O ~p41 6MN N~ IN~ ,.N ~UtO?S~ r rfS ~~~r nwe~..os ca. ~ ~ ~t~ O~ ~OI 4M~f~ ~r Nry~r~.~~re~ C~11Y ~ p~ N~rr ( w ~ tw MR~.~d~V4(~ M[6~~-- e ~O«rr. M~, NOW IMIUH OCCUOE~ ~ ~°H~ w~,vM M •rnti r M r•~~ ~Hr ~ _ ~ 7~ 1~ i~ M 1Y ~NRM~ ~f wVbt . »or. vr~r. ~~c+oa. lOf~nO?+ ~ una w ~ ~.o . u.. o~ .o~r. s.~n ~ i fMt~~ Nf M r0~ O~K1 «~C .~K ~ VKU~ ~ . 1~ fM 1~ CEftMKATqN- .e.~. ~a• n?~ .w,• n.~ ~r u.~ .r~w~ nr.r or . K~ao wr ..n. *w ee~rM otcuute .a w.~ ?urr. a. wn ~w~srcum..h~ ,w Jall. 5, 1974 F1P~. .1, 1978 a~dtl. ~ ~0~~~ ~~:I.DA o:".::~.~~, ~w~~. b~ Ncasw .w. ~1p 14 tq f~~ . w.o ~.r uvv,u u.ns CfttlKAhpv-iwfO~C'Al E7 w ~w ~.s~s d nn rOV~ W p•w ~ ~ Nc~e~... ~n ~~o..dn.cro - - - - : ~t1Mw~~ipr O~ ti q~~ ~N/O~ ~N ~11*O?rqr. ~w w O~~wd~. ~ +OV~r Os• .I.¦ nev~ N~n~ Ot~MN~ O~ M~~~1 ~N W{ ~O M C~~ff~f~ f~~4• ~ ~ . . _ ' ' - " CEf 1~~-NM1~ ~?~N o~ r~w~ er.N~ M na~ ~11.~E ~K ~.r..... y. , 'fS M. F. Watkfns, M.D._ 11 s!~- - - ~ ~ 7 ~ - ~""`~.pp1lfs-~S9!"3926 . ° - ~~ie'~ce Flo~ida 33450 ! , ~IJ~UU. CtIMA?IOM. ~EMO~'Al C !1[~t p~ C~lMAfO~~-N~M! IOC~t~pH t,•• t» q~..' Sr.r~ . i ,N ~cnral-Burial Crvwn Nill Ceirietery i,., Warren, Ohio ' b~~-' ~.p.n~. Mr, n~t~ ~VM[~Al MOMI-NINI ~r~O ~MfISS ~ snn• o~ e o~ ~n. c~ •c~~ v•~~, nr ,N ,-3, 1 7B Yates ftmeral Ilane, Inc., P.O. Dox 777, Fort Pieroe,Fl 33450 ' V.S. ~61Z ~WE t DA - ~tG~St •R~ SK.?i~~utf . / . . ~ . oa~ ncn•~o uK~~ ~tc~sn.~ Rw.7/7e ~ rM ~'~~c. L l[/i~liL. tw E'C 118T 6 ~~73 f~~~tlCll CO ENT RGEO , - 1 he~+eby oertify ?hf~ to be e true and correct c ~OCFR ~OItR~S `A . onY ~ the Lxe~ rlERr. C:~GUIt ~au ; ~ Reglshar's record on file in the St. Ltxie County Health Depart• ~-F'tE0 11Mnf d Fo?t Pi~?ce, Florida. (W~rning: Not valid unless reised se~l of the 51, ltxl~ ~AY ~ 2 18 P17 ' ~ . County Nealth Oeperlment it affixedJ ~ ~ - N. D. MILLER, M. D. .~j''. County alth OFficer 6 local Re9~srrer 4U1~fi~ ~ ~ f' ~ t~. o~r c.«.i a~~~,.,, ' ~ $i)pu ~ PAi,E 1~.V ~