Loading...
HomeMy WebLinkAbout0120 ' `fVa7~1G . "'I ~tau ~ Ur.pu~meat ut Flealth and Rehabititati.• serv~oes F L O A I D A ~*wYS s~« r+o V1TAL STAT13T1CS ~co~sTwwR s No OKE~SEO-N~W •~a• rea~ Stlt OATE d OI~iN ••o¦~r. .eu f ' r ok On PHINY ~N ' JOHN D. STPLING ~ , Male , Apri 1 24, 1978 - PERAAANENT ~ - B~ACK (NK 4tE rw+a .aow ureKU~ w...., AGE w~a~ ~.u~ u.p~ C~tE d WiM ~.~w~w s... ~C01lMTr p OE~tN ~ ~K WjYS ~ MMM~~ ~quf~ ~ M~1 ~un ~U~~ , White 61 p ~ ~ . Aug.13 1916 ,.Martin ! ~ 10'WN O~ t T A r•fr~ cw. ~w~n MOSM/At O! OTIW MS - .r .w~ •.e ~~~w~. a~w snH~ ur w.rN • - L...~.. N f a. .~s ~ StuaYt ~1_?._ Yes _ H Martin Memoriai Hospitiai _ - S1A~E Oi WM ~ w w0~ w r?~. w~r~ CID2EN O~ WNAi C01R1ilY MAttlE0. !![wER MA~MEO SlJfVfVi~K' SI~OIlS! ~r ~y~. oM r~wr wy ~ coww~ ~ M/IOO~MtO.ONplCE ~ wcr~ ~ Pennsylvania •-U.S.A. N Marriec~ _ I~~ Keziah Batten - u~•. SoCu? StC•~ut"r t+~w~[i uiw?t oCN?~t~o?~ ~ww ~w o~ ~oM w..~ w«.~o .~oi~ oi" tr~o Of ~V1NeiS o~ M+DiiSmi En ~ /O .b....~ MM M/~MIO . gu i z e r~ .,;N,~ „ 164-03-1863 ,y Retired Supervisor „ Art De t. Philadelphia ~11~~I+S~A~ ~~Y Cln. TOW?~I. O~ ~OCA1~N ~ My1~~ ~M aWNI s~~l A~ PNM~~' " ` l~ ~ ~ . IfMCM1 ~ft p ~O , ~,,.Florida ' I,» St. Lucie Port St. I.ucie Yes ,w il Casa Rio ~A1HE~ Nu~t ~w~ +wu ~.s~ µOt11ER-MAIOtN u~u~t ~rs~ waw~ JOHN SIPLING Unknown 5 t ew:~ r t - iwowir~t-.N~ . wua~ ~oottss ~sn~a~ w. w. cw. o. w~.... i..~ w~ Uti(1 S~~ ,h ~tretch-Eva:~s Funeral Home u,~8 ~]est Kin s Hw I?addonfield N. Jer=se ~ r~rr ~ otwm wns uws[o w ~~NtE~ Owt? a+E C4usE ~E~ a+t /Ot ht M: ~ kN NlUqfM WM~ ~M~ N~~ M NI ~ l / i G~ ~ /l ~ coKWnoNf. ~r ~~w. n ~ ~`jy ~'I ~ / ~ ~ - - - ~ •w~cr oa~t uu q p) •~~~~s.7~.~L_ il • fl__ . Q/~' L7'~'~.l`~ ~~NN~t~ C~Mf~ N1. N! q. O~ ~1 ~ CO~OYNK~ O~: ~ . ~ ' ~t~11M0 ~~Il YM~~F ~ ~~1u~ C~YM U!t ~ _ _ . ~wtt • OiNE11 SK'~NMKwMt CONOIIWNS ca.wnws cawwwwe q w+r w~ .w~ ru~N w cww o~+er w riu~ ~VtO?Sr' M rES ~I~N ~IM~W4? i~. ~ ; . l ~ ~H.f O~ rD~ M fpr NMNUwM6 W ~ . ~ fnc4~e ~~'.~t~ ~ S ~e ~ j tr~'c ~ 'r~!° i;~ti~u No ~w _ r..ra~M p~Ot~~NtfU~i~~bi •ranM. r• ~ yr ~11 OCCUUEO ~ eww~ www~ o~ ~ww~r u. r.n . e~ r.n n. ww MOr~rt~OE ~ ~ 74 M_ !M . . ~WNR~ wi wOVt E Ci ~+AJRV,. +ow. •u.. s~rn. ~.c.o~ tOtafld. ~ unn a~ c• .ro . an a.o.. uaw ~ ` . t . wt.n o? o~ wo ~ oww w~o., ~~t ~ wan ~ ~ 1M * CElTi~Cw1~ON- +ws w nu .wr w. .w us~ f~. ~wu/~w ~am a. ~~+/e+ w~ we. a~ oe~M Ocewno .y r... ~ o.. ~ 1M~SK4N. ~ rd~M M~ ~NY ~OM ~IR~ M~~M ~wp11~ NA, u~O ~U ~ Mi 7j ~f 10 p re ewo~ne~ee . T~ ac~.u ~w.. ~ ` `p ~7p ~ ~ '7~~ ? 7.'T f11 ~ /r/Q ~a 11 S 3;lAo ~r ~wfns~ CEtTMKAi1pN A4EpICAI E~IIIWPIE! Of CORONEt- oM nN pf.s w w ,py~ a w.~+ MuNw~ ~~f MorowKe~ ~tv - ~ . ~~~rN~nO~+ 6~ M~~ ~NO~Ot Mt ~trlflrW1t10w. M ~w O?~wd+. . ~M/M . M~ r~~~ rnu~ N~w~ O((YMfO Or M Nw ~wO W~ t0 w~! 4Yiltf~ lf~MO ~ 77~ _ M, ~ . ~ CffiNlE~-NAME W rn1n ~ - '--7-S1GNIlTUl~ ~ . ~ NOY~ o~ nM ~bA~E Vf~NELY~r».r yr HaYVey B. Ulano, M.D. _~-~.~.c~~~,,_~ -~(~.?.~r- ~ •WwG ~DO~ESS-CEtTiIEf s+rn e.a cin o~ ~w... v.w 401 East Osceo~a tuar Florida 33494 ~urowi te~ .~worwt ~Et[tr oe c~w?ton-N.M[ ~otwnoa c.~ o..o.« . ,..cM• r. _Removal r. Locustwood Mem. Park ~herrv ~ill T~nsh?p, h.,J~zsti ` ~ Ow~f a.•, au iVNERwt NOMF-ru?~+E ~NQ ~O[+EtS su~~~ o~ ~ r~.ro . c~+. o~ ~o.rw f¦•~~. ~u . Apri1~ l'5, 1978 Fort Pierce Funeral Home 106 S.4th.St. 't.t-i i- ~ ~reii2 f~E a- REGISIRA~- SIGNAIU [ . Owtt ~ttHvlD ~r tot~~ Nannu R~. 7•76 ~ i~ /,y/ )M 1M 2 IV ' I hereby cert~fy this to be a true and correct copy of the Loca1 Regist~ar's record on file in _ the Martin County Health Department in Stuart, . ~ Florida. - . - ' ~ . 't (Warning : Not valid unless raised seal of the ~ sf ~Martin County Health Department is affixed. ) _ ; " : ' ; : - Archie McCallister, M.D. j ~ ' ~ County Health O~ficer ~ Local Registrar , ~ - . - , '~,~~z . -s y~~ ~ ~ . ~~~t-G~_- - t Date Deputy Local Registrar - . ( ~ ~ ~ ; i ~ r ifo ~ko RecoHaeo - ; S~. t,UCIE COUNTY FIA. ; RGGEFi RJITR4S ' C? FR~ Ci~iCU1T CO . ,1r,;c.rp ~~?88-~~~ i2Q i s 46 aN ~~8 ~ aJe,d 4 - 4U5482 ts _ . S f _ ~ . , -'~t~ s,Hh ~ . _ . _ ~ . '