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~z~~ ~ ~ ' ~ _ ~~ss~ss - ~ C~RTIFICATE OF DEA7H ~ D.rra~..a.11k.I~A...a N.L.1~?IN.u..1~..r.. ~tAiR •u~ Mo. _ FLOAIDA , tn~, pt ra~t IN ' II~Ot~f/1A0 • No. ~ ~tlMAN~NI IMA ~ ~ ~ ~ MI WfNN IM rw~ '~w~ ~ O~ OtAM .•o••, ~ .n~n~r+ , . ~ttlC~t R. MII.t.IIt, SA. , Male , Jw~e 22, 1974 . , ..c ..~.»....w.. •a-w. ..w. . ~ ~ D?+l M WM ~~ww+. CaM1~ O~ 0l61N ~ ~ ~c. ~ we.. ~ ~b ~MU.. ...n ~ '~ct. 23,1926 SL.. I~1Cie ~ . 6602 ; ' wc . n.« u~ u - ~»..a,,...~...M ~r~......~..n.~ 1~. pt~+o~ • ~Cee N Ft. Pieroe Met~ariel Hoepital , if~ii~fi"f~ii . ~ ~ . , •~••r dWbT~w?w r ~un+to. ?.e~rii wuirco. i~a~i ~ A ~M. ~~1 YNY ~YM 1 . {m ~w~~. ~ w~oo~~Vt{~o~}~p7y~c ~ wc..~ w{. 7 tlW~l H~~~•it! ~ ~~7~ / ~ /I ~11 ~~6` . ~4M Mf~W~ _.f__~__' - . . . ~ ~~~t~ • N~M VNW A ION ~M~t ~~M M~Y M~~ M~ ~ M lM~ O~ ~lSS O~ ~11lI~t ~ . ~ OttrMl~ r e- y ~OMy1 1uM.,. .Mw r pn~» ~ "'Y~ ~ w..o~.s~w ZZ7~Z8~~/ ~YL ~A lRii ~c~ NNN i~ _ p~1 '~'i an. to.?w. ot ~oc~t?a+ ~ vK»• «.~s 3iilii ~i~i-`- ~ , „~larl~la , 8t. Lucio 14 P't. Pierce No 3547 Atabott St. - .ws, ....u ..r .o,~t -.,.,a~...~+e ~Zt~ K~u@r `/~Q~ll~' - HOZOQII~ , ~ ~ ~ . ~ waw wwtu ~?wn ~...s. tw. «a++. v.w, s+~ ~ , M~+istit Miller , 3507 Al~o~tt St., Ft. pi,eroe Flcac38a 33450 ~ ~ ' NAtN wN cwus ~r. an~ oN• at c.vu n~ i.a ~a •?~o I ~ . i N1. I~L hM ~~n.~N wN~ ~w w~~r ~ , ' g w ~~s , ~ , . ~ : u , ' ~ • _ , i: i~miiii i u~d 1?) / ~ . ~ ~ ~ ~ NN~~1 t~ f1 ~ ~ i =«:'i"1..~ , w Ia1t ~ OMt~ l~O~t~N1 COM/~1i0M. twr~wf caww~ww s N.w ~w r~ ~.M~ ~ c~n~ ~~.e. ~.ar nuioyr r~tS .u~ .~.~•.o~ ci*.- 47 ~ w~ o~ ..~i ~.N..~ ~..u p. ~n.. ~ ' ~~A . f . ~w . r•. 1 NQM INIWf OCCW~IO ~M~ ~MI M M/M~ r~~n ~ M bn_w. w1~ yr ' NOr I ~ ~ ~ ~w 1`~ N~ f M'ew w S I T 1 t T ar yy. . /~t10iN. ( l~(iflQ~~ f M 1~• M, lM I~wi. p~ ~ . ~ t~ tN~ w~ M~/ EMt~ IY~..tw- IMKMt~ ) A ~ s~. -G~-~ i'f E- , ~ J ~if/MK<t0~- ~'r Mt ~ qY ~A M~ q~~ ~ utr ~ wI~ uw~ M~ M/M ~M H~ ~I~M O(dMM~ •r ~r~ h,~ o. w~ . ~ M/iK11Me ~P/w M~ MN ~1 ~w~~ Naw_ ~p~~~ ~~1~. ~M. q~ M~• I r~M~M~ wM t~ W~t ~+P+u~W. M~ rN ..e. S l7 74 ~n 6 2Y 74 n, 6 22 y4 ta d1d ~~N M~. , ' ~fiii"K'~F-~i- o~ xi r•w « r w.« t + , Uw...M~ M wy q~i~ rw~ w~1 ~f?r~r~y w~n rrs.. - . ~ Na~ ~ttAW r w N~1 YM N/ M~ tNM~N M~IH N~ ~ ~ ; ~ r,. 6 22 74 ~ ~Cl~TI/I(f ~wM M rMe'1 MMI~ M MM 0~ w.+. M.. 1, . Hoosha Kadirar .0. PAGS • ~ 6-24-74 ru~l ~..a , i fM i " N. MRt~ON. ~l t- 1 On N ~.•n ~ ; N, ~ ~ -Bttrial a. ~Y L. AP'~a Flarida ~ _ 2~~~1~ ~ µ 401 ~N. ~7th S~ M Ft. ~Piyerce Flarida 33450 ~ e. 3.I~It - ~ -LOM~twf n ~ ~ ~oca no~ea~~ ! i~to ' June 25 1974 ~ ~ fIlEO RhD kiGJnDEO : ST. LUC~E COUNTY FLA y • ~ ROG= ~ FJ~~~~S ~ _ ~ ~ ; . ~_f; . ' ' _ " :Oll . ' • , _ _ ~ hereby cernty ~his to be e rrue and corr~ct copy of ths 1,oca~ . ' ( Registrer's re~ord on Rie in the 5~. lutie County HNith D~p~fh ~CT ~ 3 3o PM ~~0 . ~ , msM st Fort P~e?c~ Fl~~~ria. _ . ' i e ' • f (Wsrning: No~ v•~ ~f ~~~r•: r~?~s~d seai of the St. Lucl~ . • ~ ~ COUnfy Hea!rh ^e .vt,nei~t is affixed.) . . , . • . ' , . . . . ~ . , N. D M~llrR, M. O. '''~r ~ Cou~~+~ f+ auh Off~c~r loul pi~tru ` • ' ' ~ ~ ~ (.~~'.G~~1i `~'/L--- . D~?~ avutv loul R~otv?,~r 8001~ ~~7~ PA~E fi . ~ . . ~ - - - ; - - - ~ `,j -