The URL can be used to link to this page

Home My WebLink About0536 T f s~- , ~'TAT[ ~o~ueo o? Nu~TM CERTIFICATE OF DEATH ~ eo~~s • ~UR[AU 0I YITAL RATIf11C! ~i~ fTAT[ F14t KO. _ F L O 8 I D A ord •h~p 01 T HO. R[GIiTRAR•• 1~lO. p r o p~ r 1~ 1. N.ACt N~fA GOD[ HO. 2. YiUAL w[MKNCt l~Iaw~ Mrrr A~ !1 ~+ww.~ ~ R~~r M/~n ~ri») e:~eYt~A a STATE A. COUMTY •nd •lll a. o~.~.a - ~ n p•r- cm. mw~_ oa ~ouTa+~ c. K rL/lCE Os QE~TM t. CITr. TOwM. OR LACATIOM s~artc •an~et IN510E T11 LIMITSI 1NS10E CITII lll[ITSt •~1._ res~ NoQ Ft. Pierce res(~ ~op NAME Of (IJ fOf M~M~. i#'.• ~!*pf ~!f/~M) l[NGTN OF f. STREET A0011ES5. ON A iA~MI 110511TAL O11 ~ l'8 • ~T~TU*~ Ft. Pierce Mem. Hos t. Ave. . ~s~ ~ 3. IY?~ N Fb~t a/MYe Lrf " auE 11/~ D~I Yw i~~v.~+.~~ Odette Sxeeney ~TN Nov. J7 195? S. SEII ~ OOlO~ OR ~AC[ ~ MARRIEO ? M[VEt MAIItIFD ~ DAT~ OF t111TN ~ AGt f/w ~ttl1 / YNOE! 1?W V~0[~ta ~RS. tA/q) Y~Y~ D~w Bwn Ytw. . Female White „~~Ej p„~, Feb. -1888 ~9 P 1~ 1~ 1~ 10~. IfSUAL OCJqMAT~ON (OMt ~id wr! MN 1~. KutO Qi MJSrElf 011 YfOttSTRY 11. ~MT1Ylall (S1Ue f~rNA cw~Er/) U~IIDI 0~ ~NT OOiMIRr/ .~cs ~•r- Ia.bv ~?~w?tb~t~p,.ny.~ti~A House-`~ceeper Hotel France U.S.A. ll~et 1qt I~. iAT11[A'S MY[ 1~. IIOT1Rw'3 MAIDEN MAY~ or ~,o..~~e.. Renee Shestlea ' Matilda Loir ~3. w~s aa~o cvc~ a u. s~Rrco so~ccs u socui sccu~mr Ma. i~. • s~~*ws 1 lian 1?~. r_ ~.~ir~l ItI ~w- ww ~rr ~ MI~ rwW - No 26-05-6229 . erce . run•ral 1~. fw11~t M ~tAT11 ~E1Mer N11 we ew~e pn tiar /r (e). •w1 ccl.l UrtEJ1vA~ ~ErNEEM o~scr u~o ocnrM dlrtet~r °~"TM`"s~"'~D"'° P~neumonia - broncho ~ • t f 11 • IMMEOIAT[ CAYS[ - t~• a~r- •1ri°.~. ~Nd...,q..., o„E ~ ~q Congestive Heart ~''ailure ~z rlts t\• O~iC~ ~rt ~ l 1 . S 1 O C• 1 ~e tw~r r~sf~t~~r ~~~I f4 r~In- OuE TO (t) •it~is 7f t~ J~. ~ ~MT 11. OT~EII SKNiWIt COMOITI016 COKIMRMt f0 OtITN Mf~ N01 RElA1FD TO TNE ?ERI~MML DIYASE CO1p1101~ GIYEM M?MT 1(~) . N S A ~ Aour• ~ r(11fqlMEDI t~r e..ce s TES? ND~ o r e•[or• pEXA1~E NOM IN1UIIr OCCUARED (E*to w~far~ yn~r~ t~ Pwt !r P~rt U y 4~w !IJ • ~t f as •w~ ~ ~~pEMT SUKIOE NOMKI~ at.v~s- D O O tioa et ~ T~yEOF !/MV 111MfA. . fn ~p II Eod~. ~y _ IIUU • i S p. w. UllUllY OCCU~IIEO RACEOi 11UUIIY (t. 1~ M~Aorf ~~t. ?D/. CITY. TO+rN_ 011 lOGT10M OOUNTI/ STATE f ~ wNn~ ~T ~ Nor rmwc ~ l~. r.ra. •~ee aN.. e~r.? ~ - wO11K 11T 1YOIIR ~ tl /~tt~nd~d fM d~cv~wd Jrom Au$ • ST . to _ 7 NOV . S 7 •nd Iot w~ ti~~ di~s on ~ N~a q DwtA oceurr~d ~t • a~ on th~ d~t~ ~f~t~d ~bw~; ~»d to tA~ baf o/ m) Rno~bdN. Itom th~ uuw~ ~f~t~d. ! A11 lt~~i ~~`~yTV~[ ~ (pqrKMWlt) 2tb AOORESS I?[. DATES~WIEO ~ ar• te - - _ ~~•o~•t• + Melvin Wolkoxs N.L. 808 Oran e Ave. • c tYflN. ~~iqll, jjD pATE Z7[ NAME OF CE~IETEAY OA CIIEMATOAY ~I IOCAT1pN (C5(/, (N¢O. M[NIAI// ~g~~I ~ ~uria`~~~~h~ 11- - Ft. Pierce Heai. Ft e F1 ~ V. 9. /a19 j4. NNEAAL OR S SIGMATUIIE ADOIlf55 2S. OATE RECD. 6Y LOC/1L RE6 11EWSTRAl1'S SKNATURE ~ R... ~ass lliiton W. Baird 11-9- 7 Anna Lee Le A ~ - ~ ~ - ~ ~ ~ a R ~ ~ ! A S ~ ~ ~ G4 ~ ~ ~ ' ~ ~ _ ~~~K ~ r~.~ ~ ~ ~ k 5 • ~ ~ } - . . - . _ . " _ _ _ . - - , ~ . $ Y 3 , f ~ . .,f~ r ~'Y~ ~ -~.<~c..~~ ~7~~.~"3"~ ~ ~ ~ . . a . . ~