Loading...
HomeMy WebLinkAbout0007 i ; ~'~2193 't st~teotPlorlda CEi2TIFICATE OF DEATH Dep~ttment of Heaith ~nd Reh~bililatl~e 8enice~ fiATC r~~c Ho. vtTALB'1'ATJ8fIC8 FLOAID1l ~~a,~,~AR s No ;22 ~ • TVPE OR Pf11NT OtCl~SlO-aMM •w• rwu .~s S~¦ prtE W Otarw ••o•..., ~ YERMANENT ~ V@LA.~ A''.~.~.^J ~ FCIRtLIQ t FI~'l 2'~ ~ BLACK /NK uC~ ~ti. M~b. ~NM(~V MyYM. •G~-~~~t wa. •.r.• w+a~ ~ w• CU[ Or WM ~+ow+. ~ ~.c. ~ wi.. ~ coua. a a.~N ~ . ¦W M•~ rer~f w 660Z ~ - Nhite w ~ ~ H ~.TCtll. 1 1. d~ n i ~ ~+.r ~ . ~T~ , O~ A ~ cw. NO'1?NM W OTMEII WIOY~ip+-?~ ~r .o. ~~n ~n~~~ w.~e~ ~ , vee». .~f e~ +e Ft. Pf~rce ~roa Ft. I't~z-cc tto~aoxtll ft~:.pit~l. • l/A1! p~MM ~M ~Or ~r ~ waM 1 [N Qi W1y/ COIt1i~~ MMMED. MAtYtO. tSU~vNMG S~'OUS! ~w ~M w~n. w.1 ~ ' .~..~ww+n' ~ ~11Tlft~ t~ww.~ . ~ .aN»~~.~. • t1•~•~r ~woorls~~cc~o~~.«.,~'~~ A~fYrd G. R~iley_ . ~.u r«~r C'N~?~ +A/WE~ YSW4 OCCII?iT~On ~a.~ ~w w~on ww w~w~ nw~ er qr+p d MlS~NfSS d M~DIISni ~ Otcww~ w ~OrM ~N, M. ~~N ~ ' ~~is~'1?-1954 • ~~ou;c ;lifo Ow»-ltona - ~ ~ES~OtNC!-SI~?f COIM~~ Mt, tOw~+. O~ IOC~i~O~+ -«s+i i~.. i.:+n ltit'1i3iN'b- N~'WiEi"'- -__.r-- ' ' T Florida St Lucie Fo~t ~t. ~a ~w • I~iicio no ~ai~7 Luc~ro DrI~~~ ~AIIK~-NY~ pA MOi14~-MAO(N N~Mf . rwN r~~ up . q JOO~ i Zf.f. j i~~ll@], ~i 1` IlilOllll~.t ~ n~Owun-wwt t . ~ua~+6 ~00lS~ nn~n w~~.~ ro. twr e~ q~r. s~.w. ~r~ . . ,r. Alfred C. Anil.cy ~„16i Luce~-o Ur. I'~rt ~t. I,+~ci.Q I~'?_~ '~?1~ w+ ~ - r~n 1. 0lwM M~3 CMritO n~ gMU Ofw? OK uuft tN[ JO~ Nl Al ~ k11 an„~ o ~t ~~N N~M , ~ , ~ . ~ J .~i ll~ ^ ~ ~ • ~ ~ C~ . ~ , ~o..r~e.. » t ~ f, , . ~ ~ ` ~ _ ...r » ~ n~ ~rrlN~t~ t~~l~ M. " , ' ~I~~IM~ ~Y~~4 ' InN t~~N up ~ ~ . kl 1 Ot ~ 1~6~wK~ut t cw.« ee.werw•r~ ro w p roi ~~•n~ ro 'ru s~n _.-n~. ~uiO~Sr r r~ ~.~.i 1 ~~~bl ~ ` ' - if % ~ ~ • ~w~ a~ r.er v~~.r~ ~r Nn~.~..ws c.~N : G 1 C !~c' ~ , l << ~L-c:~~ ~ : • ~ y~:, i~ ' I f ~j ~ ~~O+r~, n, n~~~ NpM IN1Wt OCC O~~ M/ M wAb wr ~Nr ~ M r~~r r, wr ~ ~~4.~r+K~,~ . p 11MMl~ ~ . IA 1M M iM. ~ ~ ~~K~n q~ M,+;OI OwKt R~~MK I~MK'O~. ra~+. fhtA. ~K~dr. IaAIK~i ~~h~~~ O~ ~.r • w0.. c.n M M~r. M~M~ ' . • ~ N~ IM N~ ~ . <tttrK~f~p~+- .ar.• Mt NM ~w1 M~ ~~Y ~ ufr Ys r/~ N~ OM wp~ • M~~~tM OC(Y~NO ~r wy h~r~. ti~ ~ ! - ' ?Ni?K~~n~ t~ w+^ h• ~.aw~ ~an. ,o +n ws+ ~ ..m»•h *M 10-Z3- 68 5-28-77 ~ r •••~~°°M, ~ , . b• Ncuq~ .W~ /D I4 fN ~ fb M ~o ~n u+w•~~ ~~•a• . C(~iMK.AIlO~'~-M[pK~ ~ ~ Ow M NMf O~ nOA M~1~ eM MIfM ~s~ M ~N t• . ~Ie~~~ror O~ w~ pp wiM wy .~M1t~aaw. r w arr0~. » M• q~~ .p~~ ~ ; ~ ~~~w~ OCCM~N O+ M Mw ~M N! ~ M t~~/10~ ptAi 4= QO ' M IA ~ ~ 8_~ ~ Cf.M n... W...,., p~.~.m~ 6~3- .rn. I : ticlvi.n Ho~.1;oHZIy f1.D. ~-j~ ~ " w~~~+o ~own~-a~nrK~f3~2 N s.rr w. ~ .o....~ - - n-''~ ~ , , o~ . ?th, .,txc~t ,~t., I`l.~r~n l'_l_or~d^ `;~;r(ti ~u~uu, tnw?noM, n~eov~t 4HTEhr W C~tMAlO~~-N~t~W ~ot•nw+ ~ a~ .e.•. ~ +.rc.. ~ , Romoval ~Plainfield Church Cemot~r~t•. Plain~'i~1.d~'ottn:,hip(;lertttii~mntcu~ • , D~"7~ ~ m~ryn. aw~ ~uU NOMt-N~~uti+~M ~DO~tfi -~+oa~~w r.• ro . c•n w a...., s•.a. nr ~ ~yJ1111C 11 ~:+I I IMl(O r L T~• r;j T^7 r „ r r r„ r~...._ 1'Si~ y.~ih ~=t~' V.S. ~611 ~WEfal WflCtOl-~G?N / RWS - 'II/tE^•. o~n nu~. o ~oc~~ ~ u~J n... tns p .l ' ; ~ ~ Ma 31, 19~'~ , ~ . 1 hN~by o~tify this M bs a tnis snd oorrecf oopy Of 1hs L~OO~~ - Rpistrers record on file in the St, lucis Covnry Hwhh OrpW'! 8:.. _ f11~nt at Fort Pierts. Fbrida. . ' p~ ~ . (Waning: Not va~id unless roised seal of ths St. LucN ~j ~ i n~ CouMy Heahh Department i~ affixeda " . . fP.Efl A1f0 ~CQA ST.LiiC?E C4~INTT.~ . . ~ N. D. MILIER. M. D. kQf~fA P01TilAS ~ CIEAK ~~~CittT CO~T Gounty He~lth Offiost i LOCiI .it~Qbh~f ~ECONO VEA~FIEO ~ -~a~ ' ~ ~c~ -3 _ ~ 0.,. - o.pwy tac.l Rea~s+?er _ , 4~~'193 ~ ~ Bo~297 ~ ~ ~