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HomeMy WebLinkAbout0020 ~ ~ . '~~e~~„~2p3 Uepartnient u[ Ne~Uh ru~d Itehabil~letive tierriccs ' ~rr~re si~t Ho. ~ VITAL b'TATISTICS F L O R I D A ~ ; ' N(G16TRAq~t NO ~I . i TYPE OR PRINT OtCEASlO-NAN~ rww~ ~~t~ S!s O~IE O~ Ot~1M ~ roMtr, ~u, ~u~ ~ { . i; IN ~ o,~RMANENY ~ PAUL _FRA~dK IK I7 ? 1 ~ ' BIACK INK uCE ~+~+M. »~OW. wuc•M wur, wGE-„~~ ~~?a ~ n.~ ~.w~. ~ s.. C~TE O/ N!M ~..o.aw. ~rr. CONN/t 01 O~AiM ti ~~c ~vuu.~ ~~nwe•.~n•u~ .,c~ ~ ~w:~ .r. n.~~ ~ • Idht_te_ s•. •~e rt~n , , ~ CI~, IOMM. W t A M M.f~a~i.n ~w~f MO~hTM W OMi~ ~11 U ~Of~-.NAMf ~r w~ .r ~u.y~, O~n t~n~~ ~r~ rwu~ ~ , : ; V ,.~~M. a ~O ~ „ Martin Yes ,a Stuart Convalescent Center 3iA1! d N~IM ~ q.O~ w Y.~ w~r~ C111ZEH 0/ WIMI ~Q{jNj~~ MAYRf[O, NtVlR MA~IfO. SUfY1VNG SrOU3[ IM ~M~, ~.q .u~tM wr,~ ~ j ~ W100w[O. dIM¢RC O ~ vKrr ~ ~s~.~•~?«~• s Pennsy_lvania 9. U. S. A. .o Marr~e~ Betty_,MaeDonald e~~,.,.. - - ~~vU Y N~M SOCI/4 SEC'/tITY NUMa!¦ . VSUAI OCCUtApOW ~Gw~ ~w~ W~+O~a Ww! NM~rO rW1 O~ lw0 d N11~?4SS O~ WOiJS~R'1 occ~.ua w ~w0 ~w. H~» w unu~ r ~~j 075-32-9496A i--- Nb.. ~2 Oral Surgeon Den 'str ...~•..d.. ires~oe?+~e-sreri tow+~r tnY, to~wn. on ?oewnor+ ~«,..e <r. ~.:m sr~tetx i+b Kuµ+t~ " Ir...~.. ~ v~cN. a .w ~ Fi orida ~.e. ~k. S a •b ~~n+e~_u~wt an. .rou ~ Mon+e~•~AtMOfN HAM! ..aa~ w~ ~s ~ llnob~ainable - ~ Unobtainable 1lMOWAHT.._NAM~ . MA1.N~('i AOfi~(SS ~~?N~~ W~.?~. w0. t~h W W.r, t~.M. ~MI ».Mrs. Bett M. Titus ~~~0 2Q9 Ever lades alvd. Stuar a 33494 ?Ni D[AM WAS CAUStO ~Y~ ~tNrN On~r OMt C~uf( ~IN[ IOR (~l f?~, wri0 kq ~~r.~~» o«Nt ~L . r.:ewTi w NI ~,~J ~.X-• ~'1"i/"v L~ /K.. . • N ~ - ~ ~OM~IIIQI~~. 11 ~M~~ /1 _ . ~ rw~c« o~v~ uu ~o (ol / n ~i E~ i Irr101~tf C~Vf~ 101, l~s . ~ . l~~ItM~ tY~ YM~~M' ~N W~ O~ ~ COMNOII~~'~G O~. T ' ~t~w~ CwN ~~~I ~ . ~ . ~ Sq ?~~1 a O~ME~ SK.NMKAHi CONO+I~dvi~ tOwF~f CO~wWY1~a0 q M~tw IN~ rOf qY~~~ ~O ~M~N ~MM N~ ~~I~ ~ ~N wV1G?S'r-~ a vE5 ~.r~r~..o~N ~ N~ o~ ..o~ umau /M ~lN~M~MI NO o....~. ,n. , . - , fr~~~.,~,~.1 AC~iD(1i~~3A~~ 6A IrO~~u,w~,tb~1 i"' ~~KMf~ Ol YIID11IWU+lO MOW INWIY pCCYt4E0 ~ ~AhI M~IyY QI Nf~1f~ IN 1~f~ ~ O~ I~N M~ f~a t+..~,~,? ~ ; x~ toe aM M. Iod. IN/VtY AT WQIp( Il E IN •r MoW, ~~u~, f~MO. IK~On, IOCAilOM ~~~UO M~.i.1. r0., dt~ O~ ~orw. N~p ~ 1 fMCNf t~~ W W 1 OnK1 MM., ~K. I VKrt ~ ~ x1? ?d. ?ofJ. ~ CttiuKwTqH- ra.tr ~+r ?IU rown~ e~~ ~tu u» uf~ f~~r w./«t~ une eM ~ ao/o~o w~ .wr tw~ o~wtn pcev~tl0 •r K«r' /Nt11(1AM~ 'O ~ ~~M N~ 1~y tp~1 ~IIt~ WaM. IMpy~/ O~ff, u1d, ~ 1 ~rtlwW~ 1M1 ~ ~15 f~/ ~ ~ ~i(~ M r~ . )t• OIt1~?fs ~~Or ~~21D ~ ~ ?t[. ~ JIO- nO Y 71• ~ ~/J. M. 10 Mf C WI~' ' CIRTM~CAIKJN-MEOIf.AI ~IAAW+E~ OR CO~ONE~~ Or~ M~~fN W Iq wow w M~~w ; ~w~ Kc~a..~ •~wou..c~~ ew i ~¦...»..no.. a w we• .w~o~ aw r..n~w.r~, •w o~.aa.. j .w.nM n~~ wv~ ` S ~rw oCC~~~ro O~ ~N Np a~M ~M ?O ~M cavll~H ~~~b~ ' M~YA CE~tN~ f-N~Mf ~ n M iwn t Si~.?uiuf! • . : ~ ~l.owel~. E. Clark, Pi. D. . ' ` .i~t,.: L(1. ~'y o. ~i ~o~;~ s~~.,uo ~ 2~~. zP_ ~.1~n; ~ t ~ ~-20 w~N SS• - l~jI~KR t~~~u o~ ~ r o rn o~ x,.w ~taV 7~? s,~. :t~ I~. S ine II-rive Jen ~ ? ~ w„ ,vn. tre. iuR~wi. C~fMAt10M. R[MOVAI CEMLIt~r OR C~[MAICI~Y-trww~E t(X~I~OM e•~ o. w... s~.~. o~au~ Ovcv~ ~tncr.. : `°"""~••,n Crema 10 m t/ --Stuar_~.--_El~~id~____~ ~___L~ Tri-.CountY Cre~..~tor ~%,,,,,~r~ QAtf ~.p.er, w., nui /UNttAI NOME-NAMFaNO ~O~tii ~ nm o~ ~ ~.o . e~~. p~ ~orr. p.a. i~~ ~ • ~snJune ??~~7$ 25~. A ~~S~U v~i~r,.l~J~LS'~,. %iM+[e,~ rR[~TO -f/GrJ~ru~( ~ lfG~.i4M--S:f~+~lWf o~it ncu•lu n~u.~ r1G~N~~~^ ?ss. ~ , .~.r I'C ~ x., ~1~. ~ Y r!r r~e I hereby certify this to be a tr~~ and corrE~ct copy of the Local Registrar's record on file in the Martin County Health Department in Stuar. t, ~ Florida. • ~ ~ - _ t~, (Warning: Not valid unless r~ised seal of the _ Martin County Health Department is affi:ced.) . Archie McCallister, M.D. County Health Officer & Local Registrar . a~ a~ Deputy Local Registrar . . , ~ jlw ~ I 9 i91~'z~ fK,E~ ~MD ~ECiMt3f0 - ! iT. ~E COUw~r. ~l,A. ~ ~E~ ?OiTRAS tLE~~ SNtWIT COlI~T; ~ ~plt0 YERIttEO t L:,~ ~~Cf ~ ~ ~ _ _ . . y' ~ ~ w ` r _ ~ ~ _ ~~F __%.~.,M.Y„~