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HomeMy WebLinkAbout0645 . ~S-1`13~1 ~;~~564 ~ . ~ • •r~Ta ~o~we o~ N~TM CERTIFICATE OF DEATH • • ~v~iwv or rn~ f?Aflf~10! fTATt ~~~i No. ~•a•~ FLORtDlI ' •D~w ~ wC T111111'• NO. . . /f~~~f l! 1 ItAt~ ~I NATM GODt NO. t- Y~Y~I AtN~[Nt~ (fM~M~r~Mr/ l/w'.1.1w~ f~M~.rK~~N+ww) ~ •~Hrt~~ ~~n • fi~i[ COYMTt • ' ~ .,~i Saint LuCie (~,(D _p~j Flori.d~ Saint f_i~c~c .~.e.• u~•r• t~n.~o~w.w~nutoM K r?.c[ o~ x.~~ e. c~~•. ror¦.o~ ~oc~ro¦ f ~f ~tS~M~C! ' ~Ort PiQrce ~s'K t ~~TSr j~01 t Pierce ~s~a u~r u..~~s+ 111~. ~ ~ts(~_~D~r. . r~rt M (~~M M~MMr, M~+~/rN1 NMwI s,ucr .owcss ~ 415 Po lar Avc~. ~.sr„v.a~ Ft. Pierce Nemori~l Ftospita P ~ M~Mt M NIMh Lul ~ C~T[ NMM IL~ Yt~• . . euu. Solma 1_eno:~ 1 z:iont 1~ 1:/ 1 ~vu • M r~~ a~tr . ar~ or u~tN ~at 1. rer~ + u~aR ~.w ~n«, .+s u¦ OOIO~ O~ Mtt ra~~K~ r[vt~ ru~KO ~~~Ip~~1 M.r. o... w.... r:.. - ~ ~ ~ { ~ Female ~~i~1tE ~~~e aw~cco 10/S/1901 f~ ; ~~a~•t~ ~ uw.~acu~~ro.~ow~~d w a~.oorw~Mcuwr~abt~r n~~~TMhK[(SWMMf~tMM11 cmn¦a.~+.roa,~.~,~ .:::.i~~ Ci~n~~ . era~br y~ I-a ies Ready I1]inois nited States ?l~t~ /w\ • ~ 1 rOTrH11'! MAIp(M IUYI ' . " i:. D. l:unter Virqinia if~y Williar.~so~l ~ i~u~f wHn ~o s~sw~ ~~a w~r... ~ ~7LG'"A Floyd A. L~;~:ont 415 ?o, lar Ave., rt. Pierce~ ~ /~w~r~l 1~ NrH ~1 N~TN (IC~M Mf/ Nf IMM ~ 1~1. Isl ~ >.j ^ utUr?L ~~~~r[ts ~ K~ ~ ~ ~ • e r N~t ~ ~t~tr ~as t~Y1t~ ~R • • orstt ~w a~rM rertwR bMrR H) _ ? ( . ~ •~~l t1~• - ' . . t?• t~r- ut/e•l. b./k4p.Mti . ~ ~1R f~ Nl ; ~ t~• ~Lr~ /w ~Yr ~ - 1••• 1 rw~ tssM ~~1. ~ •~~I~vv ~~1~y n ~e bM. FI[ TO tN , I ~ • f t~ ~ w ~ u M Mw~ nsr cw+rwnw a Ourw wn ~n Run~ » nt n~rrra aw?x cw~ Ma n wr yU w~s auTOnT , w~r~• •f- F . ItlHpwr[pr . ' t~? ~ /[f~ b~ ~~t~r• ~ ~ uft~r~wowww~~oee~~~ue Ia~u..a.evrM~.{..IMM rIw MYe.u.~ ~ •~t~~~ f KtNt~t f11KMt MOrKrOt ~ ~ ~ i ~ ~ w •f / Twl O? Mr . 1'M~ i .l MlY~1 " ~ ~ ~ ~ ~ 20/ MUYN OCCYMKO . hACt OI NNM (t I~. b M/~N/ Mflt. ~ tfTt. tOOI O~ LOC~)O~ COV~TI ST~Tt . . rw~lf ~f Q 110T ~R~ ~ M~. MN~~. Mrni. Mt~ YN.. At.l ~ 1 . 11011R ~t wO~R ' , i ll f UNM~ d~w~ ' . fe •n/ luf wr~ ~~Iis~ ~n - , . O~~IA ~eer~ •I 1!~![S[_a ~~w /A~ IN~ ~bNd ~M.~: ~wd f~ fM Nar d w) ine~Nlp. hem ~A~ c~u•~~ ~bt•r v ' ~ •tt ~t~a• W N~IY~YII ~ r ~t2~ ~ooass . 1@@ tt~ wrtsw~.co . t• ~ 1 ~ . Mel i' kowsk M D ~ Fort Pierce, Fla 1/20 68 ~ ~ ~ ~ ts~ w~.a.wrar~ea MR Z]t w~Mt 0/ C(r~i(IIt W1 t~(r~TW? ~I IOCAf~OU 1CY/./M1~. Y tqY~1 tsrri ; ir.wr ~ SM~ ~ - + Cre:~a~~. ' 1/21 Gt3 : i.. Pierce Cre~atory Ft. Pierce Tlor~da ~ ; , i~ ~ . ZS MTt ~[C0. IOCK RL~. . KNfT\A~ t f TY . r ! te era~ ?.o~ . . ; ~ . ~ F~. ierce~ ~•lori~ / - 2-J- i ~ - - - - - . _ _ . ~ t~y 2 4 02 PM'7$ ` ~ ' ~ FILEO RECGADEO ~ ~ :T. UC+E COUNtY.fL~. ~ ~06ER POfiRAS nar~by CRr1~ty ihK to ae a rrus end co?r~ct mpy of the Lot~i CLERK C1RCU~T CAURT ~ . ~ Reg~slrer's re~ord o~ ~;;e rhe 5+. lutie County HNlth D~p~A- RECORD VERIFIEO " _ s ' . a rr~nt ~t Fort P~e•re fi~.~~ia. _ i ' ~ (YVirning: Not v•~ f u~'c r. ro~a~•J seal of the 51. luCl~ ~ - ~ COUMy ~ea~!h ne .,rt.<,ent ~t affixed.) Q•~?~~ A ' - r~ `3 ~ N. D Mill~R, M_ D. r (,o~nry ?+eaith OfF~c~r 6 Loc~l Rpisir~r ~ . , ~ ~:r, . - _ ~ i - ' t' ' ~ C ~Z~~ , ~ ~ i~c t.t., c. r' . , c,f _ ~ Y< " , - pN~ OerwW Local R~aise?~r ~ ~ ~ 3 + t i ~ ~ ! _ . I ;r . ~ ~ ~ ~ ~ BOLR~J7 PA6E _ - _ ~~~1 _ _ _ _ . : Y~