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HomeMy WebLinkAbout0559 ` ~ . , . , 4~u62~33 ~ ~ - y,, . ~ . state or Floria. CERTIFICATE OF DEATH ~ . Dep~rtment ot Hedtb ~nd Rehabili~r~~.e 3errices 1TATE F~u r+o.. VtTAL STATiSTiCb F L O A I D A „to~s.a.R ~ ko 4 25 0!C!1?SEO-N1YW r'~~ SE~ OAi! OI OtwM • rorer, ~W ~ . TrPE OrR VRINT 1 SC118gt. ~SCBr ra00(~Y'~Ctl t.fB.lA , auiy ~8~ 1~ tERMANENT - - --------r--- BLACK INK fnCt •~ww. wsw. ••~~•cu~ w.... •(iE -~.s~ wa~ ~ n•~ wM~ MtE OI MfIN i.w~.. t0lR~tt 01 Ot~iM . . j "~'e t. 4 1917 St. Luaie 6602 ~ Nh1te . ~ ~ w ~ P • . ~,iOwN~ O`i l~ii ?i bTb~~ «w~iu• .~.~n MOSA1Al O~ O~~ tfSf - ~r w~ w~~ew~. 4M f~~1~~ ~r w+~n ~ ~fMC~t ~11 p MO ~ Ft. Pierce no 63C3 ~erson Ave. . - l/1?T! O~ MM ~ r ro~ r ~ f~. r~r1 CI ll~ OI WM1lf COtMJTlT ~ MAtNFD. ?1EY[l MAlb[O SUltlWfK S~OUS! ~ A~~. OMM YNM M~W ~ ~ Yorsont ~ U.S.A. 'M1D~"a'~~"e~o~°«•.~ l~~__Cecile Morin ..~nMU~n~ - - _ o..., soeuu ur,m. wwa uw.~ ocev?.ua+ ~ wa w.w. .o...M~w .w+ a ~r+o a ws.+ess w«+ous». . 009-07-l142 ,y""°~~rii~~y 4~,iard ' ~~Genoral ~lectria ~rp~M~. OM ~ NYNK~NMM ~ ~ •~.nsw ~[S~OfHCI-S~~~E COIM~tt Cirr,rOwN.0~10C/U10~+ r~wvcn.wn S/~Ett AN~6 rwtWEf---~-- ~ Florida St. Lucie ,MFC. Pierce ~~N `"tio• "o ~w6303 ~?erson Avo. IAiI~~--NMd np~ ~Mq ~tlf M01l~~-M~D[NNUIr nM+ ~~N~ ~s~+ - Burnia Coodrich Rose ~ Ma~llnard 1lMOWY1t-NAMt MAIMG w00~ESi ~ ~vMn a~..• .~o . cw. a ro~.., ~uw. ~r~ ~ „~M~ca. Cecile Goodrich 6303 ~exson Ave... F`t. Pierce, Fla. 331+5~ . . ~n ot~m wws twsto ~r: ~ne~ dwr oaE u?use ~~+t ~d wi ~f. +?~'~l' kN N1~1lM ONNI ~N N~nI M ~ G ARn~J~c l9 RRrs ~ tO~M~Orf, N ~~w, ~wKM ~~~f ~U! M ~ ~rNM~tt (~~f~ N~. M~O. M_~~~ ~OMMOMKf O~ . - {/~tIM~ ~11~ rWN ta,N ta~N ~~N ~f~~?'T~~insc~Ff~~ric- N:=.aR~t n/Sf,~SF_----- ?~RI ¦ OT?R~ S16?M~K~uit Cd/~ID~/t~p/~K~y~ /co.~n~o-.t ~o.~MN~w w `«w•s ~~-y-~~p-~-- ~'o_c.ry ognr~ •u~ . ^ /U/IO~Sr 4 vtS .~n ..r~.ro~ ca+ j. ~ /7/.~'/ ~~/`y //!-~!f!1! G-~~t~ls~.= . / •~~C/Jf) !!h /~A~ ~F~/Lr~IC~'n~o+re~ MMiiw Mw~...wol~~M 1iILC~~___1_4!fl1_L~!':: _~CL'ts,.i/~i~_ no ~w P~ KC~NI-;uK-f8f d~ ~ 1~ i.•, N•~~ N, NpM INIU~T ~cCU ~••n~ ...M~ w~...e~ w..~~ ~ e~ • w w, iw. i w,.~. u. voh~ ~ ~-f !"/.N/i r~ 7 ~uN ~`NO t~~i1u.N%' •~fi~l~ :7 -,y r1- 7 1 1y/ q''c~ ~'~LY~Iv L - ~ • - IN~M? A1 w04t M a~or. rut „wn. ~.cwn. ~OCA110N ~ ~~nnr o~ ~ r• •.o . c... w ro.r. M.w . _ . ~ WCwr wf M r0~ . O»K~ ~UO .~K ~ ~n ~ ~ w v~r,~ ~C~ - EM~RS -r , r'r~~r~ ~ . CERf~KAT~QI- ~OM~f M~ HY ~~M ~ Ns r~Y uA u~r y~~ wrl.N MM OM ~ M/M ~+Or A+ w~ Ol~tM OCCIN~tO!•~ wN hK~. Ow M ~ nnsK•.M: ~o ~ .o... w,. ~a.. ,.w., MN~tv s~w. w. w r «s~ ~~11'(MN~ NM O~ N fWw~OG. M tM Nu.w no. - 1q f1~ 1N I I tb M~o ~r c.rwa~ ~~~n~. CNTiIKA1~ON-iiEOKM li~dONE a. •w urs or w~ ~ow d w... trM NCfMM ~q NOrWKf~ NN ~......no- w....o......o..m ...~...n.~o... e...~o... t,~,A,J11 rO'~ .2. ,oy. p M~w On M~ww wr n~ f • ~ . i*!- ~ !_f'=-----~~ 4j~~ _ ~ m--~-__ V ~ 7 ~'~f"-'- nR1ifK\-WN1f ~t~M d ~+q ~S~+~TIMf Mw~~ d .mi bATt ~SK,N[O ~.r~.+w., wr ~ n. R.C. Inigues M.D. Asso. N.&. l,,, .~-:=C=~'~~_, L~ --~~~~~*~j"-~ ~~r rWMC AOORE35-tEtt~IR~ oa i i• ..o c.n ~ i+ ,r ta N h St. Ft. Pie~e F~a. ~U~ut. C~EM~?t~0a. ~E~w~ WEtNr O~ C~tM~tO~t~-rurt LOC~?~ON c•n w~o.» sr.n ~ ( ~ ) Flarida H.~ Re~val GreenWOOd Cemetery Orlando Oran e.Co. oi?~i--------;:~.~.,:::•;~~••~ ?unEr~u Mo.~-w?w.?+o ~oarss o.,.. MO. CM/ M/O~M~ 1~~M. I~II Port St. I,uCie p.~r~ S ed H V.S. ~814 ~11l~~M __~-~.l~~ ~ ~ 4EG~Si rye~ O~~i ~tCfwfD ~s ~OCM u AFr.~1/76 ~ ~ UlY ZZ ~ i9~ c~~cr pt17 ZECOP•DEO • _ U':T`'._FLN~. _ . ~ ~ L 3 I As~+eby asrtity thk fo bs • true snd oo?rect copy aF the l,ocai Regiihar~ recwd on file in Ihe St. lucis County Heshh QepaA- +'~8 O~~ 5 p'1 Z•~~~x.. m~nf ~t Fort Piercs, Fbrida. ~ ~ (Warning: Not valid unless reiscd seal of the Sf. L~ci~ 9'' ~ +Counly Health Dspa~~meM i~ affFxed.) . -a~G~:s : • r ~ r `~.`Y. n R' ....i; / L~~ . r . , N. D. MILLER, M. D. ~ r.~ - County N alth Officer 6 local Reg~srrsr - ~ ~ ' ~ T 1' s r ~ _ O~A ~+,,u_ . ` , F - ~W,1 lV~.~~ R~~NN~/ i~~s : ~ goax 29.9 559 . ~ ~ _ _ b ~ ' ~ - ~ . ~?~'-1~~~-~~'~z-: _ #