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HomeMy WebLinkAbout0576 ~ 4~6;~;39 Fi~ED ~.r~~ i~ECORDED ~ , _ ...,tl.~TY. . , . '76 ~~~'4~''~93 ; 03 ~ ~2 ~ c~__ H~-: ~Y _ ~ i . St~te ot Rlo~id• CERTIFICATE OF DEATH D~partment uf Health ~od R~h~bilitatin $enicea F L O A I D A ~T~T` ~o. _ : VITAL BTATIBTIG~ R(GISTRAR'• NO SGS ; TVVEWR Mlf~ ~StO-~+ .+a~ i Oa E Ot~iw ••or~.. . .f' . IN ~ERMANfNT ~ KUS a j •IACK INK un ~wM. M~W. w~K~~ w~.~r, AOE-~U~ v+p~ ~ q~~ ~~N~ ~ • M![ 01 ~MM ~~Owr. Mr, pEA1N t 6602 .K . w~»., .e... • G?it~t k x s t~t~b , . i. ~ rf~N tw~ ~~nM Al O~ O f - ~r rW w N~M~. OM fM~~~ u~ rWp ~ ' wcr. .u a w ' Fort Ff~ros Yes ~~Iawnc~ood Med~cai Centgr inc. ~ ~ ? WM ~ r rOf ~w r~~, w~N ~MNA1 COIMIN~ . IYW~IlD. ~irE~ MAtrlO. WVMO S~w .rM. ~w~ ~MM ~rr~ ~ ; tMM~ 1 ' ~ y~ ~ =wuwNern ~ ~ ~ U.s~A• q. /Q~i'46Ci O,wt'n' 1ta1t1~ F6K4~ - , , ~IM Nf~~M~ ~~Tu ~l~~iY~E~ YSW?1 OC'C1N~~idTivN .w w.a. ww M~.o •ow a RNO O~ ~tISME1S O~ w011Sfh 1 o.~~ r M•~. ~ . ~ ,.Or~tl~~62'~M»~ tx CO~I~tlBttiOlt triEe2'L CD• 4 ~:348-08-8088 ; ~ ~ES~OtNC!-Sf~ COVM7 C~. ~OMN. d tOCAt10N ~+~e ~ws s ; ~ ~WCwq~MMO ; ~..Ptor~da S`~. Lua~e ,.~rt St. Luaie ~.~1?0 7b7 ~ Lomcte Street . ~ A 1! -N~+W rMM ~ ~ r~M~ ~ uN wOTNl~-M~O~N N~M! rMU uP . i UnobtatiriabZ~ „ Unobta~nabZe ~ ~ . MA\A1G A00~lS~ Hw~t W~.~.• MO. trr o~ b~+. P~A. ~r~ i ~.Ann X~aohnsrs - 757 Lomus S't Pbrt Sctint T~cie PZorida 33450 << ( ~t~1N wn! C~usto ~t: ~tM on~r tuat at a+t /ot h~ At ~ kM t. q w~. ~«w* w M.w~ r. . i ~ - ~ ~ `~?'C~ ` ~ . ; ~ . . . C~M«}IOM~ N ~ ~~~~w ~~~1 M~~ ~ ~ . errlhu! t~~l!'N. • O.ffM+[~Ob . . ' p~tul~ 1N •M~N~ t~u+~ tpM u~t ' ~ . . ~ kl . ' ?wft • M[~ Sq t t0 h10NS. co¦w~aw corw~r?..w a N~a as wm Muw~ ro c• an~r ....n r w AYIOrf~ • rtf .u~ n.~ws cow ~ O ~ C.`~' ~ ++e~ a•a~ w~a~ Mnw...~ ww 1~ ~O W M~tw ~ II~~t~ ~~r4• H~ ~ NQM IN1W~ ~CCIMtEO 1 Nw1~ wM1 M wwb w r~M ~ O~ ~w r, w~r q~ ~ . ~ ~ ~ 10[ M 7'00. ~ M,~+~• N ~04. ~aY. f~Mff. ~KMN. iOCAf~! ~ NMq M~ t~ i+0.. [~R N?O~r. pM ~ ~ ; ~ ~~~~Y'~~`~?~"Ir' ~ . ~ ~KKI~T10/f- . Mr q,u ~ ~p..w~ ~n qu w us, f.. r.i~a .~M w. M/www'~~w wy M~M O~(WM~ ~i ww ruc~. a. w ~ iw?~Kw~~ t• r". ~if0~ f," iA } •o+~. r. wr wsr a~w~ waw. ~~OR~ ~~R. 4~f MM ~ ~ .m»w~ ' j ~ t~~ ° N(~~N~ ?W~ : ~ " U . d'~/ t+c ~ t+• t~~6: 48P ,e + ~,w"°~ui~n w~n ' ~ CE~ - M M MNf ~I • ~OM O~ M~o~ fM,w NpwOOwCN NY ~~t~w~~Or O~ ~ ~Dh Y~/M ~nt +n!lpO~~Or. ~r rr YIrO.. < rPnM Mt tl~~ ~ wpM ~ ~ N~Q Ott11~M Ow /M MA M~ ~M ~O M C~11MN~ WM ~ ~ • ? M 1[ - ~erl M nrn ~ o~ .m~ A ~+a.w, wr. qu~ RusseZt L. Cowtte, M. D. n, ` ~ i~=- i,x ~ ~o+. a~. :a~r:~~~~ ~ f /~iJQ •~'DI't p`L62~C~~~p~~ar da 334b0 ~ w.w w W~ ~fn. IM Wp~?l. UEM11t1pN. ~M~~4. tE ~11?TOfY-MAME~ lOU?T~ON t.~? o~ w.¦ s.~w ~ ~t~c~s O?CYl. rfrKr~~r yf~ ? y ~f,~~~~y~ t~~~ v,~L p . iar~110M1l1- Ntr {~[V~?R4Vi~VIL r' ~yl~µ~r V[V/~/~W NC LK4RK IIDi'Ir/1 C~~ i t ~.~ww. r•, n.~. ~ uNE~~/ MOrE~ ktMt ruv~0 ~DQt[ft fran o~ we , ~ws e~ ~o.., f..n. ~w ~ i oe~~ Ys iey • rt rce Funeral Aort~e 208 S. 4tk St Pt. Ptie e FZorida 33450 AAAl~/A 111 ~ ~f l'a~1 /(61ffu~ . ~ ' ~ ~ se. Uctober 18 2978 ~J i ~ i , 1 ; ner~by Mrt~ty th~s ro oe a trus end corr~ct oopy of ths l,oc~~ • ' - , f ~ ReQistrsr s record on fiie in the St. lucie County H~alfh p~p~~1• . ~ ` m~nf ~t Fort Pierce. flo?~da. s : - • ~ (Warning: Not va un~e:; raisad seal of the St. L,1Jtl~ ~ ' County Heal+h De,,arhnent is affixed.) - ~ . - , r ' _ ` ~ ~ ~ s.' " ~ . ' ; N. O Mil[ER, M. 0. - . ~ Cour~ty~ealth Off~cer 6 Locd i~pisilN .,a•,-, t-. ~--E ~,a ~ ~ ~ • - t : : - - ~ ~ i ~,p ; ~ ~ /O ~ { _ . ~ rl.. • ` . ) ~ U y ~t~`~' ' ~ • ~ , • DM~ Oewitv loul Reais?.,K _ , . . ~ ~6'i rr-~.:'i~t.~4;S~~ _ ~ ~ ' t) ~ . 'f,~~ . 1 ' . s'1" ~ ~~~2~~9 ~ 576 ~ } ; . ~ . . O~ LJ?UGHLIN AN~ O LAU<3HLIN. ATTORNEYS AT LAW. FORT PIERCE. FLORIDA , . ~ _ _ ~ . - - - - . Tr '4 ~ . Y . .:'.,.W% - . . ~'~v~~.`.a„=`ti 5'}'~~ . 'i.~.,~ y~~~~e'~'Y