HomeMy WebLinkAbout0348 4 2 8042 4' .
SS~ATS OF FRANZ A. SJOSTROM, DECEASED ~
Lot 6, Block 13, of RIVER PARK SUBDIVISION, UNIT TWO, a subdivision
according to the plat thereof recorded in Plat Book 10, page 72, of
the public records of St. Lucie County, Florida.
rn~ gent was prepared ~r
Chester B. Griffin ,124-A No. 2nd Stl
Fort f'ler~o~ Fa.
CERTIFICATE OF DEATH
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IN\1c11\\tM Ip.\1111 FLORIDJI
1•?t, 0E ruN1 IN '\"•""'•"A•°'°' ~ REOIEiTRAIE'f No. 441 ~
IERMANENT INK r+..t SER OA E Or DEA1H 1
SIl NWIOOE NM . DECEASED-NAM( t•tf . rOrtr, e••, nu 1
sn.ctlae , Alf : , Sept~[tlber 1, 1976
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Ft. Pierce Yes N Ft. Pierce Menn_
rial Eiospital
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SIA1E Oi RMtN . r rot 1r v s r•rt CIt11EN Or WHAT CouNriT MARRRD, NEVER MARSIEO, SIIRtl1VNG SrOUSE rr .w, 01•R wrtr wrtt 1 (
Sweden `a••'"t U.S.A. W1O°W`~r°""a"~tta(ra N Lillian Rowland
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INIORMANI-NAME - MAR,WG ADORE SS 1/rrtt w. ra. ro. cr. a to«. u•w. t+1 f
tta Mrs. Lillian Sjostrom 613 Willow Avle., Pt. St. Iucie Fla. 33452
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MAIWG ADORE SS-C(RIrxR i+u1~
w i r o~-~--~•^ « yAR M
2400 S. Ocean Dr. '
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Cranation 1t+? Ft . Pierce Crc3?latorit.un _ _ F't' - _ vi
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T« tetnber 5, 197.6 Yates Funeral bane, Inc. P.O.Box 777 Ft. Pierce Fla.
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v. 5.8619 ruNERA? FG1p- ~ 1uRr~ aGISICA.. rG++Aiwrf ~ j J ~ oAre nc~+taweo .•~toTe~u,~.N, GISruR
Rer.19TD ~ l ..Z•C f ~T f. 7M i yiL~L~.t/ L1 ~ J.s:.~G~.1 ~~V ~ 7G tGILLJGl 3 1776
~ Hereby certify this to be a true and correct copy of the local ; J. :~`LO.tD~Q
2egistrar's record on file in the $t. Lucie County tfttafth Deaart- ,
ment at Fort Pierce, Florida. ` ~ ~ ~ ~ ^ " r '
(Warning: Not valid unless raised seal of the St. lucio
Count Health De lartment is affixed.
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f! "C 2 Q f~lt~l 9 ,+3 ~ ,_sr, 4,~ .>s
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N. D. MtIIER, M. D. ~ 1
County Health Officer d1 local REtgistrar ~
~
fJaN Deputy local RETai~Frer - f -
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NCILL ORI/rIN J[riRlls i LLOYD
CHARTERED ~ ~~O ~r~
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P O BOX 1270. FORT PIERCE- iIORIDA 33450 -TELEPHONE (305) 464-8200