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HomeMy WebLinkAbout0495 ~;zs13~ Re: Lots 16 and 17, Block 1, FLORENCE M. HATCHER SUBDIVISION, as per plat thereof on file in Plat Book 10 at Paqe 7, Public Records of St. Lucie County, Florida, being a subdivision of the E 1/2 of the W 1/2 of the SE 1/4 of the NW 1/4 of Section 29, Township 35 South, Range 40 East. and Lots 1 and 3, OLSON'S SUBDIVISION, as per plat thereof on file in Plat Soo)c 8 at Page 59, Public Records of St. Lucie County, Florida. PROOF OF DEATH CERTIFICATE OF DEATH Ikp.arl«d I kwh6 .t/d ttrt•a{rEliuEl.e ~,t•k?. EtTAT! FILK NO. _ ~p.~ FLORIDlL pCO1f.TRAR•5 No 513 lr?E, O! ?RtNt IN ?IRMANENT INK DKEASED-NAME 'rft' rrNaf Ir11t SER DAZE Or OE ATN r wo«Iw, O. •t•f' SEE lYIfaE00t TOR ~ ElsrEllEtwls Olive A. Schneelock TFemale t October 13 RACE rrrn. •'foq• •NUC•« r•yv«, AGE-a•ft u«olf 1 ry•R Y»tf 1 M. ~:TE a !1lIN rrP,lw, t1.t, COIN+Ir OE OEATN _ 6602 fK ,fRfcrrl Whlte wa~6U t..fl ~ .a. TOLL.. ~ EAu 26 1916 f. St. Lucia ~1tT, TOYVN, O! LOCATION Or OEA N rfrW cr" Illlrf NOSIItAI OR OME! NSt1TYT - 1r •10, w utwf., O,tf HNYt A» walrNtf / - fnw• of w Ilo ~ Ft. Pierce Y_es T. Ft. Pierce Memorial Hospital - STATE Or MRM r r «ol Ir.f w•N CInZEN O• YYt1AT COUt(iRY ~MARlIED; NEvE¦ MARlIEO, SutvlvNG BLOUSE ~n o^'E r.r.Rw ww 1 cowtf~ r WDOwED, O 1 fNCrt 1 ' U.S.A. t• Marc _ II. Lawrence G. Sctuteelock uwAa Nflw«ce E Fhnt, Mlch • / -----tee I.no. r RR•wr SOCIAL SECUbTY NUWER USUAL OCCWATION Lan a wORa .Owf IIMMq roar a ~RRHD d ftU1«ESS OR M01(S OCCYftlf M rpRarp arR, pf« r fEn.1R 1 ' •nry*'~• 385-07-6774 tt. FY_ uit Packirxt Iw Retired tlfrof.lce NNNf rrfrN er. aru4 STREET 11LED NYMRf! •wfsnw. lESWENCE-STAtt COUNTT CITY, TOvrN, Ot EOCATIOM 1 fncrt to M ,b Florida tll? St. Lucie 14 Ft. Pierce ~ lu No tE. 2 2 St. ci rAt11ER-NAME tlgt rOOaf Mfr MOTNE!-MAIDEN NAME /rf' r'Retf 1AU tt Jet~se Deli „ Ma . Britten 1NlORMANi-NAME MA?tNG ADOMSS /ftNlt a R. t.• 1,0. tat OR •Qr•'. flan, trl T_........,.-„ ~ ~,.....,,,,~..,.v _ ~n2 ~t_ Tncie Ave. Ft. Pierce, Fla. 33450 Ih Aflra GaA.,G v• w•••w..~.aw. - Ar?qurrln r«n.. ?w!T r. OfA1M WAS CAUSED RT: (ENTER ONLY ONE CAUSE IE! ENE r0! (rL AL AND (cp unNw Q,Iffl .f •1. i N Ir..fw UIIN _ i , col...nowf, r, ..n, f7GG'f~ i•'l'/-/v1 ~'/.~/')il / /-Cf~~h~~/9 flNt) <<~YG<ST/C - rwlCw O••t bff q f (fit _ ItlrlMAtt C•Yff 1.1. \t` ~~E t0. O. . CO«SfOYI«Ct M: ft•nre t¦f rrR•R• _ ' ?nro cArN uft ~ - , l ~ L`(- S%LV - E.t j'~GBAr~Gs/ G.- /t UC:s:-: ((/N ~C/G•rLl / f~/1 D///! ~!X/G 1 AUTOIST M YES rfff n«.rw~f co,. j _ ?A!T ¦ OTNE! S16,fVICIWi CO,IOITIONS- carPtlpwf torrwrlrwo p N.tw fN rrOt Nun. ro CwN o,w« w ,ut 1 /M 1 ttf w01 yN ftR rw MfRrwwo urf, W N•tr 't/~ Itr / ~ Iw i V ACdO(t~T. L/1~13E A .rprtr, M•. tf/R/ (!I MOW INJUlY OCCURt D rfw,tf ,YN W IWYN Iw r•.t 1 Of ,•U n, Mr If r- f ! pR 1,fIGETEttMtNED vl% ~s Fi~L'%'o v~~~D ~r Nt~~yY~v/> ~j-~~~c j ~ ~'"~~!(f51 f1c:t FDr~' ,w -7 ~a M. i« ' - ~ : - v . INIVRT AT WORR Or IaAAY a «or. ,.u.. s.rt., c.cw.•. EOCATIO/N~ 1 fnca oj. «ro . an w/~q.r. s+.n 1 L iY/~I'rfl j~/~-L 1 ...cl.. n ~M r01 ~ Kf fa.D I f ~ 1 ~ • >ti .:2 C-' ~ S I~ 4(~ L L ' - /~i/- ~ cE' ~G F CElTtrKATgN- ror.lw nu .o«+r •f•. w uft far w~ira ur•f o./ 1 .+/w wt .nr wrf •+•wtw oeucwfeo u w ,vc,, o« ,wt wrOr,tr M. tfY f0.• .•N. M•M rrp.f l . % s ~ Mn, A», b ,M Nf' ,MY•KIAM: TO ~ M rt •,•D•ItOG' twt •nf»n hn „f _ 'tt, ,II tN M w tw uwNUl s,•n lr CERI'p1G1T10H-MEDKwI ERA I~aER CtR CORONER- o•' nr usrf a «r .oY. o• I~K/~ s _ twe Ncla.r r.f f. wu n ~ ranll •t.. rlpY. t.,r...tro.r a hr ,o...»,D. Yr Y..tf,r6.,ror...« ,.w.ro«. 7E ea,w ae~f!~a 0". N•n n• e/~Y~e sr a~ivf ~/it/ ~ iZ C ? ~ M ~m L~ ~ j ttf _~L l~r -/_!7 G/la-I/-_,- r ~lf- • ; SIGNAIURE awls o. n~,. T3E SK.NED r•~o•'•••, o••, •y1 CERTIiIE¦-t+AME Inrf of •fwrn _ , ~ MAK ADMtE ,-SERI/1(f ~ - -y,nn • o,~..o crn fr•n :r 7T.~ ~ - -ntr~R~ . nom- ~'~~r: r.~ .3~ rc crn a to.•» fun ! WRtAI. ClEMAitON, RE MOYAI EMETERY OR CREMATORY-NAME ~EC>CAnON ~ i { _ ~ ~fl West Palm Beach Florida ~ ,w Cremation ~,.f?~ecron Cranatory__-- - DATE Ir0'•rw, O••, t•.r FUNERAL NOfff-NAME ANO ADDR(SS frNl, o. f, o r•O. crn M ,Or.r,, f •rf. t'~' Fla.. 33450 ,M 16, 1__976 _ ,Baird F1lneral fioErle 901 N. 7th St. Ft. Pierce, t Y, 5..612 r RAl KIOR~~°°SICdUTU R((i1STRAR-r S,G?u luRE DwtE Rt~f ry~,y yp~~y tlGISTUR I Rlr. 1910 ,t? /~-li.~/L l• !1' tw le/ 1S/ rb t Hereby certify this to be a true and correct copy ofi the locs~ Registrar s record on fife in the St. Lucie County Health DepaEt- ment at Fort Pierce. Florida. .LcG ':COR~EO (Warning: Not valid unless raised seal of the St. Ludo _ - . _ , i • _ County HeaUh Department is affixed.) . • N. 0. MfILER, M. D• '~3 ~C~ ~Q PM 3.50 County Health Officer Et local Registra ' Da1tt? Deputy local RIHa' Ter % i 1 r~• ~ ' r ~ ~ . r. : t E S ,sr _ ,I+• . .•„in•