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HomeMy WebLinkAbout0745 . ~ . 4~U1~3 ~ ; DEATH CERTIFICATE . Re: Thomas Newell West ' titate o( HluriQa CERTiF1CAT~ Ot= ~FA'i N ; IMputmei~t ut Nealth and Rchsbilit~tire Ser~icwR e~w:r n~c ?~o ~ VITAL l'3'CAT13TiC8 F L O R I v R ~ ~ - wr~;~srr+~n s ~.u ~ F 1 YPE Oii Pfi1NT OlCEw5~0-Niuwt .roe.~ ~Sti ~Oi~f U~ t~~n~ e: .r.•. IN ~ i''tR.IAANENT ~ " ~~~t,---- ---~~~'i,~~-----= l~ _Mc11~ ---~~..1~~].CC~I._~.i~_I278_ ' t RLACK INK UC( ti'n. MIOW. ~+1~K~M tM~aV. AOE- ~~~1 w~f~ 1~~~~ V~of~ ~ N• CAI/ ~l/ ~~~M ~r(M~r, ~L(X)N/T (~f (I(AIN ~ ~K ~ MWC.1~ r*.~' ~ 4~M~• 4~~' r0f M.f t~ wQWf r~1 ~•t•~ ~ o ; ` ' p , l ~O Qn ~j c-~~~}~y. Tl y~ p ~lll~4 ~ 1~lY~C_~~~. l2SYMfh_+f~lV~1~~__~_.~__-.. ~/`l~I~ CI'TV, tOwM. W 1~ATI~N~TjT~ATM w~.p~ frn aw~~t N~ShIAf a O~N~~ NSIIIUtIQN--NAY~ ~M .nl :v /~~1~. ~.•A ~~~1~• ~+s ww~1~ ~ ~ ~ V~[4~ ~Il W MU ' c' ~ Fbrt Pierc.-e __t,._Yes iX~tt - L.~wt~~r.~r_~d [!rf:dZC~~l Ce1~te1 Sriut d ~utn ~....o~ . ~ . , •:i(Giiltei d wnar etwNr~r' - t+~wun0. ?.ena MA~b/O. ~SWVIY~ S/'7USI .•n. ..r......w ~ - _ tow•„ r~ 1 uv~DOwtO. D~tCtD . vat w.. ~ i . cn~..~ii ~ CiCaO ].t1 - ~ - _ . _ i~~ r43i~'1C-~J ~t~ Mildre:ci l~~G•?~2f~ i .~•~o ~r ~~~w~ SOCf/~l S[C'1N~M1M~E~ USU~I OCCU?~T~Q?~ •e~rr ~«e a• .e~. ww• ?u~••.a o. ~~p/0 M MK»MSS C~ e.DU)~~r u~~~C r 10r~O ~~N. I~~•~ Y~I4~10 ~ ~ f . r,~v~nr~, 6M ' 4 .~;...».~N.o« 2~4-iZ3-22~ti _ ~}-------e~c.~coi:ntat:t--- ?+.~_~;~,,,nti.•xY tE3~OfN((-S~Af~ 7COUNl• `(A?. iO~.O~ ICKAl1~jN ~ ~ ' ~ •"~b~ ~~rws S~s{11 •rN~ ~~1!wl~f 1n..~. m ~.n.i . ~a •ZO ~C~ ~~q ~~a 'n~m Y!.~_.i'_~~.~Z~~I~1l1iY.:'. l:J~Ys~.. lA11~~ -NAM( hN1 rroal a•a YUf~~li`4VA~f~~r~u.Y n~~ ...en1 ~.a• ~ ~ 'f ~l ~+t:: t r+.~~.,,:~ ;I~;.ii.ll 4 n~ ~ ~ e . o~ . ~wwMAWt_n~Mf {~.n,air.~ ~~K•.rsa . . , ~ ~ . , , . ' ~n 0'7 t_.r'~ i~ ` j. Yt. I'~C'Li:;~ ::'i ~ i~~~4) ; , . . . ru~ 1 DEAM W11f CAUSlO ~1 (lHffl OrAI CY4 1~U11 ~v~1 ~•M i•~~. ~ei ..r c.r ~ ~ ------------r~'7i i~a'Ti ~irw` c.... _ M ~ . Arteriosclr.rotic he~z•i: d:^~«:;c 'r~,,~,•; ~ ~ wna:~rre~a~sa~,a?------ - - - - - £ j „ cowemow~. ~...n, - ~ ''i .r~~w o~tt •Hl ~o (~l ~ - ~ ! ~rr~~~~r~ t~Yf~ _ . _ . ' ' . _ ~ - . •uuNO tw~ 1rM~d. ~O~ ~ COwN~Mwt~ M. i ~t~ws (~~N \~~1 ' . . • ~t) . . ' ?AfT tl OTNt~ SIGMMICANT 1 no..f eo+w~a. _ . . - . w. _ _ . '~V~~tsSt ~ N e f.•_.• . CONd 10HS- to-~w «c M aaw. ~ur .qr ui.~~o ~o u.i~ c..r« 'I~ ~..~~.i...... ~ v~•r~.~ ?.u~r..,a-. v~. , I .Diabetes ifel-litus i ~.::s-i1~i ii~~i~t~+i'fu,t:be ~f" bi?i~ii~~.a.~.. ~?...uu ~~+&w - -*NOw lN1V1Y t~ctwrio . . j ~+Y~Kt6f~ M IRO~1fMwt0~ . ~ • , ~ ~ ~ iM ~)R Milif ' ~ . IN/Wr Ai M~OfR ~~UC! Of al1U~~ ~r ~0+1, ~u~, f~Ml~, ~K~d~, ~ IOCADON ~ ?nm o~ ~ ~ e ~o . r.r. r _ ' _ - ~~Mt~n ns M+o. ~o~~(~ MM .~K ~vKN~ ~ ~ " t:.~~ r ~ 1~~ IM '7~9 CfRtN~CwT~OH-- ~w~w N• •w ~ .a.w. .r ..v s~~ ~.r~ .~rn a. . e.io.o ~Yr wh~ LHfM O(f VN/U .-e . ' IM1~KI~N: ~ ~1'•'~ Y~~ AY ~p~ ~+r~~MS^~ I~ .y •~r 3 ~ , g/14/74 ~0 3~3~/7f> ' . 3/1]~ /7f3 , ~ ~ 3, M o.,:.•.~ . ' 7 • aK~~wO r~or ~ ~ s ' r o~ .~~roa.. '~~w . i _ - - ---i,----- - ~ lot jrHt~ ~.....r~._~a~..:...,~ _ C[~tv~(~t~O?r-MfOKwi lauw?+!~ O! CO~a?+I~ Or r~N ~~f.f W h" ' ~+lw~ Or M~rw •±i M%~r~: .:%.:.:.:.;~ie n±:e - - _ ~ 7~•.~..~~Ow M ~M Yf~• ~~+OfM M.r~ftr~.OM. r~ dw~M.. ! .M..n. w•. n.• ' e~•n. otCU~M~ b~ 1a ~~q ~.N ~M b sM 4~1t~l~ 4r~ti• ' " t~ _ 313.z/7j- t:.-,~- , s Cfftuy~--N~IME .nre o~ ri.w.-i ~ . . µ +SK.?i~TIY[ ey !C~II c.~.r.p~~. ..e, Bernard D.Ross M D 'ra - . ; . ~ ~V'i', _1__.l. - ' ' ` ' - ~ ~ . MAM ESS- Ff7~I1fI {I~I~•M• n ~M .)~r. _ " `I ~w ~~~°~°~~:.~rima yi5ta Blvd. Pt, ,i; - -=.=~5` t.Mi~l. C~[w1T10N. ~E~rOvR1 C[MfiQ1 O? C~E?utOtr - r+wwf ~...~•~~•~u_w~ , , ..r , ~ ~ r~cn.. ~ . Burial _+t~.Hillcrest ;~E~nrial. ~ . . : ~ , _ . - ' _ n~~ _ . , . ~ ~ 'l.0['~'1~. E . - i p~~w. e.~. .e.~ iUMLRA~ HOME- •:AMf ut0 Anp~, . . . . . ~ ~ c}~s~~'+riI 3 1978----~'~. Ya FS_ 'L`}.E'..rciL<: ;_:.1~:..1:1_Z~ _~~r.._~'~Z:.:.:, ~:t~~;t_ V.S. 7~612 ~V~ER~! D~tECTpf;-~~~1yff c[G~Strn~ . . . . , . R.rv.7/76 ty~ t.J'~tf'~' ~ t - •ri~~t'1.3 .ti. •i'~~h• . ~ILED A~lD R~CO~OED . . L' 1C+c ,'?l1~iTY. ~Lr. ; ~ . ,e~~ 1rCa:=;F;,, i -._~..~4~Q~93 ~~erooy oer~ity thls to be e true end corroct copy og it~ ~r,~_;,, t~ 09 ' Rc~istra~s rc~cord cx~ f~le ~n the St_ Lucie County Hee{tt~~,»~~~,1 g P~ t m~ni et Fort P~erce, f~or~da. ~ (Werning: Not val~d unloss ra~ced seal of the St. luci• - . - Gounty Hea~th Uepertn;ent afrixed.) - _ ; - - ~ ~ J~M,~,.~~ 5~~~. . . CL~ " , GO.; N. D. MI ER, M. D. , County al~i~ Officer a Loca{ Ke-.;~•.~~ei . .3 ~ ,~j~ ~ . 0+~ Decwtr t«et aea~~~•~. BOU!c J~1 ~'hrE / ~ - ~ i A~ ~ ~ ~:~~.,~w.~.~ . . ; . _