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HomeMy WebLinkAbout0757 4~zQ2 ~ ~~t,~ln~ . ~~1 il~~d1111:11N11~~I~i~1~u11:111~~•.~~~1~H.~. t1A1~ ~tl! ri~.f . - VI'I'AG STA•risr~cs F L O R I D!l p~A~g?pAR f?+o . OtCtw3t0-NAIMf •~r.• rra~ un kt OA?t O~ Ol~IN ~ YONIM~ .w ~ ',`t ~IN PHINT 1 r~E W~ ppYD ~ Fut~alt3 ~ M~.~ch 30~ 1978 'c~r RMANENT - - F1lACK INK uCE wlc~o. a.~~~t~r ~w~~w, AG!-~~f~ Tu.w~~ v.w~~ . s~.~~M1E O~ N~tM ~'w"^'. cou.+nr a a.~H I~t 1 N~CMt 1 ~1~A1~~\ 1~1~~~1 r0! M\f MOY~~ 1 ~M 1 ~ ~ ~ White • 6~ y - --I----1~ 11f~ri1 26, 1917 Martin Ctir. 1pWN. O! IOCA/iON~~1N ~ty1 t~ ~rN~ NOSh1Al O~ OTNlI NSllly~ ~M Mo~ w UpN~. GM PMI~ ~M ~WN 1 ~ . M~(N~ ~U M MO w StLk"1L'~ Y@3 r~ Mar~ll MHYIDrlA~ HOSpl~ll . " • ~ S1AlE W W~M ~ r wo~ M+ w~~~ CIfIZEH p W/ut C01lNt~11 Mu~~ttD. N[v[t MA~l~lO SUWIVNG 11'OUSt ~w +^q. ~w/ r+ww n'uy ~ ~ w~00Wt0, 01vOKtO ~ wtn ~ ~~~w.K~ ~ r1~ily~aTlC~ ~ V..~ N----~~~~.~~ _ Qk-jrles E~ _ .,.~.r e~cnue Sp~lAl S(CVaTY ?+Vi~E~~ uSilAt OCCtN'wt~0i~ ~w:i iw~ w«o~~ w»~ wN«o rw~ er Rw0 ~ M1SM+lSS OR MIDUitll~ . ~ a~n. ~~~.o~uo~w ~O~w0~M1.MwrNn~~e~ ~ t . ...~t~iu~.M, O~+t 1 L '~i fL~,~ ~ Q ~ l/Y~71 • 11~ ~r•.rrw~~110N ~~__~J:~_~V_~YY~_~.~ 1~ IM+~~{Af~.le ' _ . _ . ~ESW[aCt-St~tt COUNT~ Ci~r, 10~. O~ tOC~IW?~ ~w~im ~.uii Siitll /??M iN?MIli i - i ~wcw..~?w.~o ,w ,q P~ort St. I~cie Yes ~a 1998 StuLShine Avr_nuc? /AIMt-NA~M[ nu~ rywl ~~ti~ MOTMt~.-.MMOfN N4MI ~wU . rron~ . ~,s Winterl' Madelin timavail~-~blc~) . INl011MtANt-NAM[ , MAI?MiG wUORISS ~sn~~~ o~ ~ wo. tm o~ w+i+. ~~~w. ~r~ ~ ~n 1498 Sunshine Av~e. , Pt. St. I~ucie, I'1 33452 • ~Nl~~+~i 1~11~ 1. OEA111 WAS CAUStD ~11~ {t?+rlt Owtr W~[ (euN ?t~ t~+[ ~O~ h)~ t~L ~ h11 ~~n.~a. e..~~~ w w N~ ~ " S/(le ~Gt~ !L F-;;--- G~~. ! . M •W~ ~ COM~If1OM1, N . ~/NICY ON~ ~If~ ~O - - ~rr~~ut~ C~YN ~N, M~O. M• • CONNOMrC~ p~ ~1~I~MO ~M~ YM~~~ ItIM~ C~YN ~~tf , , 1. ' _ " _ IA~I M~ OTME~ SIGWYKANi COHOII tO~~pbrf, cOMw ~ o a NIw. ~w .wr wun~ w c.w~ ewfN ~+u~ wvto?s~ M ~f S.~~~ •~~m..os t~ a •w~ ~~wn~ ~w Nu~w»n~~ o (l~/ .J?~)/ . C(' M~~~tr ~ « (,.:~ll•`4~~~~ /~l S J~- 7'~` IAt 1/? ~?.,e...~ti~ ~2uotN1 -switroe b~ At~iT?iklf~ra.rw. w~,.~•u ~iow How nuu~r OCCU~~ED w~w w ~~wn w~~a ~ w r.n w, ~nr u~ ~ H'~MIU~I~ O! Y1~IlWM':t0 . 1•'~dM ?M M. HI ' - 74~ iNN1~Y Af WORK /LACE 01 /i1URr ~Prl. r~~r, f~N~t, ~K~M~. IO~AitON ~ tN~t~ W~.~.~. MO.. t~ts O~ M+~M. M~N ~ ~~NC~n n1 W Mo~ ornq wM.,~K. ~WC~r~ ' ~ ~ ~ (Ie1q~CAT1~~- ~M~A M~ h~~ Md~M N1 t~~~ 4tt Lw Irn/MN ~lM OM ~ M~/Ob ~ t~ M OtAM OCCW~lO N M~ ~uff, Or • ~N~SKI~H: TO ~OMUI Mt 1~N ~~t ~~N~ M~~M IrOV~~ [f O~H. ~~A. b~M ? f M rt aHO~NOri~. 1 1 13 1975 3 30 1978 3 0 T_8 ~~~~t~?? ~QO M~O M~ (4YM~t~ ~1~ n. ercr.s~e ~~o+ Ct~i11K~T10N--MtDICAI E~AM~NER O~ CO~ON[~. oN ~w~ ~.ut w nM wow o~ M• ~M~ NC~OIM~ .N ?~o.wuNC~~ N~~ . rpwtw N~ n~~ wt~~• ~....~...r~w o. w~. ..a~o~ nr w.~sno.no~+. w.n awwa.. p 2 Q P}„ 3 30 ~ 978 9:~~0 _ h Ol~m OCCWNO ON W/~t~ arN ~M M FM C~YMt~/ 1t11~~. v n.., Ti~.N~t E ~e~ w nn~ (p~i! S~`,?rtlr ~+c». ClRtlflt~-NAME a ~ _9_7. P_owess-,-M~D L'! - " F~` 1?~__ 3 31----1 8 ~H ~Iohr7..~E-•- ----,i.-.~: o..., o - u~ o:~b:.. ,,.n n.~ MwYO1CsAOD~ESS-U,~~~• East Ocean Houlevaztd Stuart Florida 33494 7v [7 ~URUI, C~EMA110N, ~EMOrAI ~EMEif~Y OR CfEMAIOR~-N~Mf tOCA110M (~n M q~.. !u4 ~ s••~~^ ~ Jens~ I3each, Florida ' IIuri.al ~o All Sa~i.nts Cc3netery - - . _ _ - _ . ~:'~_if_1 • n~iE ---.~ow~N, Nt, M~~~ IUNE~AI NOME-NAMI 4ND AOOIfSi ~ suu~ oi e r• .o.. u~~ W~orr, furt. w~ ,y A ril 4, 978 t~ ~~r~er.al t~?me Box 777 Ft. Pieroe, Fl 33450 V 5. ~ 6 1~ /UNE~ l U~ K R[GIS~~y~r SK.?+~~u~!~ ow.f q~urw ~r ux~~ nr,~tN•• ~ /L~i~~.. ' Z / \ I . ~ Rw. ~/76 ~y~ . I 7H ? . ; I hereby certify this to be a true and correct ~ copy of the Local Registrar's record on file in . ; ~ the Martin County Nealt~ Department in Stuart, ~ R Florida. ~ ~ . ~ (Warning: Not valid unless raised seal of the ~ • Martin County Health Department is affixed.) ~ • ; . ~ ~ ~ • ~Archie !~IcCallister, M.D. ~ ~ . 'County Health Officer & Local, Registrar . ~ . ' , ~ . . . , £a ~ ~ ~ ' i < 7~ Gd ~~-~~`tt~-~' ~ ` >z , ~ ; Dat Deputy Local Reqistrar A = ~ I _ • . . . , , m . , ~ . . ~ ~ n •~ED r.':~ n=CORDEG 1 , _ - .~~1~'~ ~ , F~r ;;i - , c- i ~ ~ 43Q202 ~ '79 f~ dM 9~ ~ 3 - ~ ~ ~ ~ ~ . ~ g~~w301?.:.~.~ 757 ~ _ r~^ _ - r ~ : . ~y ~ ~~ry-~~~ = ~ ~ : ~ ~ ~-~1_ . _ ~