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HomeMy WebLinkAbout1836 State of Florida CEF : ~ IFICATE OF DEATH Department of health snd Rehabilitative Services erwTE r/te efo _ _ _ ncafstnwR s ?[o t VITAL STATISTICS FLORIDA .Na\ \.sr S(c 4w(t W (f(wIN .ro.•+, n•f, ! o(ee•sto--N.Ne 7YPC OH PRINT ~ IN Edwin Morse Faulkner : _Male ~ pct-g);~r ~6 978 VcR~1ANENT - - _ BLACK INK uC( ran, rtcw. •r\f.c•+ r.a•r, AGE-\•u •...t• r~•t•! r!^r!• • Cwt! or N1M.w~*~. w•- Cpurnr C1r OtwtN f•c. IAKr•• M• n,•ffr rOf Mq rOVq rrr q••, [ ~ ~ March 7, 1903 St. Lucie l 6603 CiTt, IOwir, M IOCAt10?[ Or p(w(N •rfNl cr• \rwf NOSN7Al Ot OiNrf tfSll(UIgN -H•V[ rw w INH•, 4«f f•N\• •r rwN• • MI[r• of W MO - ! ~ Port St. Lucie Yes „ 687 Harbor View Drive - _ _ , , . S1ATt O/ WM.r rpr r v f • . r•rf CInIEtf p vnut tOwiir MwtfQO-NEr[i iucMfD. SUOVIV?Ks S?OUSt •.w, c••f r•.w r.w. ~ *~T WbDyV~Q VOCLIO.fIKrs. ff _ _ r • 1I7r1 p W (~~Q - _ _ New Jersey ~ , Iv/A ' r eec/•fIS SOCI~I S(C'Ihii IWW(~ USUwI OCCU?~t10N ~a.f a..o o• ~of~ fo+f w•«w ooY o~--' RfTtO Ot WSPtFSS O~ pap1,STlY .~.e- N•ir +rOf•wb tw n\r fl.fro. " ,a 041-03-5621 Bro,cer Heal Estate ' IFrcwa Nwn wtnf .r..n SI~[l1 RND NU•?~t ~ •e.•++yr rrrypt?Kr--Slat( COl7N7r C17 r, tOfvH. W lOCwtlpH ; .f•1(r• .If p r•O 1~• Florida ,~e St. Lucie ,K Port St. Lucie Yes ,4 G87 Harnor VicJw Drive (41MF3-N••r( bqr rNpt PP MO7Nlf-.A4D(N M4••( uBr .Nat \•V I fs Harry C. Faulkr~r ,s Dessie Nvrse ' ItftOU~fANt_NA1ME w\wRIt+G AOOOESS Iawlr o• . r • «O. ca• a ror+, v•n, rrr 08836 - ' John Faulkner 1658 Brookdale Drive, Martinsville, New Jersey u• tte ••••m.r• n.•\ IMI L B(ATN wwS CAVS(O n: - t(Nr[~ Ot+lr ON[ CwIK( rtA t?a( tOt (r), Ibl. Ar+p kM nn+ur or/t+ •w .\•w ,.awn •.st - . t N~~ ~ D .c. 5 tOM~mOr1, r1 •r• ; •r rtfr •r\ [•Yf\ rH- aid t10. M •f . COrffOWr[\ d fl•t.r0 Ir/ rrOtF \••MO [•OfI \•1t - 1 kl AUtO?Sr M r(S ~nI n.•~.+of co+- . FwEt 11 0(/1(1 SIGwIrKwMt COgWt10nIS eo+v.arf eo+•rvwra q wf.f+ aw roe lwnr ro eww e..fr r rr. ,maw. un.ro rr N.a.......w ur\f - a •f•¦. M•.MMd wCC~Orvf. SY~1 SATE N 1.0+•+. M?. ?1•.. ?fOIM NpM INIURT CKCWttO ft+n• w.Ml O• wwn w..af . o• r..r a, e,+... ~ ~ ~p 70C M 700 IHJUEr wt wOtK hAtt O• NA/lr ,r turf- f•Nlr- ..cfo.•- lOCwbON ~ . ao111 0\ \.r • ro . [N+ M w..., u•w . . _ /aMgA of O. •Wr OAK{ MOG .{K fWtNf ~ 70. ~ / r ..f.r trt OIwM o(CYf.(O •f .•I •1•[f- O+ Mt • r* ~ CQrNKwt,ON- •.Or.rw N• •I•. rO.rr O.• tt•f w W f•..~/rtf •v+f er r~ w ro ~ ?Nrslu•r• l~?p,. ~ / ~ t0 _ ..or.. o•• n•f {ow..nlf N.n. .row1 •.n, •rs. ro w af• ..RIr•I..rt_ a/O0~-`~-,~ ~~{7S alp ~2-S' ?47 a,a 0/ r. ~9 rf fo.:{~.rf.,f..•.n. CtEtMKAiIO?i-i+EOKwI (II A.w/E! q CMCl/+EO a trl \•sn a rrt ror• o• M.•+ IrI \o\•n .•f • o/. t+ . I ro.r. e•• n•f .orf - r\•rr••w0.. O• •rV WO• •w/pf 1w r..tfrw••O••- w rr o++••7•. y Al.s oc[u••ro o. M NN w M b rrt t•YH1f/ Y•n0 a M aa• _ ~ 0A1! SIGN, f e•.-:,jN ~ CEE7NIN-Nwa••t .1•M O. •r+wn SIG~[wtJy NGft , O /r N1. 0f . 1 • t~ M rorr wullrfG ADwess-ertnrrt• C • ..os Fa•w Na. 7TH lD(wtIQN C.n a qrr 1r•n v•r t9tt. tRf SWIM. C~Ew1At10M. ![MOrAI Wt((tlr CN CRlMAfOr<r- f v: ~•~"~iroval-Burial Hills Cemetery - ~ -Sa~lerset------New Jersey Dwi( o.•. n•.. RINHwI NOM,_tlAw( AND ADO{rSS . f.fn• o. f. • .o . o• ro.+. f••n, n. • a ~ ~~'~~~7 Yates Fun~Yal H~ Inc. P.O.Box 777 FoYt Pierce FL 3 - ~ %WN O~ f tl o(WS J4~-Slfriwruc ~,X;J own ncuvw f. IOC •I ncrfu•f ~ / asa i I a» 7a• ~ i . ~ of the Loin r--rpRDED'. certif this to be a true end correct coVY p t I hereby Y ~ F L~~ _ ,,--,Ut:~Y. r~a• F R~istrer's record on file in the St. facie County Nfsslth Dope~?ti' - _ _ . rr?er/t et Fort Pierce, Florida. 8~~ (Yyarning: Not valid unless raised seal of the St. Ludo 4.1f1v - Govnty Health Department is sffixed-) V~+ 3 22 'i9 ~ ~ 5 P~1 N. D. MIiIFR, M. D. ~f4" _ t;,ounty Health Officor E\ Lcca{ R"g~'nOr l t_. _ DepvtY lotel Realstrnr z EXHIBIT A BOCK 301 ~83~ NlILL ORI~FIN Jt'_iFRlta i LLOYD - - ~ CHARTERED P O BOX 1270. FORT PIERCE. FLORIDA 39s50 -TELEPHONE {305) 46-8200 -.t. - '