HomeMy WebLinkAbout2541 IN RE: Lot 17 and the N~ of Lot 18, Block 11, Revised Map of
FORT PIERCE BEACH, Plat Book 8, page 29, St. Lucie
County, Florida, public records.
DEATH CERTIFICATE OF GRANT C. RITZ
state of Florida CERTIFICATE OF DEATH
Department o[ Health and Rehabilitative Services ET•rATE FILE No _
VITAL STATISTICS FLORIDA pEGISTRAR s No 6S1
OECEA~EO--NAME x.0011 I•st SE It OATS OI pEAM , rcNrr, e.•~ re•1
v~E OR PRINT RITt : MQ.~e , Novem6en 22, 1978
PERMANENT ' - - C.
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6602 - _ Wh~,te s. 66 ~ s< sSept. 4, 1912 St. Luei,e
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u~, 278-01-_5104 Owner.-d QJiaton t>o flag. ueQn
•'-'+s'o• RES,CENCE-STATE COUNTY CITY, TOWN. OR IOCAiION _ wslw cm swm SitEET AND NUMIER
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F.eonida ' ,.e S#. Luei.e ,k Fx. P.iehce ,b yed 326 Feltnnndina S•t.
I AINER--NAMI tltst -rt00t1 l•f, MOTHS!-MMDEN NAME •MSt r.00t! I.1'
,s John A: Ritz ,s FeOaa~.e Smith
I NIORMANT---NAME MA\M1G ADDRESS tsrfltlt p0 0 •e tt0, an W w.r, st•n• t1.1
C~-cuca Ritz „e 326 Fernand~i,na SZ. F.t. PtQJcce FL. 33450
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S CEetlhE!-NAME .nn m n,Na _ SIGNATURE ' - - aw,1 a nne ~D E S GNED _ .
au _ _
MAMRVG ADDRESS-fERTU1jR J srnn w • r o r0 un a ro.» st•n r•
v,. ,g:, ,Ae {URIAL, CREMAT,pN, REMOVAL CEME/ERY OR CREMATORY-NAME LOCATION uls a to.~ tr•.1
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o:ti--- - - .-r: - - •,~NERA ngMi rtlllencl~~ome',;.~~of N~~~i• , • ~~:"..~~.ence, FC.c33450
2•, Nov Y~, 1978 n, ~ ,
TUNER s NAfUR[ ~ tEG/SilwR-ACf/ATUfE O•tt nulrto s• ,OC., 1[cnv.t
~ ~ fl ,t/fl ~ 2ce November 19?R
11eTeby cenlty Mb to bo a trEN snd correA Dopy of the Locel _ .
•u~atrar's record on file in the St. Luc1Et County Haahh Depett ' ~ L ~ v
enT at Fort Pierce, Florida. - _ .
(Warning. Not varid unless raised ><eal of the St. Ltaclo 4~;'~~5~
County Health Uepertrrient is effixEtd.) ~ ` -
~ . ~ I l~~i i ~ = 51 ~ -
N. D. MILLER, M. D. t ~
Coun H slth Offiaf 6 istrel ~ ' '
t)? Laces Reg ~ ~
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