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HomeMy WebLinkAbout2625 431305 - t3t.te of Florid• CERTIFICATE OF DEATH iktartttfrnt of Health and RehabililHhtz Servirea ltAT[ ?!ut Mo _ _ _ - 37, t VITAL ltTATlBTIt,~ FLORIDA Itta+stl\A!t a Mo 4 TvVE OR /HINT to __MA1rl • r I A d A x ~ ¦t•»•,.... •tN. , •ERMANEN? - ~WAI~ N. UllRHAIN It Akl.le i, June 1 S, 1916 . atr •.rq, »Hto. Arl tKar wMati--1 AOF -.ah ~»au ..pc wt. r N , CAtt d ~~AtN .+e.w. N..~tOUNt~ d OrAtM BIACK INK 1---- 1 qa„ 1K r Wt•rr • P1 nuf. - oaf } Nr, ~ ar0¦tf I w ~ i f;602 Whi,#e N N , r~ltch 19 190Z_ ;t. St. Lucie flTi. lswTi; ai itRTitia~-ar ax ----1 r»fw cn. rrm A\ O ~ I - »pr t.rat. am f.trtr ar •rorNt r ? frlr.r• of M M ~ f#. Ptehce 1,, yea Lt~w?uuood Mecltcat Centeh - ~ii~17iN ~ .i »o~ e f a . »a•• ~ i?. O~ w?u-T CCNM+iir wunt0. Ntvtf rawrrl~ ~tu~-viva 3~ • N ..N ov..Y+t. ».r r t.¦r.r.. r ~"'°°r'~~ r tat¦. r ! fhanc ie &ih en - _ - - - - ef..r Nfw»cI t Wee# VUIg.CtLfA , 1ISA ~'l----------- tn_ Q ..tM NdaYe _ _ - _ _ _ _Y .~•n • N•w ~'N St~lHrt't ituwiil WVAI O~CWAirptt ~i~•c tr. er.ota .e»I w.rrs ron a iar+0 d M1fIN!!f W rNOVSt~? 0y eMNe w rOrw..w NIM IeNe frrrvrKr•....t „ 235-01-1399 „ l~1l~.cnfenanee I„r E. I. DttPott# • ~ ~wrett iES101M t-ttA - ---1COYi+fi tm, tOwN. Oa \OCAtrOM "•i~ti.w c`•wi T;tiifi u+3 +i-iliuT+iii - - - - - - - - F.Co~.ida 1,,, S#. Lue,i.e F#. P.ieRCe I, ;I~eef N ~~t,t. 1424 Wyoming - --M r.tfr »Uw1 raN MOlttt - AuttlrN NI r,Nr .,eMl uP „ Fcfww~td Wiat#eh Dunham Emma Ednc. Snmptee 1 AM\rMO AOp.lfS •NNti tN i. • •r0. tw• N rori». fuN, Mr filuneie aunham 1.924 W orrti,,t Ave. , ft. P.iehee, F#. 334 SO ttlAM MA{ UVSIO N ItN1lA Ott\• OMr CAVE! Ir! lNr rd AL AL ArO HN Nr.Nr o»Mr ar N-'a-r» r t.t Cardiac arrest ~ .¦.t¦ ati t,H ri (f1 i rte~io~clerotic heart disease. urtaatt u¦ftr ¦iT t~SI rrcT - ~ ftNrrt• fp rrrel~~ Nrr~ tf.N INt ~ ttt _ _ Mrt • Ot?!t. t10M!?KAMt tOttWtIOMf c.rwr^arf ttrrarvr•.re re Mae. t¦r w ttufve ro u¦M srttr ror • e• -1 ilirtds~ T r RS .tN nr,..re+ ctw ~I r. _ t. ns oa rpr V¦tNe wntrr».+e tent " "Acute M. Imo. •~?ndro~~ _ _ilo ~ ~ •t... -r A2tt6t4T ~ rrMr¦. N•, daU u...N ».Mt*M ••r.t~r.N . M r.N w. wt.... C4~ OOZE 11MMfI ,NOw lNW1t OtCVt1l0 fi re ~s. M ' w ! 11 ~ ~y~~ n .o.t. aM. tntt., r¦ntM.. \otAh01+ . tnN. N f • • .o . cn+ st .e.» ?..n . .?Ntrti Nt Of Mr Mhtf IW .1R rMKN?r - t ~rrtMICAtDM- ¦err¦ Nt tIN ~ rtM¦r Nf MIN arm uf• Y• /¦Ia ar+rt M . e°/M b+ M .fAM Oc(YNt• ar M raft. a M € i rO+~ N. MY tM..~4t Narw MtSKUN- t0 ~ ...p.,r .art. ro +.t tr!• e . arrlrNe r¦, M nro.rroat ¦rr I itt NclaNe rtor 'IA _ ir. tU tf tt _ r ro »rt u¦wnr u.•,.~ t Ct~tlil(A.tlON-A~A1 ~ o» ra I•M a rwt .eat a war. I » .N a iiu - 11//J- laaawarrp» M rM fOer aM/tN r¦, rr.IVrWrO•r, aw•e... w n ,p ! " rd+r¦ .ar •1at ¦trrt r Mar" tKttAtM Or >M eaa arN 1M b M UMl qr Nar1•_ I( - 1 r ` ~ t`I ~Ib~ I ~ . _ r ~i ~ v(• I7 C1iMMi-Ft~~+Ni M rw:n , - ~ ~ ~ - n d rt b~f r~uf0 :n..w. n NN• t,. N. L. Schofield, Jr. ,M. D_ ~ _,-,~~C,~,'' ~-~1_ ~=~~-7~-_ I ~ .tAr++'o:ooaii-s-'~rili~r - ••It~ P,0,3o ~1~6 l~eiro ©ach, Fl'b~?~ida 32'960 "c, Cr/MA IOM. MO~A\ AN f -MAMt ! A b» a ro..r fr••I lPb#on W2b# V.i is ~ "1~em_ oval-8tvtiat 'Mf Ghacetand Cemetery 1,t. Chrvt 3 in--------- k - - _ _ _ CAtt rrprr¦,,ar, gatr iVMrtlAl MQMt-NArraf A/ID 40Wt f ~ Ht11r o ti • » • e+~ trr Ft. 3 50 E 1 e 171 1916 i --~achd Funeha.l F~ome 40 ~ N. ~'~i , epee, 3 V.e.1?ett lui+li \ - _trt;?u _ naf. __f1(.NArIN( • n e u torn... . a... ire - s - Q ~ • t« 062178 1 hereby att+riify this to be • tr\te end correct copy at tAe trolcel ' ~ - _ - _ - Registrar's record on file in the St. facie County Hselth Oepatt• - - - - - trtertf e1 Fort Pierce. Florid.. 431305 tj1IV•rning: Not valid unless raised seal of the St. ~ ~ ~ „ ' ~ ` County Health Dspertrnent is sfFixed.) r~ ~~:j j • g N. D. MIIIER, M. D. . County Health Officer i hxeF R~yistrer. . DMti OrPuty local R~~tt.or ~i ; BO~K~O~ rr4GE26~ - - - - - ~ r ~ s