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IN RE: ESTATE OF CLIFF J. MOTT, DECEASID _
Lot 3, 81ock 3, ORANGE BLOSSOM ESTATES, FIRST ADDITION,
as per plat thereof on file in Plat Book 11, page 38,
of the public records of St. Lucie County, Florida.
This instrument ryas prepared by '
rhester B. Gt7fitin ,124A No. 2nd St.
~o~t Pierce, fla.
Tel• 1•- - OTAT[ eoARO oar MaA~rt CERTIFICATE OF DEATH
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NOSMTAI OR
"'aT'"aT'0M Ft Pierce Hemo i i
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tn`,[~«">~ CLIFF JOSEPH MATT ~"TM Aril 6 1 6
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tr,..ria.r Alvin K, l+btt E11a Chandler
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e..pa. • M.F. ~•:atkins, Ai.D. Ft. Pierce, 'Fla. 4-13-67
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j 27•. eulaat. ptlNtlpR Ile WTE 23r. tIAME OF EEMETERr ON CREMATO[r 231, L.Ot;AT10[ (GTf/. Ntrlt. t•tgt/rj IbT•u)
)~nr~"`a~°"y'' 4-10-5? Hillcrest Hemorial Garden Saint Lucie, Florida
r. s. fela It. su[E•AL [ o[ s s+utATwE 8 er QIDe 2S. aTE R[co. er tQCU [Ea .EGIST[AR3 stwlTt+[E F
t...a[ss Jack J. Moore Ft. Pierce, Florida 4-14-57 Anna Lee Denison, d.r. -
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t)Ofl~l Oertlfy this~ltOw~•a tale and COrreCt copy o~ the Local
~t iatn~a retiord _on~itaa",ln. tfie St. Lucie Coimry Heahh Dspart- 4.3%~~ s
= ~~al~sliT `at Foff- Piing'
;'pe?lda " -
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• l'i • . ' jtCquilt~l • }ystth Dspantlnerlt b affixed)
J ~ N. Q NULIER, M. ~D. _ _ _ _ - _ . -
Cowlty Hesith Officer i local Registrar C _ _ , ~ F . „ _ .
' FILED. RECORDED ANO
- / ~ _ (p, L . a n _ w ~ F ° RECGRD VERIFIED
Dab Deputy Local Rpistrat '
d - r- PAUI YAUGHN. CLK. CIR. CL
~ POLK COUNTY, FLA. '
BY ~ C D.C.
2
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E aL~lr+~ '''•~r
NEILL GRIFFIN JEFFRIES i LLOTO
C.•ARtEREO
P O BO% 1270. FORT PIERCE. FLORIDA 33450 -TELEPHONE (305~~ 464-8200
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