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Home My WebLink About0290 , 4334i08 ~ aaa dt t~oe+d. CERTIFICATE OF DEATH • ~ [Iep~~tmeht ot Hedth and R~h~bNliathe B~Mcea *r~TS No._~ _ VITA1, s'i'AT1s7'1(~ t L O R i D!1 ~co~at~~~ s No 126 , ~ ~ .e. . . . ~ ~ : ~ • TrPE OR M11Nt - ~ IN ~ ~'t ]lE~9 ~ ~ ~ IEIIMANENt ~.a'~.. M.. tO1M~~O~Ol~iM ' ' SIACK INK yK! rN~e. ulMtaw +y.~r, AOl-~~M wa • w. w~~ ~u ra ~ ht. ~ w~r. ~ • ~ H.s. ~ .Of ...f• ~ 1 6602 Phibe w ~l w ~ ~ • 3_ ~ ~ ~ w 1 . s~A fMlh u~ wM~ ? ~ fMtw~ qf O~ MO ~ Pb~rt Pieroe ti Ye.e Lanar~~ood Medi ~_~b~r ' ~ ~ ~ r rot iw 11 ~ a. ru1 1MIMt COIRIf~1 MA~~O. NErt~ MA~O. ~ r~+~. ~w1 ~r1« wr ~ ~~y~ ~ WDOMi10. WrO~CEO ~ MKH ~ u~r..aw.e, 1 g101~(~d ~ N MdYYl~__ - ~i~_~~ ~~1-------- • Naun ~j~i~i- ~y?it~ON ~Mw .w o..on w..~ ~wa .oM e~ tND O~ MqNlif O~ 110Yfm .+~1~ • M~~ M UN: MM M NMM ~ . Ott ~ NM . u 265-1~-3~79 ~s Mecfianic _ .w.w.. _ ~ c ar.. towN. a ~oc•non ..v« c~. ~wc+. n~ w .e w FIo11t3a1 ~w St 3~ Fbrt Pieroe ~N w . _ A ~IM~ ~MM~ 1~1t MO11k~~MAD~NN4~M ~~M~ rM~ Vs~ . „ ~~ae V il Ca ~ori " ~ M1~1N0 AOOQSS ~NNn M~.~ wo . cw~ a~ w.+. p~M. t+~ ~ ~e ~ ~n 2003 S. 37th S ~ MA1M w~f CAY!!~ h: !l~tU oNl? Ort G?Wt rE~ t~E rot !~L A~ ~IA kA Nf~fM OMMt ~ry N~~r • ' , w c c.r~.?~er N.r. p -~}~7~.~1.~"~1!~1~_~~ - .MCw nN ~ 1~~1 ~ . C V ~ ~~e v ` `__.]d 1~MN~M ~U ~ . ~ ~ ~ ~t~MN t~~~~~ . _ , R1 t0'MM~f ~OMMMrM O M~tw M rM MYM~ q(NN oMr r~Y~ ~~N AU10~~~ I Y[S ~~N I~rMrO~ CO~- . Mft ~ 011~~ f10N~KANf Cd~110Ml- ~ w~ o~ .e~ r«w w wn~....w u~r ~I _ O~ N~tw , . i . A N~ I ~~(p~~~[ ~ O~i ~/~ffMM~ - 1 . Y~. . MOMI IM1Wf OCCYltlO ~~wq~ ruw w~wwrti w r~r ~ M r~N w, wt. ~ ~ - lU M 1M - ~ ~ w ~t . . ~ . lOtA110N . v~en o~ ~ • • .ro . on e~ ro.+. w?a ~ ~MK~M M~ rs~ N~KiI wN.t« ~YK~I?~~ ~ ~ ~ ~M~T~~~ l~11 M~ MY N~ .W ~ w w~ f~. o/~M MM OM ~ /M+W.~ M N~M,OCC O NM, W, b M Nt~ t KI~N~ ' O~M~ M~ AY t ~ ~ ?rMrw~ ~ . , ~ ' ~ ~ ~ ~ P. w w ~ro.u~u. w~ ~ ggg tN ~7i ~ ~ ~ fl~ 1N ~ J M~o fw~ cwf~n~ sun~ ~ ~N MtfHt~ ~~0~ y ~~~f NOriOw4~~ N~! ry~. rov~ , . ~1C~~-~~~ ~ Or ~M YM M wy p M~1~ Iuww~wor O~ M bM M~Of 1w ~fh~~~1w. w w e~~wb~. N~w ot~MM~ or 4f ~?N W M~O M c~Nt.f~ N~tN 1 - . (a~~n oi n b~S1f ~.o:.~.,i....~:~~ ~jiA~~_ibM M ?wrb JL]~"~l"`~~ sun ~ Z ~ ' . tl~ ~-.u--g~ ~ ~ - cm o`i - ~ ~ ~rr~inis Ave. F't. pierce, F1.. ~450 cuw? . rOv~t w? dn-w~?~t ioc• o. a-.. s..n Fbrt D~t~n~ _ - Florida _ Bu~iel ~w fbo~t Dnm (7eirebery - - ' a~~--- ~.P~~. M~. .IV ~ ~AL 1~-iUiwt aND ~OWtiS ~ toin oi ~ ~ • +o . cm M ~o ~ ~v.n. nr ~ ,M flebrua~,y_21 1978 n. Yabea ~era1 ~idn~ Hou 777 Ft• Pieroe Florida 33450 V,S. ~12 ~ IIt 3~ - •~~'K- o~ nce,.es ~ocu ac~sn~~ v~s - t• ~ t, .rl:C- Februar 23, 1978 ~ ~ ~ herebp oKtify thh 10 b~ ~ tf1r~ Md oiDn~ct wPY ot thdt~D I'~1D R~ECORDEO'• ~ Reyistrsr'i r~oord on-f11r Gt M» N• Lrci~ Coun~Y Hsahh ~epid'C': eCU!VTY, FLA.= . ~ m~nt N fo~ ?iKa. Fiotwl~. . ~ ; ~ ti , . A ' ; ~ tw.mM+w No? ~.+fd M~I... aN.d af th. St. uKw 4~aa~Qbi , ; ti: , ~ CowMy IM~NM O~p~rtn~ a ~ffi~c~d.) . _ : # ~ - _ . . ~ . '19 FE8 12 A IQ : 19 . . . ~ . ~ . i ~ N. MILLER. M. O. o~f • • 1 ~ C~wMy OHkM i Lacd Rplsfry _ , ~ - ~L~~C:R~viT ~UURT - ~ - ~ ~ ' ~ - o.w Ow~1? ~ ~ . . • : ~ . ~ eeoK 3U3 z~ , . . _ - _ ` _ . _ . ~ ~1 - *'a r~ ~ - - ~ „s-.~"~ 4 ~ ~ . S~z~ : _ _ _ . ,a