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IN RE: Lot 9, Block 7, RIVER PARK, Unit 3, as per plat thereof
on file in Plat Book l0, page 80, of the public records ,
of St. Lucie County, Florida.
s
DEATH CERTIFICATE OF CHARLES 1,ZAVID WALKER .
a/k/a CHARLES D. WALKER
state oc Florida CERTIFICATE OF DEATH
'Department of Health and Rehabilitative Settaoea F L O R I D ~ TrrJ?TC ?lt,c tlo. -
VITALSTATISTICS ncalsYnwtl•s No
DECEASED-NAME ~la• .rat ?at SEt DATE p oEwtN 1 .oru, e•t, au 1
TYPE OR PRINT -
'N Charles David Walker Male a. A t 6 '
PERMANENT
BLACK INK RACE .Iw.n. Leave. •welc•r r.el.r, AGE-1•a Yrofe-/ •e•f wrta 1 w. LATE O~ RIRTII Irpww, N., COttNTY 01 pEATN .
eK. ~ 1 MKIIt 1 Mawle•t 1 teuf 1 rof Mtf rOwf oaf. te•e 1 ~ -
lihite s< se. ~ x. a OCt 10 1 2 to Martin
TOWN, l ION A N w+ffM cwt telltf MOSrltwt OR OTetN MIST - Ir IIOt w enMe, owe arer •.r flltreee l
wcr..es a ./o
. ,e Stuart Te- es te. Martin Memorial Hos tat -
STATE O~ RRItN Ir rot w V.1.•., Line ITIIEN 01 WHAT COUNTRY MARRED, NEVER MAAIED. SURYIVMG St'OItSE /r rre, Otte wwNr wfr 1
colw/tat t WRjOWEO. EO / ffec+t 1
elo•I.arrrn n'lgland _ -U.S.A. to. Mani Gertrude Kleinko
rMrf aecf•us s«IAl SEC~1tltY tAWRER USUAI OCCUTATION 16rye arse o. wOea DOw eMlwO roar O. ' t(R~D Of MiSM4SS o! N~OtISTIY
!D r N•M
fXCVfffe M rparO We, ML w yM(e 1 -
11 -10-4745 Self Eat o ed Paint Contractor
scarce ,etor
.o.ussor. RESIDENCE-STATE COUNTY CITY. TOWN. OR IOCwTION rtr, cln alrwf STREET
¦ _ Isreca• ns p up
i.~sr ,y. F1o7Cida us. St. LuC1e Port St. ~LuCie +~e. no u.. 4 Altura St1`eet
IATNER-NAME byt rf,ae uft MOTHER-MAIDEN NAME talst rlaeu I•ft .
„ Frederick ~Ialker IR ~ Jane Ellen Roberts
IWORAtIINT-NAME MwawG ADDRESS ~ •IfWp oe e.t.e. /lo., cw. ea IQMr, fr•w, ,rt -
,,,.Mrs. Gertrude 8. iialker r7e.?45 Altura 5t. Port St.~ Lucie ~ Florida 33452
rwn 1. OEATM WAS CAttiEO eY: (ENTER ONtr ONE Ut1SE /ER lNE WR hJ. Al. Afb kA wrwfe« ow w at
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NI /4•~~-vim f'C~t•~ t/t'Yt ~:~t.~l:? .
coranorf r •In, L ~ o t ~1 ~ f!l ~ f i / r - .
wwlcw s•Yi use q (N S
IflreNtle CAYff NI, eM q, «N: ~p,~,~ pf:
• ft•tIMO fwe Yr1M
?t/lf~ CAYM e•ft
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?AR1 OTt1ER SIGNIfIGI,IT COlEt1T10NSs tOlrlwOrf to/werYtrw q ee•wl eve Ilot eeune q fJWfe O/Vfl/ w r•et I Ie1 AUTO?SY 11 YES' tfeee rl.«LO '
rnf oe rot p Nte u
~~?,..~??.a~? • t9e no t9e.
1gMK10El OR UrOlttMelu[O I~M• e•t, teat MOW INJURY OCCURRED f erpe r•rwe a trwln Iw rut 1 Oe aM M. Ilex t/
.ro''~"' Accident 8 16 78 >1<2 : 20P M. fell off scaffold
INJ<IRY A1.WOR1l MACE Of •t wOM, t•e•t freest, rf[toet, tOCwtION 1 !tern p e.r.e. w).. Crn M rows. u.te ~ -
~ lefecrn ref a !lot Owlte eleo.,et. tiMtlaft
,oD. 'Yes ~a. Nex otae Site X262 Falcon Dr. Palm Cit Stuart Florida !
CERTIFICATION- sorwt Y• tW rtr/M era tw •.r 4n f•w wr/Me •Il.e w / er/w rol •rr tM OEATM OCCttRREe the MKe. aM t+
FNt3K1AN: TO rwwl ewf tea eOeY .flee N•fr. Iwpllat w
ri
awoanfodt.; -
r, ::e::u:.0 8 16 7 8 J'te. 8 1 b 7 8 Z1 c. 8 16 7 8 ra 1 S z+.. 4 :1011.0 a~YSe/f1
CERTIFKwTIOFI-MEDICAL E1AAtHER OR CORONER or rM e•fr or rllt wow a a•tw rwt eK~~ wu fwllglwcfe eve nu row
ta•LM•rlOl/ Of M eoe? •rle/Oa tM nfgl/IGwLMI. w r. OlllflOL, - ^ V 1, I
N•rl gCfrleele Or M M1e r» MM q IM fJeMlft fusee. M. 720. d ' f ~ A "7 ~ / ~ ~ ~•f
t1a
CERTIFIER-NAME Otte W !vela / ~ ~ Neff Oa ntq A IrOwLS at.
David M. MacMillian MD ae `~<<<_ '?c. . _M.D. ~ 8 17/78
MAaRIa ADDRESS-CERTYER fmu a e.r.e. ao cm a /aver sett r
416 Balboa. Ave. Stuart Florida
MM rR7F. (p? RURIAI, CREMATION, REMOVAL EMEtERY OR CREMATORY-NAME lOU?110N un w rover ~ N•N
E FonwVS,R+» taa Removal Commack Cemetery ~ Commack (Suffolk Co.) Nex York
D-~ w. / WNERAt HOME-NAAfE AND ADDRESS ~ unn w e.t e. Lo., ever Oa rover. fr•n, eN / Ort St. LuCi
~ A 1~l8 ~ o er L ~ per, Funeral Home 8 16 S . Fed . H
I - owtt eneo n + Y ecrlsr
t ~ -SIGMA / IEGISiMR-•SK.NwfUfE ~ ~ r
~
I hereby certify this to .be a true and correc
. t;--,~.'. copy of the Local Registrar's record on file in
--y ~ the Martin County Health Department in Stuart,
= - Florida.
- h.,-
- (Warning: Not valid unless raised seal of the
. I'"~ - r • n '~Y. r
• Martin County Health Department is affixed.)
~ 4_.:~FILEO At1~J RECOROEb'
. ' -•n Archie McCallister M.D.
r -.~1.-! UC`E. 4.,UN7Y, FLA. ~
- • r~~r - - - ='r ~i0bflnty Health Officer & Local- Registrar
r '79 FEB 23 PM ~P ~ ~ -
to Deputy Local gistrar
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