Loading...
HomeMy WebLinkAbout0355 , 4.;~5~36 ~ / t+t~to of tlntida Cc.. ; IFICfa ~ E OF DEATH prpsr?m•nt of Ilealth ~nd Reh~bilil~li~e Srrvicrs F L O R I D A ~AT~ ?~~t No . V1TAI. ATATi8TiC1S ~co~stw~~ s r+o 298 T~~'E OR OqIMT •Sf0- .w. . ~ ¦ 10~ ! W ? w ..e.. t E[.Vfs~C 51~II'ifi F~nale I~a 10 1978 . ?E RMANENT ~ - - - - - ~ ~ _ BIACK INK UC! ~•.w wnw~ •ou.. ~r ~w~~~... l•6~ - ~~~r v+a~~ + .u~ 'v.~~~ ~ w ~ C~~f d ~~~iM ~.o.•r N~. COIMH O~ Ol~tN . ~rt ~ MItM. ~ •~~w~~• ~ 1~~~' ~1~ ~ M•f i ~OU~{ w 1 1 ~ ~ ~ . . Whlt@ i~ 84 j= • a 6602 - r1~ 'k .~eb ~12 1894 ~ Saint Lucie C~ri ipwria oi ~oC ~i~7fia 3F CiiiM s~i i.i: wn N01`fi i O"'i~Mi i+~ifi~uT~-tiTdl .o. n..u. o~w u~~~ ..~w w~~ ~ ~ P~[rr q~ M M T,~ ~_w'' ~ ` W~ 1~1 \A~Wi hfiite Yes sui}'bi aint':. ,;o: ~ i.,...i;~iiQEN Oi wwt COIM~1~~ - iuueKO. MYf~ ruiWO ~fi~fvivii6 3rOUS! ~M ~N~. ~n1 Y~NU IYN ~ a_ ~ow•..~~ ~~1~ ~pQ~~ o7,'o~l7r,,o.a-~cc ,,.n..~ I ~T~.,~ ,..~w H ~~M~ • Fl~ll~ ~ N7A ~q ~li~.~J~V?~ ~~1 lRA1G . . _ . ' r ea... NKU~ Stt~rh~~ w~4t~ tvfv~~ OCN?~t~ o• .on ~e~n ~w•+~ wa N~[w~D d M1fwtSS O~ M+OVStfr OCC~~N~ wa ~OM+~ vN. h~r w qry~N • ~ ~•.ttnN~(M. i~7 ' . «~a. 24f~-Q_5-3010 tiousewife ~m Own fbme - - . .~..~~c.~ - --------T-in t wia.0i~0(it~ «•i+iiH. ~~~i ~~iilli i~irb ~di+~i~1 N)MtNCI-.f?~tf +COYMt~ ~C . O i l-_~.-~ . ~ ~~M~(~~~ •1~ W r0 _T ~,k p ~b Yes l~•.1210 Da Av~enue Mtw~__a.w .,n~ ..w.~ ~.n ~nt~--~'OfwN ~r~. - ~t • l]IIFiVd11AU1@ + - w~arA AOWIlf ~pa~~ w ~ +o. c+~ e~ ~o++ ~~.w. rr~ ~ro 1210 Da Avpnue Ft. Pierc~e Fl 33450 . 0laTn nluf UYitO ~t ~tnrt~ r pusl N~ IMt ?d pL pl w+0 (Ui ~~ti w w.w _ ? s ~ }-~fiil~ ~ , ~~`l~~ ,z, - ~ ; . ~s LfT~J~ .CG ~G .-C~~~ ; ~w~tw ~~~1 nU rd {~1 ~j ~r.~~~.~~.urn i~ii.iili~is:ifiw- --T ~ a.ur~ ~q •.~N ~ ~aw~ t~~N u~~ . ' ~l`' ~ - ' M~t • M1~ S~OMM~Cl~N O~'D t f tO+~M1h+~~ N~w~ ~p1N~ N~~H~ W 1• o~ r rY~ . N• M1~0~ ti M?fS ~~~I I~Y~~Y~1 (O~~- . ' /y~ ~ / { ~i" a~ rN~e~ M+ N~~w.«~~ uw~ v:~ '?,.v~~~{ Gf~~lMCM_J_~ ~0~ 3~ FJfl ~~ew~.- t, ~u~ ~'~V~Mpvn INIIMt OCC~' ~+w~ ..•.+M e~ •w ~•a . m r•n w~. H ~ . ~Oy ~Oi NO~~IMtMIR ' ~ ~ ~ ~ , ; r~. _ r~o x~ ~?:~c. ! INANt A1 wrp~R ~OM ~~N, f•MN. ~K~~. TO(AhOM ~ Nq~~ M~ r• ~O . l.t~ N rO~r. ~~~~t ~ i ~ ~Won nt ei.0~ M~t~ wN.~K ~tMt.n~ . j ?7~ 70~ ~i ' Ctn~~G?IiON-• .a~. w~ n/~y ~ ./o.w._~~ ~u ar w• u.... ~ n e+ wif.~ ~o. ~ Nuw OttWH• ~..ir. e» .w ; - 1wHK~~r~~ 1/~ G t1' f ~O ~ v~_~L~ • . .~N ~Ow w•s -~.p~~ ~ ~.n~•w. ~o r Nf• •nltiN~ M O~ ~~i~~G~. ~N ° NtINU ~M~ t~~ ' ~t~ ` tt~ 7t• M o~a cwrnr ~yn~ ~ tt~tilK~tiOw.- ritO~i11 ~t~Z~Oql~ a. ~wi.~:f a •w .ev~ M M•~• ~c~ .n q.rr..c ~ Ni~ ; ~.......o. a +r ww •+~rw .n +.~a+.~o... r...e.. ~ ~ c/o ~ N.•, oa.~~ a+ ~ ~.w .w ~w ~s ~ c~vw~M va• ' ~ 7 ~ :r. r'rte iI_ w S ('~iFdi~i_. r - - ej-~`F~i~ - ~ - ~:w~ t~~-~artlf••`n ~ ~ ~ ~ ~C y / "_1_..~- . YAhMO ~OO~I S -CI~Mk1 . ~~wi iji7i~w ~ •J ~ " vaa "~j - i ~ DG~~.C L ~ -~'El~ ~ ~ HM r~+. ~~f. ~ ~ w. ~rr r~? ~un~1. fttwnOU. MMOv~I K t O~ ~fMi? Wr W • c~~ w~o.r a•n i v4c~~ o~tv3 ~s~K+~r i + ~ _ ~ ------~'b?t_ Pieroe, Florida ` ~ur3~i1_ White_Ci~/ C.c~t~tery b~ ..o~~. w . n ~ • IUNf~41 MO~1,- N~Mll+~O ~DdtSS ~ wm e~ ~ ~ • .e . c••. e~ +o~~_ ~••n. ~ ~ ~ 9? 7 Ft. Pieroe Fl 33450 ~ iwl.w~ E - .N• ~tp~ Gd4r~ j- ~ c o . ~ocu nc~f~u~ ~ ~ ZH ~ VSV~~ ' ~ 7 . ~ : j' _CU1'2DE~ , , ~ . ..1J,._`. ; > f ~ . - . . i ri 4 ~7aJ~S~ V •y_ i j 1 her~by oertity tt~b to bs • trus •nd torre~t copy ot tha l,pq~ i ~ Regl~trer's record on f~le in the St. Lucr~ County Health-~ 2 q ~1~1 ! L. y~.. <:r'' . k a' ~ m~?f at FoN Pierc~. Flw~d~. ' , l ' ~ • ~ `,'c a l!= 's ~ ~ ~4 ~1N~minq: Not valid unlefs reisvd seal of the St. luci~ ~ ~ e,•=~ . County Hulrh Usparrmsnt i• aff~x~d.) . . ` ~ ~ ~ ~ _ . ~ " , y~ - , - „ . , .t_ : f 4 'ri ~ ~ " N. D. MIIIER, M. D. k' - ~ti. ~ Covnty H {th Officsr i Lou1 Rsgistrsr ~ ~ • ~<~~i~ ~ x ~ ~ /h lyi~ . ~ • ~ D~t~ O~putY loul R~o~~••,r ~ - t . , f . ~ ° F~ ~4 ~ar.~ 3~ r ~ soo. s"~~ M - - _ j r .,;t ~,"4 ~ ~ . . . . - ``~~~~~.,w~