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CERTlFlCATE OF DEATH
Deyerte°ewt e( tke1TV tai ReLeblla.tlYe Sl..lce. BRAT[ IIL[ NO.
EMVESION E>F NFA~nI FLORIDA 377
TY?E, OR ?RINT IN ~~~~~~~A RC61 iTRAR'R NO.
HRMANENT INK OKEASED-NASI[ ,rqr rial usr SEK GATE OF OEATN r rowlw, e•r, reel r
fEE RAROIOOt fER
RTSTRtccrR~la , FRANK GERACE : Male , August 27 1971
ee RACE awn, rfo•O, orator erer•r•, AGE-usr u«oel ~ nu awee• ~ e•• DATE OF RIRM r ro•wrr, e•r, COUNIY d OE/aTM
667 nc. rwtW~lte ~•firR..~~rrwsr R.os. ~ wn wows w. •wr _
~i ~ ;web . 1 139 9 St . Lucie
ITY, TOWN, OR l T OEATN wMN cm roan MOS?ITA? OR OTME[ RjSTiT~, N-t•AME rrrr r.a w errta, orn seen r.n wYwa r
fN(VI ns O• wp
Ft. Pierce no .,t 3613 Oran a Avenue
StwTE OF RIRTN r r raeN w Y.l w•rl C1T1ZEli Of WHAT COUNTRr ~ MARRIED. NEVER MARRIED. S11trIrRiG
51'011SE r+ mow. o«l u.rl" ""'u r
cpYrMR• r wIDOwEO, [iIVORCED I frlcr• r
YWa R Ital Nat .USA I. Married - Ja ett
vaer gca•fee SOCULL SECURrt1f NIWRER YSUAI OCCWwTrON ra~+• a ro•r cowl °u•.r.o .os* a KWO OF RUSwESi OR YIRJUSTRY
pref. d N•M ' •r0•!wp aap, enw M •l/Nle r
w „ 12 8-0 S-9 6 7 2 Jobber „ TA1h1000
IwffilYflOr1, °1n
~ ~es.Nwn rror ws+l cn arm STREET ANO NIWRER
~ a..nfww. RESIDENCE-STATE COUNTY CJiY, TOWN. OR tOCwTION
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o ,M Florida ,q St .Lucie Ft .Pierce I,. No ,N 3613 Orange Ave .
?ATMEl-NAME Mal .weal u.fr MOiMER-MAK1[N NAMf rWr _ w,reeae uafr
~ Frank Gerace It Louise Gurino
U Is
INFORt,MNT-/iAIME MAgWG ADDRESS rsnea W •...e. w0., cm O• roow, sr•N, trr
„•Janett G. Gerace 3613 Orange Ave.,Ft.Pierce,F1a.33450
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,V BART 1. OEAM WAS CAUSED RY: [EniTER OeAY ONE CAUSE IER IRrE FOf AND (cH unrnw owur •w N•rw
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(•1 A arent natural cause
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~ Cta FART R. OTHER SIGNIFICwNT CONDITIONS: cor.awows ca+r•yYU.w a oe•rw ..or u..ne ro oars! o«w w rur . rer AUiOFYY K YES .l•l wwe~wof cow-
l lnf a wor or N~ w Nlllrrwrwo Gurft
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3 rrOllKJ04 OR 1e14[TEMSMIEO A r.Owrw, w•, n•• ~ erOW MOW INJURY OCCURRED r lwn• rulY! p w•wrn rw rut r O• rur n, °er rt r
r~e•fir1'T ~ ~lh. M. MM
~ INJURY AT WORK MACE OF MIURY •r wo.r, ru., sgen, r•cro••, LOCATION r ?uen a •.r.e. wo., cm w ro.rr, sl•n r
, r fncrn of p• r•Or orrice reo_lK. rerKwrr
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y CERTIFICATION- rO•rM M• nu ..o..nr •w ~ ~+e a•fr f.~ wr/M• .ane o.r r ae/o.° ww ~tw' M otwrM OCCUUtD .r e.e n.ce, w we
i IMYSKIIW: TO ~Ot+TY e•r nY •GM .rR• N•M. ~wpW r e•n. •wD. r0 M YN
r •1rlwNe M 1 M w• rwOw'afeGl, DW!
TI•. Nt!•fle rlOw 171? I,lr }tt. ,)r. Al t0 M (Yiflnl tune.
CEttiKwi10el-MEDICAL E7IAMWER OR CORONER: ow rws s•fn a rwe wor,•Lw u•a I rwe elc~w ru reowoY.rcee ewe n.¦ woy
:e."fi~r "~>oYNepe o~...•
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rw'ivuw~ s w°' ~ ; rn ~ f ~ / 7/ 4r : %IC' /Tia
CERTIFIER-NAME mn oe rewn , SIGNAT _ wu o• nw DATE IwOwfir, wr, •W r
E. P. DeFriest Coroner r>. r' - ~ C'- ~ ~ ~ ~
MAR.NCi ADDRf -CERTY[t sralr o• • wo - ~ cm a ro.wr sr•n
~ S. 2nd St t.Pierce Fla. 3`450
RURUU, CREMA11pN, REMOVAa CEMETERY OR gtEMwTORY-NAME 1pCAlION un a w... sr•n
r vecrr?r Florida
Burial ,t.Hillcrest Mem.Gdns. ~ F '
DATE r.ornw, e.r, .w I WNERAt HOME-NAME ANO ADDifis ~ snen a e.r.e. wo., cm a /o.w, sun. Ft .Pierce ,Fla . 3 3 4 50
~ g .Funeral Home 901 N.. 7th S
~ r. S. s612 tRl OIR / REGIS -SK:waiutE owtE Recervto eY aOCwa Rtorirua
I' TY Au~lst 3~ ~ 971
1 haroby oDtirfy this tE) ~ • true and OOtieCt ~y Oaf the Locel ;
Registrars reootd on flk in th St. Duda County Heakh Ds~ _
mart at Fort Pieta. Fbrida. , - ~ ~ _ ~ Q i~ t u _ _
~ - ,J.a-•,
(Warnirq: Not valid unless raised seal of the St. Leda . . • - - •
County Fiaalth DapaAment b affixed.) ~ -
43F~4~. ~ ~ -
N. D. MILLER, M. D. I ~ 2 .
CoEx?ty Health Offiat aE Loom ($~tli'w 6 PM 2
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„a DaM Dapuly Loa! Reyistra/ ~ Lr [ , . ~ _ ~ -
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