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Home My WebLink About0811 . ~ a;~b~~ - - - g-8135 DB - state ot Florida CERTIFICATE OF DEATH D~partmept o[ Health aad BehaDiGtative 3~rrices F L O A I D A ~TAT[ No.____ ViTAL STATISTICS wcaisT~~~ s Ho 726 .~y. rrM~ ~~ft y~1 DAiE O~ OEAM •.Or~w, ~~r, ~1~~ ~ v PE OR MINT ~lA~-~~ ~N , Christine E. McAfee ,~a~a]+e , Deoa~ber 24, 1978 rE RMAMENT Cpur,Tr of oEwrM BLACK (NK 4CE ..•w. .wwo.••~~K.r w...., •GE-~.i~ v.~t~ ~ nu _ w~a~ CAiE Oi WTM ~.oM+r. w•, ac ~fncr+~ ~11~8 a~aa~•~~a~n .w ~..f Mow~ ~a:t• 18~1892 .St• ~ is x s. 6602 ~m. towa. w ?ouTwN a •a ,•n+ Nosrnr?? oa onta ~+si - •~o~ ~w U4N~. GM 1~M~, - .ncw...~ o..w ' ~ ~t P~L~OB YCB ~a ~~~OC~ I~f~~C81 ~E'I1~Y' ~ STATf d ~MM ~ w ro~ ~w C1T12EN O~ WW11 C011Mi11f IAARRIEC. NEVE~ MA~OED. SU~VIVlKi S/OUSE o~t ~uotM wr~ i ~pwnn ~ Wbp~ O ~ Vltrn ti~...~?..~.a .~1~~J8~1 s t~ ,o i ~TO~'1t1 G. MC.~f~ ..~M NC~~Y~ s«IAl SEC'/~1T1 MlWE~ USUAI OC~INATIp'~ ~GM ~r0 W~~ OON~ O~MwG r0lt W KMb OF MJSM~ESS OR 1lOllSTlY , io I M~~w ~01awG ~w M« r Mne «~,N«... 265-49-2900 Fja~e t~~fe Own ~iame ~...,~..a...~ '~"0~"'~~ M~ w~w un i~m 31~E1 ~ES~DE~+C[-S/~rE COUMTV Utr, tOwa. q lOG?1~0~+ ~wc •nw«o ,w Flaric3a St. Iaacie Fb~rt Pie.rve ~o 501 H~awley A~.~d iAi?lft-NAME nW rra! ~~s~ lMOfl~!-MAO(M N4ME ~MS~ ~~oa~ ,s ~ GY'dL~CLSt~dt C~]r1StiIle ~'aI1k~E.' INIO~M/JIT-Wiu~E W?lMG AOD~ESS .aan w~ r.• ..o. cm w w~..~, s~•w. ~r~ - ~ G. 501 Hawley Iiaad, ~t Piero~, FLorida 33450 ~ . ~ ~~ut oEwM wwS GusED ~t: (t++rE~ On~tr OwE duSE ?E~ tNE ?OR NL A1 kN w~..e« o«w+.r w.r 4 ~ ~ j r~fN~ ' ( f H~ ~ COMNhOw{. Y uw. • . E ~wK~ ~~~f ~~N M A) ~ iraMMU~ t~Y{! NI. hM p. ~L ~ tOMffONK~ p~. ~t~bw~ 1N ~M~N- ~~w~ curw us~ kl ~ ?A~t • OT11E~ S1GM1f1GwT C co~~ws cawwvn~+c w~e~~~ wu~e~ ro c.~ c~.er •.n ~ N~ ~OKr ~ rES r~..~~..cs co.~ 1~/{ O~ w0~ MNN~ ~M M1~~~4Y~r0 C~1/M ~ p N~~w t9~ 79D Ot~Urrlp ~ wMn~. n~~ ~ NOW INJVt~ OCCURlED ~ ~Mn~ ...n~ p~Mwn r~n ~ a~.n w. ~n. n~ ~ - ~pp ' 20t M 200 IN~1~1I AT w0~ ~lwCt Or NJYt~ wor. ..u.. vrn. ~.non. tOCw110M ~~mn o~ ~.•..o . an o~ ~o.M, s~.n ~ ~~MOA ws o~ .+o~ ow'a w~G .~~c ~ ~wt~n ~ a lo~ ~ ~ ~ CHT~ICAT~~- +OMM ~?1 tlY ~M O~~ ~~u ~M uft L~ rr/MN urv~ O» ~ /Oy MO~ ~1 0lAM OCCW~lO ~t M AKI. O+ 1A ~ MI~fKYN: TO +O~~rw Mt ~!Y W~'r ~nM N~M ~w01~~ NA. ~O M~ ~fV ~ .m.re~ .w .w..~ea. w~ n. NQ~M~ ~W~ ro 7 rc. re r• 8: ~ +.e c.w~en~ w•.. ~ CE~MICAiION-MEO~CAI IIAMR~! Ot COAO~'~E~- O~+ nM 4f~f p~~I wow a a.w~ ~M M[fp ~.s ~~o..ou~+cw a.e fYrN~~~ Or M~W~ ~~Oio~ +ne r..esnwno... w o ar+w... rwer M~ ~f~~ wOr~ N~~w OCCM~l~ O+ ~ M~f ~M NR t0 ~w! UuM~fi f~~t1• M?20 ~ ~ - _ M 4 CNTM~f-M~Mf ~nn w Nr.n - ekN~ a nn~ • SK,wED .+o..w., w.., .i.~. ~ M.F. Watkins. M.D. ~ ~ - 5 ltN~~ p~~• MO GN W qr UM t ~ b"~`l~°`~:~~ox ~ 26 Fort e . ~ Wy 1l1I. (M N~IAI. CIEMAtION. ~l/rOVAI 6ME1E~1f O~ CEMAtOt~-NMNE lOCni10M u~ o~ sr•q t O~~u~ O~CVi ~tqc+n~ T~. ~....w T~,~..,,~} uj y~ 4 ro~w~ VlMtA Zy ~~~iTii~~ 2~0 LG~Waa LIGi~G`~Y P11~311~n 7 ? OATE ~:.p.aw. e.r. n.~ ~ iUNElwI NOME -N.uwE ~?r0 ~DOtESS •~~N~~ o~ ~ r• rw . un w~orr, u.n. tn ~ g :b Dec. 2 1978 n. Ela~ral Name Inc. P.O.Box 777, Fbrt Pie.roe, FL 33450 ~ / -SIGNA ~G~ST SIGHA~UfE ~ Dwt! NCt~tO tOC~t MG~S/l~~ ~ , R° ~ Decen~ber 29 1978 3 , . , _~~l: ~ ` ?,.,+~by o.nn~r enr b b. . +ru. «,d oo.na oop~? oi ~h. Loc.~ ~ . . . ~ . ~ ~giatrar's r~oord on fil~ tn th~ St. Luci~ CouMy IM~hh D~p~K• ~ ~ ent et Fort PiKU, Florida. ~ 3r1L vc~ (Werni~p: Not valid unlsss rais~d t~ai of 1!w St. Luci~ r, s County H~ahh D~pa~tm~nt is ~ffix~d.) 3 ~ . ~ - N: , : ~ 3 ' Z~~ - ~ ~ ~ ~ N. D. MILLER, IY~ D. . • County li~~ith OfficK i Loal Rpktr~~ ~ - _ - ~ ~ ~ o.~. ~ o.o~,~v ~oa~ M ~ . _ 3C'rr~~ ~O '