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HomeMy WebLinkAbout2415 • 1 t _ ~ . +4 r' e ,t~ CERTIFICATE OF DEATH tT.n fEn Mp _ _ OLMrrnf EIt EMd11 E1N w.tr~iyAw s,..Er. r.rAE..r.T/¦me. f L O R 10 A Low fnt EEO 207 TM OICtDENt-t.ALIE /1.5T w rflat PAUL E fLt00le Lwsr se¦ Dart of aA•N, r., a•. . SELPN SR. 7 Ma.Ce ~Iwtch 29,1979 -1.---------- .tKrl IY .ACE--a ~ . MiM. !fed. Alit-Ew• t4•tAeq [IMOttt t rEA! Wolf E pAr wr! Or W1M /Y.. A/, t..1 cover. Or ptAtM Aa.. lne.ew, et t rsf...//1 r.. / rp`-TaT[v~ E+CN~Tri" 6602 .W~f .i,;~.t___ ~ ~1 ~ ~ __i__-. .Oct.11,1921 to St. Luc.c.e Cn:. fora Of LouEIa. OE fK![nE Ipy11AI Ot O1Mt. MOt1EUTlOE.-Nw•. /JI aw ~ N.r+ V . .1 ..oY Cff IM+ :•M qr 00. fe• l+•rtt a•I •••tf.•I Fz. Ptefeee lawltuaod Medcaeat Center Em¢!t a Rm a s+.re ai:.-•n to unieN w wEEAr cov.•rr wie.ito. E/tvet rAento. w.vlvu.c srotae nt ..n..•....«, - - - - - EltUa[fTS•DfaCt . Fltiane`d°'rr~~/ USA np°~a~ec~""", t1. Befity AndQJeaon IIVLD t DE•1M St]C,AI SF(WItT aUfNlf l/S[LAt OCQIfAiIOa (Gw WIa/w[ Ire wry r1i•Q W tAlSlt,(u W IYDI/Sifr OCf'JNID t•w t/ wf.af A/r. wr J •wd1 1•6•"utipr G+vE .tS:Jt `.Ct Ht7f! r: 6 -34-009 ConfiJtliGtoh Rezi~iced (CIWTr Cltr. tOWrr Of LOCATION _ TtTlr At0 MWflf ".~:lN C qtr I.V~'1 i flmh Ett c• I..F.Lonida S~. luci.e ,4. F~. P.~~cee RZa 5, Box 202A r¦¦ No r••+:.. •uwt I~qr crop[! [AST nllf-AUroEa w¦Il I~¦Sr Y~tN,11t tAS+ IS AJlthW(. SeLph - A~clybeLL Worth :r.tpraravt-.•aAA¦F /f.f. 1,w/ MAI tILRi Al10fE33 SifEtT Of . E O. ND Clr• G r(7nv S'''E I~• Ile Betty Setph „~RZ: 5, Box 20iA, Fie Ptelcee, F.L. 33450 A/h At. QtYAL04. fl lfO:Al, Oflttf •Slrr.•./ ClW IIft Of CfEAU110f'I-IMY! [OCA ••(Yt f•'r LV 'Gr'. S'A•/ ~ ib BLIlLlLLL _ E. Font P~,e~cee Cemetery l~ F~. P~.ence FP. - - IL`.tIA[~ --,4 wl • tVLFfAI IbM! _ _ _ _ r* ? _ ~ BATRD FUNERAL NOME •4 a. Qet.• e• •'r 1•w•a'LM" •I•"/• ecle•Y/ a• nie •+f O.'. e+i 71 Q. •.e Gr • at ..ry o- .w. a• uw+• w' _ . _ ..aw w •Re rr, .•a+M w<., •.«I e• h • s.h >^a e'«r - j~ .a:rw.•. a.1 l~b~, (~/[.,.JE~l.~ ~ j~ ti.tw•.r r1 ?..tr., DArt S"••.tD •Y,, N•., 1 ~ t y~ M6U. Ot DEAKfM ~ • G•'Dta°r • _ . 4/3/79 ~ 8:0,~ E. - _ 71r t~ •.,V• Gr w•'!•.'D'•+6 E/•rS'CIAa It O!+•tf •IIAV CtfTUlff /t.N r N+ae. j ~ LO•-+CU..CED DE/D • W , b... 1. , If~•JJI.atO 9N~ . ~ =I ? _ x~^ 711 CMt :r• Ar V • J.V! ••-0 ?C_+l SSA CLfilt~ff 11+1•SIC.AN, YEDKAI !¦AV+•ttry /?•N r N•.r,.. _ _ _ - - _ _ - 7:Barnard D. Ross, M.D.,887B PrimaVista Blued. Pt. St.Lusia F1a.331152 I 1t:• S'r •7 OA+! rTCE1vtD ¦f'.5'I.r • V+, L•+. 1• f;,,~,.,~4 71- _ _ ~ ~ 7,. April 3. 1.979 ru •r VNFD~A•E CAGSf IL\?IR~O\L1 U\I t r1,s/ /If r[\I IUR I. r• Ear, trrE ~ ,:-vn•M•.e.-. rr•n 1•e!1• •r "~K' -Art~riosalsrotic hurt _dis~as~ --I ---b--1rs` l"C`Ef;n•~• t D..! t0 Oe a5 • CO'bt?:f'.Cf OE. 'a•e•w'tw••w• raw o~• 1Y.•A UI/SF IASf I 1 i ~ - - - - - - - - - - - - - ` OttE i0 Oe AS • 'C+RtOUlhCE CH ~~v..i~ M-~a.r rr1• f••E ben f fAfT 7'M. •..V1:t~...rwtfry.O~•^•4 fa.rf•an<a•.+.U.wp..d.e•E~.,.•w n:e+wf .a <ww p.w•n/Millet •::'•Mr/a,..,.. ,.aSr,•t Ett.tttD •~VtD CA. _ 7. No No . eM!•.• •'C. St.•'^C! DA'F OE vuVfT trL . Ar•. 1. , /tOGf OE INIWV C~t Strl! ItpVll IvV rr (y «vriD 1 ..~t1•.1t a aY•rt,t,•.t0 1~31a•+ :•7 •r 'AfYr 1.. rtACt O+ :•..i.'fr _A. M-• a+en, tot+r, a••ce 14,p. l0'1/NHt :+IFii M . r D +,p ~ '+'A!, As• 1a•. w,r« r•.vs nr. I E..•- vu.l n I ~ I hereby certify this to be a true and correct copy of ihs Local F,;•.,,!.•,, ~ Registrars record on file in the St. Lucie County Health DepaA• :,i~ , , ~ ; E is ment at Fort Pierce, Florida. (Warning: Not valid unless raised seal of the St. lucls is-.•t _ County Health Department is affixed.) •`r~ ` ~ ~ N. D. MILLER, M. D. ` ~ ;t` . r•N ~ County H Ith Ofii[.ef b local Registrar. i,~;~~' ~~=%•a Oste Deputy Local Registrar C - --U':7 FLA. ~~t t-rw~~ ,/S`t.. J1. -r: ~ c- t. s' '79 AP^ 12 PM t2: 3g - _ _ _ _ _ x - ~i r - ~ _