HomeMy WebLinkAbout2814 • c~ : ~~r ~t~CORDED
- i; ; li't'. FI.A. 8~~
O~J ~O
'~Q e~~ 16 P.y ? : i 0
•v
CERTIFIC.~ : i E OF DEATH '
~ TAT[ AIL'[ NO. S
d M/ QrIr61f14H•e ~rrrltec
i ~
~~A~IwI~N F L O R I D A IIf;OIEtTRA11•[ NO.
trrE. of rd«I ~N ,.orr.. nun
?I~MA~Ir~
a iii ~ a?
~ t- MINFO D T ~
1' ucE ww. waa,..rnt.r w.wr, AGE-uw wwr r . ~ • QAtE d q~lll ~rr^. rn. C01RAr QEAM a ~
oc. ~ wcr• r w.r.. ~ •wa i .w. r.a wra .u. ~ .
M~ cr. w.w K ,r ro. Y ~w~«. Nw www awr awrw r
` ' Mlcrr M1 N M
« Stua ~ Yes N
i ~ 3f Alt WM ~ r rot Y r.aA., rut MINAI C01~11tr rWEE}O. NEVU MAYO, rr rrE, MN naMr rwe r
towrw• r wpOw[O, r wcr. r ~
~w.. «rwwra E i s U S A 11• -
arrr Kdaftfr SOCW 3[CIINIr WwN IIf11Al OOAIrA110N awr a MNt ww Kirk nOw a LlEA Of MJS[EESiS Q1 MOt1E111?
u•N. r KAY rOYYi •w. Mr r Mwr 1
OCC1wMfa Y 1~
N~ t! 256~~0~ 7rJ tk a wMK cw rYiw 3
awwsow EESIOEMCE-StArE COIINIr Cllr, COMM. GA lOCA110N
~ var• ns a rro t
Florida S l•- l~ w ~ j
rAn~EA_wrE rrw ra/Ml uw MG4llt-MADEM NAME rra• aww rar•
1, W1 ford G y •
l WORAI1AlEl ~ MAING Aoaieu rwrw N a.,. ro. cr. a a•h. w.w, al
, ~ Mrs. Lotti a Castel 1 ana l><
' AfT 1. ON1M wAf CAllslD w. {CHIN Oau Ol[ CAIAEt ra ut~w~Ir~I~AL ~ k1) .wn .rr
1 M ~ /t~ Chi iii Q/ 7
rnrtw ~a•1 nK wf ( .
CAfaN rM. 1 M p. O~ N • OOWrMMK~ Or. ~ .
NtlIM rw rwr , / ' '
s•urr tArK uw i~7~'z,
W ~!r-C
rAn 1. 01M! ~ISICyR ~ corr*•o.w oYwwMrw a Kw w• ra ~
fro/csrK Y r.e ~ w MllOrfr M rEf wK ww•«r. ca.-
~„~'{1 ~I'~ ~ /~~i~5~~! ~ rws NO r N~w+rr. KwrYrrr urK
« Illy r rrnY, ra•, waa NOM Ni!{Nr GtCYMN r r~K rragiw M YiM• rr raw ra raw rrr r~ r
1~. 1r M. N
IN1YRr AT MPO~R v tor. rats. ww•, racoa•, IOCA110N '1 aKw a arm. ro., tr• w tort, Maw r
r.rwr•wcac.ar w-,trc. ~wcr•r a
' 111. ~ r
R~T~I..- uOrr r• •rY rPM1 W ••Y a~ W Kr' ~/w~ AIAR Ow r M MA111 OCQI~ A. M RaRI. Or rt
/7 "73 To y~ -o~- ..9 KIM ,b..r , p
~ ArRMN Y.
Kaawo ..o.r Ilk !k. 11E. IM. • P ro.. ca...ar ww.
' CERIi1CAilGH- or rrw a whw a qA rw riu NOnOwKw wN
r.a.raor Or YI •OO• arw/p rq KrM•wArpr, w w OrYi04 A~~ rT •W rOM
KaY 00[rwK On M r_R aMr Mr w! A taawlru wawo. M. 1>t.
~'1.l . l' w
weAt. nEw?noH, a [r w raft- ocw ar• a ror» .
~ vrcr• ~
B tu. w
A r.o.w rr rw~ IUIrEW NOME-MANE Arb SS ~ •mrr o• ar.o...o.. crrr a tart, uaw, a?r
w-Jul 30 197 cock Funera~Home 950 N.E.Coamercial Jensen 6 ach F
EEGIS -sleH,tnAII. ~ t«...eo~u...
r. s. X612 f -
11~r.1970 LstiE~+-t- ~c.~.~
~ - I hereby certify this to be a true and•correct
copy of the Local Registrar's 'record on file'in
F€ ~::,{;ti;'t~~_~~., the Martin County Health Department in Stuart, ~t
f a~~-=. Florida. . , t
i
" ~~:=,j:. (Warnings Not valid unless raised seal of the
',3_ : Martin County Health Department is affixed.) - .
a
,rT • '
~";r~s Archie McCallister M.D. - ~
e syyr ~ -
~ r~ ~ u, l " County Health Officer a Local Registrari
kk
. ate:' - -.l'k,.y ti. ~ ~ Y
~ ti
' e Deputy hoca Reg stray
- ~ .r
z
vA ~:r
. -