HomeMy WebLinkAbout1313 44181'7
_ Stat« o[ Florida CERTIFICATE OF' DEATN ~AT~ ~1L No _ . _
l?r•{fartment of Nrslth and RehaDililative Sertricwtt F J. O A I D A 697
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rv~ ~p J 7i~~tAS Ma I e _ ~ December 13 1978
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Harold Jacob Thomas Helene Hurst
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E3atty C. Thomas ::f~108 N. 44th. St• f Fort Pierce Fla. 33:5 _
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herCby CerttN this .f0 b1 s fruit end COff~Cf SPY ~ ~ ('te'a'
Req:;tra•'s record on file in the St. Lucie County Health pEtpeA-
rnent <<.r. p.e.~e, Florida. • ~ ~ r?0 "F ~ _
r ~ n!~ "Jot v,:+d unless rased seal of the St. ludo ~ ~t, . =
(V~ • ~ _ - -
Y ~punty Heahh Department is affixed.) -
44181'7 , •
f;,pumy 1-lenfth 04s er.,~local ~Regf,7slra~l~
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Oeh peputy Local Reo
RETURN T0: Home State Title Co. c~
1950 Lee Rd. gOGKW~ aAGE1~1J
'Minter Fark, Fla. 327'R9
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