Loading...
HomeMy WebLinkAbout0392 . .44~113 ~ ~ S~a Fi~~+a. - CERTIFICA7E OF DEATH ' , . ~ ikputment of Healtii,and Reh~bilit~tive fieniccs fr~Tt s~~c ?+o _ VlTAL STATI9TIC8 F L O R I D A nraisTn~w s No S 1~ D C•!D-.rrW .•e«~ ~ ~Dit O OI~IN • rC•~r.. qN. ' TvVE ON VR1NT ' W~liaat J. 'SoptemUer 11. 1978 Patroxic ,Male ; oERMANEMT uC1 -------.---------T-----~- ~ ' IIIACK INK n. ~~e~o. •~~~K~r j ~Of - ~•t~ `v+e~~ ~ *~w~~ ~ Cwt~ Ot M~rM ..n»... ~COUHt~ O~ d~tN . ~~f ~ f~~fMr. ~.~nr~~• •1~~~•~ ~n\ . ~..f ~lv~f i ~w ~ 66~2 . Idhite ,79 ~ !x ~ ~.June 2_ 2~ j'.St. Lucie ~ t. iOw~. bi 1~~1~bi~i-~F ~ITN wse~ t.n ~~•7i NOS~siy O~ Oyi~l~ 1~1 ~ U. N +o• .r n..a~ c~n uw~. ..w~n ~ . \q[N~ r~1 W ~O i ~ „ Ft. Pierce yea Laxr?xood Medical CQnter ~ ~ - - - - - - ;iii~ o'i iiem .o. . ~ . . ...u ~~iT[a oi v~m~t cownr w~~~~e~. ?+tvt~ ru~fNO. ~ivfviv~+a T~OUSi • e~~ ..w. ..w ~ ' . cew~w. ~ ~ ~ wi00wr . OnOKlO ~ wc r. . ` , ~ ~ sou ~NN~~ ~ Russia ~ NAti ~ U• s~ A. ~ r0 ~aZTi~ ~n Stella ~ vovack ~ _...~«~~.w. - - - - - - - - - - - - - - - ~~•u o r•o. ~OC~~1 Stt'INft MIWl~ YSWI aCCW~1qN ~s•.~ o. w.~ wn~.o .cs. a~4w~ d MIS~+l~3 O~ arDVSt~r ' . occr~a~ . ~wo e.t. + N~~e~ ~ I :~~:."~:~o« iS0-01-6Q83 _ ,~._Custodian i'-'°~I.S~_Pq~t 9~~ - - - . •~~H~w~ r~NN 1.~~ a~~If ~~~i JM~~ MfM~ireC!-S~~ry COU?~» C.~r, ~Ov.... W?OC~t~ ,~f•~r•••~f w.o•j ; Florids St. Lueie ,k port St. Lucie i,., no f,.. 415 Oleander Ave. ~ t _N~ .,a. .~w~ ~~N MiOTM1~-MMDIN N~M~ ~a~. ..M,~ up ~ ,s Paul Patroxic Ju11a Unobt . ~ - MA~wO ~DOMff ~~~a~. s~ no . cw. w ro+.. ~~.n. ~r~. „~i~re. 8tella Patroxi~ ,,,415 Oleander Ave.~ Port St. Lucie Fla. 33u 2 ~ ~ INAM NA1 CAY110 ~T Nff1 OMt ON( C~Yl1 M~ lN! IO~ A?O t ~ ~ h 1?I ne.~~r wu~ N.e. i ~i[~tfilf ~ . Terminal Bronchopnaumonia ~ t~w~~NOw1 ~wr ~ ~ n, Chronic Constrictive PericardtLis _ _ _ _ _ ~ . ~tr.ar~c~-- - . ...iY . ~~~r~ t~~M ~~U kl _ ~ _ _ M~t M Otw[~ lIW+sK/Wt COMW110NS tMw~M) CMnM~~M b Mnw ~~n ro. wun~ ro uvs~ •ur ~I!?d3~ TM ~!S ~~n .•..r..os ca. ~ Mf M M~ M~~~1~ ~r~ Nry~~~rw0 U1rM ; ~ . ~ yeg i ~l ~ w I . ~.~1~~~ -~~~M. Y~. H NOr1 IM/Y~I OCCYNlO ~IMI~ wM! w~rna ~r n~r ~•u nr. N. i ~ , 7M' 100 l0! M!OY ~ iNN~~ Ai~p R ...ar ~a~., pnn. ~?c.oH. tOC~Dp+ ~ snn. w »o . c... e~ .o~r fun ~ ~ ~ Wc.n M~ N~N~ owK/ wN.Nt ~YR~h~ ~ ~ t I~ ~ [j ~1MKA1blf- Y~ AY +b~w. M~ •~u W Mfr M~ ti/~NM M N/~~ ~+Ol wM ~f~1M OCtY~~!• M h.~(f. or aV . ~ . ~ i11t1K~~M• ?O t ~Y~w~ , N~ NY ~M~ Mry~ N~n~ ~+0~~~ ~p~~ry. ~r~D. b ~q N~~ ~ i~• N(~~~1~ ~b~ t~e t+c . , 7 I l~j ~PD M t.rf~~f~ ~un~ . •m"~• ~,y~.,ZB. 19T8 ; Se~t 11 ' 78 ~ SeDt 10 1~7 . ~?es r. ~ , f ~tii~TKAi~Oii-MEb ~ o. ,~r a+.~ e. r~ w~t~ W M~~ ~ T~~TK(1 ~~~~N N~• J-` f I~uw~*4r p wi tl~~ uA/W M~ rn~~~w~~. w w O~~wr~. . ' ~Oww N~ .1~~ .o~~ ? ~ JlaAOtttMN b~ M ~aN ~M ~M uMN~ ~uN~ MI~. ~ - ~ ~ ~~=NAMf ~eN s~ ?T~wn- •3-- - naa~ w ~ ~6AfiiIK'.?+[~~~.o..n. e.. .~.-n ~ A~suntcion M . a M - ~ yj~ ' :x 11 ~Jf_,_ M~I?MIG wVl~e - ~ ~ ~-y-- __Y~._._.-L~li~~. ~ i~?~ ( .-l ~ f~-M • ro ~ ~~s ~a... s,i F@d }1 . w,~ ~nf. t~? WMAI. C ~M ~On. MO1Mt w~ Wr-N~ t A c•~ o. ,a,.~ o.n p4c~~ O~GVt ~fMt~n~ ~ ~ ~b ~ ~»~n H, Burisl H,i+'hite Cit Cetuete ~ Ft P t i~ Fla. ~ - - - - ~Y - -~---__l__~~~Q_-~~--~-LuC_For~~`~t i Lucie r rn~¦. u., •~u~ TyNf~N MOMI.~. NAMt ~NO ~OW[ff ,~m~. o~ ~ r~ we . c~~. W.o•r. ~~•r~. ~~r • ~ ~ ~ ~ 1 - ~t i . , , c , ~ota~ ~~afn.~ , • t mb l4 1978 ~ , ~ - ' ~ . ~ ~ i a ~ ! ~ ~ nereby cert~?y rh~s ~o t~e a true end cornct copy of fhe t~oui l979 ~a~i -3 ~ ~z: 23 ' - Registrer's re~ord on ti~e +n thn St lucie County Hplth D~paA- ~ ~ ~ msnt at fort c~pr~p Ft~.~~ia FLLEDA RtCOF:~O ~ (VHsrning: Not v,~ 1 u~`e . r~i:s^:f aeal of the St. lucl~ s P~RA * . _ ~ Gounty Hea"?. I,.~ .,,~.~ent is affixed.) f~dR('.~pT C ~T _ . I RCCORQ ~EKjFtEO_.¢._l~¢.~._• ' N ~ nn~tt?a, n~?. o. ~ ' i ~ 4~~11.3 ; , Cou~~~y he ~th O(F~cer l loul Rpi~tr~i 'E 1 ~ ~ / ~ . _ ~~/1. .e~iL ~ ~ • I Oeputr local R~ot.n,~r ~ I ~ ; ~ ~ . ~~~~3U~~~~L~ 39? - $ 4 ~ ~ ~ ~zx:~ : ~ ~ z ~ ~~i~-.~+`is/ +-1^.:..,~+`~ ~ . y' F .~°f~. h~ . 6~§~~i._0~.'[-.z:. .w-~. . _ . .~ffis.S=` _~.'w+~'.